HomeMy WebLinkAbout334410 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 154252
J 3; ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.71
CARMEL, INDIANA 46032 PO BOX 78588 CHECK UMBER: 334410
'MQTON�L.p INDIANAPOLIS IN 46278 CHECK I ATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 9176102 16.71 EQUIP ENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46 78-0 88 In Sum of$ Purchase Order
154252 Indiana Oxygen Company Terms
$ 16.71 P.O.Box 78588 Date Due
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#,rrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 9176102 4350000 $ 16.71 Board Members 12/31/18 9176102 Oxygen Tank Rental xx6444 $ 16.71
I hereby certify that the attached invoice(s),or
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
$ 16.71 Total $ 16.71
January 8,2019
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature ,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
BEGINNING ,. ,- ENDING ,. LEASED - EXTENDED
. ITEM• 9 SHIPPED. RETURNED. RENTAL DAYS, CYLINDER RATE
• BALANCE' - .. BALANCE CYLINDERS., ..AMOUNT
Small-HP(SHP)-', '0. 0:: 1 0 31 .$0.489
Asset Management Fee. .. $:1.-55 $1-.55
RECEIVED
By pschlemmer at 8.26 m, Jan 08, 2019
CARMEL CLAY.PARKS CUSTOMER:. 03390.• SUBTOTAL•. .• $16.71:-
141.1 E.116TH ST.. INVOICE: 9176102 "'TAX,(0%)''' :$0 00
CARMEL IN 46032 INVOICE DATE: 12/31/2018 TOTA $16.71 .-
TOTAL CYL VALUE:.$600.00 Pilo. .
.. ..
IN0IP.NA OXYGEN CO.•P.O.BOX 78588•IN0IANAPOLIS,IN•46278.0588