HomeMy WebLinkAbout328165 07/25/18 v`! CITY OF CARMEL, INDIANA VENDOR: 154252
.�; �• ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $********46.14*
:o� �_�, CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 328165
sp��oN�. INDIANAPOLIS IN 46278 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01792333 46.14 OTHER EXPENSES
VOUCHER NO. 182149 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 154252 IN SUM OF$ 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
46.14 154252 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms
Carmel Water Utilitv 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
01792333 01-6200-06 $46.14 and received except 7/18/2018 01792333
$46.14
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
_._ --._ _....., _. - ---
ITEM OTY Orr� � � DESCRIPTION �_ 'UO --UNIT -
M� tiMOUNT—" - "-
SHIP'D s/O PRICE
** Location: **
CD SORB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 35.785 35.79
UN1013 (LIQUID WITHDRAW)
50CF @ 71.5700/1000F
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
Subtotal 46.14
TOTAL YLIN ERS SHIPPED: 1 RETURNED: 1
Visit us on fac book or oi the
we at ww .indi naox gen. om
Taxable amount: 0.00
CARMEL WATER CUSTOMER: 12598 'tkMOUOICENT 46.14
THISINV
3450 W 131ST ST INVOICE: 01792333 INCLUDING
CARMEL IN 46074-8267 INVOICEDATE: 07/11/18
ORDER: 02675951-00 P/O:
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 i Cincinnati + Elkhart + Fishers + Fort Wayne i Indianapolis
(812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (260)918-0241• (317)290-0003
Lafayette 0 Marion + Muncie A Seymour + Vincennes
(765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323
America's Oldest Gas/Welding Supply
CUSTOMER
ORDER
ORDER DATE
PAGE
NAME ,? r,, TERR :y_ SHIP VIA INITIALS
P.O.# SALES SHIP CODE UPS ORDER TYPE
REL# BRANCH;,' COUPPD TIME
PHONE# :_ :;. ROUTE# USERNAME
Ci
SPECIAL INSTRUCTIONS: PLACARDS: 0 ACCEPTED REFUSED
-•CI ,• I .fit:.^.. . T -r �•�•..r, nr� ^_c-_-,
�:1'..r itj:.I:f .:. �tllti'� .t.._.L-r'i llJYt_ C:JYI[•L f�: G..}:�,.'�JJr?�!�
Dl ;.-i'-1c2' ,:I!61-`I0T'17.C'; lca--Y? D`:" _-J.ly:i '}'.p ilt TERMS&CONDITIONS
THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
'UC'ii.-;'.I"i r'' '1511 }' =i'•_;s'L fi!I't LrZ =tC 'l' Teat:J 111; B^, k[' :,U ;G:'''1''`'S c.::_ .Lf SUBJECT,TOALL OFTHE CONDITIONS ASSET FORTH ONREVERSE SIDE HEREOF
AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES.
IMPORTANT
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR /RECEIVED BY(SIGNA[IIRE) 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
CII C