Loading...
HomeMy WebLinkAbout239289 11/19/14 �('���"''�� CITY OF CARMEL, INDIANA VENDOR: 154252 j; I ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******244.38* 9''iro-N�'?o CARMEL, INDIANA 46032 PO BOX 78588 CHECK CHECK NUMBER: 11/19/14 INDIANAPOLIS IN 46278 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 01207705 31.42 OTHER EXPENSES 2201 4231100 01209306 212.96 BOTTLED GAS —LTEA - _I_,QTY QTY -� DESCRIP_T1C?N. { J^ IM _ _AMO.UNT __� ** Location: ** lox 220 2 0 2 2 OXYGEN, COMPRESSED, 2.2 CYL 26:232 52.46 j UN1072 I 440CF @ 11.9236/100CF AL S 2 0 2 2 ACETYLENE, DISSOLVED, 2.1 CYL 75.282 150.56 UN1001 294CF @ 51.2.122/100CF - RECORD "ACTUAL" CUBIC FOOTAGE CF I I _ I CF I i (60-175CF/CYL) FSCFPEL SRCHGWCI 11 01 TEMP DIESEL SURCHARGE W/C .c.•A 3.99 3.99 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95 I F Subto al 212.96 i I OTAL �YLIIERS SHIPPED: 4 RETURNED: 4I I j _I I Visit us at fac book or o the web at wvn .indi naox gen. om I I � i Taxable amount:1' 0.00 I ' CARMEL STREET DEPT CUSTOMER: 07851ffa 212.96 . 400 W 131ST .ST INVOICE: 01209306 CARMEL IN 46074 INVOICEDA'iE: 11/05/14 ORDER: 02054823-00 P/O: MIKE INDIANA OXYGEN COMPANY • P.O. BOX 78588• ".NDIATiAPOLI,9,.LN • 46278-0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF$ P. O. Box 78588 Indianapolis, IN 46278-0588 $212.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 01209306 j 42-311.00 $212.96 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 U" f t Fmber 014 �t���rnmmlCCl(1nAP Street Commissioner Title r 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)) 11/05/14 01209306 $212.96 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 QTY QTY ' -- nFSCPIP_TI(1N--— 1.10 - - 'SHIP'D S/O-- 1- Il ** Location: ** CD 50RB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 21.462 21.46 UN1013 (LIQUID WITHDRAW) 50CF @ 42.9240/100CF FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.01 4.01 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95 Subto al 31.42 I i DOTALYLI ERS SHIPPED: 1 RETURNED: 1 Visit us on fac book or oi the web at .indi naox gen. om Taxable amount: 0.00 CARMEL WATER CUSTOMER: 12598 AMOUNT 31.42 THIS INVOICE 3450 W 131ST ST INVOICE: 01207705 INCLUDING TAX CARMEL IN 46074-'8267 INVOICEDATE: 10/31/14 ORDER: 02053067-00 P/O: SHOP - ' INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 VOUCHER # 142228 WARRANT# ALLOWED 154252 i IN SUM OF $ INDIANA OXYGEN CO PO BOX 78588 INDIANAPOLIS, IN 46278 l Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT I Audit Trail Code 01207705 01-6200-06 $31.42 I i I Voucher Total $31.42 Cost distribution ledger classification if claim paid under 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 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 11/10/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/10/201, 01207705 $31.42 I 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 illy/y Date Officer