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319842 12/21/17 Gqq CITY OF CARMEL, INDIANA VENDOR: 154252 c i'. ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $******'647.31 ?� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 319842 INDIANAPOLIS IN 46278 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 01690227 256.70 REPAIR PARTS 651 5023990 01691158 111.18 OTHER EXPENSES 2201 4231100 01691890 141.10 BOTTLED GAS 2201 4231100 08471482 138.33 BOTTLED GAS VOUCHER NO. 176964 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 154252 IN SUM OF$ 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 111.18 154252 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms Carmel Wasterwater Utility PO BOX 78588 Due Date BOARD MEMBERS I hereby certify that that attached invoice INDIANAPOLIS,IN 46278 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 01691158 01-7202-06 $111.18 and received except 12/12/2017 01691158 $111.18 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer nn oTv _ T ITEM �� DESCRIPTION :�UOM SHIRD /0 PRICE ` AMOUNT B , _.. ** Location: A ** HYP220674 5 1 SHIELD DEFLECTOR FOR T45V/ T45M/ -EA 15.01 75.05 T30V/ TORCHES PM30XP/ PM45/ -*/-*/-*/-*/-*/-*/SHO T ONE */-* -*/D NOT CHARGE FOR B/O PART-*/-*/-* HYP220671 5 0 NOZZLE FOR T45V/ T45M/ T30V/ EA 5.20 26.00 TORCHES PM30XP/ PM45/ Subtotal 101.05 Visit us n fac book oro the Freight 10.13 . web at .indi naox gen. om Taxable amount:l 10.00 CARMEL WASTEWATER CUSTOMER: 16052 AMOUNT 111.18 INVOICETHIS 9609 HAZEL DALE PKWY INVOICE: 01691158 INCLUDING INDIANAPOLIS IN 46280 INVOICEDATE: 12/04/17 ORDER: 02570932-00 P/O: S17876 INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 Prescribed by state Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF,$ 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 $536.13 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 08471482 42-311.00 $138.33 1 hereby certify that the attached invoice(s),or 11/30/17 08471482 $138.33 2201 2201 2201 2201 01690227 42-370.00 $256.70 bill(s)is(are)true and correct and that the 12/1/17 01690227 $256.70 2201 2201 1 materials or services itemized thereon for 2201 2201 01691890 I 42-311.00 I $141.10 12/5/17 I 01691890 I I $141.10 2201 2201 which charge is made were ordered and 2201 2201 received except Wednesday, December 13,2017 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 ITEM uir uir UES�FtI'i IIOFI tJOivt- ;:,:PRICE AMQUNT — — SHIPD 'B/O.' ** Location: ** WCMLENS216327 1 0 LENS COVER 4-3/16 X 2-1/2 .(5PK) PK 5.88 5.88 COVERPLATE, MILLER ELITE OX 220 2 0 2 2 UN1072,OXYGEN,COMPRESSED,2.2 CYL 32.184 64.37 220CF CYLINDER 440CF @ 14.6291/100CF AL S 2 0 2 2 ACETYLENE, DISSOLVED, 2.1 CYL 93.223 186.45 UN1001 294CF @ 63.4170/1000F RECORD "ACTUAL" CUBIC FOOTAGE CF CF (60-175CF/CYL) Subto al 256.70 TOTAL =IN)ERS SHIPPED: 4 RETURNED: 4 Visit us at fac book oro the web at wwv .indi naox gen. om Taxable amount:l 10.00 CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 256.70 THIS INV OICE 3400 W 131ST ST INVOICE: 01690227 INCLUDING CARMEL IN 46074 INVOICE DATE: 12/01/17 ORDER: 02558124-01 P/O: SHOP INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 INV - -_-,.ITE?r1, - -=- �INVO10E�DATE+ IN.66E, ---BEGINNING -ylA?P{'GO'RETUP� D =--ENDING._:._ -.-.LEASED.:.- BnL`iDAI CYLWDF_R -.-- _EXTENDED _: a fYP .:... ., BALANCE _. BALANCE, CYLINDERS ._..: RATE - AMOUNT--I': ALY ACETYLENE 3 0 0 3 0 90 .499 44.91 R ARG ARGON 2 1 1 2 1 30 .459 13.77 CO2 CARBON DIOXIDE 1 0 0 1 0 30 .459 13.77 R MIX MIX GASES 2 0 0 2 0 60 .459 27.54 OXY OXYGEN 2 0 0 2 0 60 .459 27.54 R SAL SMALL ACETYLENE 0 1 1 0 0 0 .459 .00 SHP SMALL HIGH PRESSURE 0 1 1 0 0 0 .459 .00 CMF ASSET MANAGEMENr FEE 10.80 10.80 TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 [JOTAL 138.33 3400 W 131ST ST INVOICE: 08471482 CARMEL IN 46074 INVOICEDATE: 11/30/17 TOTAL CYL VALUE: 3000.00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 QTY QTY , .. UNIT,, ITEM 7 DESCRIPTION , ,`- `U01�I' - - AiviOJNT -- sHiP�D s/o - _PRICE ** Location: ** AC 75/25 1. 0 1 1 ARGON,CARBON DIOXIDE 75/25 384CF CYL 96.641 96.64 INDUSTRIAL GAS MIX CGA580 384CF @ 25.1669/100CF TWE1135B 1 0 .035 CONTACT TIP (10PK) PKG 15.89 15.89 FOR MINIMIG & TWECO#1 MIGGUN TWEWS54A 5 0 WELDSKILL GAS DIFFUSER EA 3.90 19.50 TWECO#3 TWECO#4 MIGGUN FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 3.12 3.12 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95 Subtotal 141.10 TOTAL YLIN ERS SHIPPED: 1 RETURNED: 1 Visit us at fac book or oi the weh at ww .indi naox gen. om Taxable amount-.1 10.00 CARMEL STREET DEPT CUSTOMER: 07851 • • 141.10 3400 W 131ST ST INVOICE: 01691890 , CARMEL IN 46074 INVOICE DATE: 12/05/17 ORDER: 02572209-00 P/O: SHOP INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 INDIANA INDIANA OXYGEN COMPANY, INC. P.O. BOX 78588 DELIVERY TICKET INDIANAPOLIS, INDIANA 46278-0588 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 4068400260 at-s260 CUSTOMER 07851 ORDER 02558124--0.1 CARMEL_ STREET DEPT 3400 W 131`"yT ST ORDER DATE,1 1/02 17 CARMEL. Tiq 46074 PAGE 001. OF 001 • 317-733--2001 NAME L STREET DEPT TERR 007 SHIP VIA Will Call —rk; — INITIALS Taj P.O. SALES 0C}0 SHIP CODE 0(i UPS Q ORDER TYPE CHRG REL# BRANC})04 COLIPPD PREPAID TIME 01-DEC-17 01:57PH PHONE# 317-733-2001 SEL ROUTE# USERNAME derrlckb (TTY UNIT HiN --------DESCRIPTION------------ ID LINE -----ITEM------ LOC . QTY -CYLINDERS- VGLU EI IUNIT EXTENDED SNIP & HAZARD CLASS KLNBER NO NUNDER ORDER SNIP RETN WEIGHT A!OLNT WI1DUNT 2 CYL I!'0107E;,OXYGD41 COP R SEED,2.2 5 OX 220 0 2 2 2 440 220EF CYLIIDER 284.00 2 CYL ACETYLENE, DISSOLVED, 2.1 6 AL 3 D 2 2 294 LiNiTi1 RECORD "ACTURL" CUBIC FOOTAGE CF CF tea.---I----.. -`-.----.--`�-...--.