HomeMy WebLinkAbout211334 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $10.17
INDIANAPOLIS IN 46278 CHECK NUMBER: 211334
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8194146 10 . 17 SAFETY SUPPLIES
INV ...ITEM INVOICE DATE INVOICE_ -BEGINNING _SHIPPED RETURNED ENDING LEASED gAUDAYS CYLINDER EXTENDED
TYH BALANCc BALANCE CYLINDERS R�TF AMOUNT. _
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .339 10.17
I
Purchase
escriptinn
P.O. F
"aget
ne Des,
urchaser Date
pproval Date
__ _ _ TAX: _ . 00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® l o. 17
1411 E. 116TH ST. INVOICE: 081941/16
CARMEL IN 46032 INVOICE DATE: 06/30/1.2
TOTAL CYL VALUE: 100 . 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
154252 Indiana Oxygen Company
Terms
P.O. Box 78588
Indianapolis, IN 46278-0588
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO#
Date Number ( 10.17
6/30/12 8194146 Rental of oxygen tanks
30205 $
Total $ 10.17
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.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 10.17
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8194146 4239012 $ 10.17 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
26-Jul 2012
`-p OdL a/ l,'( l'YLUt�
Signature
$ 10.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund