HomeMy WebLinkAbout327871 07/20/18 4j/f,q\
CITY OF CARMEL, INDIANA VENDOR: 154252
® Oil ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********93.87*
x. ° CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 327871
+.`y,�To*��` INDIANAPOLIS IN 46278 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01789247 93.87 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA OXYGEN CO IN SUM OF$ 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
$93.87
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
01789247 42-370.00 $93.87 1 hereby certify that the attached invoice(s),or 7/3/18 01789247 $93.87
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
Wednesday,July 18,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QTr
ITEM SHIP�D a/o DESCRIPTION UOM PRICE AMOUNT
** Location: D **
REPGAS 1 0 REPAIR-GAS APPARATUS REP 65.00 65.00
PO NUMBER 23102
TAG NUMBER 51076
VICTOR A270-V CUTTING HEAD PO BE REPAIRED AS NEEDED
**** PLEASE CALL JID Q 317-691-6725 WHEN FINISHED ****
VIC0331-0013 1 0 0-3-101 3/8" CUTTING TIP EA 28.87 28.87
GENERAL PURPOSE
Subto al 93.87
Visit us at fac book or on the
web at wvn .indiinaoxrgen. mm
i
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 • 93.87
•
3400 W 131ST ST INVOICE: 01789247
CARMEL IN 46074 INVOICEDATE: 07/03/18
ORDER: 02648434-00 P/O: SHOP JIM
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN 9 46278-0588
INDIANA INDIANA OXYGEN COMPANY, INC.
�6F P.O. sox 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
AmeNiea's Oldest Gas/Welding Supply 4224407744
CUSTOMER 07651
ORDER _
648434-00
CARMEL STREET DEPIT
3400 W 131ST ST ORDER DATE j)5/ I. 1 1 S
C AMYIE•L.. IN 46n.074 PAGE ()(-)1 OF 001
3117-733-2001
NAME CARMEL STREET DEPT TERR 007 • SHIP VIA Nil! Call -NOS- INITIALS imp
P.O.# SKIP JIM SALES wo SHIP CODE v} UPS () ORDER TYPE FH
REL# BRANCH004 COUPPD PREPAID TIME 05-JUL-16 i 1i3 11:04AH
PHONE# 317-733_2001 SEL _ ROUTE# USERNAME jjenkins
QTY UNIT HM ----------DESCRIPTION------------- LIME ------ITEM--•---- LDC QTY QTY DIN 14EIMT U?i%T ; EXTENDED
SHIP s3• HA7ARI) CLASS NO I°ltNBER ORDER BKORD LDC MOUNT! PM01JNT
1 REP' REPAIR--GAS APPARATUS 1 REP GAS D 1 0 .00
PC! WMFER 23102
TAG LUMBER 51076
VICTOR (4270-V CUTTING READ TO RE RUAIREEU A3 NEEDED
£ PLEASE CALL JIM @ 317-691-6725 WEN FINISHED
i EA G-33-1101 31$n C1lTTStFi TIP 2 VIC 0331-0013 D 1 0 G 0.11
GEWRAL PIJR.POSE
Total Weight: .1100
(SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED REFUSED
EMERGENCY RESPGNSE TELEPHONE NUMBER: 8005355053
Elastomer aufhorizes Seller to debit Customer's credit card or deduct tr`01 the TERMS&CONDITIONS
THE CUSTO-M HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
Customer's deposit any outstanding balance remaining on the Customer's aI: ount SUBJECT,TO O1'.�HE TIQNSASSETFORTHONREVERSESIDEHEREOF
� N �f EPXTRACT BBEET/WfEs}EN Bio PARTIES.
IMPORTANT -
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY(SIGNATURP DATE
ON THE REVERSE SIDE OF THIS DOCUMENT.ALL SALES MADE,ARE SUBJECT TO ` ✓Jr�" f
SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES X / �7 /
SHIPPED AND RETURNED RENTAL CYLINDER COUNT.• sylrP B
CUSTOMER