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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