256382 03/15/16 J`! CITY OF CARMEL, INDIANA VENDOR: 154252
+; �1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******526.62*
�' CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 256382
9,M1'ON/,� INDIANAPOLIS IN 46278 CHECK DATE: 03/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 01399602 70.50 BOTTLED GAS
2201 4231100 01399946 144.68 BOTTLED GAS
2201 4231100 01401773 177.76 BOTTLED GAS
1094 4350000 08380114 13.02 EQUIPMENT REPAIRS & M
2201 4231100 08380421 107.64 BOTTLED GAS
651 5023990 08381376 13.02 OTHER EXPENSES
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
2/29/16 8380114 Oxygen Tank Rental xx3325 $ 13.02
Total $ 13.02
1 hereby certify that the attached invoice(s),or bili(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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Voucher No. Warrant No.
_______
154252 Indiana Oxygen Company / Allowed 20____
P.O. Box 7B588
Indianapolis, IN 46278'0588 !
^' ~=' =
ON ACCOUNT OFAPPROPRIATION FOR '
�109K8onon Center i
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PO#or
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Board Members
INVOICE ACCT#/TITLE AMOUNT
oe�w �
1094 8380114 4350000 $ 13.02 / hereby certify that the attached invoice(s). or
' bU|(a)io(ona)true and correct and that the
/
materials orservices itemized thereon for
� \
which charge ismade were ordered and
\
received except
`
|
/
/
March 10,
/
.
Signature
1 $ 1302 Accounts Payable Coordinator
Cost distribution ledger classification if ' Title
claim paid motor vehicle highway fund �
�
INV ..
TYP ITEM INVOICE.DATE INVOICE .,BEGINNING SHIPPED RETURNED ENDING LEASED gAL/DAYS CYLINDER EXTENDED.
--• - BALANCE _ ,. _ .BALANCE._ •CYLINDERS RATE -. AMOUNT _
R CMF ASSET MkNAGEMENr FEE 0 0 0 0 0 0 1.16 1.16
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 29 .409 11.86
TAX:-
CAMEL CLAY PARKS CUSTOMER: 03390 - � ; r Y;� � /10-2
1411 E. 116TH ST. INuolce 083'80114 fY�
., r+ at� +
CARMEL IN 46032 INV.OICEMATE 02/��9/161���s• 7
�{. TOTAL CYL VALUE: 100.00 P/O:
e ►IANC OXYGEN�COlVIPAIVY • P.O: BOX 78588r I1
ED #A_ IN? •; 4.G27�$a9S88
VOUCHER NO. WARRANT NO.
ALLOWED 20
INDIANA OXYGEN CO
PO BOX 78588 IN SUM OF$
INDIANAPOLIS, IN 46278
$392.94
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
01399602 42-311.00 $70.50 1 hereby certify that the attached invoice(s), or
2201 201
01399946 42-311.00 $144.68 bill(s) is (are)true and correct and that the
2201 201
01401773 42-311.00 $177.76 materials or services itemized thereon for
2201 201 which charge is made were ordered and
received except
Tuesdah March Oil, 20
4
�CEe�QmLTliccinnoy
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
02/18/16 01399602 $70.50
2201 201
02/19/16 01399946 $144.68
2201 201
02/23/16 01401773 $177.76
2201 201
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
UHIUINAL INVUIC:t
Y 1MIANk INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
aNysmP.O.BOX 78588 INVOICE: 01399946 ORDER: 02265905-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/19/16 ORD DATE: 02/12/16
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: DAB
P/O: MIKE
TERMS: NET 30
SHIP VIA: UPS
RELEASE#:
B
CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST F 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
0 0
INVOICE AMOUNT: 144.68
-------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT------------------------
--------------------
�— ITEM 0 DESCRIPTION IUOPv7 UNIT F,.;;;QUINT e/ -PRICE
** Location: A ** I I
HAR404318X36 20 ; 0� 4043 1/8X36X10# PK ALUMINUM TIG LB I 6.70 134.00
I ROD 40
4043
I I I MAY BE HARRIS OR ALCOTEC.
Subtotal I 134.00
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Vislit US at faC book' or o the Frei ht 10.68
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weat mar.indi naox gen, om
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Taxable amount:) 0.00
CARMEL STREET DEPT CUSTOMER: 07851 well 144.68
3400 W 131ST ST INVOICE: .01399946 Miami I
CARMEL IN 46074 INVOICEDATE: 02/19/16
ORDER: 02265905-00 P/O: MIKE
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
Unlull,qmL-
INDIANik INDIANA OXYGEN COMPANY CUSTOMER; 07851 'PAGE: 1
OXYGENP.O.BOX 78588 INVOICE: ' 01399602 ORDER: 02268553-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/18/16 ORD DATE: 02/18/16
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 001 INT: TFS
P/O: MIKE
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
I 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: 70.50
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITEM ory ON DESCRIPTION UOM UNIT AMOUNT
SHIP'D a/0 PRICE
** Location: A **
HAR404318X36 10 0 4043 1/8X36X10# PK ALUMINUM TIG LB 5.7.0 57.00
ROD 40431/8X36X10
MAY BE HARRIS OR ALCOTEC.
TIL1350L 1 0 LG IMP COWHD MIG,4"CUFF-CD PR 13.50 13.50
j Subtotal 70.50
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Vislitus n fac book or o the
web! at w z indi naoxlgen, om
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(Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 70.50
3400 W 131ST ST INVOICE: 01399602 ,
CARMEL IN 46074 INVOICEDATE: 02/18/16
ORDER: 02268553-00 P/O: MIKE
INDIANA OXYGEN COMPANY • P.O. BOX 78588 0 INDIANAPOLIS, IN 46278-0588
ORIGINAL INVOICE
INTDIAN-A. INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O.BOX 78588 INVOICE: 01401773 ORDER: 02270891-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/23/16 ORD DATE: 02/23/16
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: DAB
P/O: SHOP
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
�
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: :177,76]
--------------- PLEASE SEND-TOP PORTION WITH YOUR PAYMENT--==-=_- =___-_=__-==__-----."— - -
UNIT
ITEM QTY QTY DESCRIPT!ON UOM. PRICE ,AMOUNT '
SHIP'D BI07DIESEL
Location:AR 336 2 0 UN1006, ARGON, COMPRESSED, 2.2 CYL 84.848 169.70
672CF @ 25.2524/100CF
FSCFUEL SRCHGWC 1 0 SURCHARGE W/C EA 2.11 2.11
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subtotal 177.76
iTOTAL YLI ERS SHIPPED: 2 RETURNED: 2
r�
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Visit us at fac book or oa the
web at wm indi naox gen. om
Taxable amount: 10.00
CARMEL STREET DEPT CUSTOMER: 07851 • 177.76
3400 W 131ST ST INVOICE: 01401773 ,
CARMEL IN 46074 INVOICEDATE: 02/23/16
ORDER: 022,70891-00 P/0: SHOP
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
INDIANA OXYGEN CO ALLOWED 20
PO BOX 78588 IN SUM OF$
INDIANAPOLIS, IN 46278
$107.64
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
I 08380421 I 42-311.00 I $107.64 1 hereby certify that the attached invoice(s), or
2201 201
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
Tuesday,i March 08, 201
i'
•J 1act e01111 I lissiol
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
02/29/16 08380421 $107.64
2201 201
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
II DIA.Nik INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O.BOX 78588 INVOICE: 08380421
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/29/16
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 P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
0 O
INVOICE AMOUNT: 107.64
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV _ITEM _ INVOICE.DATE. __INVOICE _,_8BA ANCE-- .SHIPPED_RETURNED__ ENDINGCYLINDERS-
LEASED BAUDAYS -CYLINDER' EXTENDED
- -- -- -
p a ____ _ ___ --RATE___,.:___AMOUNT-__.-_
R ALY ACETYLENE 3 1 1 3 0 87 .449 39.06
R ARG ARGON 1 3 3 1 0 29 .409 11.86
R CMF ASSET AGEMEN FEE 0 0 0 0 0 0 9.28 9.28
R CO2 CARBON DIOXIDE 1 0 0 1 0 29 .409 11.86
R MIX MIX GASES 2 0 0 2 1 29 .409 11.86
R OXY OXYGEN 2 2 2 2 0 58 .409 23 .72
TAX: 00
CARMEL STREET DEPT CUSTOMER: 07851TOTAL 107.64
�
3400 W 131ST ST INVOICE: 08380421
CARMEL IN 46074 INVOICEDATE: 02/29/16
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY P.O. BOX 78588• INDIANAPOLIS, IN 9 46278-0588
VOUCHER # 157373 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
08381376 01-7362-06 $ 3
13�v
Voucher Total $1k63_
Cost distribution ledger classification if
claim paid under 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 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 3/7/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2016 08381376 $13.93
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:2 0 6 6 8 1 PAGE: 1
WINP.O.BOX 78588 INVOICE: 08381376
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/29/16
317-290-0003 SALESPERSON:0 0 0 1 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
B
I CARMEL CITY OF H CARMEL CITY OF
� 9609 HAZELDELL ROAD P 9609 HAZELDELL ROAD
INDPLS IN 46280 INDPLS IN 46280
T T
0 0
INVOICE AMOUNT: 13 .93
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
Nv ITEM. INVOICE DATE INVOICE .BEGINNING :SHIPPED RETURNED 'LEASED:' gAUDAYS ;CYLINDER'. EXTENDED
.BALANCE - BALANCE CYLINDERS RATE :AMOUNT-
�___ - R ARG ARGON - - - 1 0 0 -- 1 0 29 .409 11.86
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 1.16 1.16
TAX:
CARMEL CITY OF CUSTOMER: 20668 TOTAL 1 3
9609 HAZELDELL ROAD INVOICE: 08381376 „J
INDPLS IN 46280 INVOICEDATE: 02/29/16
TOTAL CYL VALUE: 300.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588