HomeMy WebLinkAbout231274 04/08/14 4+us.CAAMf!
CITY OF CARMEL, INDIANA VENDOR: 154252
® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $'*'"'*'200.53'
a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 231274
9M�ro`ii.�O:r, INDIANAPOLIS IN 46278 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 01119038 44.49 BUILDING REPAIRS & MA
2201 4231100 01121859 156.04 BOTTLED GAS
�a. _� ., �, rHnVitNi -----
ITEM CITY— CITY--- _ —DESCRiPTiOiJUOM - _UNIT AMOUNT —
SHiP'o e/0 PRICE
** Location: D **
AL MC 1 0 1 1 ACETYLENE 10CF CYL 24.227 24.23
CGA-200
10CF @ 242.2700/100CF
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
OX 20 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 14.308 14.31
UN1072 I
20CF @ 71.5400/100CF
� I
Subtotal 44.49
I
TOTAL CYLINDERS SHIPPED: 2 RETURNED: 2
I
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I
Taxable amount:l 10.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT
• 44.49
3400 W 131ST ST INVOICE: 01119038 INCLU,
CARMEL IN 46074 INVOICEDATE: 03/14/14
ORDER: 01945926-00 P/O: DAMIAN
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen Company
IN SUM OF $
P.O.Box 78588
Indianapolis, In 46278-0588
$44.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 01119038 I 43-501.00 f $44.49 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
Monday, March 3 !2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/14/14 I 01119038 I I $44.49
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
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O.BOX 78588 INVOICE: 01121859 ORDER: 01949133-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/21/14 I ORD DATE: 03/21/14 i
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 T INT: MMG
P/O: SHOP
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#: j
B S
CARMEL STREET DEPT H CARMEL STREET DEPT
�
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 156.04
------------------------------------------ PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
-- - I— - --_FEM--- QTY I _.QTY-. DESCMPT!0N Uom HNC AMOUNT
SHIP'D I B/0 -
** Location: D **
AR 336 1 0 1 1 ARGON, COMPRESSED, 2.2 CYL 71.542 71.54
UN1006
331CF @ 21.6139/1000F
AC 75/25 1 0 1 1 ARGON,CARBON DIOXIDE 75/25 384CF CYL 74.042 74.04
INDUSTRIAL GAS MIX CGA580
384CF @ 19.2818/100CF
IFSCFUEL SRCHGWC! 1 0 TEMP DIESEL SURCHARGE W/C EA 4.51 4.51
� HMCHAZ MAT CHG 1 O HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
I i
i
Subtot al 156.04
TOTAL CYLINDERS SHIPPED: 2 RETURNED: 2
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Taxable amount:l 10.00
CARMEL STREET DEPT CUSTOMER: 07851 ° 156.04
•
3400 W 131ST ST INVOICE: 01121859 ,
CARMEL IN 46074 INVOICEDATE: 03/21/14
ORDER: 01949133-00 P/O: SHOP
INDIANA OXYGEN COMPANY 9 P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$156.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 01121859 I 42-311.001 $156.04 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
r � .
i
N onday / rch 3),)O 14
All 'Ud I
5� �11�At24;�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/21/14 01121859 $156.04
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