HomeMy WebLinkAbout188936 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC
i,
s 0 CHECK AMOUNT: $1,315.00
CARMEL, INDIANA 46032 35 BUDNEY ROAD
NEWWGTON CT 06111 CHECK NUMBER: 188936
oH A
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUN PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 14078 475.00 POSTAGE
1120 4357003 14078 840.00 INTERNAL INSTRUCT FEE
2N2 -SITE On site Gas Systems, Inc.
Manufacturers 1 Designers of Oxygen Nitrogen Generating Equipment
35 Budney Road, Budney Industrial Park, Newington, CT 06111 U.S.A.
Telephone: 860.667.8888 Fax: 860.667.2222 Website: www.onsitegas.com
Invoice Number: 14078
Invoice Page: 1 of 1
Date: 07/30/2010
Salesperson: ON SITE GAS SYSTEMS, INC.
Regular Invoice
B SAME S CITY OF CARMEL
CITY OF CARMEL H ONE CIVIC SQUARE
L ONE CIVIC SQUARE I CARMEL IN 46032 -2584
L CARMEL IN 46032 -2584 P USA
USA
T T
O O
Order Purchase Order;, S Packages Prepaid Weight Ship Via Terms
0
5686 SEE BELOW 0 0.00 BEST WAY NET 30
Line /Rel t Ordered
„Q y Qty r'P13aek Order Date Sh #pped: ..lJnit Price Extended Price
1 1.00 EA 1.00 0.00 07/29/2010 840.00000 840.00
Customer Item: SVC/ TRAINING 02 GENERATOR SERVICE CALL ENGINEER REQUESTED
Item: SERVICE ENGINEER
Packing Slip: 2,716
A. TERWILLIGER SERVICE CALL 7/28/10
SVC CALL NOTES:
NO SYSTEM LEAKS OPERATING PROPERLY
PERFORMED CALIBRATION GEN CAME TO SPEC
DRAINED H2O, ADVISED TO DRAIN FREQUENTLY.
TRAINING ON GENERATOR
CRATED LEASE 1 FOR RETURN
Cust PO:VERBAL T SMALL
Sales Amount:` 840.00
Misc Charges 0.00
Freight 475.00
Sales Tax 0.00
Sales Tax2 0.00
Prepaid Amount 0.00
Total 1,315.00
VOUCHER NO. WARRANT NO.
On Site Gas Systems, Inc. ALLOWED 20
IN SUM OF
35 Budney Road
Newington, CT 06111
$1,315.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 14078 43- 421.00 $475.00 1 hereby certify that the attached invoice(s), or
1120 14078 43- 570.03 $840.00 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
AUG 16 2010
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))
14078 $475.00
14078 $840.00
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