HomeMy WebLinkAbout191456 10/28/2010 «E CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
e ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC CHECK AMOUNT: $488.00
CARMEL, INDIANA 46032 35 BUDNEY ROAD
NEWNGTON CT 06111 CHECK NUMBER: 191456
CHECK DATE: 1012812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4353099 14332 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: 14332
Invoice Invoice Date: 10/15/2010
Page: 1 of 1
B CITY OF CARMEL S CARMEL FIRE DEPT
I ONE CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL IN 46032 -2584 1 CARMEL W 46023
L USA P USA
T T
O O
�Purchase'Ord ,f
Term
Order. r Packa es Pre a,d 1.r�JVei ht, Shy .Vfia
1..000000014 12667 WA DUE UPON RECIEPT
,'Qty Back'. :Extended
P i
ped Unit Price
jl ppe el Qty Ordered Shi Order Date Shipped Price;
l 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease Oct 7, 2010 thru Nov 7, 2010
Item: L- 02FS -7
Serial 5362
S
alds'Ambufitj 488.00
Nlisc Charges 0.00
Freight 0.00
Y Total 488.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
On Site Gas Systems, Inc.
IN SUM OF
35 Budney Road
Newington, CT 06111
$488.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT4/TITLE AMOUNT Board Members
1120 14332 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
OC1 -2 5 201Q
i I p ®V
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))
14332 $488.00
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