HomeMy WebLinkAbout249742 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 154252
A it ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*****1,525.34*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 249742
'' eN INDIANAPOLIS IN 46278 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01326562 685.46 OTHER EXPENSES
651 5023990 01330074 495.00 OTHER EXPENSES
601 5023990 07017718 208.16 OTHER EXPENSES
1094 4239012 08354427 26.60 SAFETY SUPPLIES
2201 4231100 08354731 110.12 BOTTLED GAS
rLr-AJCJtNU IUrrUri I IUIvVVIIrlYUUMrAYIV]Cl11
INV BEGINNING ENDING LEASED CYLINDER .EXTENDED
_ ITEM INVOICE DATE INVOICE ge,p�,r.F SHIPPED RETURNED BALANCE CYLlNnFRS_ BAUD-- RATE AMOUNT.
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 2 .48 2 .48
R SHP SMALL HIGH PRESSURE 2 0 0 2 0 62 .389 24.12
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 26 .60
1411 E. 116TH ST. INVOICE: 08354427
CARMEL IN 46032 INVOICE DATE: 08/31/15
TOTAL CYL VALUE: 200. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• 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
8/31/15 8354427 Oxygen tank rental xx1689 $ 26.60
Total $ 26.60
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$
$ 26.60
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8354427 4239012 $ 26.60 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
September 17, 2015
$ 26.60 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ORIGINAL INVOICE
I N DIANA INDIANA OXYGEN COMPANY CUSTOMER: 16052 PAGE: 1
g P.O. BOX 78588 INVOICE: 01330074 ORDER: 02168658-00
INDIANAPOLIS, IN 46278-0588 INV DATE: 09/03/15 ORD DATE: 08/14/15
317-290-0003 SALESPERSON: 000 I TERR: 005
BRANCH: 004 TINT: DAB
P/O: S15366
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
I CARMEL WASTEWATER H CARMEL WASTEWATER
� 9609 HAZEL DALE PKWY P 9609 HAZEL DELL PKWY.
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
T T
0 O
INVOICE AMOUNT: 495.00
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
QTY- _f.1CC-41DT1( Ki - _ � 6A�
�A
,.,.nCI�IAST;
. i! h �I-
ORIGINAL INVOICE
IZ I::)I:kNA INDIANA OXYGEN COMPANY CUSTOMER: 16052 PAGE: 1
DUNAP.O. BOX 78588 INVOICE: 01326562 ORDER: 02168658-00
INDIANAPOLIS, IN 46278-0588 INVDATE: 08/26/15 (ORD DATE: 08/14/15
317-290-0003 SALESPERSON: 000 TERR: 005
BRANCH: 004 INT: DAB
P/O: 515366
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
CARMEL WASTEWATER H CARMEL WASTEWATER
� 9609 HAZEL DALE PKWY F 9609 HAZEL DELL PKWY.
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
T T
O O
INVOICE AMOUNT: 685.46
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
.N1717
iTEM ..'. _ =.Y� DflC R F_T-i C)N
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 9/14/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2015 01326562 $685.46
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
Date Officer
VOUCHER # 156257 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01326562 01-7202-06 / $685.46
C�133o0�y OI -�aoa-p(� , '�9S.00
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
- I"LCMOCOr-IIIU IUr1'UflI IUIVVVIIn TUUrl1-MTIVICIV I
INV SUp. RNT PERIOD EXPIRATION ...;_ _ DFSCRIRTInN,_ _ - CYL ":,RATE__.'_ ..AMOUNT .....
TYPE GROUP '' DATE _ _, _ __ __ - -.. :..::....:..... LEASED' ._ ,::
L AL1 ALY 12 09/2015 07017718 1 108.46 108.46
L 0X1 OXY 12 09/2015 07017718 1 99.70 99.70
I
E 0 FER1 YEAR D 5 YEAR LEASES
YR $1 2 .19 PE CYL (ACETYLENE=$209.16) PLUS TAO
CARMEL WATER CUSTOMER: 12598 TOTAL.,., 208.16
3450 W 131ST ST INVOICE: 07017718
CARMEL IN 46074-8267 INVOICEDATE: 09/04/15
P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 9 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 9/15/2015
1 nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 07017718 $208.16
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
91245
Date Officer
VOUCHER # 153012 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
F
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07017718 01-6360-03 $208.16
Voucher Total $208.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
\� P.O. BOX 78588 INVOICE: 08354731
INDIANAPOLIS, IN 46278-0588 INV DATE: 08/31/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 3 0
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
� 3400 W 131ST ST P3400 W 131ST ST
CARMEL IN 46074 CARMEL IN. 46074
T T
O O
INVOICE AMOUNT: 110.12
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------•--------
II�NV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED Er+cr,.G LEASED gAUDAYS ��"LACER LACED
_ - (fYP BALANCE _ BALANCE CYLINDERS I-• AMOUNT - _
R ALY ACETYLE E 3 ���-0� 3_1 0 93 ` .429 39 .90
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))
08/31/15 08354731 $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
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. I ACCT#!TITLE I AMOUNT
Board Members
2201 I 08354731 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
l
Thursda- , S�t (8015
W
STSree 8omlm slsloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund