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Home My WebLink About329886 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