250723 10/21/15 "qF . CITY OF CARMEL, INDIANA VENDOR: 154252
® " ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $ ....'232.43
s. ,a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 250723
+, �N�; INDIANAPOLIS IN 46278 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 07017902 99.70 OTHER EXPENSES
2201 4231100 08358989 106.56 BOTTLED GAS
854 4359025 08360035 6.86 ARTS DISTRICT FESTIVA
1094 4239012 8358688 19.31 SAFETY SUPPLIES
rLCAACOMINU IVYI'UrlIIUINVVIIrlYUUriYAYMtIVI ----------------------------- -__-
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED - BAUDAYS CYLINDER EXDED
P BALANCE BALANCE CTEN
YLINDERS RATE AMOUNT
R CMF ASSET AGEMENT FEE 0 0 0 0 0 0 1. 80 1.80
R SHP SMALL HIGH PRESSURE 2 0 1 1 0 45 .389 17 .51
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 19 .31
1411 E. 116TH ST. INVOICE: 08358688
CARMEL IN 46032 INVOICEDATE: 09/30/15
TOTAL CYL VALUE: 100 . 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
9/30/15 8358688 Oxygen tank rental xx1689
$ 19.31
Total $ 19.31
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
120
Clerk-Treasurer
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 19.31
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#or INVOICE NO. 4CCT#/TITLE AMOUNT
Dept#
1094 8358688 4239012 $ 19.31 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
October 12, 2015
Signature
$ 19.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:21366 PAGE: 1
DUNAP.O. BOX 78588 INVOICE: 08360035
INDIANAPOLIS, IN 46278-0588 INV DATE: 09/30/15
317-290-0003 SALESPERSON:0 0 0 TERR: 0 0 5
BRANCH: 001
P/O:
TERMS: NET 30
B S
I CARMEL, CITY OF H CARMEL, CITY OF
� 1 CIVIC SQUARE P 111 W MAIN STREET
CARMEL IN 46032 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 6.86
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV BEGINN'N�G $HIPPED RETURNED ENDING LEASED CYLINDER EXTENDED
TEM INVOICE DATE INVOICE _pen _Bqi ANCE -Cv NIDERS BAUDAYS _RATE 1
- - _ _ ._.nMQ11NT_ _
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))
09/30/15 08360035 $6.86
I
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
r
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen Company, Inc.
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278
$6.86
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
854 I 08360035 I Arts District Festivals I $6.86 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
Sunday, October 18, 2015
�42 42Z:i�' JX��
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INV SUP PINT PERIOD EXPIRATON DESCRIPTION CYC RATE AMOUNT'
TYPE GROUP DATE LEASED
L ACI MIX 12 10/2015 07017902 1 99 .70 99.70
VL
UG�
E 0 FER 1 YEARD 5 YEAR LEASES
YR $1 2 . 19 PE CYL (ACETYLENE=$209 .16) PLUS TAX
CARMEL WATER CUSTOMER: 12598 TOTAL ® 99.70
3450 W 131ST ST INVOICE: 07017902
CARMEL IN 46074-8267 INVOICE DATE: 10/05/15
P/O:
INDIANA OXYGEN COMPANY 9 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 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 10/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! 07017902 $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
Date Officer
VOUCHER # 153279 WARRANT# ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07017902 01-6360-03 $99.70
Voucher Total $99.70
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: 08358989
INDIANAPOLIS, IN 46278-0588 INV DATE: 09/30/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O 0
INVOICE AMOUNT: 106.56
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV .-ITEM '_INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER-' _- EXTENDED_.
----- TYPE - 6ALANCE BALANCE CYLINDEHS RATE AMOUNT
R ALY ACETYLEIJE 3 0 0 3 0 90 .429 38. 61
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MkNAGEMENF FEE 0 0 0 0 0 0 9. 60 9. 60
R CO2 CARBON DIOXIDE 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
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL , 106.56
3400 W 131ST ST INVOICE: 08358989
CARMEL IN 46074 INVOICEDATE: 09/30/15
TOTAL CYL VALUE: 2700. 00 P/O:
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))
09/30/15 08358989 $106.56
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
$106.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I 08358989 I 42-311.001 $106.56 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
�2,Udnesda Oc b�r 14, 201
Stre.etECo--m,,li iss' r)@Ter
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund