HomeMy WebLinkAbout197244 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
e CARMEL, INDIANA 46032 PO SOX 78588 CHECK AMOUNT: $72.69
INDIANAPOLIS IN 46278
CHECK NUMBER: 197244
CHECK DATE: 5/11/2011
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT D ESCRIPTION
2201 4231100 08136043 72.69 BOTTLED GAS
CYLINDER RENTAL INVOICE
IN ANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O. BOX 78588 INVOICE: 08136043
INDIANAPOLIS, IN 46278 -0588 INV DATE: 04/30/11
317 -290 -0003 SALESPERSON: 0 0 0 1 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST I 3400 W 131ST ST
L CARMEL IN 46074 P CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 72.69
PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
ENV I ITEM INVOICE DATE INVOICE BEGINNING RETURNED ENDING. I LEASED BAUDAYS CYLINDER EXTENDED-
TY PE BALANCE .BALANCE BALANCE- CYLI RATE. AMOUNT.,
R ALY ACETYLENE 3 0 0 3 0 90 .369 33.21
R ARG ARGON 2 0 0 2 1 30 .329 9.87
R CO2 CARBON DIOXIDE 1 0 0 1 0 30 .329 9.87
R OXY OXYGEN 2 0 0 2 0 60 .329 19.74
f
TAX: 00
CARMEL STREET DEPT CUSTOMER: 07851 72.69 [T6TAL
3400 W 131ST ST INVOICE: 08136043
CARMEL IN 46074 INVOICE DATE: 04/30/11
TOTAL CYL VALUE: 2400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$72.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 08136043 42- 311.00 $72.69 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
Thur ?day ay 05, 2011
I
Y
Street Commissionj e�
Street Artie misslo e
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))
04/30/11 08136043 $72.69
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