HomeMy WebLinkAbout200907 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $10.20
INDIANAPOLIS IN 46278 CHECK NUMBER: 200907
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8148459 10.20 SAFETY SUPPLIES
INV !TEAR- I^!UOlCEDATE J!P VOICE- .:BEGINNING SHIPPED RE= TURNED ENDING LEASED RAUDAYS CYLINDER' EXTENDED
IYF
BALANCE BALANCE CY1,1NOENS RATE .'.:'"AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .329 10.20
�1L•1
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 T AL 10.20
14.11 E. 116TH ST. INVOICE: 08148459
CARMEL IN 46032 INVOICEDATE: 07/31/1 -1
TOTAL CYL VALUE: 100.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 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
who rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
154252 Indiana Oxygen Company
P.O. Box 78588
Indianapolis, IN 46278 -0588
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
10.20
7/31111 8148459 Oxygen
Total 10.20
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 14 -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
10.20
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 8148459 4239012 10.20 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
23 -Aug 2011
Signature
10.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund