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Home My WebLink About319502 12/12/17 o CITY OF CARMEL, INDIANA VENDOR: 154252,:ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $**'****194.51 CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 319502 INDIANAPOLIS IN 46278 CHECK DATE: 12/12/17 DEPARTMENT ACCOUNT PID NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 01686172 42.75 OTHER EXPENSES 1120 4237000 01691220 151.76 REPAIR PARTS VOUCHER NO. 173501 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 154252 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO CITY OF CARMEL PO BOX 78588 An invoice or bill to be properly itemized must show: kind of service,where performed, INDIANAPOLIS, IN 46278 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 42.75 154252 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms Carmel Water Utility PO BOX 78588 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46278 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 01686172 01-6200-06 $42,75 and received except 11/30/2017 01686172 $42.75 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer �Qw- Qrr.__ OE UNIT — — ITEM.` SCRIPTIO,N ,-UOMAINOUN f .,.. -BHIP'D_ .;,B/O ., .. _ .. .. , .. ,PRICE:,::"., ** Location: ** CD SORB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 33.759 33.76 UN1013 (LIQUID WITHDRAW) 50CF @ 67.5180/1000F FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 3.04 3.04 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95 Subtotal 42.75 =AL =INDERS SHIPPED: 1 RETURNED: 1 Visit us cn fac book or oi the web at ww .indi naox gen. om Taxable amount: 0.00 CARMEL WATER CUSTOMER: 12598 • • 42.75 3450 W 131ST ST INVOICE: 01686172 , CARMEL IN 46074-8267 INVOICEDATE: 11/21/17 ORDER: 02566549-00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN 46278-0588 INDIANA INDIANA OXYGEN (COMPANY, INC. P.O. BOX 78588 - DELIVERY TICKEI ■ INDIANAPOLIS, INDIANA 46278-0588 i . Bloomington + Cincinnati Elkhart + 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 4061842845 CUSTOMER 12596 ORDER' 02566549 —i_0 CARMEL.. wATER 34,50 (,I 131ST STREET ORDER DATE 11/21/17 CARMEL IN 460 32 PAGE 001 OF o0I NAME CARMEL 1-AI TER, TERR 007 SHIP VIA Will Call -NONE- INITIALS TIM P.O.# SALES 000 SHIPCODE 00 UPS 0 ORDER TYPE CHRG REL# BRANCH 001 COLIPPD PREPAID TIME 21-NOV-17 08:57AM PHONE# 317-733-2855 t,,'EL ROUTE# USERNAME tisk QTY LIMIT !til ---------DESCRIPTION----------- ID LINE ------ITEN------ LOC CITY -CYLINDERS- VOLUbiE1 UNIT EXTENDED SHIP & HAZARD CLff% NumfiER E'G'O ASR ORDER SHIP RETIN WEISHT AjV1NT AMOJJNT 1 CYL` CARBON DIOXIDE, 2.2 J. CD SORB A I 1 1 50 33.759 33.76 Lei1013 (LIQUID WITHDRAW) 177.00 @TY UNIT Hid ---------DESCRIPTION------------ LINE ------ITEM------- LOC OTY QTY BIN FEIGHT UNIT EXTENDED SHIP & HAZARD CLASS till NUMBER ORDER BKORD LOC AMOUNT €�,'�IUNT I EA DIESEL. SURCHARGE W C 2 FSC FU:L 5RCHGWC A 1 0 .00 3.04 3,04 I EP HAZARDOUS MATERIAL CHARGE 3 TX HAZ MAT CHG A 1 0 .00 5.95 5.95 - Total Weight: 177.0+.100 —. Subtotal 42.75 Tax Freight .00 Total Sale 42.75 •1 /fin SPE �LY P�lllvp iELEPHONE NUIVER- 8005355053 PLACARDS: ACCEPTED REFUSED Custmer authorizes Seller to debit Customer's Credit Card or deduct fro® the TERMS,&CONDITIONS HE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS Custoiaer's deposit any outstanding balance remaining, on the Custoleer's aC000 JECTTOALLOFTHECONDITIONSASSETFORTHONREVERSESIDEHEREOF AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. IMPORTANT / , PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY(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 CI)STnMFR 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 $151.76 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 01691220 42-370.00 $151.76 1 hereby certify that the attached invoice(s),or 12/8/17 01691220 $151.76 1120 101 1120 101 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 Friday, December 08,2017 David Haboush Fire Chief 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 ITEM -arr aTv: - DESCRIPTION UOM AMOUNT PRICE ** Location: D ** VIC0387-0072 1 0 6-MFA-1-CS #6 HEATING NOZZLE, EA 111.00 111.00 ONE PIECE ROSEBUD FOR 100 SERIES NOR66254499894 2 0 4-1/2 X 5/8-11 NORTON BLAZE TYP EA 12.98 25.96 LAZE TYPE 27 HIGH DENSITY NOR66254461155 2 0 41/2X5/8-11 60GRIT FLAPDISC EA 7.40 14.80 R884P BLUEFIRE W/FIBERGLASS BACK Subto al 151.76 Visit us at fac book or oi the we at ww .indi naox gen. om Taxable amount: 0.00 CARMEL CITY OF FIRE DEPT. CUSTOMER: 94698 • 151.76 • FIRE STATION #1 INVOICE: 01691220 2 CIVIC SQUARE INVOICEDATE: 12/04/17 CARMEL IN 46032 ORDER: 02571258-00 P/O: CTC / TRAINING INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN • 46278-0588