HomeMy WebLinkAbout186965 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC
CHECK AMOUNT: $488.00
CARMEL, INDIANA 46032 35 BUDNEY ROAD
NEWINGTON CT 06111 CHECK NUMBER: 186965
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4353099 13899 488.00 OTHER RENTAL LEASES
022 SITE On Site Gas Systems, Inc.
Manufactures Designers of Oxygen Nitrogen Generating Equipment
35 Budney Road, Budney Industrial Park, Newington, CT 06111 USA
Telephone: 860.667.8888 Fax: 860.667.2222 www.onsitegas.com
Invoice Number: 13899
Invoice Invoice Date: 6/14/2010
Page: 1 of 1
B CITY OF CARMEL S CARMEL FIRE DEPT
I ONE CIVIC SQUARE H 2 CIVIC SQUARE.
L CARMEL IN 46032 -2584 I CARMEL IN 46023
L USA P USA
T T
O O
Order' Purchase Order Packa es" Pre aid 'Wei `h "t z Shy <Via Terms
L000000O14 12667 WA DUE UPON RECIEPT
r
.5. CIF
ty Back 4 xten e
Line/Reh 'Qty Ordered`' Shi'ped Order Date Shipped' Unit Price' Price
1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease June 7, 2010 thru July 7, 2010
Item: L- 02FS -7
Serial 5362
"Sales,-Amount 488.00
Misc Charges 0.00
Freight 0.00
T6ioll 488.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
On Sito Gas Systems, Inc.
IN SUM OF$
35 Bu' Road
Newington, CT 06111
$488.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 13899 43- 530.99 $488.00 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
2010
Fire Chief y
Title
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))
13899 $488.00
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