257942 04/26/16 �4,q.
`% ''� CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******162.33*
:. ?� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 257942
9M,i�0e� INDIANAPOLIS IN 46278 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01422107 38.71 OTHER EXPENSES
1120 4237000 01425555 95.78 REPAIR PARTS
651 5023990 08385675 13.92 OTHER EXPENSES
854 367008 08385761 13.92 CRC FESTIVALS
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 4/18/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) - Amount
4/18/2016 01422107 $38.71
hereby certify that the attached invoice(s), or bill(s) is (are),true and
correct and I have audited same in accordance with IC 5711-10-1.6
Date Officer
VOUCHER # 161241 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 i Audit Trail Code
01422107 01-6200-06 $38.71
la
Voucher Total $38.71
Cost distribution ledger classification if
claim paid under vehicle highway fund
— ITEM _:aTv _ - ----DESCRIPTION-
QTY -- UOM UNI
�rc _'AMOUNT
** Location: P, **
CD 50RB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 30.62 30.62
UN1013 (LIQUID WITHDRAW)
50CF @ 61.2400/100CF
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 2.14 2.14
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subtotal 38.71
OTAL 'YLINDERS SHIPPED: 1 RETURNED: 1
Visit us on fac book or o the
web at .indi nao gen. om
I '
Taxable amount: 0.00
CARMEL WATER CUSTOMER: 12598 • 38.71
3450 W 131ST ST INVOICE: 01422107 ,
CARMEL IN 46074-8267 INVOICEDATE: 04/07/16
ORDER: 02292182-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588
- _M I OTv ----- riGcra!�Tinn! - -.. 11y^f _ pn4C�Ut!T
UNIT
-_ITF SQHIP'D __�V_ `rHIC6
** Location: D **
MIP169715 2 0 NOZZLE SLIP ON (2PK) FLUSH MM190 EACH 10.71 21.42
M10GUN MM140 MM141 MM180 MM211
MIP000067 10 0 030 TIP(10PK) M10GUN MM140 MM141 EACH 1.42 14.20
MM190 MM180 MM211 MM212 M4252
MIP159716 2 0 TIP ADAPTER (2PK) M-10 MM141 EACH 10.08 20.16
M10GUN MM140 MM180 MM190 MM211
VALMSA45 1 0 4 3/8" STD. ADJUST-0 MAGNET EA 40.00 40.00
SQUARE
Subto al 95.78
Visit us At fac book or o the
web at wwv .indimaox.rgen. bm
Taxable amount: 0.00
CARMEL CITY OF FIRE DEPT. CUSTOMER: 946981
• 95.78
mli FIRE STATION #1 INVOICE: 01425555
1v
2 CIVIC SQUARE INVOICEDATE: 04/14/16
CARMEL IN 46032 ORDER: 02296100-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must shOW: kind of service, where performed, dates service rendered, by
!hom, rates per day, number of hours, rare per hear, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
ivoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/21/16 I 01425555 I I $95.78
1120 101
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 CO
PO BOX 78588
IN SUM OF $
INDIAINAPOLIS, IN 46278 _..---_---- _--__---
$95.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
01425555 I 42-370.00 I $95.78 1 hereby certify that the attached invoice(s), or
1120 101
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
Thursday, April 21, 2016
P44,0,r -,�_ � ,A
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA, INDIANA OXYGEN COMPANY CUSTOMER:2 0 6 6 8 PAGE: 1
a ; P.O.BOX 78588 INVOICE: 08385675
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/31/16
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
B
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 .92
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV ITEM- INVO_LCE DATE .. '.INVOICE, BEGINNING'. ENDING- LEASED CYLINDER —EXTENDED
EXTENDED
..�.wn�n�gc__ SHIPPED RETUR ED. aai_nnlr�l...:ry�_In�p6nc.. AUDAYS`
R ARG ARGON 1 0 0 1 0 31 .409 12 .68
R CMF ASSET MA.NAGEMENP FEE 0 0 0 0 0 0 1.24 1.24
TAX: .00
CARMEL CITY OF CUSTOMER: 2066813 .92
TOTAL.
9609 HAZELDELL ROAD INVOICE: 08385675
INDPLS IN 46280 INVOICEDATE: 03/31/16
TOTAL CYL VALUE: 300.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
VOUCHER # 165113 WARRANT # ALLOWED
154252 1 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR j
1
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
I�I
08385675 01-7362-06 $13.92 I
i
I
I
Voucher Total $13.92
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 4/12/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/12/2016 08385675 $13.92
hereby certify that the attached invoice(s), or bill(s) is(are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:213 6 6 1 PAGE: 1
P.O.BOX 78588 INVOICE: 08385761
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/31/16
317-290-0003 SALESPERSON:0 0 0 1 TERR: 0 0 5
BRANCH: 001
P/O:
TERMS: NET 30
9 CARMEL, CITY OF H CARMEL, CITY OF
�
1 CIVIC SQUARE F 111 W MAIN STREET
CARMEL IN 46032 CARMEL IN 46032
T T
O 0
INVOICE AMOUNT: 13 .92
----------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-----------------------------=----------
INV ITEM INVOICE DATE INVOICE ,.BEGINNING SHIPPED. RETURNED ENDING:- LEASED BAUDAYS. CYLINDER EXTENDED
.YP _.:�.,, �; _. _-_._ _ - _ .. _.._-BALANCE._,-._ - -. n:_--_._BALANCE-___CYLINDERS „.; ,-AATE_._ _.1.,%,ENDT..
R CMF ASSET MkNAGEMENF FEE 0 0 0 0 0 0 1.24 1.24
D HEL HELIUM 2 0 0 2 1 31 .409 12.68
� 5 T
1ty
TAX: .00
CARMEL, CITY OF CUSTOMER: 21366 TOTAL 13 .92
�
1 CIVIC SQUARE INVOICE: 0838.5761
CARMEL IN 46032 INVOICEDATE: 03/31/16
TOTAL CYL VALUE: 600.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
INDIANA OXYGEN CO
PO BOX 78588 IN SUM OF$
INDIANAPOLIS, IN 46278
$13.92
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member.-
08385761
ember:08385761 I 3-670.08 I $13.92 1 hereby certify that the attached invoice(s), or
1203 854
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
Wednesday, April 13, 2016
I
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))
03/31/16 08385761 $13.92
1203 854
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