HomeMy WebLinkAbout229516 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $229.19
�o CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 229516
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01099421 118 . 36 OTHER EXPENSES
2201 4231100 07014052 99 . 70 BOTTLED GAS
1094 4239012 8273392 11 . 13 SAFETY SUPPLIES
I
-INV-- SUP" "PNT'FERIOD" -EXPIRATION- ---- ---DESCRiPTl0(J- - "--OYL "- -"RATE"--- - ---AMOUNT--- -
TYPE GROUP DATE LEASED
L ACl MIX 12 02/2014 07014052 1 99 .70 99.70
E 0 FER 1 YEAR AND 5 YEAR LEASES
YR $1 )2 .19 PER CYL (ACETYLENE=$209 .16) PLUS TAX
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 99 '70
3400 W 131ST ST INVOICE: 07014052
CARMEL IN 46074 INVOICEDATE: 02/10/14
wO: 1567
INDIANA OXYGEN COMPANY 9 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))
02/10/14 07014052 $99.70
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
$99.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 07014052 I 42-311.001 $99.70 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
1 )/'9 6 6' J
Y All FZ ipay, ;ebur ry 2014
St�� C;Qtt�S,�ter
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
---------------------------------------- rLCA.0CJCINU IVYrumIIUINVVIII'I YULIHYAYIVItNI -----------------_----- ---------------
INV - - - --`ITEM-- INVOiCE DATE INVOICE BEGINNING- SHIPPED RETURNEE -'ENDING--LEASED- -BAUDAYS CYLINDER- __EXTENDED.._.
I' BALANCE BALANCE CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .359 11.13
9&9 D/°
/09 -
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL , 11.13
1411 E. 116TH ST. INVOICE: 08273392
CARMEL IN 46032 INVOICE DATE: 01/31/14
TOTAL CYL VALUE: 100. 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 Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/31/14 8273392 Oxygen tank rental Jan'14 36390 $ 11.13
Total $ 11.13
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.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 11.13
ON ACCOUNT OF APPROPRIATION FOR
i
109 -Monon Center
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1094 8273392 4239012 $ 11.13 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-Feb 2014
$ 11.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 16052 PAGE: 1
MOWP.O.BOX 78588 INVOICE: 01099421 ORDER: 01923004-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 01/23/14 I ORD DATE: 01/23/14
317-290-0003 SALESPERSON: 000 TERR: 005
BRANCH: 004 INT: MMG
P/O: SHOP
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
CARMEL WASTEWATER H CARMEL WASTEWATER
L760 3RD AVE. SW F 9609 HAZEL DELL PKWY.
CARMEL IN 46032 INDIANAPOLIS IN 46280
T T
O O
INVOICE AMOUNT: 118.36
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
OTY. . nrx: - -- - CESCP FT;CN -U0v1--- UNIT
SHIP'D E3/0
PRICE
** Location: D **
WLTlON49 8 0 #5 5/16" ALUMINA NOZZLE EA 1.56 12.48
WT17/ WT18/ WT26/
INW187G 1 0 1/8" X 7 GRD PURE GREEN PK 43.55 43 .55
TUNGSTEN 187G 07WP125
INW1167GT2 1 0 1/16X7" GRD 2% THORIATED RED PK 13.08 13.08
1167GT2 TUNGSTEN 07WTH2062
INW187GT2 1 0 1/81IX7" GRD. 2% THORIATED RED PK 39.25 39.25
187GT2 TUNGSTEN 07WTH2125
CR04043116X36Xl 1 0 4043 1/16 X 36 X 1# PKG ALUMINUM LB 10.00 10.00
AT4043-TLPP 40431/16X36X1
Subtotal 118.36
Visit us at facebook or on the
we at www. indianaoxygen. om
Taxable amount: 0.00
CARMEL WASTEWATER CUSTOMER: 16052 • 118.36
•
760 3RD AVE. SW INVOICE: 01099421
CARMEL IN 46032 INVOICEDATE: 01/23/14
01923004-00 P/O: SHOP
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 2/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2014 01099421 $118.36
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
Date icer
VOUCHER # 137438 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01099421 01-7202-06 $118.36
i
Voucher Total $118.36 i
Cost distribution ledger classification if
claim paid under vehicle highway fund