HomeMy WebLinkAbout185799 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $106.32
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 185799
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBE INV OICE NUMBER AMOUNT DESCRIPTI
2201 4231100 00628152 -f70.90 BOTTLED GAS
2201 4231100 00629918 BOTTLED GAS
2201 4231100 00629919 f 6.95 BOTTLED GAS
601 5023990 08085626 ___,-9.57 CONT SERVICES OTHER
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O. BOX 78588 INVOICE: 006_ ORDER: 01307852 -00
INDIANAP IN 46278 -0588 INV DATE: 05/07/10 jORDDATE: 05/07/10
317 290 -0003 SALESPERSON; 000 I TERR: 007
BRANCH: 004 INT: DD
PIO:
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 O
INVOICE AMOUNT: 70. 90 i
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM oTY 810 DESCRIPTION UOM UNIT AMOUNT
j S iIP'D Dro I PRICE I
Location: D
IKISKC2803544 44 0 70S6 .035 X 44# SPL j LB 1.25 55.00
70S6035X44 #SPOOL
TIL14701, 1 0 LG PEARL GOAT PLM,SPNDX BACK -CD PA 8.95 8.95
TIL14.26XLC 1 0 XL IMP GRAIN COWHD,KS DRVRS -BULK] PR 6.95 6.95
I
Subtotal 70 90 j
I
j
I
Duel to current fuel price IOC
i
hasj adjusted the Fuei Sur barge j
I I
Taxable amount: 0.00 I
CARMEL STREET DEPT CUSTOMER: 07851 70.90 j
3400 W 131ST ST INVOICE: 00628152 j
WESTFIELD IN 46074 INVOICEDATE: 05 /07/10
ORDER: 01307852 -00 P /0:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN o 46278 -0588
ORIGINAL INVOICE
N INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O. BOX 78588 INVOICE: 00629918 ORDER: 01307863 -01 j
INDIANAPOLIS, IN 46278 -0588 INV DATE: 05/14/10 ORD DATE: 05/07/1 o
317- 290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: DD j
PIO: SHOP
TERMS: NET 30
SHIP VIA: UPS j
RELEASE
B 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: 18.90
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
I ITEM SOT aTO DESCRIPTION i `UOM I ,UNIT AMOUNT
Location: D
TIL1421XL 2 0 XL IMP GRAIN COW,PS DRVRS GLV -CD I PR 6.95 13.90
I
i
Subtotal 13.90
I
I I
I
I
Ii j II
I
h:..
I
II
Due to current fuel price) TOC Freight i 5.00
has adjusted the Fuel Sur harge
I
Taxable amount: 0.00
CARMEL STREET DEPT 4 CUSTOMER: 07851 j' 18.90
3400 W 131ST ST INVOICE: 00629918
WESTFIELD IN 46074 INVOICEDATE: 05/14/10
ORDER: 01307863-01 P /0: SHOP
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ORIGINAL INVOICE
IN IANY1 INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
DIME P.O. BOX 78588 INVOICE: 00629919 ORDER: 01307863 -02 I
INDIANAPOLIS, IN 46278 -0588 INVDATE: 05/14/10 ORDDATE: 05/07/10
ME Rom 0
317 -290 -0003 SALESPERSON: 000 TERR: 007 I
BRANCH: 004 T INT: DD
PIO: SHOP
TERMS: NET 3 0
S HIP V UPS
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
0 a
=INVOICE 6.95
PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
QTV_ _Qry
ITEM SHiP eIO DESCRIPTION UOM UNIT PRICE AMOUNT
Location: D
TIL1421L 1 0 LG IMP GRAIN COW, PS DRVRS GLV -C PR 6.95 6.95
D
Subtotal 6.95
i
I I I
k
Due to current fuel price IOC
hasladjusted the Fuel Surf =harge
I
f
Taxable amount:f 0.00 I
CARMEL STREET DEPT CUSTOMER: 07851 fir' 6.95
3400 W 131ST ST INVOICE: 00629919 �1
WESTFIELD IN 46074 INVOICEDATE: 05/14/10
ORDER: 01307863 -02 PIO: SHOP
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
$96.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 00628152 42- 311.00 $70.90 1 hereby certify that the attached invoice(s), or
2201 00629919 42- 311.00 $6.95_ is (are) true and correct and that the
2201 00629918 42- 311.00 $18.90
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 20, 2010
Street Comrhissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (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))
05/07110 00628152 $70.90
05/14/10 00629919 $6,95
05/14/10 00629918 $18.90
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
rLCHOC OGVU I yr run i iuiv VYI I n rVUMt h T iVIC1'41
INV BEGINNING ENDING LEASED CYLINDER EXTENDED
ret, P.. TEM _INVOICE DATE INVOICE BnLnNCe SHIPPED RETURNED BALANCE CYLINDERS SAUDAYS RAZE AMOUNT
•R 020 1- 0 0 1- 0 0 .319 .00
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 30 .319 9.57
R 337 1 0 0 1 1 0 .319 .00
TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 TOTAL. 9.57
3450 W 131ST ST INVOICE: 08085626
WESTFIELD IN 46074 -8267 INVOICEDATE: 04/30/10
TOTAL CYL VALUE: 800.00 P /O:
INDIANA OXYGEN COMPANY P.Q. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VO UCHER 101596 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO d)
PO BOX 78588 z
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08085626 01- 6360 -03 $9.57
Voucher Total $9.57
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 5/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2010 08085626 $9.57
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
Date Off' e