HomeMy WebLinkAbout303425 09/26/16 W.S•Iq
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******735.26*
f� ?q CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 303425
INDIANAPOLIS IN 46278 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 01484806 398.10 GARAGE & MOTOR SUPPIE
601 5023990 07020124 208.16 OTHER EXPENSES
2201 4231100 08406364 115.08 BOTTLED GAS
651 5023990 08407314 13.92 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
INDIANA OXYGEN CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 78588 IN SUM OF$ 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.
$513.18 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
08406364 42-311.00 $115.08 1 hereby certify that the attached invoice(s),or 8/31/16 08406364 $115.08
2201 201 2201 201
01484806 42-321.00 $398.10
bill(s)is(are)true and correct and that the 9/1/16 01484806 $398.10
2201 1 1 201 1 materials or services itemized thereon for 2201 1 201
which charge is made were ordered and
received except
Tuesday, September 13,2016
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
---------------------------------------- PLE --------
INV ITEM'. _ ,INVOICEDATE._-INVOICE,_ BBA IAHCEG' -SHIPPED' RETURNED. ENDING LEASED ^BAUDAYS_ CYLINDER EXTENDED
__ .. _ 9Al:ANGE" .ry
.. ... .LEASE f'.S =RATE.__.___XTEND T-:._,
R ALY ACETYLENE 3 2 2 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 2 2 2 0 62 .409 25.36
R CMF ASSET MANAGEMENP FEE 9.92 9.92
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851TAL 115.08
TO
3400 W 131ST ST INVOICE: 08406364
CARMEL IN 46074 INVOICE DATE: 08/31/16
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
------------------------------------------- PLEASE S ----------
aTr. a;�r.—. - NIT_
`ITEM
SHIP'D
DESCrRIPTION UOM Aiv u 1 T
U
_. . ego. PRICE
** Location: **
THD8-7500 2 0 SHIELD CUP FOR PCH-75/100XL & EA 58.65 117.30
7 PCM-75/100XL PLASMA TORCH
THD8-7575 2 0 STAND-OFF GUIDE FOR PCH-75 EA 32.78 65.56
PLASMA TORCH
THD9-6507 4 0 GAS DISTRIBUTOR LONG LIFE FOR EA 28.12 112.48
PCH-25/26/28/35/38/PCM-28/35
THD8-7508 4 0 100 AMP GAS DISTRIBUTOR FOR EA 23.19 92.76
PCH-75/100XL/PCM-75/100XL TORCH
Subtotal 388.10
Visit us on fac book or on the Frei ht 10.00
web at www.indi maox.rgen. -,om
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 lie 398.10
3400 W 131ST ST INVOICE: 01484806 RUN
,
CARMEL IN 46074 INVOICEDATE: 09/01/16
ORDER: 02356434-01 P/O: SHOP
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
INDIANA INDIANA OXYGEN COMPANY, INC.
®�um P.O. BOX 78588 DELIVERY TICKET
INDIANAPOLIS, INDIANA 46278=0588
Bloomington ® Cincinnati ! Elkhart + Fishers i Indianapolis
(812)330-9210 (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/Welding Supply ;:7''6 !,71 31
CUSTOMER
ORDER
'-3I' ORDER DATE ,;1;,. .._._:
J
PAGE -
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NAME TERR SHIP VIA �,-;, INITIALS -
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P.O.# SALES SHIP CODE r-„- , UPS ORDER TYPE
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REL# BRANCH•.,; COL/PPD TIME - „-
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SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED REFUSED
PI;,K1,L,Y PE��Gn;-_r tE_S IU61;Yr RK�__"505,J
�!!a'i IG13f' ;16801'1%e$ ael_�P , TERMS&CONDITIONS
to debitC4eUlt cv-d 1' dedi!et fvluo
thcC THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
SUBJECT TO ALL OF THE CONDITIONS AS SET FORTH ON REVERSE SIDE HEREOF
LIl 't:4L'_'i''S dopos•:.S aiv t3utsTdi-idin' b2latice reallailiag 0C! the ICusteae1'95 2C"iJ:! i' AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES.
IMPORTANT x
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY ISIGNATURQ DATE
ON THE REVERSE SIDE OF THIS DOCUMENT.ALL SALES MADE ARE SUBJECT TO r-
SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES X
SHIPPED AND RETURNED RENTAL CYLINDER COUNT. SHIPPED BY
CII C
TITLE TO ALL MERCHANDISE COVERED BY THIS INVOICE REMAINS THE
PROPERTY OF INDIANA OXYGEN CO., INC. UNTIL PAID FOR IN FULL.
IT IS MUTUALLY AGREED THAT CYLi],,1DER.5 ARE RENTED TO CUSTOMER
AND NO TITLE THERETO PASSES TO CUSTOMER. Customer agrees to pay a
deposit of$100.00 for each cylinder rented. Customer may secure this deposit with cash
or a credit card. The deposit will be returned to Customer within, 45 days after Customer
returns all cylinders in Customer's possession. Customer acknowledges that the deposit,
or any portion thereof, may be withheld for damage, unpaid rent, lost cylinders, and/or
any outstanding balance remaining or, Customer's account. A daily rental or demurrage
charge, at established rates, will be invoiced ou the last day of each calendar month.
Customer agrees to be responsible for all loss or dan-,age to any cylinder resulting from
any cause while in customer's possession. Customer acknowledges delivery and
acceptance of the cylinders in good condition and agrees to return said cylinders in good
condition. No change in or addition to the tenris and provisions hereof shall be made
unless approved in writing by a representative of Seller authorized to accept this
agreement. Refilling of rented cylinders except by the Seller or loan of cylinders without
the Seller's written consent is prohibited. All.empty cylinders shall be rciurned to the
Seller complete with caps. Said cylinders ret,�Irn,-d without caps shall be subject to an
$8.00 charge per cap.
CUSTOMERS RETAINING CYLDTDER OVER 6 MONTI-IS T,.4AY BE BILLED FOR
SAME 11\1 THE EVENT INDIANA OXYGEN COMPANY IS REQUIRED 1-0
RESORT TO LEGAL ACTION TO COLLECT ANY AMOUNTS DUE FROM
CUSTOMER. IN THE EVENT JOC IS REQUIRED TO RESORT TO LEGAL
ACTION TO COLLECT ANY AMOUNTS DUE FROM THE CUSTOMER; IT SHALL
BE ENTITLED TO RECOVER, IN ADDITION TO THE AMOUNTS DUE, ITS -
COURT COSTS AND REASONABLE ATTORNEY FEES AND/OR AGENT FEES.
Customer acknowledges that Customer will be charged at minimum a $25.00 fee by
Indiana Oxygen Co. for any check that is returned due to non-sufficient funds.
No merchandise may be returned for credit without authorization from us in wilting.
Said merchandise is subject to a restocking charge at the option of the seller, plus
transportation if picked up by the seller.
Warranty: Indiana Oxygen Co. warrants tl,.i,-i.t the Gas Products delivered hereunder shall
be of standard purity, as defined by the Conipressed Gas Association criteria. Indiana
Oxygen Co. makes no other warranty of airy kind, either expressed or implied, including
but not limited to, any warranty of nierchantability or fitness for a particular purpose.
Determination of the suitability of the Gas Products furnished hereunder for the use
contemplated by Customer is sole responsibility of Customer, and Indiana Oxygen Co.
shall bear no responsibility in connection therewith.
TERMS: NET 30 DAYS, 1 1/2% PER MONTH REPRESENTING, AN 18% PER
ANNUM CHARGE ON UNPAID BALANCES WILL BE ADDED.
VOUCHER # 166119 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
08407314 01-7362-06 13.92
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 9/8/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2016 08407314 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:2 0 6 6 8 1 PAGE: 1
P.O.BOX 78588 INVOICE: 08407314
INDIANAPOLIS,IN 46278-0588 INV DATE: 08/31/16
317-290-0003 SALESPERSON:0 0 0 1 TERR: 007
BRANCH: 004
P/0:
TERMS: NET 30
B CARMEL CITY OF H CARMEL CITY OF
L 9609 HAZELDELL ROAD I 9609 HAZELDELL ROAD
L INDPLS IN 46280 P INDPLS IN 46280
TT
0 0
INVOICE AMOUNT: 13 .92
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------- ------------------ ----
INV -'.ITEM: INVOICE;DATE INVOICE BEGINNING.': SHIPPED' RETURNED ENDING `':LEASED i,-gAUDAYS' :CYLINDER ::sExTENDED'
-
.P .:. . _ .. - .:_.. .._._...: -._BALANCE._...._.._._
.BALANCE CYLINDERS -. RATE AMOUNT
R ARG ARGON 1 0 0 1 0 31 .409 12.68
R CMF ASSET MkNAGEMENr FEE 1.24 1.24
TAX: .00
CARMEL CITY OF CUSTOMER: 20668 TOTAL , 13 .92
9609 HAZELDELL ROAD INVOICE: 08407314
INDPLS IN 46280 INVOICEDATE: 08/31/16
TOTAL CYL VALUE: 300.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
VOUCHER# 162747 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 Audit Trail Code
07020124 01-6360-03 208.16
Voucher Total 208.16
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 9/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2016 07020124 208.16 '
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
Date Officer
-INV-�. RNT._. 'EXPIRATION,—:_-... - _.__. _...._: _.. CYL. -._—
TYPE SUP GROUP.PERIOD"- ' DATE DESCRIPTION — LEASED RAPE — - AdJUNT
L AL1 ALY 12 09/2016 07020124 1 108.46 108.46
L 0X1 OXY 12 09/2016 07020124 1 99.70 99.70
JEOrFER 1 YEAR 5 YEAR LEASES
YR $1 2.19 PE CYL (ACETYLENE=$2,09 .16) PLUS TAIK
CARMEL WATER CUSTOMER: 12 5 9 8T2 0 8.16
3450 W 131ST ST INVOICE: 07020124
CARMEL IN 46074-8267 INVOICEDATE: 09/06/16
P/O:
INDIANA OXYGEN COMPANY 0 P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588