HomeMy WebLinkAbout231731 04/23/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $ ....`203.59'CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 231731
INDIANAPOLIS IN 46278 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07014537 99.70 OTHER EXPENSES
1094 4239012 08281807 11.13 SAFETY SUPPLIES
2201 4231100 08282125 92.76 BOTTLED GAS
INV _ ITFM INVOICE DATE INVOICE _ BEGINNING SHPPED-RETURNED - ENDING LEASED PAL/DAYS CYLINDER_ _ ___EXTENDED
BALANCE BALANCE CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .359 11.13
AP - 3 2014 Oycq y, r l+
BY: O�
L- L
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 11.13
1411 E. 116TH ST. INVOICE: 08281807
CARMEL IN 46032 INVOICEDATE: 03/31/14
TOTAL CYL VALUE: 100. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 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
3/31/14 8281807 Oxygen tank rental Mar'14 36390 $ 11.13
Total $ 11.13
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.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 11.13
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8281807 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
17-Apr 2014
$ 11.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
�T CYLINDER RENTAL INVOICE
IryAT DIANik INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O. BOX 78588 INVOICE: 08282125
INDIANAPOLIS, IN 46278-0588 INV DATE: 03/31/14
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L P
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 92 .76
PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
----------------------------------------
'INV BEGINNING ENDING LEASED CYLINDER EXTENDED
Y, _ TEM- INVOICE DATE INVOICE DALANCE SHIPPED RETURNED .-_BALANCE CYLINDERS---BAL/DAY,S_.---RATE ----AMOUNT—
R ALY ACETYLENE 3 0 0 3 0 93 .399 37 .11
R ARG ARGON 1 1 1 1 1 0 .359 .00
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .359 11.13
R MIX MIX GASES 2 1 1 2 0 62 .359 22 .26
R OXY OXYGEN 2 0 0 2 0 62 .359 22 .26
R SAL SMALL ACETYLENE 0 1 1 0 0 0 .359 .00
R SHP SMALL HIGH PRESSURE 0 1 1 0 0 0 .359 . 00
I
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 92 .76
3400 W 131ST ST INVOICE: 08282125
CARMEL IN 46074 wvOICEDATE: 03/31/14
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))
03/31/14 08282125 $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. ACCT#/TITLE AMOUNT Board Members
2201 I 08282125 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
A 11
Th ay, A ril 17, 2014
Stmeptb?� aRUioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r1 i 1�T p CYLINDER LEASE INVOICE
I DIANA INDIANA OXYGEN COMPANY CUSTOMER:213 6 6 PAGE: 1
P.O. BOX 78588 INVOICE: 07014537
INDIANAPOLIS, IN 46278-0588 INV DATE: 04/03/14
317-290-0003 SALESPERSON:0 0 0 TERR: 005
BRANCH: 001
P/O:
TERMS: NET 3 0
B S
I CARMEL, CITY OF H CARMEL, CITY OF
L 30 W. MAIN ST. STE.200 1 30 W. MAIN ST. STE.220
L P
CARMEL IN 46032 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 99.70
------------------------------------- PLEASE,GENGTOPPORTIONWITHYOURPAYMENT-----`---------------------------------------
INV RNT EXPIRATION CYL.
TYPE SUP , cn0-�.RERIOD _ - DESCRIPTION_ __ _. _ .LE<sED ._ .RATE __ _ __.._. AMOUNT
L HE1 HEL 12 04/2014 07014537 1 99 .70 99 .70
EJ
_J
R 1 YEAR D 5 YEAR LEASES
1 2 'ETYLENE=$209 . 16) PLUS TAX
CARMEL, CITY OF CUSTOMER: 21366 TOTAL / 99.70
30 W. MAIN ST. STE.200 INVOICE: 07014537
CARMEL IN 46032 INVOICEDATE: 04/03/14
Pio: —
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 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 4/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/17/2014 07014537 $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
Date Officer
VOUCHER # 137870 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
07014537 01-7362-06 $99.70
Voucher Total $99.70
Cost distribution ledger classification if
claim paid under vehicle highway fund