HomeMy WebLinkAbout329886 09/11/18 +pi G�A�I
�� CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********91.15*
a® /`ao CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 329886
�,�TON�, INDIANAPOLIS IN 46278 CHECK DATE: 09/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 9105812 91.15 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 154252
INDIANA OXYGEN CO IN SUM OF$ 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
$91.15
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
9105812 42-370.00 $91.15 1 hereby certify that the attached invoice(s),or 8129/18 9105812 Parts/Supplies $91.15
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
Friday, September 07,2018
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
ORIGINAL INVOICE
NT-0-AWA INDIANA OXYGEN COMPANY INC. CUSTOMER: 07851 PAGE: 1
6099 West Corporate Way INVOICE: 9105812 ORDER: 292623829
19 INVOICE DATE: 8/29/2018 ORDER DATE: 18/23/2018
P.O.Box 78588 SALESPERSON:
Zia
Indianapolis IN 46278-0588 BRANCH: Fishers
317-290-0003 P/O: shop CREATED BY: FS
TERMS: Net 30 DUE DATE: 9/28/2018
SHIP VIA: Our Truck
RELEASE#:
B S
' CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131 ST ST P 3400 W 131 ST ST
T CARMEL IN 46074 T CARMEL IN 46074
0 0
Notes: INVOICE AMOUNT: _ $9.1:15 i
----------------------------------PLEASESENDTOPPORTIONWITHYOURPAYMENT-----------------------------------
SHP'D BO� -- __ _ _ _ _
QTY QTY- 'CYLINDER��^T^ � � a • -UNIT
_ ITEM DESCRIPTION - UOM AMOUNT'.I
_ - SHP D RET'D PRICE
MIP216327 5 0 _ LENS COVER 4-3/16 X 2-1/2(5PK)COVERPLATE,MILLER Each $1.59 $7.95
MIP258100 1 0 2XL JACKET INDURA CLOTH Each $51.22 $51.22
Subtotal $59.17
Tax(0%) $0.00
Delivery $31.98
Total',,y $91.15
CARMEL STREET DEPT CUSTOMER 07851 ' • $91.15
3400 W 131 ST ST •
CARMEL IN 46074 INVOICE: 9105812
INVOICE DATE: 8/29/2018
ORDER: 292623829 P/O: shop
INDIANA OXYGEN COMPANY INC. • RO.BOX 78588 • INDIANAPOLIS, IN • 46278-0588
Visit us on facebook at facebook.com/indianaoxygencompany or at www.indianaoxygen.com
IIN-DIV,,MA Indiana Oxygen Company Inc. ORDER
OXYGENCorporate Office & Indianapolis Branch CUSTOMER# 07851
(317)290-0003 ORDER# 292623829
Bloomington Cincinnati Elkhart Fishers Fort Wayne
(812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (260)918-0241 DATE 8/23/2018
Lafayette Marion Muncie Seymour Vincennes
(765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323 PAGE 1 Of 1
America's Oldest Gas/Welding Supply
CUSTOMER
II IIIIIIIIIiI IIIIIIIIIIiI
S CARMEL STREET DEPT
H 3400 W 131 ST ST ORDER
P CARMEL, IN 46074 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
317-733-2001
T
O
NAME- CARMEL STREET DEPT
P.O.# SALES INITIALS, FS
REL# BRANCH Fishers TIME 10:33 AM
PHONE# 317-733-2001 INV LOC Fishers Warehouse PRINT DATE 8/23/18
SHIP VIA Our Truck PAYMENT; Charge
Notes,LL
ITEM . - DESCRIPTION_;. QTY,' -QTY �a QTY - UNIT��
NO 'n ORDER BKORD SHIP -, LOC
MIP216327 LENS COVER 4-3/16 X 2-1/2 (5PK) 5 0 5 Each
COVERPLATE,MILLER
MIP258100 (2XL JACKET INDURA CLOTH'> 1 0 1 Each
G'
SPECIAL INSTRUCTIOINS: PLACARDS: ❑ ACCEPTED ❑ REFUSED
EMERGENCY RESPONSE TELEPHONE NUMBER:8005355053 TERMS AND CONDITIONS
Customer authorizes Seller to debit Customer's credit card or deduct from the THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS
Customer's deposit an outstanding balance remaining on the Customer's account SUBJECT TO ALL OF CONDITIONS AS SET FORTH ON REVERSE SIDE HEREOF
P Y 9 9 AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES.
TERMS AND CONDITIONS X Kent-, &-,n 8/23/2018
The Customer herein consents to and accepts the above products subject to all of Welding Welding Company terms and RECEIVED BY(SIGNATURE) DATE
conditions,found on the company's website at weldingco.com.Should Customer desire a copy of terms and conditions i
paper form,contact your Welding Company representative or call 317-290-0003.Further,when applicable,Customer's X
signature verifies shipped and returned rental cylinder count.
SHIPPED BY