HomeMy WebLinkAbout177709 09/29/2009 F CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $54.83
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278
CHECK NUMBER: 177709
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE N UMBER AMOU DESCRI
2201 4231100 00572352 54.83 BOTTLED GAS
ORIGINAL INVOICE
i w
N tU NA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
Gl uff %0812 P.O. BOX 78588 INVOICE_ 00572352 I ORDER: 01205834 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 09/09/09 ORD DATE: 08/ 2 5/ 0 9
317 290 -0003 SALESPERSON: 000 I TERR: 007
BRANCH: 004 T INT: TIM
P /O: Z
TERMS: NET 30
SHIP VIA: UPS
R ELEASE
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 54.83
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
—ITEM I_ QTV oTV_ DESCRIPTION_ 110M... UNIT AMOUNT.
SHIP'D B/O PRICE.
Location: D
THD9 -8402 5 0 ELECTRODE EA 7.37 36.85
THD8 -7501 1 0 GAS DISTRIBUTOR EACH 17.98 17.98
I
Subtotal I 54.83
I
i
Due to current fuel price IOC
has adjusted the Fuel Surcharge
I
I
I
I- Taxable amount L100 I I
CARMEL STREET DEPT CUSTOMER: 07851 I 54.83
e
3400 W 131ST ST INVOICE: 00572352
WESTFIELD IN 46074 INVOICE DATE: 09/09/09
ORDER: 01205834 -00 P /O: Z
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))
09/09/20 00572352 $54.83
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 N W ARRANT N
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$54.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 00572352 42- 311.00 $54.83 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
T rsday,,S Ipte 24, 20
Street Commissioner;'
Cost distribution ledger classification if
claim paid motor vehicle highway fund