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Home My WebLink About181258 01/13/2010 1 7 OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 i ONE CIVIC SQUARE INDIANA OXYGEN CO CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $144.92 '1 INDIANAPOLIS IN 46278 CHECK NUMBER: 181258 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 00596469 55.64 MATERIALS SUPPLIES 2201 4231100 08068626 70.06 BOTTLED GAS 601 5023990 08069103 9.61 CONT SERVICES OTHER 902 4359003 08070169 9.61 FESTIVAL /COMMUNITY EV CYLINDER RENTAL INVOICE INDIAN NDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07 851 PAGE: 1 P.O. BOX 78588 INVOICE: 08068626 INDIANAPOLIS, IN 46278 -0588 INV DATE: 12/31/09 317 290 -0003 SALESPERSON: 0 0 0 TERR: 007 BRANCH: 004 P /O: TERMS: NET 30 B 1 CARMEL STREET DEPT H CARMEL STREET DEPT L 3400 W 131ST ST I 3400 W 131ST ST L P WESTFIELD IN 46074 WESTFIELD IN 46074 T T O 0 INVOICE AMOUNT: 70.06 PLEASE SEND TOP PORTION WITH YOUR PAYMENT 1I IN I ITEM INVOICE BEGINN ENDING EAD I LJDAYS LINDER EXTENDED (rvP INVICE DATE INVOICE BALANGE ING SHIPPED RETURNED �BALANGE CY CY RATE �AMOUN7 R 050 1 0 0 1 0 31 .310 9.61 R 11X 1 0 0 1 1 0 .310 .00 R 147 3 0 0 3 0 93 .340 31.62 R 220 2 0 0 2 0 62 .310 19.22 R 330 1 0 0 1 0 31 .310 9.61 TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL Ili. 70.06 3400 W 131ST ST INVOICE: 08068626 WESTFIELD IN 46074 INVOICE DATE: 12/31/09 TOTAL CYL VALUE: 1600.00 WO: INDIANA OXYGEN COMPANY P.O. BOX 78588. INDIANAPOLIS, IN 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF$ P. O. Box 78588 Indianapolis, IN 46278 -0588 $70.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TI g AMOUNT Board Member 2201 08068626 42 311.0 $70.06 I hereby certify that the attached invoice(s), or 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 l; I Thurs y, Jant a 0 7, 2010 lit' CY Street Commission :;treclt Corr.rririQr Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/31/09 08068626 $70.06 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer INV ITEM 1 INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED TYPE' ._.BALANCE BALANCE CYLINDERS .RATE AMOUNT D 200 2 0 0 2 1 31 .310 9.61 TAX: .00 CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 TOTAL 9.61 111 W MAIN ST INVOICE: 08070169 CARMEL IN 46032 INVOICE DATE: 12/31/09 TOTAL CYL VALUE: 400.00 P /O: h INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS IN 46278 -0588 Prdscribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. -i� Payee -L h dhat) Ox y'eh C ompf)I Purchase Order No. PO P oX 7 95 gg Terms T nd►4hooIi.f TA/ 1 -1627t 051 g Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12.-/1- 09 ogO7olG9 cyboder ren14) 81 Total :61; 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Thcii014 OXy9eh C0 11 46r1 INSUMOF$ Po Box 7 g5gg T h i061o1IS I/L/ 1 /C2 7g-0586 49.61 ON ACCOUNT OF APPROPRIATION FOR Q 027 4359005 Board Members PO# or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice( s), DEPT I hereb certif that the attached invoices or 6 102 Q8070I 0 4 9,61 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 I-- b'— 2010 -4 nature Direc r of Operatio s Cost distribution ledger classification if Title claim paid motor vehicle highway fund SHIP'D B/ 0._. ="SH76 Ertl UNIT ITEM QTY QTY CYLINDER DESCRIPTION UOM -I� PRICE- AMOUNT._ Location: D i iAC 144 1 0 11 1 COMPRESSED GASES, N.O.S., 2.2 CYL 49.328 49.33 UN1956 144CF 34.2556/100CF (75% ARGON 25% CARBON DIOXIDE) FSCFUEL SRCHGWC 1 O TEMP DIESEL SURCHARGE W/C EA I 3.36 3.36 •HMCHAZ MAT CHG 1 0' HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95 Subtotal 55.64 i TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1� Al 11 )t 3 I I I i Due to cu fuel price. IOC has adjus4ed the Fuel Sur harge 1 1 Taxable amount: 10.00 CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 AMOUNT 0 55.64 THIS INVOICE 3450 W 131ST ST INVOICE: 00596469 INCLUDING TAX WESTFIELD IN 46074 -8267 INVOICE DATE: 12/22/0 ORDER: 01252390 -00 WO: INDIANA. OXYGEN COMPANY P:0: PDX 78588 INDIANAPOi IS; IN _i 46278 -0588 .BEGINNING i„„ N ENDING wv ITEM:' INVOICE PATE; INVOICE SHIPPED HETUFiNEU 1 LEASED BAUpAYS .YLiNER D.. xTEo _BALANCE .CYLINDERS c RATE- E AMOUN •R 020 1- 0 0 1- 0 0 .310 .00 R 070 0 1 1 0 0 0 .000 .00 R 075 0 1 1 0 0 0 .000 .00 R 144 1 1 1 1 1 0 .310 .00 R 147 1 0 0 1 1 0 .340 .00 R 210 1 0 0 1 0 31 .310 9.61 R 337 1 0 0 1 1 0 .310 .00 TAX: .00 CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 TOTAL' 9.61 3450 W 131ST ST INvOICE: 08069103 I WESTFIELD IN 46074 -8267 INVOICE DATE: 12/31/09 TOTAL CYL VALUE: 800.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 VOUCHER 094017 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 {,C6 INDIANAPOLIS, IN 46278 0. Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trait Code 00596469 01- 6200 -06 $55.64 Voucher Total (05 Z5 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 154252 INDIANA OXYGEN CO Purchase Order No. PO BOX 78588 Terms INDIANAPOLIS, IN 46278 Due Date 12/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/2005 00596469 $55.64 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 Date Officer