-t (60-175CF/CYL) r 176.00 PITY UNIT HPI ---------DESCRIPTI0Ni------------- LINE ------ITEI'9--._-_- LEC QTY CTY BIN WEIGHT UNIT EXTENDED SHIP i HAZARD CLASS ND NUMBER ORDER BKORD LOC RIfiOUNT A,N`OUNT I PR LENS CODER 4-3116 X 2-112 MR") 4 WCM LEN3216327 D 1 0 .00 COVERPLATE, (i)ILLER ELITE Total Weight- 460.0000 SPECIAL INSTRUCTIONS: PLACARDS: T] ACCEPTED REFUSED EMERGENCY RESPONSE TELEPHONE KUNBERo 8005355053 3 TERMS&CONDITIONS Customer authorizes Seller to debit Customers credit Card or deduct fro® he THE CUSTOM HER IN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS Custover's deposit an outstanding balance remaining Oil the Customer's acc unt SUBJECTTO1, L OFT�ECONDITIONS ASSET FORTH ON:REVERSESIDE HER\OF P Y A g ND HE XI�NTRAC��TH PART IMPORTANT X PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED sIG TURA 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. d SHIPPED BY CI IST(1MFR INDIANA -INDIANAJOXYGEN COMPANY, INC. P.O. BOX 7858.8 DELIVERY TICKET INDIANAPOLIS, INDIANA 46278-0588 Bloomington �, Cincinnati + ' 'E khart 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 407 �C�4484v PP ' 1 l CUSTOMER 07851 851 ORDER 0257220 9-00 0 CARMEL STREET DEPT 3400 W 131ST ST ORDER DATE 12/0 ;1.7 CARMEL IN 46074 PAGE 001 OF= Dol '317--733-2001 NAME0`1 STREET DEFT TERR 007 SHIP VIA Will Call -NONEC- INITIALS DAB P,O.# SALES 000 SHIP CODE 10 UPS 0 ORDER TYPE CHRO REL# BRANci-074 COUPPD PREPAID TIME 05-DEC-17 01.55PM PHONE# 317-733-2001 SEI., ROUTE# USERNAME derrickb OTY UNIT HM ----- DESCRIPTION------------ ID LI14E ------ITE*------ LOC QTY -CYLINDERS- VOLUME/ UNIT EXTENDED SNIP KAZARD CLASS NUMBER NO NUMBER GIRDER SHIP RETN MIGHT ' A11UT AMOUNT 1 CYL UNI 56, Compressed Gas, n.o.�.� 1 AC 75/25 D 1 1 1 384 (Argon,Carbon Dioxide), 2.2 182.00 (ARGON,FARBON DIOXIDE 75125 384) (INDUSTRIAL UPS MIX CGR580) QTY IfNIT HM --------DEEfRIPTION------------ LIKE ------ITEM------- LOC QTY QTY AIN WEIGHT UNIT EXTENDED SHIP HAZARD CLASS NO NUMBER ORDER BKORD LOC RMLIINT AMODIINT 1 PKG .035 CONTACT TIP QOPK) 2 TWE 1135E D 1 0 0.18 FOR 14INIMIG & TWEC0#1 MIGGUN 5 €A WELDSKILL BAB DIFFUSER 5 TWE W554A D 5 0 0.20 TWECO#3 TWE 0#4 MICW4 1 EA DIESEL SURCHARGE W/C 6 FSC FUEL SRCHGWC D 1 0 .00 1 EA HAZARDOUS MATERIAL CHARGE 7 1'RIC Wiz FST CH"u D 1 0 .00 Total Weight- 182.3600 i SPECIAL INSTRUCTIONS: PLACARDS: ' ACCEPTED REFUSED EMERGENCY RESPONSE TELEF:NONE NUMBER: 8005355053 Customer authorizes Seller to debit Customer's credit card or deduct from fieTERMS&CONDITIONS THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS Customer's deposit any outstanding balance remaining on the Customer's acc unt SUBJECT TO ALL OHTHE COINDITIO RACASSET FO EN BN REVERSE SIDE HEREOF IMPORTANT ��RE r � PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR ( 1GNATUR 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 C:I IST()AA1=R