HomeMy WebLinkAbout218898 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $183.60
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 218898
CHECK DATE: 4/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4230200 00890627 183 . 60 OFFICE SUPPLIES
ITEM sQTY oN DESCRIPTION I UOM SNIT AMOUNT
** Location: A **
' HE 200 1 0 1 1 HELIUM BALLOON GRADE 200CF CYL 150.556 150.56
CCA580-NOT FOR INDUSTRIAL USE
200CF @ 75.2780/100CF
CALL BEFORE DELIVERY 96-9116
FSCFUEL SURCHRG 1 0 TEMP DIESEL SURCHARGE OUR TRUCK EA 5.11 5.11
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 4.95 4.95
Subtotal 160.62
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TOTAL CYLINDERS SHIPPED: 1 RETURNED: 11
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Taxable amount: 0.00
CARMEL REDEVELOPEMENT COMMISION CUSTOMER: 21366 AMOUNT 183.60
THIS INVOICE
30 WEST MAIN STREET INVOICE: 00890627 INCLUDINGTAX
SUITE 220 INVOICEDATE: 02/27/13
CARMEL IN 46032 ORDER: 01750463-00 P/O: CITY OF CARMEL
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
I Payee/
Purchase Order No.
I U 7 OQ Terms
-
t� ,L7 /-R—�/� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total n. 61
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
I�01 /�23020�
Board Members
-PO#or
# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
�Q �2 �Z(� 3,60 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
— 20
Kfiature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund