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/
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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
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Subtotal 144.64 j
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Visit us at facebook or oa the
web at www.indianaoxygen. om
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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