HomeMy WebLinkAbout178531 10/26/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $9.30
7
INDIANAPOLIS IN 4628
�o CHECK NUMBER: 178531
CHECK DATE: 10/2612009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
902 4359003 08057675 9.30 FESTIVAL /COMMUNITY EV
INV BEGINNING ENDING LEASED CYLINDER EXTENDED
"I ITEM INVOICE DATE INVOICE- BALANCE SHIPPED RETURNED RAI ANCE CYLINDERS BAUDAYS RATE A MOUNT
D 200 2 0 0 2 1 30 .310 9.30
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TAX: .00
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL 9.30
ill W MAIN ST INVOICE: 08057675
CARMEL IN 46032 INVOICEDATE: 09/30/09
TOTAL CYL VALUE: 400.00 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
91 alf-%5irA/ Co�i,�✓�s�� Purchase Order No.
75S b'8 Terms
2 7£i- -G -5 99 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
7,!5 .7 gg
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#
EP or
EPT. INVOICE NO. ACCT #!TITLE AMOUNT
D I hereby certify that the attached invoice(s), or
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67, 7; y x.30 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
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Si attire
Director of eratlons
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund