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308153 02/13/17 4��-�4N,N�i CITY OF CARMEL, INDIANA VENDOR: 154252 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*"***1,099.26* CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 308153 9H.,_...-b, INDIANAPOLIS IN 46278 CHECK DATE: 02/13/17 [>�N G DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 01545424 100.56 OTHER EXPENSES 651 5023990 01546491 340.70 OTHER EXPENSES 651 5023990 01547151 535.48 OTHER EXPENSES 2201 4231100 08428013 122.52 BOTTLED GAS VOUCHER # 163929 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 01545424 01-6200-06 100.56 Voucher Total 100.56 Cost distribution ledger classification if claim paid under.vehicle highway fund tM• ... _._ .: :—.- GESCRIc RGN--:— UN- -- Ap40LINT - - ** Location: P, ** AC 75/25 1 0 1 1 ARGON,CARBON DIOXIDE 75/25 384CF CYL 92.039 92.04 INDUSTRIAL GAS MIX CGA580 384CF @ 23.9685/100CF FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 2.57 2.57 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95 Subtotal 100.56 =AL YLIN ERS SHIPPED: 1 RETURNED: 1 Visit us on fac book or ca the web at wAn .indi naox gen. om Taxable amount:1 0.00 CARMEL WATER CUSTOMER: 12598 Too 100.56 3450 W 131ST ST. INVOICE: 01545424 , CARMEL IN 46074-8267 INVOICE DATE: 01/19/17 ORDER: 02422992-00 PIO: INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588 INDIANA MLANA OXYGEN COMPANY, INC. P.O. BOX 78588 DELIVERY TICKET INDIANAPOLIS, INDIANA,46278-0588 Bloomington Cincinnati Elkhart v Fishers + Fort Wayne Indianapolis (812)330-9210 (513)353-2448 (574)295-4433; (317)841-0002 (260)918-0241 (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 384650 1212 'CUSTOMER ORDER CARMEL WATER ORDER DATE 3450 W 131ST STREET 01/19/17 PAGE' CARMEL IN 460321€:a; 1 OF04E71 J. 317--733-2855 VAME TERR SHIPVIA INITIALS =.o.# -CARMEL (CATER SALES 067 SHIP CODE .' Will Cal UPS71401t& ORDER TYPE• JRB REL# BRANCH 000 COUPPD ' GO B TIME CHRIS=HONE#.,.. 001 ROUTE# F PREPAIDUSERNAME 19-JPN-17 11:31AM 317 f33-2+355 SEL jakeb CITY UNIT. H(1---------DESCRIPTIOi''----------- ID LINE ------IT�O------ LOC DTY -CYLINDERS- Uoatry WIT EXTENDED SHIP & HAZARD CLASS NUMBER NO EMBER ORDER SHIP RETN , HT AW41'. . ANOWT ,,. 1 CYL UN1955, Compressed Gas, n.o.s., 1 AC 75P S A 1 1 " P4 t;A- 92,ta39 'y ,' G4 " (Argon,Carbon Dioxide), 2.2 182.00 I s (ARGON,CARBON DIOXIDE 75185 384) (INDUSTRIAL GAS MIX CGA530) ------- ----------- - ----------------------------------- --------------------------____-__------ -- -_- ------- QTY UNIT E --------D,kRIPTION---------- LINE -- SEM----- LOC QTY QTY BIN WIEIGHT Af,;' UNIT EXTENDED SHIP HAZARD CLASS NO MER ORDER BKORD LOE �, r`' MINT AMOUNT — -------------------- —-------- -- ------------ ----- -- ---- -- -_--------------------------------- ------ - 1 -EA DIESEL SURCHARGE W1C c FSC ntl SRCHGWC R 1 D .00 2x57 2.57 1 EA HAZARDOUS MATERIAL CHARGE 3 HMC E IZ MAT CHG A 1 D .00 5.95 5 9,8 Total Neight: 182.1000 � Subtotal 106a56 Tax .00 Freight .013 Total Gale 100.56 �a SPECIAL INSTRUCTIONS: -REFUSED EMERGENCY RESPONSE TELEPHONE NUMBER- 8005355053 �' TERMS&CONDITIONS Customer authorizes Seller to debit Customer's credit card or deduct from the DUCTS SUBJ CT TOMLOFER THHEREINCNDITIONSASSET FORTH ON EVERSES9SFNTS TO AND ACCEPTS THE ABOVE IDEOHEREOF Customer's deposit any outstanding balance remaining an the Customer's 6911nt N TH ISTINC�CO RACTBETWEENBOTHPARTIES. IMPORTANT X d!/ cps �� PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR �EIVED BY(sIGNAT e) 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 CUSTOMER VOUCHER # 167065 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 01547151 01-7202-06 135.49 01547151 0(1-720T-06 u 399.9}9� -3 I 0 e✓/V U7 K7a � V Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund -_-- -- --- ——.- —oTr- -QTY- -DESCRIPTION-• UNIT _ _ ITEM SHIP�D eio - - 1i01v1 '` PRICE AMOUNT= _ ** Location: P, ** ARZA-PTGK-SD 1 0 CD FIXED TUNGSTEN GRINDER EA 399.99 399.99 IWDGDYSSF5 1 07 5 X. 1/2 X 3/16 FLAT SOAPSTONE GR 14.99 14.99 SOLD BY THE GROSS TNW70S6035X44 44 0 70S6 .035 X 44# SPL. MILD STEEL LB 2.08 91.52 WIRE 70S6035X44 (2640 SKID) Subto al 506.50 visit us n fac book or oa the Delivery Cha ge 28.98 web at .indi naox gen. om Taxable amount:1 10.00 CARMEL CITY OF CUSTOMER: 20668 • • 535.48 s 9609 HAZELDELL ROAD INVOICE: 01547151 INDPLS IN 46280 INVOICE DATE: 01/24/17 ORDER: 02419967-00 P/0: S16834 INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 —. —DESCRIPTION- _� _.._,QUO-PJ _UNIT«-__.._ AMOUNT SHIP'D 610 PRICE ** Location: A ** MIL043554 1 0 RFCS-14 FOOT CONTROL WITH 20' EA 332.00 332.00 7 CORD 14 PIN PLUG FOOTCONTROL Subtotal 332.00 Visit us on fac book or oi the Frei ht 8.70 web at w .indi naox gen. om Taxable amount:l 0.00 CARMEL CITY OF CUSTOMER: 20668 • • 340.70 9609 HAZELDELL ROAD INVOICE: 01546491 INDPLS IN 46280 INVOICEDATE: 01/23/17 ORDER: 02419967-01 PIO: S16834 INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL PO BOX 78588 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. INDIANAPOLIS, IN 46278 Payee $122.52 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 08428013 42-311.00 $122.52 1 hereby certify that the attached invoice(s),or 1/31/17 08428013. $122.52 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, February 07,2017 Huffman, Dave 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 --ICY' ?'"'-- --`ITEM -` INL'OICE-DATE'--:INVJICE-:°'-=-•BEGINNING SHIPPED' RETURNED ;, ENDING LEASED- ,gAUDAYS CYLINDER EXTENDED P - .... ._. ... BALANCE .. BALANCE--- CYLINDERS----- -.... RATE... AMOUNT, ALY ACETYLENE 3 0 0 3 0 93 .479 44.55 ARG ARGON 1 0 0 1 1 0 .439 .00 CO2 CARBON DIOXIDE 1 0 0 1 0 31 .439 13.61 MIX MIX GASES 2 0 0 2 0 62 .439 27.22 OXY OXYGEN 2 0 0 2 0 62 .439 27.22 CMF ASSET MkNAGEMENr FEE 9.92 9.92 TAX: 00 CARMEL STREET DEPT CUSTOMER: 07851122.52 TOTAL:) -; 3400 W 131ST ST INVOICE: 08428013 CARMEL IN 46074 INVOICE DATE: 01/31/17 TOTAL CYL VALUE: 2700.00 PIO: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588