247330 07/15/15i
CITY OF CARME, , INDIANA VENDOR: 154252
g;
.; ® �• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*'*****524.00*
CARMEL, INDIANA 46032 PO BOX 78588 NUMBER: 247330
9y`o INDIANAPOLIS IN 46278 CHECK 5
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359025 01282795 268.64 ARTS DISTRICT FESTIVA
2201 42;31100 01304455 135.93 BOTTLED GAS
2201 4231100 08346166 106.56 BOTTLED GAS
1094 42139012 8345859 12.87 SAFETY SUPPLIES
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ORIGINAL INVOICE
OXYC INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O.BOX 78588 INVOICE: 01304455 ORDER: 02164246-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 07/01/15 ORD DATE: 07/01/15
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: ! DAB
P/O: SHOP !
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B CARMEL STREET DEPT H CARMEL STREET DEPT
�
3400 W 131ST ST F 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT:
F 13 5.93
-------------------
-----------------------------,PLEASESENDTOPPORTIONWITHYOURPAYMENT-------------------------'-------------------
_.:Qrr OTY - -_..-UNIT-: ---
TITEM J DESCRIPTION`` —UOM PRICE' AMOUNT
SHIP'D B/0 .,
** Location: **
OX 220 1 0 1 1 UN1072,OXYGEN,COMPRESSED,2.2 CYL 28.068 28.07
220CF CYLINDER
220CF @ 12.7582/100CF
CTD46952 1 0 AQF-29P JOBBER DRILL SET BITS EA 99.00 99.00
29PCS 1/16"-1/2" 190AQF DRILLSET
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 2.91 2.91
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.'95 5.95
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Subtotal 135.93
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OTAL CYLINDERS SHIPPED: 1 RETURNED: 1
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Visit us at fac book or on the
web at .indi naox gen. om
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Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 135.93
3400 W 131ST ST INVOICE: 01304455
CARMEL IN 46074 INVOICEDATE: 07/01/15
ORDER: 02164246-00 P/O: SHOP
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
CYLINDER RENTAL INVOICE
INDIAN,-k INDIANA OXYGEN COMPANY CUSTOMER:07851 'PAGE: !, 1
P.O.BOX 78588 INVOICE: 08346166
INDIANAPOLIS,IN 46278-0588 INV DATE: 06/30/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
i
B 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
O O
INVOICE AMOUNT: 106.56
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------------------ --------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
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F -INVOICE-DATE---IAVQIC-E—--BEGINNING _SHIpaFq,_RETURNED—ENDING' LEASED BAUDAYS_—RATE—
EXTENDED --
'nAL ANGE BALANCE--"CYLINDERS-— RAT_
R ALY ACETYLENE 3 0 0 3 0 90 .429 38.61
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MANAGEMENT FEE 0 0 0 0 0 0 9.60 9.60
R CO2 CARBON IOXIDE 1 0 0 1 0 30 .389 11.67
R MIX MIX GASES 2 0 0 2 0 60 .389 23 .34
R OXY OXYGEN 2 0 0 2 0 60 .389 23 .34
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TAX: .00
CARMEL STREET DEPT CUSTOMER: 0785TOTAL 106.56
C 1 ,
3400 W 131ST ST INVOICE: 08346166
CARMEL IN 46074 INVOICE DATE: 06/30/15
TOTAL CYL VALUE: 2700.00 P/O:
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INDIANA OXYGEN COMPANY • P.O. BOX 78588 0 INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$242-.49—
ON
42...49 ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 08346166 42-311.00 j $106.56 1 hereby certify that the attached invoice(s), or
2201 01304455 42-311.00 $135.93 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
urs 015
N./VVV W '*-rVY —
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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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))
.. 06/30/15 08346166 $106.56
07/01/15 01304455 $135.93
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
PLEA—SESENDTOPPORTTICVN_WnHYOURPAYMENT"-===-=-= -=-=='----------------------------
INV
___ -__INV ITEM !NVOICE DATE - -INVOICE- - -BEGINNING---SHIPPED RETURNED ENDING LEASED BAUDAYS- - CYLINDER EXTENDED
TYPE - _I. BALANCE BALANCE CYLINDERS'" RATE AMOUNT
R CMF ASSET 1-TUNAGEMENII FEE 0 0 0 0 0 0 1120 1.20
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .389 11.67
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TAX: .00
CARMEL CLAY IPARKS CUSTOMER: 03390 TOTAL Oo. 12 .87
1411 E. 116TH ST. INVOICE: 08345859
CARMEL IN 45032 INVOICEDATE: 06/30/15
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• 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
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P.O. Box 78588
Indianapolis, IN 46278-0588
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Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/30/15 8345859 Oxygen tank rental Jun"5 xx1689 $ 12.87
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Total $ 12.87
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
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1
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sumof$ .
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$ 12.87
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
r
1094 8345859 4239012 $ 12.87 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
July 9,2015
'P
$ 12.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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'-- -• - „r,— �_. UNIT(
tlV' SH1' •D B/O -- UCJ..rlll''IIVIV uiivi DRIC
** Location: **
HE 200 1 0 1 1 HELIUM BALLOON GRADE 200CF CYL 232.277 232.28
CGA5807NOT FOR INDUSTRIAL USE .
200CF @ 116.1385/100CF
****CALL STEP., NIE UPC N ARR VAL. . .495-9116******
FSC�LTEa,Si1 HRG 1 0 DIESEI, SURCHARGE OUR TRUCK EA 3.43 3.43
HNCPIA.2 MAT.CaG ! 1 01 HAZARDOUS MATERIAL CHARGE i EA j 5 95 5.95
Subtot al 241.66
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' OTAL CYLINDERS SHIPPED: 1 RETURNED: 1
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OLA 7�6
Vi lit us on fac book or oi the Delivery Cha ge 26.98
web at wvnr.indi nao gen. om
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( Taxable amountl,i to.00 '
CARMEL, CITY OFCUSTOMER: 21366 • 268.64
30 W. MAIN ST. STE.200 INVOICE: 01282795
CARMEL II 46032 INVOICEDATE: 05/08/15
ORDER: 02137522-00 P/O:
DIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
�
Indiana Oxygen Company, Inc. ALLOWED 20
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278
i
$268:64 —�-
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#lnTLE AMOUNT Board Members
854 01282795 Arts District Festivals $268.64 1 hereby certify that the attached invoice(s), or
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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
Monday,July 13,2015
Director,C munity Relations/Economic Development
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))
05/08/15 01282795 $268.64
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