HomeMy WebLinkAbout183341 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $111.97
CARMEL, INDIANA 46032 PO BOX 76588
INDIANAPOLIS IN 46278 CHECK NUMBER: 183341
CHECK DATE: 311 612 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
2201 4231100 00610511 38.00 BOTTLED GAS
2201 4231100 08076873 ,65.04 BOTTLED GAS
601 5023990 08077341 8.93 CONT SERVICES OTHER
CYLINDER RENTAL INVOICE
WDIANYk- INDIANA OXYGEN COMPANY CUSTOMER: 07851 1 PAGE: 1
BINGO BOX 78588 INVOICE: 08076873
INDIANAPOLIS, IN 46278 -0588 INV DATE: 02/28/10
317- 290 -0003 SALESPERSON: 0 0 0 1 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 30
B S
CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 65.04
PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
JaV IT✓_M.� INVOI�'E:fJATE. _INVOICE BEGINNWG SHIPPED_ RETURNED ENDING LEASED BAIJDAYS CYLVNDEV� T :EXTENDED'
YP BALANCE L ;:DERS^ w E A.IAQUN17
R 050 1 1 1 1 0 28 .319 8.93
R 11X 1 0 0 1 1 0 .319 .00
R 147 3 0 0 3 0 84 .349 29.32
R 220 2 0 0 2 0 56 .319 17.86
R 330 1 0 0 1 0 28 .319 8.93
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 65.04
,TOTAL.
3400 W 131ST ST INVOICE: 08076873
WESTFIELD IN 46074 INVOICE DATE: 02/28/10
TOTAL CYL VALUE: 1600.00 Pio:
I
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 I PAGE: 1
P.O. BOX 78588 INVOICE: 00610511 I ORDER: 01276899 -00
INDIANAPOLIS, IN 46278 -0588 INVDATE: 02/25/10 IORDDATE: 02/25/10
317- 290 -0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: DD
P /O: 2/25/10
TERMS: NET 30
SHIP VIA: Will Call
RELEASE
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O 0
INVOICE AMOUNT: 38.00
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
—QTY QTY- r
UNI
i EM _...r_. G'cSCRIPTiON° UOM A�OIJi�l7~
SHIP0.. B/O PRICE
Location: D
CD 50 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 31.61 31.61
UN1013
50CP 63.2200/100CF
FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 3.44 3.44
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
Subtotal 38.00
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1
I
Due to current fuel price IOC
has adjusted the FueA Sur barge
Taxable amount:1 10.00
CARMEL STREET DEPT CUSTOMER: 07851 38.00
3400 W 131ST ST INVOICE: 00610511
WESTFIELD IN 46074 INVOICEDATE: 02/25/10
ORDER: 01276899 -00 PIO: 2/25/10
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. W ARRANT N O.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
I
Indianapolis, IN 46278 -0588
$103.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 00610511 42- 311.00 $38.00 1 hereby certify that the attached invoice(s), or
2201 08076873 42- 311.00 $65.04 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
T 11, 201C
Street Comm4sifaner
�7treet�a arvea
Title
Cost distributlon 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))
02/25110 00610511 $38.00
02/28110 08076873 $65.04
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
IVrrvnlluivvvIInrwunrmIIvloVI
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNEQ ENDING .LEASED BAUDAYS CYLINDER EXTENDED
n.�..... s- BALANCE ,BFIANCE-- .�CYLVNDEP.S_
R 020 1- 0 0 1- 0 O .319 .00
s
R 144 1 0 0 1 1 0 .319 .00
R 147 1 0 0 1 1 0 .349 .00
R 210 1 0 0 1 0 28 .319 8.93
R 337 1 0 0 1 1 0 .319 .00
TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 8.93
TOTAL
3450 W 131ST ST INVOICE: 08077341
WESTFIELD IN 46074 -8267 INVOICEDATE: 02/28/10
TOTAL CYL VALUE; 800.00 PJO:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN o 46278 -0588
a.,�
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrar-t No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
f CARMEL, INDIANA NO.
Favor Of
x e` �6
Total Amount of Voucher
Deductions
M)1'7341 S 3
Amount of Warrant 19
Month of Yr
Acct
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS -SYSTEMS 1 -800- 382- 8702 325