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Home My WebLink About183341 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