HomeMy WebLinkAbout181954 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
#•I¢ 0
ONE CIVIC SQUARE INDIANA OXYGEN CO
L.
I 4 CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $24.05
INDIANAPOLIS IN 46278 CHECK NUMBER: 181954
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4359003 08066033 9.30 FESTIVAL /COMMUNITY EV
651 5023990 579577 14.75 OTHER EXPENSES
Q Y: ATV': CYWIDER I f DESCRIPTION UOM AMOUNT
SfiFF'0 :B�J:':r. ,SNR'0 RE7;D .::i.
Location: D
ESS0558002747 1 0 *ON /OFF SWITCH PC 6.50 6.50
Subtot 6.50
Due to current fuel ?ricer IOC Freight 8.25
has adjus'ed t Fuel Surcharge
Taxable amount: 0.00
CARMEL WASTEWATER CUSTOMER: 16052 AMOUNT 14.75
THIS INVOICE
TREATMENT PLANT INVOICE: 00579577 INCLUDING .TAX
9600 RIVER RD INVOICE DATE: 10 /08/09
INDPLS IN 46280 ORDER: 01220117 -00 P /O: JOE FAUCET
INDL4NA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLI.S, IN 46278 -0588
VOUCHER 097228 WARRANT ALLOWED
154252 IN SUM OF$
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater
ON ACCOUN OF APPROPRIATION Utility FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
579577 01- 7202 -05 $14.75
Voucher Total $14.75
Cost distribution ledger classification if
claim paid under vehicle highway fund
14 0
;06q
t
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 12/30/2009
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/2005 579577 $14.75
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
Date Officer
m
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 2 13 6 6 PAGE: 1
E', P.O. BOX 78588 INVOICE: 08066033
INDIANAPOLIS, IN 46278 -0588 NV DATE: 11/30/09
317 290 -0003 SALESPERSON: 0 0 0 TERR: 001
BRANCH: 001
P /O:
TERMS: NET 30
CARMEL ART DESIGN DISTRICT H CARMEL ART DESIGN DISTRICT
L 111 W MAIN ST P 111 W MAIN ST
CARMEL IN 46032 CARMEL IN 46032
T T
0 0
INVOICE AMOUNT: 9.30 I
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
I,;N ITEM I INVOICE DATE INVOICE BEG INNING I SHIPPED RETURNE_
BA ENDING MEAD I CYLINDER TE EXTENDED
_BALANCE LANCE CYLINDERS RA AMOUNT
DT 200 2 0 2 1 30 .310 9.30
TAX: .00
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL I 9.30
111 W MAIN ST INVOICE: 08066033
CARMEL IN 46032 INVOICEDATE: 11/30/09
TOTAL CYL VALUE: 400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 21366 PAGE: 1
P.O. BOX 78588 INVOICE: 08066033
INDIANAPOLIS, IN 46278 -0588 INV DATE: 11 /30/ 0 9
317 290 -0003 SALESPERSON: 0 0 0 TERR: 001
BRANCH: 001
P /O:
TERMS: NET 30
B S
I CARMEL ART DESIGN DISTRICT H CARMEL ART DESIGN DISTRICT
L 111 W MAIN ST P 111 W MAIN ST
CARMEL IN 46032 CARMEL IN 46032
T T
0 0
INVOICE AMOUNT: 9.30
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM INVOICE DATE IN VOICE eEGINNIN SHIPPED RETURNED ENDING• LEASED BAUDAYS CYLINDER EXTENDED
TIP BA BALANCE CYIINDERS RATE AMOUNT
D. 200 2 0 0 2 1 30 .310 9.30
I
TAX: .00
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL 9.30
111 W MAIN ST INVOICE: 08066033
CARMEL IN 46032 INVOICE DATE: 11 /30/09
TOTAL CYL VALUE: 400.00 P/O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
:=P.d cribewby State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
haik1 OXy9eh Company Purchase Order No.
P.o. B 7 8SRR Terms
—L h d s J d c IIS 1 4 6 2.76 —0Egg Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 -30-09 Qgob6ol3 cy incIer <130
Total 9, 30
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
I nc i OX\heh y IN SUM OF
Pu,
B 785
r) k\\A�o1�s� 4078-0538
,3
ON ACCOUNT OF APPROPRIATION FOR
02 4 3 56 0 0 3
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT hereby certify invoice(s),
DEPT. I hereb certif that the attached or
G M_ O$ OC(0033 43590U3 6 1 9 0 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
I 6 20/0
Sig J: ture
Direr b of Operatic) s
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund