HomeMy WebLinkAbout333522 12/14/18 ''w e*p''f� CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******149.13*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 333522
+;��o/` INDIANAPOLIS IN 46278 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 9158694 149.13 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL
PO BOX 78588 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46278
Payee
$149.13
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
9158694 42-311.00 $149.13 I hereby certify that the attached invoice(s),or 11/30/18 9158694 Cylinder Rental $149.13
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 11,2018
� _ 1
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
CYLINDER RENTAL INVOICE
INDIANA OXYGEN CO. CUSTOMER: 07851 PAGE: 1
P.O.Box 78588 INVOICE: 9158694
Indianapolis, IN 46278-0588 INV DATE: 11/3012018
317-290-0003 SALESPERSON:
BRANCH: Fishers
_ P/O:
TERMS: Net 30
B S
ICARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131 ST ST P 3400 W 131 ST ST
T CARMEL IN 46074 T CARMEL IN 46074
0 0 _
Notes: INVOICE AMOUNT $149:13ti
----------------------------------PLEASESENDTOPPORTIONWITHYOURPAYMENT-----------------------------------
"BEGINNING r _ENDING r, .LEASED RENTAL DAYS CYLINDER RATE Cr EXTENDED
ITEM eALANCE SHIPPED RETURNED 4LANCE- CYLINDERS AMOUNT
k _....mow.. ma,..n......, _.....,.........wv»>u„ —...,�......-.,._.mer..a_biG .[,..__..: .._ ....,f.«.,. .,..,--..'.,_._u.;.. ,�,.».,..w..��...... ..,..r>ua..a..L......u.a:.�..e..�..�.....,. ...,_._..��m..r.....,..,...k+�.r..
Acetylene Large(ALY) 3 0 0 3 0 90 $0.529 $47.61
Argon(ARG) 2 0 0 2 0 60 $0.489 $29.34
Carbon Dioxide(CO2) 1 0 0 1 0 30 $0.489 $14.67
Mix Gases(MIX) 2 0 0 2 1 30 $0.489 $14.67
Oxygen(OXY) 2 0 0 2 0 60 $0.489 $29.34
Asset Management Fee $13.50 $13.50
CARMEL STREET DEPT CUSTOMER: 078513400 W 131 ST ST
SUBTOTAL G $14913'
CARMEL IN 46074 INVOICE: 9158694
INVOICE DATE: 11/30/2018 `x' TOTAL' x$14913:
TOTAL CYL VALUE: $3,000.00 P/O:
INDIANA OXYGEN CO.-P.O.BOX 78588-INDIANAPOLIS,IN-46278-0588