HomeMy WebLinkAbout185019 04/28/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
t ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $99.70
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 185019
CHECK DATE: 4128/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4359003 07004491 99.70 FESTIVAL /COMMUNITY EV
CYLINDER LEASE INVOICE
I INDIANA OXYGEN COMPANY CUSTOMER: 21366 PAGE: 1
GOMM P.O. B OX 78588 INVOICE: 07004491
INDIANAPOLIS, IN 46278 -0588 INVDATE: 04/08/10
317- 290 -0003 SALESPERSON:0 O O TERR: 0 01
BRANCH: 001
P /O:
TERMS: NET 3 0
6 CARMEL ART DESIGN DISTRICT H CARMEL ART DESIGN DISTRICT
L Ill W MAIN ST I 111 W MAIN ST
L CARMEL IN 46032 P CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 106.68
PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------
INV SUP Cn PER100 ERP +aAT-- __.DESCRIP_TION. r RATE AMOUNT
T'.'PE -uROUP -ASED_
L HEl 200 12 04/2010 07004491 1 99.70 99.70
E d FER 1 YEAR D 5 YEAR LEASES
YR $183.04 PE CYL (ACETYLENE= $199.20) PLUS T, TAX:
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL.
111 W MAIN ST INVOICE: 07004491
CARMEL IN 46032 INVOICEDATE: 04/08/10
PIO:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
1
114a Ongeh Corr Purchase Order No.
PO. R oX 79 5 88 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�--1 7 0 D c• S 9�.70
Total `j.7 U
c
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
41 OX n
Ca I IN SUM OF
P,0. Box 78sig
b 2 7 ,Y OS S
9 q:? o
ON ACCOUNT OF APPROPRIATION FOR
qo2
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
07004491 35'5003 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
15 201
Signature
Director of Redevelopmert
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund