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Home My WebLink About229060 2/11/2014 "LF CITY OF CARMEL, INDIANA VENDOR: 154350 Page 1 of 1 ONE CIVIC SQUARE INDIANA POLYGRAPH ASSOC CHECK AMOUNT: $75.00 CARMEL, INDIANA 46032 10330 TIDEWATER TRAIL a a� FT WAYNE IN 46845 CHECK NUMBER: 229060 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 75 . 00 ORGANIZATION & MEMBER ORIGINAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 ® ?' P.O.BOX 78588 INVOICE: 01103215 ORDER: 01927305-00 INDIANAPOLIS,IN 46278-0588 INV DATE: 02/03/14 ORD DATE: 02/03/14 317-290-0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: DAB P/O: SHOP TERMS: NET 30 SHIP VIA: Will Call RELEASE#: B S I CARMEL STREET DEPT H CARMEL STREET DEPT � 3400 W 131ST ST F 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 339.81 ------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- QTY ""uTY— _DESCRIPTION UOM UNIT-- - AMOUNT SHIP'D B10 PRICE ** Location: D ** OX 220 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 24.983 24.98 UN1072 220CF 0 11.3559/100CF AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 71.696 71.70 UN1001 147CF @ 48.7728/1000F RECORD "ACTUAL" CUBIC FOOTAGE CF CF (60-175CF/CYL) TNW1/4X5OBBT 1 0 1/4"X50'-BB T GRADE TWIN HOSE EA 50.94 50.94 1/4X50BBT TWINHOSE FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.16 4.16 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 4.95 4.95 CTD46952 2 0 AQF-29P JOBBER DRILL SET BITS EA 91.54 183.08 29PCS 1/16"-1/2" 190AQF DRILLSET Subtotal 339.81 TOTAL YLINDERS SHIPPED: 2 RETURNED: 2 Visit us at facebook or oi the we at www. indianaoxygen.com Taxable amount: 10.00 CARMEL STREET DEPT CUSTOMER: 07851 • 339.81 • 3400 W 131ST ST INVOICE: 01103215 CARMEL IN 46074 INVOICEDATE: 02/03/14 ORDER: 01927305-00 P/O: SHOP INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588 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)) 02/03/14 01103215 $339.81 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 Indiana Oxygen IN SUM OF $ P. O. Box 78588 Indianapolis, IN 46278-0588 $339.81 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I 01103215 I 42-311.001 $339.81 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 2014 aCei Iss+oner Ttreet CommissIoner Title Cost distribution ledger classification if claim paid motor vehicle highway fund CYLINDER RENTAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1 P.O. BOX 78588 INVOICE: 08273710 INDIANAPOLIS, IN 46278-0588 INV DATE: 01/31/14 317-290-0003 SALESPERSON:O O O TERR: 007 BRANCH: 004 P/0: TERMS: NET 30 I CARMEL STREET DEPT H CARMEL STREET DEPT � 3400 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T 0 0 INVOICE AMOUNT: 92.76 ------------------------ -------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------- --- INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gAL_D S CYLINDER EXTENDED P - BALANCE.- - -BALANCE-- -CYLINDERS- .-_._RATE.-_ __AMOUNT_."... R ALY ACETYLENE 3 1 1 3 0 93 .399 37 .11 R ARG ARGON 1 0 0 1 1 0 .359 .00 R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .359 11.13 R MIX MIX GASES 2 0 0 2 0 62 .359 22.26 R OXY OXYGEN 2 1 1 2 0 62 .359 22 .26 I TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 10, 92 .76 3400 W 131ST ST INVOICE: 08273710 CARMEL IN 46074 INVOICE DATE: 01/31/14 TOTAL CYL VALUE: 2700. 00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588 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)) 01/31/14 08273710 $92.76 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. ALLOWED 20 Indiana Oxygen IN SUM OF $ P. O. Box 78588 Indianapolis, IN 46278-0588 $92.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT" Board Members 2201 I 08273710 I 42-311.001 $92.76 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 b ILI Ua" , , #eW, 2014 Street Cnrnmiccinna; Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Indiana Polygraph Association INVOICE 10330 Tidewater Trail Ft Wayne, IN 46845 Phone 260-449-7406 iohn.zacielmeier@co.allen.in.us DATE: FEBRUARY 5, 2014 TO: FOR: Brett Keith IPA 2014 Dues liedetector7@gmail.com DESCRIPTION AMOUNT 2014 IPA DUES $75.00 I TOTAL $75.00 Make all checks payable to Indiana Polygraph Association Please remit to IPA address above with a printed copy of you invoice. Upon payment, you will receive another email showing your dues are paid in full. Thank you! If you have any questions concerning this invoice, contact John Zagelmeier @ 260-449-7406 or iohn.zagelmeier@co.allen.in.us 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)) 02/05/14 membership dues $75.00 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. ALLOWED 20 Indiana Polygraph Association, Inc. y&WWk^—(rW IN SUM OF $ 476 S 70 ni �992 0?c $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1110 43-553.00 $75.00553.00 $75.00 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 Thursday, February 06, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund