244269 04/15/15 ;`% 4�pv CITY OF CARMEL, INDIANA VENDOR: 154252
jl ® \I ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******123.42*
s. _� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 244269
+,;�raN INDIANAPOLIS IN 46278 CHECK DATE:. 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08333351 110.12 BOTTLED GAS
1094 4239012 8333043 13.30 SAFETY SUPPLIES
--.-. .. -r-�-� �...--ten • • v a...+..__.._e__ U,WL: J I f1J1V 1V Ili IJ f1 -------.._ ____
iNP _- ITEM — INVOICE DATE INVOICE BEGINNING SHIPPED' RETURNED BALANCE cvu ideas B�DAYS GYRATE R AMOUNT
R CMF ASSET MWAGEMENr 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: 08333043
CARMEL IN 46032 INVOICEDATE: 03/31/15
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 pet.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
3/31/15 8333043 Oxygen tank rental,Marl xx1689 $ 13.30
Total Is 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 Ib 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 S'um of.$
$. -13.30. j
ON ACCOUNT OF APPROPRIATION FOR
109--Monon Center
PO#or + Board Members .
Dept# iNV6ICE NO. CCT#/TITL AMOUNT
1094 . 8.333043 423901,2_- $ 13.30- I'hereby certify that the attached irivoice(s), or-
bill(s)is(are)true an,d correct and that.the. .
} materials or services itemized thereon for
4a. which chaf&is made were ordered and
-received except
April,9,2015
„$ 13,30_ Accounts,Payable,.Codrdinator, ,
Cost distribution ledger classification if Titie
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O.BOX 78588 INVOICE: 08333351
INDIANAPOLIS IN 46278-0588 INV DATE: 03/31/15
317-290-0003
SALESPERSON:O 0 0
TERR. 007
BRANCH: 004
P/O:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST I 3400 W 131ST ST
L CARMEL IN 46074 P CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 110.12
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
ENDING,ITEM -J INVOICE DATE INVOICE BB�NCE SHIPPED RETURNED BALANCE CYLINDERS LEASEDBAUDAYS CRATENDER AMOUNT EXTENDD
R ALY ACETYLENE 3 0 0 3 0 93 .429 39.90
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MANAGEMENP 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 1 1 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: 08333351
CARMEL IN 46074 INVOICE DATE: 03/31/15
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 9 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#/TITLE AMOUNT Board Members
2201 I 08333351 I 42-311.001 $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
a
ur 2015
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund i
Prescribed b State Board of Accounts
Y City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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))
03/31/15 08333351 $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
20
Clerk-Treasurer