HomeMy WebLinkAbout241043 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 154252
t31 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******124.19*
?� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 241043
INDIANAPOLIS IN 46278 CHECK DATE: 01/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01225719 31.43 OTHER EXPENSES
2201 4231100 08320534 92.76 BOTTLED GAS
yv _ ITEM__. INVOICE DATE �INVOIQE BBq pN� _ SHIPPEDVenc - ENeRAUDA YE RETuN -- -CVos-B - GRATR --AMOUNT-_--
R ALY ACETYLENE 3 0 0 3 0 93 .399 37 .11
R ARG ARGON 1 0 0 1 1 0 .359 .00
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .359 11.13
R MIX MIX GASES 2 0 0 2 0 62 .359 22 .26
R OXY OXYGEN 2 0 0 2 0 62 .359 22 .26
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 92 .76
3400 W 131ST ST INVOICE: 08320534
CARMEL IN 46074 INVOICEDATE: 12/31/14
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
P. O. Box 78588 4
Indianapolis, IN 46278-0588
$92.76 i
f
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 08320534 42-311.00 $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
o
Fr' 5
rAfftt Gemmissisner
Street Commissioner
j
Title
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))
12/31/14 08320534 $92.76
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
I iTE�J�- SQT o-- B/NO-- - --�cri�Fll�iii�i 1 .. -...—_ I�:._,.i "l �'_U_ICE
** Location: P, **
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 4.02 4.02
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subtotal 31.43
I
1OTAL YLINDERS SHIPPED: 1 RETURNED: 1'
� I
Visit us on fac book or m the
web at wwv .indi nao gen. om
Taxable amount: 10.00
CARMEL WATER CUSTOMER: 12598 • 4 31.43
3450 W 131ST ST INVOICE: 01225719 ,
CARMEL IN 46074-8267 INVOICEDATE: 12/17/14
ORDER: 02073330-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
VOUCHER # 142560 WARRANT# ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT ROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01225719 01-6200-06 $31.43
i
it
Voucher Total $31.43
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 12/29/2014
Invoice Invoice Description
Date Number (or note attach ed'invoice(s) or bill(s)) Amount
121291201, 01225719 $31.43
I
I
e
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 O fffcer