HomeMy WebLinkAbout196404 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $75.12
s' CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 196404
CHECK DATE: 4/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08131801 75.12 BOTTLED GAS
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 0 7 8 5 1 1 PAGE: 1
P.O. BOX 78588 INVOICE: 08131801
INDIANAPOLIS, IN 46278 -0588 INV DATE: 03/31/11
317 -290 -0003 SALESPERSON:0 0 0 1 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 3 0
CARMEL STREET DEPT H
I CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O 0
INVOICE AMOUNT: 75.12
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
lNv ITEM INVOICE DATE INVOICE.. BEGINNING SHIPPED RETURNED ENDING LE A SEO RAUDAYS CYLINDER EXTENDED
ANCK BALANCE CYLINDEps RATE .AMOUNT
R ALY ACETYLENE 3 0 0 3 0 93 .369 34.32
ARG ARGON 2 0 0 2 1 31 .329 10.20
CO2 CARBON DIOXIDE 1 0 0 1 0 31 .329 10.20
OXY OXYGEN 2 0 0 2 0 62 .329 20.40
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851. 75.12
TOTAL
3400 W 131ST ST INVOICE: 08131801
CARMEL IN 46074 INVOICE DATE: 03/31/11
TOTAL CYL VALUE: 2400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 o INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$75.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member!
2201 08131801 42- 311.00 $75.12 1 hereby certify that the attached invoice(s), or
biil(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T hursda April 07, 201'
Street Commis iper
Street Con T°Itie55ioner
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))
03/31/11 08131801 $75.12
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