302614 08/31/16 ♦�°�C�qf
CITY OF CARMEL, INDIANA VENDOR: 154-252
31 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******233.52*
CARMEL, INDIANA 46032 Po gIox 78588 CHECK NUMBER: 302614
9 IYOB`.G�` INDI NAP01IS IN 41278 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU BER AMOUNT DESCRIPTION
2201 4232100 01481095 233.52 GARAGE & MOTOR SUPPIE
VOUCHER NO. WARRANT NO. Prescribed by State Board ofAccounts City Form No.201 (Rev.1995)
INDIANA OXYGEN CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 78588 IN SUM OF$ 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.
$233.52 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
01481095 42-321.00 $233.52 1 hereby certify that the attached invoice(s),or 8/23/16 01481095 $233.52
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
� ieh-charge is made--were-ordered-and
received except
Tuesday,August 30,2016
Dave Huffman
Director
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
-ory oTv _ UNIT
ITEM DESCRIPTION UOM AMOUNT: -'.
SHIP D Bio - PRICE-.
** Location: A **
THD8-7500 2 2 SHIELE CUP FOR PCH-75/100XL & EA 58.65 117.30
7 7 PCM-7 /100XL PLASMA TORCH
THD8-7501 4 0 GAS DISTRIBUTOR FOR PCH-75/100XL EA 23.19 92.76
PCM-7 /76/100XL PLASMA TORCH
TNWKCP25671 2 0 V30 B ACK SHADE5 LENS GLASSES EA 11.73 23.46
SLEEK FLEX LIGHTWEIGHT 99%UV
THD8-7575 0 2 STAND-OFF GUIDE FOR PCH-75 EA 32.78 0.00
PLASMP TORCH
THD9-6507 0 4 GAS DISTRIBUTOR LONG LIFE FOR EA 28.12 0.00
PCH-25/26/28/35/38/PCM-28/35
THD8-7508 0 4 100 AMP GAS DISTRIBUTOR FOR EA 23.19 0.00
PCH-7 /100XL/PCM-75/100XL TORCH
Subto al 233.52
Visit us on facr book or on the
web at .indi naox gen. om
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 233.52
THIS INVOICE
3400 W 131ST ST INVOICE: 01481095 INCLUDING TAX
CARMEL IN 46074 NVOICEDATE: 08/23/16
ORDER: 02356434-00 P/O: SHOP
INDIANA OXYGEN COMPANY • P. . BOX 78588• INDIANAPOLIS,IN 46278-0588
INDIAlITA INDIANA OXYGEN COMPANY, INC.
WON 1 P O. BOX 78588 DELIVERY TICKS,
INDIANAPOLIS, INDIANA 46278-0588
Bloomington Cincinnati Elkhart + Fishers + Indianapolis
(812)330-k10 (513)353-2448 (574)295-4433 (317)841-0002 (317)290-0003
Lafayette . Marion Muncie Seymour Vincennes
(765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323
America's Oldest Gas/WeldingSupply • 3745487631
CUSTOMER 0'S�I,51
ORDER 02356434_._00
CARMEI.- ETRE 'r F.aCPIT
340(.." (ti( I. 1 9T ST
ORDER DATE 08/a:,3/I G,
C(-)ralt1E1.. .i.i,: Z,,-6074 PAGE it 1:i 01" 001
1
NAME CAR-'EL STREET DEPT TERR (11) SHIPVIA ''ill Call - Qit1.- INITIALS jPtj
P.O.# SHOP SALES 1}(;8 SHIP CODE 00 UPS O ORDER TYPE -rFRG
REL# BRANCH 0()1 COUPPD (JREMI,D TIME 23- 113-16
PHONE# 31„7-733-2001 SEL ROUTE
USERNAME ,)janl{i E!5
QTV UNIT E4t� 01E ------ITECI---_-- LOC QTY QTY BIN WEIGHT MIT EXTENDED
SHIT! lm_ZA4� CLASS 11yO N11141ER GRDER BKGRD LCC 1Q33GLINT WINT
2 EA SHIELD CLAP FOR PCH-751100k & I THD 8==50D' A 4 2 R2 0.15
PC1P,-75/1(--0XIk-'PLa:9h'41 TORCH
4 EA 6PS DISTRIBUTOR FOR PCH-75/10.3XL 2 THD 8-7501 A fi A 9,8 1:!.(14
PCS”-75176l101AL p L"t1,1 TORCH
EA $3G fiLRCK 04 E5 LERS a"LASSEE5 3 T HW KOP256 7I. A 0 .00
SLEE'. FLEX LIGHTWEIGI.IT 99%UV
D EA STR1ffII--CFF LUBE FOR PCH-75 4 THD 8-7575 A L 2 .00
PIL(ISM.A TORCH
U EP GAS DISTRIBUTOP LONG LIFE FCP, 5 THD 9-6507 A 4- 4 .00
Pl:Nhc51?nicyi s5f38lPC'iY z�3,
D EA 100 PSI CRS D'ISTRIBIJTOR FOR 6 THD 0-7508 A 4 4 .CO
PC1i-75l1(*XL fP0M-751100XL TORCH
Total Weight:
r'
SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED REFUSED
BTERl c ICY RESKINSE TELEPHONE 011BER. aW33,55053
Customer authorizes Seller to debit Custour's credit card or deduct fro) the TERMS&CONDITIO,NS--
the
THE CUSTOMER HEREIN CONSENTS�_Q.ND"A-CCEPTS THE ABOVE PRODUCTS
iLt56`0&9Er!5 L1syPOSIt 3n,' 0+1t5GdT11I1P,i� balance re@?1nlnq an 437 C�i5T6®erpS a CoLlrIt,SUBJECTTOALL'OFiTHEC9NDITjO�i9A AS$�T-F.DRTHONREVERSESIDEHEFEOF
,AND 7HE EXIST RACT B€TWE9I BQTji PARTIES.
IMPORTANT X
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY(SIGNATURE) e+ DATE
ONJHE REVERSE SIDE OF THIS DOCUMENT.ALL SALES MADE ARE SUBJECT TO
SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES X
SHIPPED AND RETURNED RENTAL CYLINDER COUNT.
SHIPPED BY
TITLE TO ALI, MERCHANDISE COVERED TIUS 1�.,,,VOI(:'.E. RE,'v1AfNS 'FHE
T
PROPERTY OF INDIANA OXYGE-N CO,, INC. E,INTIL PAID FOR IFN FULL.
IT IS '_N4UTUA1,LY AGRFED THATC%`1A_NDj'_ ,'r",'S AKtll� RENTEA-) TO C(JS TOMER.
AND NO TITLE THERETO PASSE S, "D3 CLISTO-;v!LER.
i I Cusycaraev ag�-1c;
s to pay a
deposit of$100.00 for eacill cylinder rented. iCustomer riay stcnro this dcposit, with cash
or a credit card. Ilse aleposirwill bu rett-wrord to 45 days ci tvi Customer
returns all cylinders in Castorner'spossession, C-Listoin,�i ffiu- deposit,
or any portion thereof, maty be wilhcld Ibir damage, n-ilt, lost cyliadvss, aqd/,,)r
aiiyout
stan.,Iiii-igb,.Iai-icereti-iali-i.i.ngp,r) `--,,it.oi-iicy'saf--cc;ti.ii'L, is
charge, at established raics, will 'be involced o liltyof e�acli molith.
-y, -
Custonle c agorrecs td} be respon sib)e for a!( toss or&,ivica Ole to any ( 11"adel rc-sudtlngfi.0m
any caas-- while in customer's posy 3,
ision. Custoivior ackaowledgus deliv,ny and
acceptance o][the cyl;nders in good condiiIon arild aui-ccs (c) f:Acrn said cyli idevs in good
condition. No change In or addition tothe terms ar-id provisiojis hercof_ shall be made
unless approved in writing by a relvesentati�7- C ')
I 1i(,Ce't I tills
agreement. Refilling of rented cylinders except by iiie S-cllcr of loan of cylinder:, without'
the Seller*-, vT.;tt(-,n consent is probiblited. Al'_ei-r;pty cyliMidcrs sh-all be rotwrned to the
Seller complete with caps. Said cvlinders returned," 'lIhout caps, SJULIH be subject to all
$8.00 charge per cap.
CUSTOMERS RETAINING CYLINDER OVER 6 TvIONTHS JAY BE BILLED FOR
-SAME IN THE EVENT 1NINAN A OXYGEN CWA PAN V ±S IR iT-',Qlj!R ED TO
T
RESORTTO LEGAL ACTION TO COLLECT A1,N .� ANIOU'NITS D[JE FROM
CUSTONIER. IN THE EVENT 10(-' IS REQUIRIED '1-0 RESORT TO LEGAL
ACTION TO COLLECT Alf,,TY A�LAIOUIN`r,S D'UE� F]k0MTflE C'USTOVIIJ--�R, IT SHALL
BE ENTITLED TO RECOVER, M ADDIIIION TO YULE /V,/1GLJTJTS DUE, 11 S
COLJRT COSTS AND REASONJABLE ATTORNEY AND/OR AQE-NT FEES.
CLIStOMOr ackllowlpdges that Custoi-rier will bc,- efiargod at ri.AnIfnai-a a $25.00 !-.'fee by
' 'that is, returned di,c w non-sufficicnx funds.
Indima Oxygen e6. for any chec�
_�=No merchandise ij;ay be returnedl-br MOM Cts in w"111V2O,
to Cl
,-k;r)g chai-g-, a-ihe optic'n Of' scite,-. -as
S,,L',.id merchandise is sul C Pi
transportation if picked up by the scHeir.
Warranty: Indiana Oxygen Co. wtarrants tbatihe Gas 'rod ucts Gj ivei(A-herea-ader sDall
be of standard purity, as dcfined by tho Cnn-iprcsscdC'_;a,- Association criceria. Indiana
Oxygen Co. Inakes, other kvari'dr.ty ofany 1kind, e",hev k��xprusscd or Inip!led, -including,
no I
but not limited to,'aay warrawy of mcrcliantabitity UY fiblc&S COC U I)artiC.UhlY purpose.
Determination of the sallability of the Gas Prodac;rs funilshed"itireu-nder for the use
contetnplated by Custonner is sole rc spojisibifiiv of Custoynor, aind Indiana Oxy-ell Co.
shall bear no responsibilitv in conjifoiionj [Ificrewith,
TERMS: N-E-T,30.-DAAS; 1,6% P1-__`.K '*,kv1!,R,4T_H kE.11-IRESEN-fiNG i'3,N TJc8% PIE'R
1 j7j
_NHJ!VT CT-WZGEON I P-iPAID BALAN"I'S 'kWILL BE A )D,--
AN