HomeMy WebLinkAbout320807 01/17/18 ; CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******301.51
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 320807
INDIANAPOLIS IN 46278 CHECK DATE: 01/17/18
fON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01693568 15.01 OTHER EXPENSES
651 5023990 01705021 286.50 OTHER EXPENSES
VOUCHER NO. 177169 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City.Form No.201(Rev 1995)
Vendor # 154252 IN SUM OF$ 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
15.01 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
01693568 01-7202-06 $15.01 and received except 12/28/2017 01693568 $15.01
_Tr
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
ORIGINAL INVOICE
INDIA .r1. INDIANA OXYGEN COMPANY CUSTOMER: 16052 PAGE: 1
P.O.BOX 78588 INVOICE: 01693568 ORDER: 02570932-01
INDIANAPOLIS,IN 46278-0588 INV DATE: 12/08/17 ORD DATE: 12/01/17
317-290-0003 SALESPERSON: 000 TERR: 005
BRANCH:, 001 INT: JRB
P/O: S17876
TERMS: NET 30
SHIP VIA: UPS
RELEASE#:
B CARMEL WASTEWATER H CARMEL WASTEWATER
� 9609 HAZEL DALE PKWY F 9609 HAZEL DELL PKWY.
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
T T
0 0
INVOICE AMOUNT: 15.01
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITEM Or' °r - DESCRIPTION UOMN�T AMOUNT-,
.,.. ..z
:S IP. 7*//-* -*//DQ
ICELocation:HYP220674 1 0SHIELD DEFLECTOR FOR T45V/ T45M/ EA 15.01 15.01
T30V/ TORCHES PM30XP/ PM45/
-*/-*/-*/-*/-*/-*/SHO T ONENOT CHARGE FOR B/O PART-*/-*/-* -*/-*/ */
Subtotal 15.01
Visit us cn fac book oro the
web at ww .indi naox gen. om
Taxable amount: 0.00
CARMEL WASTEWATER CUSTOMER: 16052 —'--AMOUNT 15.01
INVOICETHIS
9609 HAZEL DALE PKWY INVOICE: 01693568 INCLUDING TAX
INDIANAPOLIS IN 46280 INVOICEDATL 12/08/17
ORDER: 02570932-01 P/O: 517876
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN 46278-0588
VOUCHER NO. 177146 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 154252 IN SUM OF$ 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
286.50 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
01705021 01-7202-06 $286.50 and received except 1/11/2018 01705021 $286.50
Q ,
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
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 16052 PAGE: 1
P.O.BOX 78588 INVOICE: 01705021 ORDER: 02564969-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 01/05/18 ORD DATE: 11/27/17
317-290-0003 SALESPERSON: 000 TERR: 005
BRANCH: 004 INT: DAB
PIC: PO# S17851
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
CARMEL WASTEWATER H CARMEL WASTEWATER
9609 HAZEL DALE PKWY P 9609 HAZEL DELL PKWY.
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
T T
0 0
INVOICE AMOUNT: 286.50
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
- - `—
ITEM nn,_. _7B/0 . 19ESCRIPTiUN UOfvi _ ;UNIT AMOUNT"
SHIP�D P-Location:TIL60310610 2 6X10 1PNL ORANGE VNYL SCREEN EA 113.25 226.50
CREEN
ARZA-PTG-002 1 REPLACEMENT GRINDING STONE EA 60.00 60.00
DOUBLE SIDED
Subtotal 286.50
Visit us at fac book or oi the
web at wm .indiiLnaoxrgen. iom
Taxable amount:1 10.00
,CARMEL WASTEWATER CUSTOMER: 16052 • • 286.50
9609 HAZEL DALE PKWY INVOICE: 01705021 ,
INDIANAPOLIS IN 46280 INVOICEDATE: 01/05/18
ORDER: 02564969-'00 P/O: PO# S17851
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN • 46278-0588