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HomeMy WebLinkAbout203894 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 s �4 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $154.84 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 203894 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 00761973 144.64 REPAIR PARTS 1094 4239012 8160877 10.20 SAFETY SUPPLIES INV ITEM INVOICE'DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED ggUDAYS CYLINDER EXTENDED p BALANCE _BA_ CYLINDERS RATE AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1.1 0 31 .329 10.20 Purchas Descripon Xc e den NOV hh gg P.O.# P or U !7 201 G.L. %D9`/ F i`23 0 Budget L -3��1 Line DeScr 0�40o Purchaser Date i Approv�l Date 7/ I I I TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 10.2 0 TOTAL 1411 E. 116TH ST. INVOICE: 081.6087'7 CARMEL IN 46032 wvOICEDATE: 10/31/1"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 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 154252 Indiana Oxygen Company Terms P.O. Box 78588 Indianapolis, IN 46278 -0588 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10131111 8160877 Oxygen tank rental 10.20 Total 10.20 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. 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 8160877 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 17 -Nov 2011 WMA& �J Signature 10.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE IN DIANA INDIANA OXYGEN COMPANY CUSTOMER_ 07 I PAGE: 1 P.O. BOX 78588 INVOIC 00761973 ORDER: 01538659 -00 j INDIANAPOLIS, IN 46278 -0588 INV DAT 11/10/11 ORD DATE: 11/10/11 317 290 -0003 SA LESPERSON: 000 TERR: 007 BRANCH: 004 T INT: TRM j P /O: SHOP T ERMS E T 30 SHIP VIA W ill Call RELEASE B S I CARMEL STREET DEPT H CARMEL STREET DEPT 3400 W 131ST ST P 3400 W 1.31ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 144.64 PLEASE SEND TOP PORTION WITH YOUR PAYMENT ITEM OTY Q DESCRIPTION UOM UNIT AMOUNT i SHIRD_- 1310 PRICE Location: LFT2450 -80915 2 0 EE2 -802T X 6' TUFFEDGE EA 22.68 45.36 LFT2450 -80880 2 0 EE2 -802T X 4' TUFFEDGE EA 19.50 39.00 LFTEEI- 802TX2' 2 0 2" 1PLY TUFFEDGE WEB SL:I:NG 2' L, EA I 10.45 20.90 i EYES EA. END. i LFT2450 -80965 1 0 EE2 -802T X 10' TUFFEDGE EA 39.38 39.38 I Subtotal 144.64 j j I i I 1 I I I i I I i I i I i I I i i I Visit us at facebook or oa the web at www.indianaoxygen. om I I j i I I f Taxabl amount:! 10.00 CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 144.64 THIS INVO ICE 3400 W 131ST ST INVOICE: 00761.9'73 INCLU i CARMEL IN 46074 INVOICEDATE: 11/10/11. ORDER: 01538659 -00 P /O: SHOP INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 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)) 11/10/11 00761973 $144.64 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 VOUCHER N WA RRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $14 4. 6 4 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE 2201 00761973 42- 370.00 $144.64 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 /No ember 17, 2011 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund