259593 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******1 15.08*
x. CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 259593
INDIANAPOLIS IN 46278 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08393380 115.08 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by state Hoard of Accounts City Form No.201 (Rev.1995)
INDIANA OXYGEN CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 78588 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46278 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$115.08 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
08393380 42-311.00 $115.08 1 hereby certify that the attached invoice(s),or 5/31/16 08393380 $115.08
2201 201 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
Tu sday,Jun 07, 1
e
Street Commissioner
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 1 PAGE: 1
P.O.BOX 78588 INVOICE: 08393380
INDIANAPOLIS,IN 46278-0588 INV DATE: 05/31/16
317-290-0003 SALESPERSON:0 0 0 1 TERR: 007
BRANCH: 004
P/0:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L CARMEL IN 46074 P CARMEL IN 46074
T T
0 0
INVOICE AMOUNT: 115.08
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV ITEM INVOICE DATE INVOICE. BEGINNING SHIPPED RETURNED ENDING LEASED BAUD4S CYLINDER EXTENDED
-- - - BALAN_CE::.. _ _ .BALANCE CYLINDERS RATE. - AMOUNT
R ALY ACETYLENE 3 0 0 3 0 93 .449 41.76
R ARG ARGON 1 0 0 1 1 0 .409 .00
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .409 12.68
R MIX MIX GASES 2 0 0 2 0 62 .409 25.36
R OXY OXYGEN 2 0 0 2 0 62 .409 25.36
R CMF . ASSET MANAGEMENr FEE 9.92 9.92
'/ll
TAX: 00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 115.08
3400 W 131ST ST INVOICE: 08393380
CARMEL IN 46074 INVOICE DATE: 05/31/16
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588