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HomeMy WebLinkAbout187984 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1 0 ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC CARMEL, INDIANA 46032 35 BUDNEY ROAD CHECK AMOUNT: $488.00 NEWINGTON CT 06111 CHECK NUMBER: 187984 CHECK DATE: 7/2112010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4353099 14020 488.00 OTHER RENTAL LEASES 02N2 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: 14020 Invoice Invoice Date: 7/14/2010 Page: 1 of 1 B CITY OF CARMEL S CARMEL FIRE DEPT ONE CIVIC SQUARE H 2 CIVIC SQUARE L CARMEL IN 46032 -2584 1 CARMEL IN 46023 L USA P USA T T O O Order, Purchase'Order ,,Packa es Pre aEd '•Wei ht :Shy ,Yia Terms LOOOOOOO14 12667 WA DUE UPON RECIEPT a Qty Back Extended Line/Rel .N Qty Ordered .'w` vShipped Order Date Shipped,.. Unit'Pri'ce Price 1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00 Customer Item: Lease July 7, 2010 thru Aug ust_7, 2010 Item: L- 02FS -7 Serial 5362 Sales Amou'nti 488.00 Misc Charges 0.00 Freight 0.00 Total 488.00 VOUCHER NO. WARRANT NO. ALLOWED 20 On Site Systems, Inc. IN SUM OF r 35 Budney Road Newington, CT 06111 $488.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 14020 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 .JUL 19 2010 6 Fire Chief 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)) 14020 $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