HomeMy WebLinkAbout239546 11/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $********55.62*
CARMEL, INDIANA 46032 PO BOX 78586 CHECK NUMBER: 239546
INDIANAPOLIS IN 46278 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 01212732 44.49 BOTTLED GAS
1094 4239012 08311663 11.13 SAFETY SUPPLIES
PLIzAtit btNU"0vFlORrT0NVvTTH70UT;PAYMENT _ ___ . ' =_ .- -=------------ _
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED' ENDING LEASED gAL/DAYS CYLINDER EXTENDED
-TYPE_ - _ _ __� _- - _ ,. BALANCE_ -_ _ ._BALANCE CYLINDERS__-. RATE MDUNT__
R SHP SMALL H PRE S URE 1 0 0 1 0 31 .359 11.13
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL , 11.13
1411 E. 116TH ST. INVOICE: 08311663
CARMEL IN 46032 INVOICEOATE: 10/31/14
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• 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
10/31/14 8311663 Oxygen tank rental OcY14 .36390 $ 11.13
Total $ 11.13
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
f
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 11.13
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ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
PO#or ! Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1094 8311663 4239012 $ 11.13 1 hereby certify that the attached invoice(s), or
f, 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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20-Nov 2014
4
$ 11.13 Accounts Payable Coordinator
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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-- _--- _ - - IIF..M_--_ _-- _ �Qn _UDM
QTY -- _DESCRIPTION _ _.. UNIT -AMOUNT_-
GHIP'D O ,
** Location: D **
AL MC 1 0 1 1 ACETYLENE 10CF CYL 24.227 24.23
CGA-200
10CF @ 242.2700/100CF
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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
20CF @ 71.5400/1000F
Subtotal 44.49
TOTAL CYLIN ERS SHIPPED: 2 RETURNED: 21
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Visit us at fac book or oi the
web at .indi naox gen. om
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Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 44.49
3400 W 131ST ST INVOICE: 01212732 THIS INVOICE
CARMEL IN 46074 INVOICEDATE: 11/13/14
ORDER: 02058780-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$44.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 01212732 I 42-311.001 $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
ua"- Frid ber 21, 14
Stre inpr
Street Commissioner
Title
Cost distribution ledger classification if f
i
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))
11/13/14 01212732 $44.48
I
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
, 20
Clerk-Treasurer