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176074 08/18/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA OXYGEN CO a`. CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $6.82 INDIANAPOLIS IN 46278 �o CHECK NUMBER: 176074 CHECK DATE: 8/18/2009 DEPARTME ACCOUNT PO NUMBER INVOI N UMBER AMOUNT DESC 902 4359003 08049331 6.82 FESTIVAL /COMMUNITY EV r CYLINDER RENTAL INVOICE IN DII N "k INDIANA OXYGEN COMPANY CUSTOMER: 213 66 PAGE: 1 DIME P.O. BOX 78588 INVOICE: 08049331 INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/31/09 317 290 -0003 SALESPERSON: O O O TERR- 001 BRANCH: 001 P /O: TERMS: NET 30 B CARMEL ART DESIGN DISTRICT H CARMEL ART DESIGN DISTRICT L 111 W MAIN ST 1 111 W MAIN ST L P CARMEL IN 46032 CARMEL IN 46032 T T O O INVOICE AMOUNT: 6.82 PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------------------------------- wV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED P BALANCE BALANCE CYLINDERS PATE AMOUNT D 200 1 1 0 2 1 22 .310 6.82 TAX: .00 CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL 6.82 111 W MAIN ST INVOICE: 08049331 CARMEL IN 46032 INVOICEDATE: 07/31/09 TOTAL CYL VALUE: 400.00 P /O: INDIANA OXYGEN COMPANY P.O. PDX 78588 o INDIANAPOLIS, IN o 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or g U��Yg331 3s9o�3 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 i i I s 1 20 O rA ign re F Of i ra is Cost distribution ledger classification if claim paid motor vehicle highway fund