HomeMy WebLinkAbout207916 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
t r CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $77.29
INDIANAPOLIS IN 46278
CHECK NUMBER: 207916
CHECK DATE: 4/1 012 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08181911 77.29 BOTTLED GAS
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY C UST OM ER 0 851 PAGE: 1
P.O. BOX 78588 INVOICE: 081.8 1.911
INDIANAPOLIS, IN 46278 -0588 INVDATE: 03 /31/12
317- 290 -0003 SALESPERS &000 TERR: 007
BRANCH: 004
P /O
TERMS: Ni3T 30
B S
I CARMEL STREET DEPT H CARMT-A, STREET DEPT
3400 W 131ST ST 1 3400 W 131ST ST
CARMEL IN 46074 CARMEL, IN 46074
T T
O O
INVOICE AMOUNT: 77.29
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
Ill ITEM INVOICE DATE INVOICE HEGINNCNG SHIPPEO RETURNED` ENDING LEASED BAUDA1.5 CYLINDER EXTENDED
BALANCE_ DYI.IN_D_ RATE AMOUNT
R ALY ACETYLENE 3 0 0 3 0 93 .379 35.25
R ARG ARGON 1 0 0 i 1 0 .339 .00
R CO2 CARBON DIOXIDE 1 0 0 1. 0 31 .339 10.51
R MIX MIX GAS'S 1 0 0 1. 0 31 .339 10.51
R OXY OXYGEN 2 0 0 2 0 62 .339 21.02
I i i I I
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I
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.00
CARMEL STREET DEPT CUSTOMER: 0785..1 '7'7.29
TOTAL �y-
3400 W 131ST ST INVOICE: 08181911
CARMEL IN 46074 INVOICEDATE: 03/31/12
TOTALCYLVALUEI 2400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$77.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 I 08181911 I 42- 311.00 $7729 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
n Friday,!April 06, 2012
��49.4e[
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v
Set Commissioner
rn
Street Caitle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/31/12 08181911 $77.29
1 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