251600 11/18/15 ,,. CITY OF CARMEL, INDIANA VENDOR: 154252
...
® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $ . "136.72`
f. 4 CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 251600
,,,,'oN�. INDIANAPOLIS IN 46278 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 08362956 13.30 SAFETY SUPPLIES
2201 4231100 08363258 110.12 BOTTLED GAS
1203 4359003 08364311 13.30 FESTIVAL/COMMUNITY EV
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
10/31/15 8362956 Oxygen tank rental xx1689
$ 13.30
Total $ 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 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$
$ 13.30
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8362956 4239012 $ 13.30 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
November 5, 2015
Signature
$ 13.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
N ..} ANA INDIANA OXYGEN COMPANY CUSTOMER:21366 PAGE: 1
GINI E Will P.O. BOX 78588 INVOICE: 08364311
INDIANAPOLIS, IN 46278-0588 INV DATE: 10/31/15
317-290-0003 SALESPERSON:0 0 0 TERR: 005
BRANCH: 001
P/O:
TERMS: NET 3 0
B S
I CARMEL, CITY OF H CARMEL, CITY OF
L 1 CIVIC SQUARE I 111 W MAIN STREET
L CARMEL IN 46032 P CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 13 .30
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
N; ITEM NVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
_ --_ _F
- BALANCE__ _ BALANCE CYLINDERS RATE AMOUNT ++
n� '--n- n n_� 1 _2.4_I1_.24_�_I
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))
10/31/15 08364311 $13.30
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen Company
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$13.30
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1203 I 08364311 I 43-590.03 I $13.30 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
Monday, November 16, 2015
Director, Community Relations/Economic l4evelopment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANINDIANjk INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O. BOX 78588
INVOICE: 083 63258
INDIANAPOLIS,IN 46278-0588 INV DATE: 10/31/15
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
� 3400 W 131ST ST a 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O 0
INVOICE AMOUNT: 110.12
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV_ !rcpt.�.,.-__. -mIVO!CE DATE - INVOICE BEGINNING _- .SHIPPED, RETURNED ;_,ENDING LEASED BAUDFVS CYLINDER EXTENDED
----'� VP'.�— - BALANCE BALANCE CYLINDERS-" RAT`c" "'FMCUiri
R ALY ACETYLS E 3 0 0 3 0 93 .429 39.90
R ARG ARGON 1 1 1 1 0 31 .389 12 .06
R CMF ASSET MNNAGEMENr 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 0 0 2 1 31 .389 12 .06
R OXY OXYGEN 2 0 0 2 0 62 .389 24.12
TAX: . 00
CARMEL STREET DEPT CUSTOMER: 07851 ETOTAL 0. 110.12
3400 W 131ST ST INVOICE: 08363258
CARMEL IN 46074 INVOICE DATE: 10/31/15
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))
10/31/15 08363258 $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
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. J ACCT#/TITLE AMOUNT Board Members
2201 I 08363258 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
It
$ A/i hursday, Novmb�er�12, 2015
S'treettCom.m
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund