HomeMy WebLinkAbout192655 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $9.57
INDIANAPOLIS IN 46278
CHECK NUMBER: 192655
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8114701 9.57 SAFETY SUPPLIES
CYLINDER RENTAL INVOICE
INDIAN1L INDIANA OXYGEN COMPANY CUSTOMER: 03390 1 PAGE: 1
P.O. B OX 78588 INVOICE: 08114701
INDIANAPOLIS, IN 46278 -0588 INV DATE: 11/30/10
317- 290 -0003 SALESPERSON: 0 0 O 1 TERR: 001
BRANCH: 001
P /0:
TERMS: NET 3 0
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I CARMEL CLAY PARKS q 9 H CARMEL CLAY PARKS
L 1411 E, 116TH ST. �EC Q; 6�`� I 1235 CENTRAL PARK DR EAST
L CARMEL IN 46032 P CARMEL IN 46032
T T
V0000000 O
C INVOICE AMOUNT: 9.57
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
Nv ITEM INVOICE DATE INVOICE. g n c na Fc SHIPPED RETURNED AN wIENDERS. _B• V ,QAYS- •_;CYgANDER A T_EXMOND D
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .319 9.57
Purchase
Description
P. O. orF
#_3 G r-
pdqet
ne Uescr 40 DEC C 7 2010
urchaser
proval to T-7
Due to increased regu atory costs on acetylene
I0C is increasing ace ylene cylin er rental rates TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 9.57
TOTAL 10,.,
1411 E. 116TH ST. INVOICE: 08114701
CARMEL IN 46032 INVOICE DATE: 11/30/10
TOTAL CYL VALUE: 7-5.00 P /0:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
I 3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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,
154252 Indiana Oxygen Company Terms
P.O. Box 78588
Indianapolis, IN 46278 -0588
Invoice Invoice Description
Date Number {or note attached invoice(s) or bill(s)) PO Amount
11130/10 8114701 Rental of oxygen tanks 9.57
Total 9.57
t hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278 -0588
In Sum of
9.57
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT 41TITLE AMOUNT Board Members
Dept
1094 8114701 4239012 9.57 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
9-Dec 2010
Signature
9.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund