243244 03/18/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $*******111.46*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 243244
INDIANAPOLIS IN 46278 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 08328775 12.01 SAFETY SUPPLIES
2201 4231100 08329083 99.45 BOTTLED GAS
EAb-E-SEN-9TU}F'OFiFRDWVPfTf-IYUUHNAYMtNI =------'--'_ -_-________ -�
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPEDRETURNED - ENDING LEASED BAUDAYS CYLINDER EXTENDED
-- .p BALANCE-_--____ -BALANCE -._CYLINDERS_ __ RATE_.__ _ AMOUNT--
R
MOUNT__R CMF ASSET MMAGEMENr FEE 0. 0 0 0 0 0 1.12 1.12
rR SHP SMALL HIGH PRESSURE 1 0 0 1 0 28 .389 10.89
J R'_ 2 ' '�T
MAR 0 6 2015
TAX: 00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL loo. 12.01
1411 E. 116TH ST. INVOICE: 08328775
CARMEL IN 46032 INVOICE DATE: 02/28/15
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 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
2/28/15 8328775 Oxygen tank rental Feb'15 xx1689 $ 12.01
Total Is 12.01
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.
154252 Indiana Oxygen Company 1-Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 12.01
ON ACCOUNT OF APPROPRIATION FOR
I
109 -Monon Center
1
PO#or . Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1094 8328775 4239012 $ 12.01 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
i
I
I
March 12,2015
I
f
$ 12.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O.BOX 78588 INVOICE: 08329083
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/28/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 3 0
B
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST I 3400 W 131ST ST
L CARMEL IN 46074 P CARMEL IN 46074
T T
0 0
INVOICE AMOUNT: 99.45
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPEDRETURNED ENDING LEASED gAUDAYS CYLINDER EXTENDED
P, .__,_. _ .____. .__ ._-.__�__�.._BALANCE___ _..�__ -,..__BALANCE CYLINDERS. _ ._.,_RATE-____AMOUNT_-
R ALY ACETYLENE 3 0 0 3 0 84 .429 36.04
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 8.96 8.96
R CO2 CARBON DIOXIDE 1 0 0 1 0 28 .389 10.89
R MIX MIX GASES 2 0 0 2 0 56 .389 21.78
R OXY OXYGEN 2 0 0 2 0 56 .389 21.78
TAX: 00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL , 99.45
3400 W 131ST ST INVOICE: 08329083
CARMEL IN 46074 INVOICE DATE: 02/28/15
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$99.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
I
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members ,
2201 08329083 42-311.00 $99.45 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
r'6y, rch 1 15
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
S
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))
02/28/15 08329083 $99.45
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