HomeMy WebLinkAbout186374 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $72.02
CARMEL, INDIANA 46032 Po eox 785e8
INDIANAPOLIS IN 46278 CHECK NUMBER: 186374
CHECK DATE: 61512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08089299 72.02 BOTTLED GAS
'w
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:V851 PAGE: 1
P.O. BOX 78588 INVOICE: 08089299
INDIANAPOLIS, IN 46278 -0588 INV DATE: 05/31/10
317 290-0003 SALESPERSON: 0 0 0 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 30
f
B CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST I 3400 W 131ST ST
L WESTFIELD IN 46074 P WESTFIELD IN 46074
T T
0 O
INVOICE AMOUNT: 72.02
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED 8AUDAYS CYLINDER EXTENDED
P.- ENANCE _HAI.ANCE f:YLINDERS RATE. _..AMOUNT
R 050 1 0 0 1 0 31 .319 9.89
R 11X 1 0 0 1 1 0 .319 .00
R 147 3 0 0 3 0 93 .349 32.46
R 220 2 0 0 2 0 62 .319 19.78
R 330 1 0 0 1 0 31 .319 9.89
I
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 72.02
3400 W 131ST ST INVOICE: 08089299
WESTFIELD TN 46074 INVOICE DATE: 05/31/10
TOTAL CYL VALUE: 1600-00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
V NO. WARRANT N O.
w ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
v
$72.02,-
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member
2201 08089299 42- 311.00 $72.02 1 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
Thursday, June 03, 201 C
u Street Commissionery
1
�Ere�k fiitle�
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/31 /10 08089299 $72.02
1 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