180845 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $208.16
INDIANAPOLIS IN 46278
CHECK NUMBER: 180845
CHECK DATE: 12/30/2009
DE=PARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 07002844 208.16 OTHER EXPENSES
Fri 5 'aac� ?FlOD 9ESQFiIP 19N CkL AT6 ghfDlltiF
L AL1 147 12 09/2009 07002844 1 108.46 108.46
L OX1 337 12 09/2009 07002844 1 99.70 99.70
W
E O FER 1 YEAR ND 5 YEAR LEASES
YR $1 3.04 PE CYL ACETYLENE $199.20) PLUS TA
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 208.16
fiClTAL►
3450 W 131ST ST INVOICE: 07002844
WESTFIELD IN 46074 -8267 INVOICEDATE: 09101109
PIO:
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 12/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/200 07002844 $208.16
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
Date Officer
VOUCHER 093938 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
t
07002844 01- 6360 -03 $208.16
Voucher Total $208.16
Cost distribution ledger classification if
claim paid under vehicle highway fund