HomeMy WebLinkAbout237417 9 /23/2014 ,Coq.
��' CITY OF CARMEL, INDIANA VENDOR: 154252
j; ® :1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $""""""+249.19"
i.. r CARMEL, INDIANA 46032 PO 80X 78588 CHECK NUMBER: 237417
��,,_o�.�� INDIANAPOLIS IN 46278 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01188667 29.90 REPAIR PARTS
601 5023990 7015473 208.16 OTHER EXPENSES
1094 4239012 8303121 11.13 SAFETY SUPPLIES
--------------------------------------
UNIT
ITEM I SMP'D Bo DESCRIPTION UOM PRICE AMOUNT
** Location: D **
TIL48XL 2 0 LG LINED GOAT/SPLIT BACK MIG GLV PR 14.95 29.90
-CD
Subtotal 29.90
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web at www.indianaoxygen.com
Taxable amount: 10.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 29.90
3400 W 131ST ST INVOICE: 01188667 INCLUDINGTHIS INVOICE
CARMEL IN 46074 INVOICEDATE: 09/15/14
ORDER: 02027165-00 P/O: MIKE
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))
09/15/14 01188667 $29.90
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
$29.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 01188667 1 42-370.001 $2990 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
Fird/y,
e be a, 2014
Str&te&bpi �Aiqner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Wv - SUPPERIOD "" DESCHIPi(ON HATE AMOUNT GROUP DATE LEASED
L AL1 ALY 12 09/2014 07015473 1 108.46 108.46
L 0X1 OXY 12 09/2014 07015473 1 99.70 99.70
E 0 FER 1 YEARD 5 YEAR LEASES
YR= 1 2 . 19 PE CYL (ACETYLENE=$209 .16) PLUS T
CARMEL WATER CUSTOMER: 12598 TOTAL ® 208.16
3450 W 131ST ST INVOICE: 07015473
CARMEL IN 46074-8267 INVOICEDATE: 09/08/14
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 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 9/16/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/16/2014 7015473 $208.16
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 141749 WARRANT# ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7015473 01-6360-03 $208.16
Voucher Total $208.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
- --------------
INV -ITEM - INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED - ENDING LEASED BAUDAYS CYLINDER EXTENDED
VP BALANCE BALANCE CYLINDERS RATE" - - - AMOUNT
R SUP :iSMALL HIGH PRESSURE 1 0 0 1 0 31 .359 11.13
t �l I
I
3(po
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL / 11.13
1411 E. 116TH ST. INVOICE: 08303121
CARMEL IN 46032 INVOICEDATE: 08/31/14
TOTAL CYL VALUE: 100 . 00 P/O:
INDIANA OXYGEN COMPANY 9 P.O. BOX 78588• INDIANAPOLIS, IN 9 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
InvoiceP8303121
nvoice Description
Dateumber (or note attached invoice(s)or bill(s)) PO# Amount
8/31/14 Oxygen tank rental Aug'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
120—
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#/TITL AMOUNT Board Members
Dept#
1094 8303121 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
18-Sep 2014
i
$ 11.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund