HomeMy WebLinkAbout180211 12/08/2009 a CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC
CHECK AMOUNT: $788.00
35 BUDNEY ROAD
CARMEL, INDIANA 46032
NEWINGTON CT 06111 CHECK NUMBER: 180211
CHECK DATE: 12/812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
1120 4353099 13325 788.00 OTHER RENTAL LEASES
s
V2N2 SITE On Site Gas Systems, Inc.
Manufactures Designers of Oxygen Nitrogen Generating Equipment
35 Budney Road, Budney Industrial Park, Newington, CT 06111 USA
Telephone 860.667.8888 Fax 860.667.2222 www.onsitegas.com
Invoice Number: 13325
Invoice Invoice Date: 11 /14/2009
Page: 1 of 1
B CITY OF CARMEL S CARMEL FIRE DEPT
I ONE CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL IN 46032 -2584 1 CARMEL IN 46023
L USA P USA
T T
O O
Order Purchase Order ]Packages Prepaid Wei ht Ship Via- Terms
L000000O 14 12667 WA DUE UPON RE CIEPT
s
Qt' Back Extended
Line/Rel Qty Ordered Shipped, Order I. f Date "Ship ed' Unit Price Price
1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease Nov 7, 2009 thru Dec 7, 2009
Item: L- 02FS -7
Serial 5362
Sales Amountl 488.00
NNI Misc Charges 0.00
Freight 300.00
Totall 788.00
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))
13325 $788.00
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
On Site Systems, Inc.
IN SUM OF
35 Budney Road
Newington, CT 06111
$788.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 13325 43- 530.99 $788.00 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
DEC 7 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund