HomeMy WebLinkAbout324090 04/11/18 CITY OF CARMEL, INDIANA VENDOR: 154252
_ �,• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $**'"'"*"48.56'
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 324090
v INDIANAPOLIS IN 46278 CHECK DATE: 04/11/18
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DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01744677 48.56 OTHER EXPENSES
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VOUCHER NO. 181256 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 154252 IN SUM OF$ 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
48.56 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
01744677 01-6200-06 $48.56 and received except 4/5/2018 01744677 $48.56
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
i, ..:. UCJVRIr.I,IUIv Uvivi
SAHIP D
s�o PRICE
NUMMM
** Location: A **
CD SORB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 35.785 35.79
UN1013 (LIQUID WITHDRAW)
SOCF Q 71.5700/1000F
NAS900-STC 1 0 BW TIP CLEANER SET STANDARD EA 2.633 2.63
CARDED
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 3.19 3.19
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 6.95 6.95
Subto al 48.56
I
0TAL YLIN ERS SHIPPED: 1 RETURNED: l
I
Visit us on fac book oro the
web at ww .indi naox gen. om
Taxable amount:l 0.00
CARMEL WATER CUSTOMER: •12598 AMOUNT• 48.56
3450 W 131ST ST INVOICE: 01744677 INCLUDINGTHIS ICE
CARMEL IN 46074-8267 INVOICEDATE: 03/29/18
ORDER: 02625837-00 PIO:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
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INDIANAINDIANA OXYGEN COMPANY, INC.
Woo P.O. BOX 78588 DELIVERY TICKET
INDIANAPOLIS, INDIANA 46278-0588
Bloomington + Cincinnati + Elkhart + Fishers + Fort Wayne + Indianapolis
(812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (266)918-0241 (317)290-0003
Lafayette + Marion + Muncie + Seymour + Vincennes
KE (765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 . (812)882-4323
America's Oldest Gas/Weldiszg Supply >I I.P 1.0 X538
CUSTOMER :I
G4�I�dh'iln:L. I,IAI-r:E ...
ORDER 02625837- ��{.�
c•I•;:0 W 'i-31 SI �TREE-17 ORDER DATE �> 1��.:!,°I I3
0AFZ011^)_ IN 46032 00 1 taw 00 1
317-733----2855 PAGE
NAME CAREL WATER TERR 007 SHIP VIA WI 11 Call -NONE- INITIALS TIM
P.O.# SALES 000 SHIP CODE 017 UPS 0 ORDER TYPE C'HR6
REL# BRANCH ('OI COUPPD PREPAID TIME 217-MR-18 02o35Ptf
PHONE# 317-7`I`—C$.�5 SEL ROUTE# USERNAME imk
PTY UNIT HMIPTION----_----_---- Ill LIK ------ Lac QTV -CYLINDERS-- VOLLK/ UNIT EXTENDED
SHIT` & HIZARD CLASS MER NO i0BER ORDER SHIP RETN WEISFIT flM.,0LINT AMOUNT
1 CYL CASBON DIOXIDE, 2.2 1 CD 500 A i 1 1 50 35,785 35.75
LN1013 (LIPMD WITHDRAW)
1?7.00
QTY YNIT RN -•--------Dc CRIP'4'ION_____•-__- - LIQ -___-,_jTEN__..___ LOC QTV CITY DIN VEICHT = (1;~iIT EX1ENDET) <.
S{'its?.. .HAZA0 C?AES:. No -_._ .. fgMH (IRDCR BK90' A00AT
I EA BW TIFF GLEANER BET STA1 DPRD 2 NAS 900-STC A 1 0 .00 `.1.3.3 2.63
CgRDED
1 EA DIESEL'SURWRGE W/C 3 F3C GIM. SRE14GTlu A 1 0 .tiro 3.19 3.19
1 EA HAZAUOUS KaTE M CHARGE 4 F,KF; Z NAT CHI; A �1 0 .00 6.'T5
�.�.. .Notal Weigh"": d._ 177.0000 ___•• _ --� ----- SUIttatal 40.55
Tax .00
Freight .00
Total Bare 48.56
SIRE VAhGOPETR)i�SMR,YftLEPHONE NU BER- 80053550; PLACARDS: 0 ACCEPTED 0 REFUSED
CustDaer -1 tthorizes Seller to debit Cl.r,strmer's credit card or, dekct i'^0g! a TERMS BCONDITIONS
T�{E CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
Customer's deposit any wtstanditig balance remaining on the Custtoter's accol .IECTTOALLOFTHECONDITIONSASSETFORTHONREVERSESIDEHEREOF
AND-THE EXISTING CONTRACT BETWEEN BOTH PARTIES.
IMPORTANT
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR 4E;PE1VED 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