HomeMy WebLinkAboutINDIANA OXYGEN COMPANY- 003049- 8/16/2012 CARMEL REDEVELOPMENT COMMISSION 003049
Indiaria Oxygen Company Check: 3049
PO Box 78588 Date: 8/16/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
824381 3.00 3.00 0.00 0.00 3.00
baloon filler
3.00 3.00 0.00 0.00 3.00
' pitwktirsr ciaW+iT sECUR! EAT ACTIVATE{UmE PRINT DDITIOtliA S Ci flier,fAti iesliNC UDED SEE BA egi4,DETAILS.
,54<s&oES,c. Carmel Redevelopment Commission
:, _- REGIONS 003049
.
30 West Main Street
M, 4. : Suite 220 20-1421n40
CARMEL Carmel, IN 46032
3049
DATE AMOUNT
8/16/2012 ****************3.00
PAY THE SUM OF THREE DOLLARS AND NO CENTS ************************************************************
TO THE
ORDER
OF Indiana Oxygen Company
PO Box 78588
Indianapolis, IN 46278-0588 P sE""r,
AP
.,
00030490 ':0740 L4 2 L3': 0087504 L L L11'
CARMEL REDEVELOPMENT COMMISSION 003049
Indiana Oxygen Company Check: 3049
PO Box 78588 Date: 8/16/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
824381 3.00 3.00 0.00 0.00 3.00
baloon filler
3.00 3.00 0.00 0.00 3.00
X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 . . rr4
ORIGINAL INVOICE
., INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 21366 ;PAGE: 1 ■
IILIE P.O.BOX 78588 INVOICE: 00824381 F ORDER: 01643559-00
INDIANAPOLIS, IN 46278-0588 MV DATE: 07/02/12 j ORD DATE: 06/28/12
MI 317-290-0003 SALESPERSON: 000 ,TERR: 005
M I BRANCH: 001 IINT: TIM
■ ' P/O
TERMS: NET 30
SHIP VIA: UPS
RELEASE#:
B S
I CARMEL REDEVELOPEMENT COMMISION H CARMEL REDEVELOPEMENT COMMISION
L30 WEST MAIN STREET P 30 WEST MAIN STREET
SUITE 220 SUITE 220
CARMEL IN 46032 CARMEL IN 46032
INVOICE AMOUNT: 3.00
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM Ory I Qyy Li EE ' DESORPTION I UOM UNIT
AMOUNT B/0 g PD HD
PRICE
** Location: A **
RENB/F 1 0 BALLOON FILLER EA 3.00 3.00
ATTN STEPHANIE MARSHALL
Subtotal 3.00
I I I
j � I
1 � I
I i
Visit us on fac?book or on the
web at .indianaoxygen.com
� I
Taxable amount: 0.00 ,
CARMEL REDEVELOPEMENT COMMISION CUSTOMER: 21366 AMOUNT - 3.00
, THIS INVOICE
30 WEST MAIN STREET INVOICE: 00824381 INCLUDING TAX.,
SUITE 220 INVOICE DATE: 07/02/12
CARMEL IN 46032 ORDER: 01643559-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
Prescribes 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
//i'r Amy &yy e7 Co/� 9179 Purchase Order No.
PO w 7 6-.i(Y.,) Terms
//1e1i,7o vl! , 4/�279 25 Y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/2//7 2q3 51 3-OD
Total 3-00
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 t 2--
easurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
/w /76;Z7X d 5--ff '
$ .3-COO •
ON ACCOUNT OF APPROPRIATION FOR
e2
Board Members
PO#or INVOICE NO. ACCT TITLE AMOUNT
DEPT.# #/ I hereby certify that the attached invoice(s),
Y'z'i3 / ?3Sco3 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 (2
nature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund