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Home My WebLink About226221 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367107 Page 1 of 1 0 ONE CIVIC SQUARE ALGALCO LLC CHECK AMOUNT: $78.48 CARMEL, INDIANA 46032 PO BOX 502768 a o� INDIANAPOLIS IN 46250 CHECK NUMBER: 226221 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 26336 105 39. 24 DISC GOLF PROJECT-HAZ 2201 4231100 26336 106 39 .24 DISC GOLF PROJECT-HAZ AlGaICO LLC DATE: October 1, 2013 Hydrogen on Tap TM INVOICE# 105 FOR: Hydrogen Delivery-P.O.#26336 P.O. Box 502768 Indianapolis, IN 46250 BILL TO: Attn: Dave Huffman Phone: 117,161*2787 Carmel Street Department Fax: 317.576.6406 3400 W 131st Street Westfield, IN 46074 Phone:_317.733.2001_ _ - DESCRIPTION `AMOUNT 7000 liters of hydrogen, Cost=$39.24/per month $ 39.24 September 1 -September 30, 2013 SUBTOTAL $ .24 Terms: Net 30-days. - `� — ��— ----39--- -- Make all checks payable to AIGalCo TAX RATE 0.00% 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 AlGalCO LLC DATE: November 1, 2013 Hydrogen on Tap TM INVOICE# 106 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: 31.7.733.200-1.— - - -- - DESCRIPTION (AMOUNT 7000 liters of hydrogen, Cost=$39.24/per month — _ — $ _____39.24 October 1 -October 31, 2013 SUBTOTAL $ 39.24 Terms: Net 30-days. __------- _-- - Make all checks payable to AIGalCo TAX RATE 0.00% 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)) 10/01/13 105 $39.24 11/01/13 106 $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 $78.48 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26336 105 42-311.00 $39.24 1 hereby certify that the attached invoice(s), or 26336 106 42-311.00 $39.24 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 Th r day No�v��,�We/7 4, 2013 J . Stre&QetiGnii;i iggiOner Title Cost distribution ledger classification if claim paid motor vehicle highway fund