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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