HomeMy WebLinkAboutINDIANA OXYGEN COMPANY- 003165- 9/20/2012 CARMEL REDEVELOPMENT COMMISSION 003165
Indiana Oxygen Company Check: 3165
PO Box 78588 Date: 9/20/2012
Indianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
832894 156.02 156.02 0.00 0.00 156.02
Helium Ballon Grade
156.02 156.02 0.00 0.00 156.02
'" THE KEY TO DOCUMENTSEGURlTY ni 7�ACTIVAT'ED�THUMByPRINWADDl7lONAL SECURI,TaY,�fEATURES INCLLIDEDZSEOACKrFaR DETAILS
PPgS&,�E57C� Carmel Redevelopment Commission
A REGIONS 003165
30 West Main Street 20-1421!740
• Suite 220
`f`13 Carmel, IN 46032
07STRie
3165
DATE AMOUNT
9/20/2012 "'******** " 156.02
•
THE SUM OF ONE HUNDRED FIFTY SIX DOLLARS AND 02 CENTS ***********'**"**********************
PAY
TO THE
ORDER
OF Indiana Oxygen Company
PO Box 78588 ss,;
Indianapolis, IN 46278-0588 `?t
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CARMEL REDEVELOPMENT COMMISSION 003165
Indiana Oxygen Company Check: 3165
DO Box 78588 Date: 9/20/2012
ndianapolis, IN 46278-0588 Vendor: INDOXYG1
Prior
nvoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
332894 156.02 156.02 0.00 0.00 156.02
Helium Ballon Grade
156.02 156.02 0.00 . 0.00 156.02
(-11-52 COMPUTEREASE FORMS DIVISION(877)571-5791 T-71771 'P`�
ORIGINAL INVOICE
INDIANS INDIANA OXYGEN COMPANY CUSTOMER: 21366 — !PAGE 1
P.O.BOX 78588 INVOICE: 00832894 I ORDER: 01656461-00
INDIANAPOLIS,IN 46278-0588 NV DATE 08/03/12 I ORD DATE: 07/27/12
317-290-0003 SALESPERSON: 000 TEAR: 005
■,• BRANCH: 001 TNT: DMS
•
P/O:
TERMS: NET 30
SHIP VIA: Our Truck
RELEASE#:
B S
CARMEL REDEVELOPEMENT COMMISION H CARMEL REDEVELOPEMENT COMMISION
L30 WEST MAIN STREET P 30 WEST MAIN STREET
SUITE 220 SUITE 220
TO CARMEL IN 46032 CARMEL IN 46032
INVOICE AMOUNT: 156.02
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM - DESCRIPTION UOM UNIT AMOUNT
SHIP'D WO SHP'D ' RETD. PRICE _
** Location: A **
HE 200 1 0 1 1 HELIUM BALLOON GRADE 200CE CYL 125.463 125.46
CGA580-NOT FOR INDUSTRIAL USE
200CF @ 62.7315/100CE
call stephanie when headed her way 490-9116
*************DELIVER WEDNESDAY AUGUST 1**************
FSCFUEL SURCHRG 1 0 TEMP DIESEL SURCHARGE OUR TRUCK EA I 4.63 4.63
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 3 .95 3.95
I I ! II
Subtotal. 134.04
TOTAL CYLI DERS SHIPPED: 1 RETURNED: 1. j
OCIV
Visit us on facebook or on the Del Charge 21.98
web at www.indianaoxygen.com
� I
Taxable amount: 10.00 j
CARMEL REDEVELOPEMENT COMMISION CUSTOMER: 21366 AMOUNT 156.02
30 WEST MAIN STREET INVOICE: 00832894 TH INCLUDING TAX
INCLUDING TAX ;=
SUITE 220 INVOICE DATE: 08/03/12
CARMEL IN 46032 ORDER: 01656461-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
Prescri w d 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
J0/`9ti9 ky/PSG `o,y",49% Purchase Order No.
,062, 7.5'58g Terms
/1c%' 7"004-,, /y) `'&27 Date Due
Invoice Invoice Description Amount
G Date %
Number / (or notee attached invoice(s) or bill(s))
5)3289 1/p//,%,-77 9'/UO.Y /.5- Z}2_
Total /576-C-2
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 l2 —
r easurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
4/04/--/ ay7 rO
IN SUM OF $
f 0 / 2)(
fl���i`ryool., / X62 . OS;3
$ /5-6.-02
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
*22- 2Y9Y 23 /• L- 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 /z
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund