242010 02/10/15 `�y uj.kQgy CITY OF CARMEL, INDIANA VENDOR: 154252
F�
® i1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: 242010 110.12"
x. CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 242010
9�'�ruN '_ INDIANAPOLIS IN 46278 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08324804 110.12 BOTTLED GAS
W'V _ ITEM , _ INVOICE DATE INVOICEL^vBEGINNING
SHIPPED ,RETURNEDv"R DIN1„-CYE NDERS_._._BAUDAYS CYLINDER
EXTENDEDUNT ALY ACETYLE E 3 0 0 3 0 93 .429 39.90
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 9.92 9.92
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .389 12.06
R MIX MIX GASES 2 0 0 2 0 62 .389 24.12
R OXY OXYGEN 2 0 0 2 0 62 .389 24.12
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL , 110.12
3400 W 131ST ST INVOICE: 08324804
CARMEL IN 46074 INVOICEDATE: 01/31/15
TOTAL CYL VALUE: 2700.00 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
$110.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
2201 08324804 42-311.00 $110.12 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
hyZl
Frid 5
e -.4 A
SOAR,60CrRMI,s's onepr
Title j
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))
01/31/15 08324804 $110.12
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
120
Clerk-Treasurer