HomeMy WebLinkAboutINDIANA OXYGEN COMPANY- 002687- 2/16/2012 DARMEL REDEVELOPMENT COMMISSION 002687
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'Indiana Oxygen Company Check: 2687
PO Box 78588 Date: 2/16/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pak
00782228 122.35 122.35 0.00 0:00. 122.3:
helium
122.35 122.35 . 0.00 0.00 - 122.3:
THEKEY O,DOCUWIENT SECURITY a HEA.SWITIVATEDyTHUMB PRA INT ZADDITIONA'L ECURIT FEATURESIINCK DEU' �SEE EIA"*CK FORIDETAILS .
ass&Oto Carmel Redevelopment Commissions _ LL
REGIONS 2 8p-7
,ta 30 West MainStreet 0.02601.
> a 201421/740
a ' Suite 220
4 aia.f .Carmel; IN 46032
2687 .
DATE AMOUNT. '
*************
2/16/2012 122.35
PAY THE SUM'OF ONE HUNDRED TWENTY TWO DOLLARS AND 35 CENTS ********************************
TO THE
i ORDER
OF Indiana.Oxygen Company
PO,Box 78588 sEas,,,
Indianapolis, IN 46278-0588
. of
000 268 711' 100 740 14 2 L 3': 008 7 50 4 L 1 111°
CARMEL REDEVELOPMENT COMMISSION 002687
Indiana Oxygen Company Check: 2687
PO Box 78588 Date: 2/16/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
00782228 122.35 122.35 0.00 0.00 122.35
helium
122.35 122.35 0.00. 0.00 122.35
11-52 COMPUTEREASE FORMS DIVISION(877)577.5791 •T-37228
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 21366 PAGE: 1
® �E P.O. BOX 78588 INVOICE: 00782228 IORDEM 01571081-00
INDIANAPOLIS,IN 46278-0588 NV DATE: 01/30/12 I ORD DATE: 01/26/12
• 317-290-0003 SALESPERSON: 000 TERR: 005
• • BRANCH: 001 IINT: TIM
■ P/O—
TERMS: NET 30
SHIP VIA: Our Truck
RELEASE#:
B CARMEL REDEVELOPEMENT COMMISION H CARMEL REDEVELOPEMENT COMMISION
L30 WEST MAIN STREET I 111 WEST MAIN STREET
SUITE 220 CARMEL IN 46032
TO CARMEL IN 46032
INVOICE AMOUNT: 122.35
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM QTY QTY CYLINDER DESCRIPTION UOM UNIT AMOUNT
SHIP'D B/a _.SHPD.., aez• _ PRICE
cell 496-9116 CALL STEPHANIE BEFORE D LIVERY
** Location: W **
HE 200 1 0 1 1 HELIUM BALLOON GRADE 200CF CYL 100.37 100.37
CGA580-NOT FOR INDUSTRIAL USE
200CF @ 50.1850/T00CF
Subtotal 100.37
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1. '.
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Visit us on facebook or on the Del Charge I 21..98
web at www.indisnaoxygen.com
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Taxable amount: 0.00
CARMEL REDEVELOPEMENT COMMISION CUSTOMER: 21366 AMOUNT 122.35
THIS INVOICE
30 WEST MAIN STREET INVOICE: 00782228 INCLUDING TAX
SUITE 220 INVOICEDATE: 01/30/12
CARMEL IN 46032 ORDER: 01571081-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
'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
l ,9/<As>q k yr C �r�Amy Purchase Order No.
Po Terms
///r- e o( ? /v 4116 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/ -30-(z o07+1222 e7 P/6/' /2 2 3
ar
"L.
. .
i^
;+3
o:.
Total /2,2 --3
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct a ? -• same in accor-
dance with IC 5-11-10-1.6. •;,
0-2'13 20 v;
-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
CGo�,y,/,) IN SUM OF $
)7 4�y�r� o/�� /A/ z/6 2 O 583'
$ 1Z2 - 3s
ON ACCOUNT OF APPROPRIATION FOR
�a 2
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),
DEPT.# _ I hereb certi that the attached invoices ,
2. 00782223 9 ?5-90o3 /2.2 ,3s 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
•
2- 6 20 /'z
Signature
Fxecutive Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund Carmel Redevelopment Commission