177792 09/29/2009 F CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC
CARMEL, INDIANA 46032 35 BUDNEY ROAD CHECK AMOUNT: $976.00
NEWINGTONCT 06111 CHECK NUMBER: 177792
CHECK DATE: 9129/2009
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRI PTI ON
1120 4353099 13046 488.00 OTHER RENTAL LEASES
1120 4353099 13158 488.00 OTHER RENTAL LEASES
Z
J
021 2 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: 13158
Invoice Invoice Date: 9/15/2009
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 Weight Ship Via Terms
L000000O14 12667 WA DUE UPON RECIEPT
Qty Back
Line /Rel Qty Ordered Shipped Order Date Shipped Unit Price Extended Price
1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease Sept 7. 2009 thru Oct 7. 2009
Item: L- 02FS -7
Serial 5362
Sales Amountl 488.00
Misc Charges 0.00
Freight 0.00
Total 488.00
;f
02N2 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: 13046
Invoi Invoice Date: 8/14/2009
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
T
c a ('Y .M ,.w f.tfV- ]q 3o c n 1- ro.
Order Purcliase'Order Packa es' °Pre aide Wei' ht ':Shi Via Terms
L000000O14 12667 WA DUE UPON RECIEPT
Qty Bick L
uha Aal Q iy Ordered' Shipped Order Date Shi` ed •Uiut Price Extended! Price
1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease Auq 7. 2009 thru Sept 7. 2009
Item: L- 02FS -7
Serial 5362
Sal0s Amount 488.00
Misc Charges 0.00
Freight 0.00
488.00
y
.Y 5
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))
13158 $488.00
13046 $488.00
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. WA RRANT NO.
ALLOWED 20
On Site Gas Systems, Inc.
IN SUM OF
t
35 Budney Road
Newington, CT 06111
$976.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 13158 43- 530.99 $488.00 1 hereby certify that the attached invoice(s), or
1120 13046 43- 530.99 $488.00
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
SEP 2 9 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund