HomeMy WebLinkAbout239289 11/19/14 �('���"''�� CITY OF CARMEL, INDIANA VENDOR: 154252
j; I ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******244.38*
9''iro-N�'?o CARMEL, INDIANA 46032 PO BOX 78588 CHECK CHECK NUMBER: 11/19/14
INDIANAPOLIS IN 46278
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01207705 31.42 OTHER EXPENSES
2201 4231100 01209306 212.96 BOTTLED GAS
—LTEA - _I_,QTY QTY -� DESCRIP_T1C?N. { J^ IM _ _AMO.UNT __�
** Location: **
lox 220 2 0 2 2 OXYGEN, COMPRESSED, 2.2 CYL 26:232 52.46 j
UN1072 I
440CF @ 11.9236/100CF
AL S 2 0 2 2 ACETYLENE, DISSOLVED, 2.1 CYL 75.282 150.56
UN1001
294CF @ 51.2.122/100CF
- RECORD "ACTUAL" CUBIC FOOTAGE
CF
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_ I CF
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(60-175CF/CYL)
FSCFPEL SRCHGWCI 11 01 TEMP DIESEL SURCHARGE W/C .c.•A 3.99 3.99
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
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Subto al 212.96
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OTAL �YLIIERS SHIPPED: 4 RETURNED: 4I
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Taxable amount:1' 0.00 I '
CARMEL STREET DEPT CUSTOMER: 07851ffa
212.96
. 400 W 131ST .ST INVOICE: 01209306
CARMEL IN 46074 INVOICEDA'iE: 11/05/14
ORDER: 02054823-00 P/O: MIKE
INDIANA OXYGEN COMPANY • P.O. BOX 78588• ".NDIATiAPOLI,9,.LN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
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
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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
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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
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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