HomeMy WebLinkAbout181258 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