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Home My WebLink About242314 02/17/15 °`-,coq* CITY OF CARMEL, INDIANA VENDOR: 154252 ® ) ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $ .....217.03" i•. ,a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 242314 �.y�__oN. � INDIANAPOLIS IN 46278 CHECK DATE: 02/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 01243294 104.03 OTHER EXPENSES 2201 4231100 07016385 99.70 BOTTLED GAS 1094 4239012 08324494 13.30 SAFETY SUPPLIES INV ITEM INVOICEDATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED CYLINDER EXTENDED P BALANCE_ -BAi ANNE CYLIN BAUDAYS DERS -RATE- .4"OUNT R CMF ASSET MkNAGEMENT FEE 0 0 0 0 0 0 1.24 1.24 R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .389 12 .06 TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 13 .30 1411 E. 116TH ST. INVOICE: 08324494 CARMEL IN 46032 INVOICEDATE: 01/31/15 TOTAL CYL VALUE: 100. 00 P/O: INDIANA OXYGEN COMPANY 9 P.O. BOX 78588 9 INDIANAPOLIS, IN 9 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 1/31/15 8324494 Oxygen tank rental Jan'15 xx1689 $ 13.30 Total $ 13.30 1 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 Voucher No. Warrant No. 154252 Indiana Oxygen Company Allowed 20 P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ $ 13.30 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 8324494 4239012 $ 13.30 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 February 12, 2015 $ 13.30 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i 4 CYLINDER LEASE INVOICE INDIAXA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 COMEP.O. BOX 78588 INVOICE: 07016385 INDIANAPOLIS, IN 46278-0588 INV DATE: 02/04/15 317-290-0003 SALESPERSON:000 TERR: 007 BRANCH: _0_04 P/o: 1567 TERMS: NET 3 0 B I CARMEL STREET DEPT H CARMEL STREET DEPT � 3400 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T - T O 0 INVOICE AMOUNT: 99 .70 ------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- ,IINb $UP RV7 PERIOD EXPIRATION DESCRIPTION - CYC RATE AMOUNT T.YPF.I_-^�I�RnIIP.I I� DA---_ I. I...-I.F4SFp L ACI MIX 12 02/2015 07016385 1 99 .70 99 .70 1 E O FER 1 YEAR ND 5 YEAR LEASES YR $1 )2 .19 PE CYL (ACETYLENE=$209 .16) PLUS TAX CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 99.70 3400 W 131ST ST INVOICE: 07016385 CARMEL IN 46074 INVOICEDATE: 02/04/15 P/O: 1567 INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 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)) 02/04/15 07016385 $99.70 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF $ P. O. Box 78588 Indianapolis, IN 46278-0588 $99.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 07016385 I 42-311.001 $99.70 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 Thursdayui�r�y .2015 v r ff omilsSt§AiComsoner Title Cost distribution ledger classification if claim paid motor vehicle highway fund I TQ- - i UNITITEMn —_ — T SHIP-0 uESCniPTiPRICEHvvvJ ** Location: W ** I MIP192048 5 0 ELECTRODE EXTENDED (5PK) ICE40 EACH 9.80 49.00 ICE55 TORCH 625XTREME 2050/ IMIP192052 5i 0 TIP EXTENDED 40A. (5PK) ICE40 EA 4.88 24.40 ICE55 TORCH 625XTREME 2050/ ** Location: A ** OX 150 1 0 1j 1 OXYGEN, COMPRESSED, 2.2 CYL 21.689 21.69 UN1072 155CF @ 13 .9929/100CF i ** Location: FSCFUEL SRCHGWC! 1 01 DIESEL SURCHARGE ✓d/C I EA 2.99 2.99 jHMCHAZ 14AT CHG 1 : 01 HAZARDOUS MATERIAL CHARGE � EA 5.95 5.95 I i I I I Subtotal 104.03 I I i I TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1 I i � III` I I i I I I Visit us on facebook or o the web, at www.indianaoxygen.= I I i i ( Taxable amount:) 10.00 I f CARMEL WATER CUSTOMER: 12598 104.03 3450 W 131ST ST INVOICE: 01243294 CARMEL IN 46074-8267 INVOICEDATE: 02/04/15 ORDER: 02093672-00 P/O: SHOP INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 Prescribed by State Board of Accounts Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I 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 Mo. Day yr. Signature Title 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. Mo. Day Yr. Officer Title I Voucher No. Warrant No. j ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. 1,5 CARMEL, INDIANA Favor Of Oxy (z, _� 5 S%- SOK. 8 f Total Amount of Voucher $ Deductions ac)• O Amount of Warrant $ Month of Yr Acct. + VOUCHER RECORD No. i Source of Supply Water Treatment Transmission and Dist. Customer Accounts i Administrative and General Operation-Maintenance Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits I Total I Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325