HomeMy WebLinkAboutINDIANA OXYGEN COMPANY- 002825- 4/19/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 28 25
Indiana Oxygen Company Check: 2825
PO Box 78588 Date: 4/19/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
07009922 99.70 99:70 0.00 0.00 " 99.70
tank rental
99.70 : 99.70 0.00: 0.00" 99.70
THEKYTODOCUMENTSECURITY tHEATACTIVATEDTHUMB+PRINT ADDITIONACS ECURITY"FEATURESINCLUDED r'''SEEBACKFORWDETAICS
03!° . - Carmel Redevelopment:Commission ,
P �' f~ 30 West Main Street' REGIUNS
a 00,.2825
Q� a2�nao.
(�1A1;� Suite 220. : . J
''--CwFtMEL •' .
°`,sT iii Carmel, IN 46032 " ,.
l'I'2825!
DATE` AMOUNT
4/19/2012 :***************99'30,
PAY THE SUM OF-NINETY'NINE DOLLARS AND 70 CENTS*********************'`*''******************"******"*** -
TO THE
ORDER -
OF
Indiana Oxygen Company
•
PO Box 78588
Indianapolis, IN 46278-0588 ' =�P15ENgrlf
ES rse
11°00 28 2 511' II:0 740 1 • 2 L 31: 008 7 504 b b bll'
CARMEL REDEVELOPMENT COMMISSION 0.02825
Indiana Oxygen Company Check: 2825
PO Box 78588 Date: 4/19/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
07009922 99.70 99.70 0.00 0.00 99.70
tank rental
99.70 99.70 0.00 0.00 99.70
-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791; T-37228
IINV RNT EXPIRATION CYL
TYP,EI SUP (GROUP PERIOD( DATE DESCRIPTION I (EASED RATE AMOUNT
L HE1 HEL 12 04/2012 07009922
1 99 .70 99 .70
IE 0 FER 1 YEAR D 5 YEAR LEASES
YR $1I2 .19 PEI' CYL (ACETYLENE=$209 .16) PLUS T- _
CARMEL REDEVELOPEMENT COMMI S ION CUSTOMER: 21366 TOTAL ® 99.70
30 WEST MAIN STREET INVOICE: 07009922
SUITE 220 INVOICEDATE: 04/03/12
CARMEL IN 46032 No:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
ii7 escribed iy 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
/&./ri..47 9 k�j/ /-,17A-1,<,y Purchase Order No.
I°0 c„.- 7 Terms
(ile/, ,�c�,c7/.2, //'U 416276--OS&31 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) //11
4//3//2 e7C0g922 /� d°r /'°�74/ T . 7C,
Nf
r
Total 70
0
i
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I hay- - •':• ame in accor-
dance with IC 5-11-10-1.6.
, 20 12— f
reasu e r
VOUCHER NO. WARRANT NO.
f
ALLOWED 20
r'_ Go,tiei/y IN SUM OF $
/ O i3 i? 7&5--3-3*
1/7t4 /G-(J z/6 G 7fj U ScF
$ 9 76 .
ON ACCOUNT OF APPROPRIATION FOR
Board Members
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
9 2 c9?061 99' 2 8?35 3o03 99.70 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
'- 9 2072-
Exec`�nfiveeDirector
Title
Cost distribution ledger classification if Cannel Redevelopment Commission
claim paid motor vehicle highway fund p