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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