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HomeMy WebLinkAbout222299 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 367107 Page 1 of 1 ONE CIVIC SQUARE ALGALCO LLC CARMEL INDIANA 46032 PO BOX 502768 CHECK AMOUNT: $39.24 , + i?o INDIANAPOLIS IN 46250 �r6H io` CHECK NUMBER: 222299 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 26336 101 39 . 24 DISC GOLF PROJECT-HAZ Al•Gal.,Cr4 Al Gal C® LLC DATE: July 1, 2013 Hydrogen on Tap TM INVOICE# 101 FOR: Hydrogen Delivery- P.O.#26336 P.O. Box 502768 Indianapolis, IN 46250 BILL TO: Attn: Dave Huffman Phone: 317.361.2787 Carmel Street Department Fax: 317.576.6406 3400 W 131 st Street Westfield, IN 46074 Phone: 317.733.2001 DESCRIPTION AMOUNT 7000 liters of hydrogen, Cost=$39.24/per month $ 39.24 June 1 -June 30, 2013 SUBTOTAL $ _ 39.24_ Terms:Net 30-days. �- — — _____ Make all checks payable to AIGalCo TAX RATE _ 0.00_%0_ If you have any questions concerning this invoice,contact: Kim Morris SALES TAX - AIGalCo Business Development kmorrs @algalcoonline.com-or-317.340.0211. OTHER - THANK YOU FOR YOUR BUSINESS! TOTAL $ 39.24 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/01/13 101 $39.24 I 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. ALLOWED 20 AIGalCo, LLC IN SUM OF $ P.O. Box 502768 Indianapolis, IN 46250 $39.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26336 I 101 I 42-311.001 $39.24 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 rid , my 26, 2013 Street Commis o r Street Commissioner Cost distribution ledger classification if claim paid motor vehicle highway fund