HomeMy WebLinkAbout161411 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $54.00
INDIANAPOLIS IN 46278 CHECK NUMBER: 161411
CHECK DATE: 7/1112008
DEP ACCO PO NU MBER INV OICE NUMBER A MOUN T DESCRIPTION
2201 4231100 00892610 54.00 BOTTLED GAS
CYLINDER RENTAL INVOICE
INDIANA' INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O. BOX 78588 INVOICE: 00892610
INDIANAPOLIS, IN 46278 0588 INV DATE: 06/30/08
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
3400 W 131ST ST I 3400 W 131ST ST
L WESTFIELD IN 46074 P WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 54.00
PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV :-7 ITEM INVOICE -DATE 'INVOICE u. BEGINNING v SHIPPED ,RETURNED FENDING' s'L'EASED gAUDAYS CYLINDERS EXTENDED
P ALANCE r:a B ALANCE CYLINDERS ._RATE:- rAMDUNT
R 050 1 0 0 1 0 30 .290 8.70
R 11X 1 0 0 1 1 0 .290 .00
R 147 2 0 0 2 0 60 .320 19.20
R 220 2 0 0 2 0 60 .290 17.40
R 330 1 0 0 1 0 30 .290 8.70
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 54 -00
3400 W 131ST ST INVOICE: 00892610
WESTFIELD IN 46074 INVOICEDATE: 06/30/08
TOTAL CYL VALUE: 1400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VO NO. WARRANT NO.
Indiana.Oxygen ALLOWED 20
IN SUM OF
P O. Box 78588
Indianapolis, IN 46278 -0588
$54.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 00892610 42 311.00 $54.00 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
Thursday, July 03, 2008
C
Stree �nmissioner
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))
06/30/08 00892610 $54.00
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