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HomeMy WebLinkAbout194238 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO i 0 CHECK AMOUNT: $9.89 CARMEL, INDIANA 46032 Po aox 7e588 INDIANAPOLIS IN 46278 CHECK NUMBER: 194238 CHECK DATE: 2/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4239012 8118912 9.89 SAFETY SUPPLIES CYLINDER RENTAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 03390 1 PAGE: 1 P.O. BOX 78588 INVOICE: 08118912 INDIANAPOLIS, IN 46278 -0588 INV DATE: 12/31/10 317 -290 -0003 SALESPERSON:0 0 O TERR: 001 BRANCH: 001 P /O: TERMS: NET 3 0 I CARMEL CLAY PARKS J V G 101 H CARMEL CLAY PARKS 1411 E. 116TH ST. P 1235 CENTRAL PARK DR EAST CARMEL IN 46032 ��a... CARMEL IN 46032 O O INVOICE AMOUNT: 9.89 PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------------------------------- 7NV- !CE- IN' �nioc _BEGINNING c InoDd, �n ENDING LEASED 'CYLINDER PETIJRN W R41��1]pvS- YP BALAN_E LINDER EXTEN Y .�-H BALWZE �YONUER5" Vic_, FvzQ s. R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .319 9.89 Purchase Descripti R P.O. P F G.L. 0 lO 42 /-Z Budget line D Purchase Date Approval Date r Due to increas d regu atory costs on ace ylene IOC is increasing ace ylene cylin er ren al ra es TAX: .00. CARMEL CLAY PARKS CUSTOMER: 03390 9.89 TOTAL 1411 E. 116TH ST. INVOICE: 08118912 CARMEL IN 46032 INVOICE DATE: 12/31/10 TOTAL CYL VALUE: 75. 00 P /O: INDIANA OXYGEN COMPANY P.O. PDX 78588 INDIANAPOLIS, IN e 46278 -0588 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 12/31/10 8118912 Rental of oxygen tanks 9.89 Total 9.89 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 Voucher No. Warrant No. 154252 Indiana Oxygen Company Allowed 20 P.O. Box 78588 Indianapolis, IN 46278 -0588 In Sum of$ 9.89 4 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1094 8118912 4239012 9.89 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 27 -Jan 2011 Signature 9.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund