HomeMy WebLinkAbout305188 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******179.01
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 305188
INDIANAPOLIS IN 46278 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01510447 63.93 OTHER EXPENSES
2201 4231100 08415012 115.08 BOTTLED GAS
VOUCHER# 163240 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
01510447 01-6200-06 63.93
Voucher Total 63.93
Cost distribution ledger classification if
claim paid under vehicle highway fund
ORIGINAL INVOICE
INDIANA. INDIANA OXYGEN COMPANY CUSTOMER: 12598 PAGE: 1
P.O.BOX 78588 INVOICE: 01510447 ORDER: 02387319-00
INDIANAPOLIS,IN 46278-0588 INVDATE: 10/31/16 ORD DATE: 10/31/16
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 001 INT: JMJ
P/O:
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B
CARMEL WATER H CARMEL WATER
� 3450 W 131ST ST F 3450 W 131ST STREET
CARMEL IN 46074-8267 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 63.93
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITEM. Qn on . QESCRIPTION UOM AMOUNT,
UNIT
- SHIP :::eio PRICE
** Location: A ** i
CD SORB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 30.62 30.62
UN1013 (LIQUID WITHDRAW)
50CF @ 61.2400/1000F
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 2.46 2.46
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
** Location: W **
MIP192052 5 0 TIP EXTENDED 40A. (5PK) ICE40 EA 4.98 24.90
ICE55 TORCH 625XTREME 2050/
Subto al 63.93
TOTAL YLIN ERS SHIPPED: 1 RETURNED: 1
Visit us on fac book or oa the
web at ww .indi naox gen, om
Taxable amount:l 0.00
CARMEL WATER CUSTOMER: 12598 • 63.93
•
3450 W 131ST ST INVOICE: 01510447 ,
CARMEL IN 46074-8267 INVOICEDATE: 10/31/16
ORDER: 02387319-00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
INDIAlOTA INDIANA OXYGEN COMPANY, INC.
P.O. BOX 78588 DELIVERY TICKEI
INDIANAPOLIS, INDIANA 46278-0588
Bloomington . Cincinnati 0 Elkhart Fishers Indianapolis
(812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (317)290-0003
Lafayette + Marion s Muncie + Seymour 0 Vincennes
(765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323
America's Oldest Gas/Welding Supply 792()8SA,2 w,
CUSTOMER
ORDER
0'. 3 743'";.': --•r ["y
;,:9„�•:3 !,:! ; i.•`_? 3 � I?LC 1 ORDER DATE :I.i)
C i ,,s1IE,! is - -a PAGE
NAME ? ?f;dGi k 4C? TERR 4.., SHIP VIA .'r.. INITIALS J,1`1.7
), ISS) Ali
P.O.# SALES -,;,,� SHIP CODE UPS ORDER TYPE
i,�:t• S�7,i ti In,�ll
REL# BRANGH-,,< COUPPD TIME _
ijl
PHONE# —r i:rc ROUTE# _USERNAME
i �L'I _La_.s.t'r i4aT_ti� It1. 112
.�., {'S`I {1�I ty ~ GLE'Liil i.... tS I
7 7 .D Ci AS-3i_'';+� 1'�1tV {'1",i IZ I�iIC{-"r �Itr+ tL I•P! !.Try&i�f P,1,+b!(N' 114Ut+kl
YL
1
�'ttSC._n -U{{1,t:44'9:.q C�. I, 5' I4 1 t _1 v .6.120 'S 62
.110
QTY,S I 1 .._.._�._... �. ......_..___._._ 'r.'.�:.t ( S: ;1 l: li 3 i1`
`la'?i. +.< "er;,.�i,6td i�,lli`�._._ !_�.E�sc: "}.f�' ,JN u".� e!a uui+3 s.�..lL;.tt
I'REHt Ir.hi Yy"•i ' ST.,.�3
GREH .il��t LCI.
I B '7THs„I C —V4%' _ ��+al: I.C:u +—'f_6 �i :t
>° }c�7f tt:',1.�t1: I'i
m -_'{lw I:.'iL1% L:.+L'.f t� L.'�t L.CfL =•7�{.-� � i i.�l: It:' tf}�I-.`�I'{� -.._.._».. y t� y010 .5o:33
w...,+•'.
:5 E: _ TIPEItIL'NLII ff-An� +-140
_...�. ,.54 ' V�2fi:^_._.._ .m' w......-. f” t}Pr: s';
I lr21Le !(t`EH E,1_5:X T i'.r!__ CCJ °1
I+J'�•:.i i#c f I�I2P;a. +1 i�;!.�sil�! �.3�lij'%;)'y:'1 i ��.
SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED 0 REFUSED
TERMS&CONDITIONS
to rjeIit Cilyt: ,-_Ir-rt5 i.r-rdj•t eatd oi d.`f(icl, fi ttM thl THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
(t" Utzte� J1 P3a?{ arly _;!.{ stand irig bi'.lr'�w.,o 'f'c^:L3Lninj' Gia clic Iv;S{;�tlk?.'t ac-colirtt SUBJECT�pNDT EALL TEXISFTE TI/U�lNTRACTBETWEENBOTHPARTESIONSAS SET FORTH ON REVERSE IDEHEREOF
h IMPORTANTt '”"" �
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR +!RECEIVEDbY(SIGNATURE) DATE
ON THE 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
/'I IOTr%R A M
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.
$115.08 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
08415012 42-311.00 $115.08 1 hereby certify that the attached invoice(s),or 10/31/16 08415012 $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
Tuesday, November 08, 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INV ,: ITEM INVOICE DATE ] INVOICE`: rBEGINNING SHIP.P,ED. RETURNED `•"ENDING,,.- LEASED BAUDAYS CYLINDER`. EXTENDED'
TypI, BALANCE... . .. BALANCE. CYLINDERS .. ". RATE AMOUNT
ALY ACETYLENE 3 0� !0 3 0 93 .449 41.76
ARG ARGON 1 0 0 1 1 0 .409 .00
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
OXY OXYGEN 2 0 0 2 0 62 .409 25.36
CMF ASSET MANAGEMENr FEE 9.92 9.92
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851115.08
TOTAL
3400 W 131ST ST INVOICE: 08415012
CARMEL IN 46074 INVOICEDATE: 10/31/16
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588