252859 12/17/15 %'..c�;f. CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $•"'`""345.80'
?�; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 252859
T�'��TON��°, INDIANAPOLIS IN 46278 CHECK DATE: 12/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 1366852 213.50 BOTTLED GAS
1094 4239012 8367244 12.87 SAFETY SUPPLIES
2201 4231100 8367546 106.56 BOTTLED GAS
1203 4359003 8368604 12.87 FESTIVAL/COMMUNITY EV
INV - - BEGINNING - ENDING LEASED CYLINDER ,.EXTENDED..:._.
TYPE- ___- __ _ITEM. _._ _ .INVOICE.DATE INVOICE BALANCE -,SHIPPED=RETURNED_B�NCe--cvuNDERs' BAUDAYS„_ .RATE:. AMOUNT_--
R CMF ASSET MkNAGEMENF FEE 0 0 0 0 • 0 0 1.20 1.20
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .389 11.67
RECEIVED
DEC - 4 2015
BY:
TAX: 00
CARMEL CLAY PARKS CUSTOMER: 0339012.87
TOTAL �,
1411 E. 116TH ST. INVOICE: 08367244
CARMEL IN 46032 INVOICEOATE: 11/30/15
TOTAL CYL VALUE: 1-00.00 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, pricep er 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
11/30/15 8367244 Oxygen tank rental xx1689 $ 12.87
Total is 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
,t
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 12.87
I
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
PO#or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept#
1094 8367244 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
December 8, 2015
Signature
$ 12.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INV ITEM INVOICE DATE INVOICE BEGINNING^ SHIPPED RETURNED ,ENDING LEASED BAL/DAY9 CYLINDER EXTENDED
P _. ____ __.. _ _ _ _ ._ _ _ - BALANCE.._ _' - -_.. __ BALANCE CYLINDERS C_. RATE :AMOUNT -
R ALY ACETYLENE 3 0 0 3 0 90 .429 38.61
R ARG ARGON 1 0 0 1 0 30 .389 11.67
R CMF ASSET MANAGEMENr 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 1 30 .389 11.67
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: 08367546
CARMEL IN 46074 INVOICEDATE: 11/30/15
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 9 46278-0588
--------- --------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
-- — -- ITEb1 - QTY - QTY. -uESC'IF?=TION UQM UNIT 4P^SUNT:- —
--
SHIP'D., B/O. , ,
-_
** Location **
AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 81.304 81.30
UN1001
147CF @ 55.3088/100CF
RECORD "ACTUAL" CUBIC FOOTAGE
CF
CF
(60-175CF/CYL)
ALY1382F'05 44 0 86 .035X44# SP SPOOLARC86 LB 2.46 108.24
86035X44 70S6035X44 SPOOL
TWE1135B 1 0 .035 CONTACT TIP (10PK) PKG 15.43 15.43 -
FOR MINIMIG & TWECO#1 MIGGUN
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE, W/C EA 2.58 2.58
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subto al 213.50
0TAL 'YLI EFS SHIPPED: 1 RETURNtD: 1
Visit us at fac book or oi the
web at wwv indi nao gen. om
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851ff ml 213.50
.3400 W 131ST ST INVOICE: 01366852 ,
CARMEL IN 46074 INVOICEDATE: 12/02/15
ORDER: 02233989-00 P/O: DOCK
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
ti
P. O. Box 78588
Indianapolis, IN 46278-0588
$320.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#./Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 08367546 42-311.00 $106.56 1 hereby certify that the attached invoice(s), or
2201 01366852 42-311.00 $213.50 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
Thur /Y' D tuber 10 2015
St's4W&Pfflgg ler
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
II I
i
it
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.
I
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/30/15 08367546 $106.56
12/02/15 01366852 $213.50
I
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
CYLINDER RENTAL INVOICE
INDIAN,X INDIANA OXYGEN COMPANY CUSTOMER:21366 PAGE: 1
P.O.BOX 78588 INVOICE: 08368604
INDIANAPOLIS,IN 46278-0588 INV DATE: 11/30/15
317-290-0003 SALESPERSON:0 0 0 TERR: 005
BRANCH: 001
P/O:
TERMS: NET 30
CARMEL, CITY OF H
I CARMEL, CITY OF
L 1 CIVIC SQUARE P 111 W MAIN STREET
CARMEL IN 46032 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 12.87
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV
s P .ITEM .. I[JVQICE DATE_ INVOICE �NSHIP Q � . EXTENDED NMTUuDE1D�ND , gL1DA5_ VoMI �IG - 0$ET1B _ S
a
R CMF ASSET MNNAGEMENr FEE 0 0 0 0 0 0 1.20 1.20
D HEL HELIUM 2 0 0 2 1 30 .389 11.67
TAX: .00
CARMEL, CITY OF CUSTOMER: 2136612 .87
TOTAL'
1 CIVIC SQUARE INVOICE: 08368604
�=,;
CARMEL IN 46032 INVOICEDATE: 11/30/15
TOTAL CYL VALUE: 600.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen Company
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$12.87
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1203 I 08368604 I 43-590.03 I $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
Monday, December 14,2015
Director,Community Relations/Economicilevelopment
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.
j Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
11/30/15 08368604 $12.87
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