HomeMy WebLinkAbout188861 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $81.91
PO BOX 78588
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46278 CHECK NUMBER: 188861
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMB A MOUNT DESCRIPTION
2201 4231100 08097878 72.02 BOTTLED GAS
601 5023990 08098353 9.89 OTHER EXPENSES
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 1 PAGE: 1
P.O. BOX 78588 INVOICE: 08097878
INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/31/10
317 290 -0003 SALESPERSON: 000 TERR: 007
BRANCH: 004
P /0:
TERMS: NET 30
B
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 72.02
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM 'INVOICE GATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAl1DAVS CYLINDER EXTENDED
TYPE BALANCE- BALANGE CYLIT:O9RS HATE 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
TAX: 00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 72.
3400 W 131ST ST INVOICE: 08097878
CARMEL IN 46074 INVOICEDATE: 07/31/10
TOTAL CYL VALUE: 1600.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P: O. Box 78588
Indianapolis, IN 46278 -0588
$72.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 08097878 42- 311.00 $72.02 I 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
1August 12, 2010
Street Commi s' ner
Street womr7ik+sioner
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))
07/31/10 08097878 $72.02
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
Tr _.IN VOIRF.DATF INVOICE BEGINNING SHIPPED RETURNED ENDING_ LE BAUDAYS CYLINDER ..EXTENDED
ITi' 3..1 'Jvc 9.1-AN__ PATF Amn[INT
R 020 1- 0 0 1- 0 0 .319 .00
k 144 1 0 0 1 1 0 .319 .00
R 147 1 0 0 1 1 0 .349 .00
210 1 0 0 1 0 31 .319 9.89
R 337 1 0 0 1 1 0 .319 .00
I
TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 TOTAL 9.89
3450 W 131ST ST INVOICE: 08098353
CARMEL IN 46074 8267 INVOICEDATE: 07/31/10
TOTAL CYL VALUE: 800.00 P /O:
"1, 'itiWA`OX GEN COMPANY P.O. BOX 7'8588• INDIANAPOLIS, IN 46278 -0588
VOUCHER 102358 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO
P0- BOX 78588
INDIANAPOLIS, IN 46278 e)
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08098353 01- 6360 -03 $9.89
Voucher Total $9.89
Cost distribution ledger classification if
ciaim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 8/6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
816/2010 08098353 $9.89
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
Date Officer