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Home My WebLink About330782 10/09/18 CITY OF CARMEL, INDIANA VENDOR: 154252 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: S*******112.82* (9, CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 330782 INDIANAPOLIS IN 46278 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9118207 112.82 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.tot (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 $112.82 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 9118207 42-311.00 $112.82 1 hereby certify that the attached invoice(s),or 9/20/18 9118207 Bottled Gas $112.82 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, October 01,2018 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 ORIGINAL INVOICE _ TP )��"�iVi A- INDIANA OXYGEN CO. CUSTOMER: 07851 PAGE: 1 6099 West Corporate Way INVOICE: 9118207 ORDER: 292827117 INVOICE DATE: 9/20/2018 ORDER DATE: 9/20/2018 P.O.Box 78588 SALESPERSON: OEM - Indianapolis IN 46278-0588 BRANCH: Indianapolis 317-290-0003 P/O: SHOP IcREATED BY: TK EME TERMS: Net 30 IDUE DATE: 10/20/2018 SHIP VIA: Will Call 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: $112.82 ----------------------------------PLEASE SEND TOP PORTION WITH YOUR _ PAYMENT ENTr---_-_ ---------_-_-_------U----_----------- NIT ITEM -----NITITEM DESCRIPTION' UOM AMOUNTSHP'D BO'__SHPD RETD PRICE__ AC75/25 1 0 1 1 ARGON,CARBON DIOXIDE 75/25 384CF,W INDUSTRIAL CYL _ $102.439 $102.44 GAS MIX CGA580 FSCFUEL SRCHGWC 1 0 Diesel Fuel Surcharge Walk-In $3.43 $3.43 HMCHAZ MAT CHG 1 0 Hazardous Material Charge $6.95 $6.95 Cylinder Shipped Total: 1 Cylinder Returned Total: 1 Subtotal $112.82 Tax(0%) $0.00 Delivery $0.00 Total'-_ $1,,'12.821 CARMEL STREET DEPT- CUSTOMER 07851 • 3400 W 131 ST ST $112.82 • CARMEL IN 46074 INVOICE: 9118207 INVOICE DATE: 9/20/2018 ORDER: 292827117 P/O: SHOP INDIANA OXYGEN CO. • P.O.BOX 78588 • INDIANAPOLIS, IN • 46278-0588 Visit us on facebook at facebook.com/indianaoxygencompany or at www.indianaoxycien.com NKID -\Nik Indiana Oxygen Co. ORDER IBXYCFM Corporate Office& Indianapolis Branch CUSTOMER# 07851 (317) 290-0003 ORDER# 292827117 Bloomington Cincinnati Elkhart Fishers Fort Wayne (812)330-9210 (513)353-2448 (574)29513433 (317)841-0002 (260)918-0241 DATE 9/20/2018 Lafayette Marion Muncie Seymour Vincennes (765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323 PAGE 1 oft America's Oldest Gas/Welding Supply CUSTOMER S CARMEL STREET DEPT II IIIIIIIIIII IIIIIIIIIIII H 3400 W 131ST ST ORDER I CARMEL,IN 46074 II II IIIIVIII III IIIIIIIII T 317-733-2001 0 NAME _'� CARMEL STREET DEPT P.O.# SHOP SALESINITIALS__ TK REL`#- •' BRANCH : Indianapolis TIME 1:44 PM PHONE# 317-733-2001 INV'LOC I Central Warehouse/Indy PRINT DATE -; 9/20/18 SHIP VIA,µ Will Call PAYMENT; Charge Notes LL. ITEM - - DESCRIPTION" W , QTY _ - QTY CYLINDERS- -UNIT: - - VOLUME/ NO AND HAZARD CLASS '`' ORDER BKORD SHIP RETIN WEIGHT AC75/25 ARGON,CARBON DIOXIDE 75/25 384CF, 1 0 1 1 CYL 384/182 INDUSTRIAL GAS MIX CGA580 0Ty` a '-UNITDECRIPTIO . ITEM Y NO x ORDER-" • BKORD =. LOC FSCFUEL SRCHGWC Diesel Fuel Surcharge Walk-In 1 HMCHAZ MAT CHG Hazardous Material Charge 1 SPECIALINSTRUCTIOI PLACARDS: ❑ ACCEPTED ❑ REFUSED EMERGENCY RESPO E TELEPHON 8005355053 TERMS AND CONDITIONS Customer authorizes Seller to debit Cu.PUMBER: er's credit card or deduct from the THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS Customer's deposit any outstanding balance remaining on the Customer's account SUBJECT TO ALL OF CONDITIONS AS SET FORTH ON REVERSE SIDE HEREOF AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. TERMS AND'CONDITIONS X The Customer herein consents to and accepts the above products subject to all of Welding Welding Company terms an 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' signature verifies shipped and returned rental cylinder count. X SHIPPED BY ORIGINAL