HomeMy WebLinkAbout155774 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $46.81
CARMEL, INDIANA 46032 PO Box 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 155774
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 00866843 46.81 OTHER RENTAL LEASES
INV ITEM_ INVOICE DATE' INVOICE_, BEGINNING ENDING LEASED CYLINDER EXTENDED
YeE 'BALANCE SHIPPED_ RETURNED BALANCE- CYLINDERS BAUDAYS ,RATE, -AMOUNT
R 050 1 0 0 1 0 31 .290 8.99
R 11X 1 0 0 1 1 0 .290 .00
R •147 2 0 0 2 0 62 .320 19.84
R 220 2 0 0 2 0 62 .290 17.98
L r
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 46.81
3400 W 131ST ST INVOICE: 00866843
WESTFIELD IN 46074 INVOICEDATE: 12/31/07
TOTAL CYL VALUE: 1200.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
lo. q 6!S:58
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
co?)1PL, 6 O. qr 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
JAN ZOQ� 20
c
Si ture
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund