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