162574 08/14/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
i 0 CHECK AMOUNT: $8.50
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 162574
CHECK DATE: 8/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 475989 8.50 BOTTLED GAS
ITEM,: DESCRIPTION UOM UNIT AMOUNT
SHIF ID ado -`PRICE'
Location: b
WLTlON45 5 0 #10 ALUMINA NOZZLE 5/8" EA 1.70 8.50
Subtotal 8.50
I
n.co
email invoice @indianaoxy en.com
ITaxabl amount: 10.00
CARMEL STREET DEPT CUSTOMER.: 078 51 8.50
e
3400 W 131ST ST INVOICE: 00475989
WESTFIELD IN 46074 INVOICEDATE: 07/18/08
ORDER: 01038629 -01 P /O: H
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ITEM
sQ Evo DESCRIPTION UOM UNIT AMOUNT
Location:
WLTlON25 3 0 1/8 3,2 COLLET EA 1.17 3.51
Subtotal 3.51
i
i
india aoxyggn.co
emaiil inv @indianaoxy en.com
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 3.51
3400 W 131ST ST INVOICE: 00477390
WESTFIELD IN 46074 INVOICEDATE: 07/24/08
ORDER: 01038629 -02 P /O: H
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$12.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 00475989 42- 311.00 $8.50 1 hereby certify that the attached invoice(s), or
2201 00477390 42- 311.00 $3.51 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
Thursday, July 31, 2008
Street mmissioner
Title
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))
07/18/08 00475989 $8.50
07/25/08 00477390 $3.51
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