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Home My WebLink About327394 07/10/18 +o!.CAgF �( \ CITY OF CARMEL, INDIANA VENDOR: 154252 ' ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******350,58* aa; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 327394 "'i",ON�.� INDIANAPOLIS IN 46278 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 01785605 201.45 OTHER EXPENSES 2201 4231100 08502750 149.13 BOTTLED GAS VOUCHER NO. 182020 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 154252 IN SUM OF$ 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 201.45 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 or bill(s)is(are)true and correct and that PO# ACCT# 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 01785605 01-6200-04 $201.45 and received except 7/3/2018 01785605 $201.45 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20— Clerk-Treasurer —— — INV ' o'ITEM :- — - INVOICE-DATE INVOICE,— BEGINNING I'SNIPPED.RETURNED ENDING.__, LEASED .._BALIDAYS—, CYLINDER..— .,. EXTENDED,. TYPE BALANCE BALANCE CYLINDERS RATE _ AMOUNT ALY ACETYLENE 3 0 0 3 0 90 .529 47.61 ARG ARGON 2 0 0 2 1 30 .489 14.67 CO2 CARBON DIOXIDE 1 0 0 1 0 30 .489 14.67 MIX MIX GASES 2 0 0 2 0 60 .489 29.34 OXY OXYGEN 2 0 0 2 0 60 .489 29.34 CMF ASSET MkNAGEMENr FEE 13.50 13.50 TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 149.13 3400 W 131ST ST INVOICE: 08502750 CARMEL IN 46074 INVOICEDATE: 06/30/18 TOTAL CYL VALUE: 2300.00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 154252 INDIANA OXYGEN CO IN SUM OF$ 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 $149.13 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 08502750 42-311.00 $149.13 1 hereby certify that the attached invoice(s),or 6/30/18 08502750 $149.13 2201 2201 2201 2201 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 Monday,July 09,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer – ---.— QTY DESCRIPTION"..iw Bo – PRICE ITEM DESCRIPTION UOM AMOUNT ** Location: D ** OX 337 1 0 1 1 UN1072,OXYGEN,COMPRESSED,2.2 CYL 41.868 41.87 337CF CYLINDER 337CF @ 12.4237/1000F OX 20 1 0 1 1 UN1072,OXYGEN,COMPRESSED,2.2 CYL 18.607 18.61 20CF CYLINDER 20CF @ 93.0350/1000F AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 98.816 98.82 UN1001 147CF @ 67.2218/1000F RECORD "ACTUAL" CUBIC FOOTAGE CF CF (60-175CF/CYL) AL MC 1 0 1 1 ACETYLENE 10CF CYL 31.802 31.80 CGA-200 10CF @ 318.0200/1000F FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 3.40 3.40 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 6.95 6.95 Subto al 201.45 OTAL 7YLINDERS SHIPPED: 4 RETURNED: 4 Visit us at fac book or on the web at .indi naox gen. om Taxable amount:l 0.00 CARMEL WATER CUSTOMER: 12598 201.45 3450 W 131ST ST INVOICE: 01785605 a , CARMEL IN 46074-8267 INVOICEDATE: 06/26/18 ORDER: 02669034-00 PIO: 062618WB 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 i Elkhart i 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 a Vincennes (765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323 America's Oldest Gas/Welding Supply CUSTOMER ORDER F' ! _... ORDER DATE PAGE NAME ""t?'!:._L _._....., TERR `.;— SHIP VIA ,+ INITIALS P.O.# SALES SHIP CODE ` !?} UPS ORDER TYPE REL# BRANCH. COUPPD• TIME q, PHONE# ROUTE#- USERNAME _.. . 1. SPECIAL INSTRUCTIONS: PLACARDS: = ACCEPTED REFUSED Lf,...iiu+._.'�•.., Iii: Lflav� ii=L.r�'i jl l';:�.� h:�_:ii.��:� ��+)::J,��'..;�Ic;3 fnr: TERMS&CONDITIONS _ ... sii',A'_'' :i:'.�f W;' ScJ3 !•v==_ {i i �i";:.i1°s' Ci13'L`Z Li' C=uIiC' 'fY`wu vi' THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS !? i', C•Ci{ L� JICIi I LE7lB i"EGc'.'. 16,(I. Gl al_' U.�S'iti�2i"' ••%a'ullif4 SUBJECT TO ALL OF THE CONDITIONS ASSET FORTH ON REVERSE SIDE HEREOF ` AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. IMPORTANT X 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 (:I I RTCI�/I F R INDIANA INDIANA OXYGEN COMPANY, INC. S � P.O. BOX 78588 DELIVERY TICKET INDIANAPOLIS, INDIANA 46278-0588 Bloomington Cincinnati Elkhart Fishers Fort Wayne + Indianapolis i(812)330-9Z1d,' ( (513)353-2448 (574)295-4433 (317)841-6002 (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 441 Z 93 6 5 CUSTOMER ORDER 0E`. isIDi)3r.';,•._[..0 0 W 'y.::a?.L._►_. cif f-Z E E T ORDER DATE ?s'A RMI:.I.- IN it (.J ii"` PAGE'o(-)2 CI1= of e_' 5 NAME Cl}Eich 1'+'�IT��{ TERR s t?� SHIP VIA �1)) l')� '�':t�E - INITIALS iGPIN ! P.O.# 01Ri61u?1�5 SALES 000' SHIP CODE 00 'UPS 10 ORDERTYPE E1 U REL# BRANCH+ ? COL/PPD PREPAID TIME PHONE# 317-733-2855 ROUTE# USERNAME LIT{ UNIT PIU;I ---------DESbRIPTION-------------- LINE -------ITETI---_-- LLMC CITY QTY BIN NiEIGHT U11 T EX7E ED SHIP iY HPZARD CLAS NO t"'U"'R dREER BKORD LOCw�',qU;�IT A1,110 NT Totdi 44eightd --- 272.0000 —_ ____._....�..�. __.... .__._..._ Subtotal 20i.45 Tax .G4 Freight .00 Total Sale 201.45 J F�Da a%vod: �3e# : AC-CT # `l U s e : SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED E:�] REFUSED EMERGENCY FES1IDISE TELEPHUNIE NUIBER. 8005355053 Customer authorizes Seller to debit Custooer9s credit card or deduct fron the TERMS&CONDITIONS THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS CustaDer's any deposit outstanding,balance reminin an the Custoaerf5 ael Dunt SUBJECT TO ALL OF THE CONDITIONS AS SET FORTH ON REVERSE SIDE HEREOF P 7f 3 AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. -IMPORTANT X 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 (:I ICT(IAAFR