HomeMy WebLinkAbout188383 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $62.96
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 188383
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 00642499 62.96 BOTTLED GAS
ORIGINAL INVOICE
I N DIA.NA. INDIANA OXYGEN COMPANY CUSTOMER: 20668 PAGE: 1
P.O. B 78588 INVOICE: 00642499 ORDER: 01331393 -00
ME INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/0'7/10 ORD DATE: 07 /07 /10
3I7- 290 -0003 SALESPERSON; 000 TERR: 007
BR ANCH: 004 INT: TRM
PIO: STREET DEPT.
TERMS: NET 30
SHIP VIA: Will Call
RELEASE H;
I CARMEL CITY OF H CARMEL CITY OF
L 9609 HAZELDELL ROAD 9609 HAZELDELL ROAD
INDPLS IN 46280 INDPLS IN 46280
T T
O O
INVOICE AMOUNT: 67.37
PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITC''' sIP eo DESCRIPTION I 'JOM UNIT AMOUNT
PRICE I
Location; D
OKICEP932 942PLI 6 0 4 -1/2 X 5- 1 /4CL -PL PRIVATE LABEL EACH 1.82 10.92
CEP932942PL 4X5CLPL COVERPLATE
I TWEWS2150 2 0 WELDSKILL NOZZLE EA 8.15 16.30
iTWE1135B 1 0 CONTACT TIP .035" -0,9MM PKG 10.52 10.52
!TWE3550B 1 0 GAS DIFFUSER PKG 9.47 9.47
IOKIWAP007061 1 0 LUBE -MATIC PADS UN-- TREATED 6PK PKG 8.10 8.10
IOKIWAP007040 1 Ok LUBE -KATIC 5OZ EA 7.65 7.65
I I LUBEMATIC
Subtoi al 62.96
I I i
i
I
I
i
i
I I I
Due to Cu rent tuel price IOC �r
has adjusied the Fuel Sur harge
J' 1
State 7.000% 4.41
(Taxable amount: 62.96
CARMEL CITY OF CUSTOMER: 20668 67.37
9609 HAZELDELL ROAD INVOICE: 00642499
INDPLS IN 46280 INVOICE DATE: 07/07/10
ORDER: 01331393 -00 P /O: STREET DEPT.
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 9 46278 -4588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$62.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 00642499 42- 311.00 $62.96 f 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
Tuesday, fJ�taIy 27, 2010
Street Commissioner
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))
07/07/10 00642499 $62.96
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