HomeMy WebLinkAbout184114 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $2.55
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 184114
CHECK DATE: 4/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4359003 08078391 2.55 FESTIVAL /COMMUNITY EV
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 213 6 6 PAGE: 1
P.O. BOX 78588 INVOICE: 08078391
INDIANAPOLIS, IN 46278 -0588 INV DATE: 02/28/10
317- 290 -0003 SALESPERSON: 0 0 0 TERR: 001
BRANCH: 0 O 1
P /O:
TERMS: NET 30
B S
I CARMEL ART DESIGN DISTRICT H CARMEL ART DESIGN DISTRICT
L 111 W MAIN ST I 111 W MAIN ST
L CARMEL IN 46032 P CARMEL IN 46032
T T
0 0
INVOICE AMOUNT: 2.55
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
e .I NV yTEM -W VpICE DATE _INVOIGE 'BEGINNING _SHIPPED.: AET•URNED ENDING CEASED r gALIDAYSS ...�CYLINDER q_ EXTENDED
SAL.. 71AtT Z
D 200 .2 1 2 1 1 8 .319 2.55
TAX: .00
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL 2.55
111 W MAIN ST INVOICE: 08078391
CARMEL IN 46032 INVOICEDATE: 02/28/10
TOTAL CYL VALUE: 200.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bili 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
1 h It111� Oxy.� C oi r.�ilh�� Purchase Order No.
aX 7 8S B 9 Terms
1 _TN r Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total.. S
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
Thd 116Xk N er, Court 0 IN SUM OF
Y����inAkc�,S, `fi62�8 658 8
ss
'ON ACCOUNT OF APPROPRIATION FOR
10��`�`:3 X 900
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2 Q g677 O� `r:)5 9 0D3 2, 5. 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
3- 2 2010
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund