HomeMy WebLinkAbout221568 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
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t ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $10.82
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 221568
CHECK DATE: 712/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8239762 10 . 82 SAFETY SUPPLIES
__________________________________________ i-'iirli
INV SHIPPED 13EGINNING RETURNL-D- ENDING FASED CYLINDER EXTENDED
o. ITEM INVOICE DATE INVOICE BALANCE BALANCE CYLINDERS RAUDAYS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 I 01 31 .349 10.82
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JIUN 0 6 013
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Purchased
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Purchaser ate
Approval ate TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10.82
1.411 E. 116TH ST. INVOICE: 08239'162
CARMEL IN 46032 INVOICE DATE: 05/31/13
TOTAL CYL VALUE: -1.00 . 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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 Purchase Order No.
154252 Indiana Oxygen Company Terms
P.O. Box 78588
Indianapolis, IN 46278-0588
Invoice voice Description PO# Amount
Date umber (or note attached invoice(s)or bill(s))5/31/13 T;;N
39762 Rental of oxygen tanks May'13 $ 10.82
Total $ 10.82
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 10.82 _
ON ACCOUNT OF APPROPRIATION FOR _
109 -Monon Center
Po#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1094 8239762 4239012 $ 10.82 1 hereby certify that the attached invoice(s), 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-Jun 2013
$ 10.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund