HomeMy WebLinkAbout187881 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $221.45
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 187881
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 00640088 142.19 SAFETY SUPPLIES
2201 4231100 08093499 69.69 BOTTLED GAS
601 5023990 08093993 9.57 CONT SERVICES OTHER
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 03390 PAGE: 2
P.O. BOX 78588 INVOICE: 00640088 I ORDER: 01325176 -00
INDIANAPOLIS, IN 46278 -0588 INVDATE: 06/25/10 IORDDATE: 06/23/10
317- 290 -0003 SALESPERSON: 000 TERR: 001
BRANCH: 001 INT: TFS
PlO: CAREY
TERMS: NET 3 0
Y RQ�� SHIP VIA: Our Truck
q, q� l• RELEASE 573 -5250
d S
CARMEL CLAY PARKS H CARMEL CLAY PARKS
L 1235 CENTRAL PARK DR EAST F 1235 CENTRAL PARK DR EAST
CARMEL IN 46032 MONON COMUNITY CENTER
T T CARMEL IN 46032
O O
INVOICE AMOUNT: 142.19
PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITEM OTY QTY_ �CC�DIDT1��1 1 -In6�. _UNIT A�A(�11 77
SHFT, B/O PRICE
RELEASE 573 -5250
OTAL 7YLINVERS SHIPPED: 5 RETURNED: 6
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Purchase
Description X
P.O, P orF
.O.#
G.L.# 10 4- 4 a-5 c O
Bud get �f 1
Line Descf l
Purchaser Date
Approval Date_
Due to current fuel price IOC Del Charge 20.98
has adjusted th� Fuel Sur barge
I
I
Taxable amount: 0.00
CARMEL CLAY PARKS CUSTOMER: 03390 142.19
1235 CENTRAL PARK 1]R EAST INVOICE: 00640088
CARMEL IN 46032 INVOICEDATE: 06/25/10
ORDER: 01325176-00 P /O: CAREY
INDIANA OXYGEN COMPANY e P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ORIGINAL INVOICE
1N INDIANA OXYGEN COMPANY CUSTOMER: 03390 I PAGE: 1
OXYGEN P.O. BOX 78588 INVOICE: 00640088 ORDER: 01325176 -00
INDIANAPOLIS, IN 46278 -0588 INVDATEr 06/25/10 ORDDATE: 06/23/10
317 290 -0003 SALESPERSON: 000 TERR: 001
BRANCH: 001 INT: TFS
P10: CAREY
TERMS: NET 30
SHIP VIA: Our Truck j
RELEASE 573-5250
73 -5250 j
s 1p1p s
L CARMEL CLAY PARKS \y\ H CARMEL CLAY PARKS
L 1235 CENTRAL PARK DR EAST \V P 1235 CENTRAL PARK DR EAST
CARMEL IN 46032��, MONON COMUNITY CENTER
T T
O 0 CARMEL IN 46032
INVOICE AMOUNT: 142.19
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
1TENI-_- ._.__L_... -.QIY _:QTY_ `f.1CCGCiIl7TLG},�1 _.-I V�A�__ UNIT �.A AAI�I� A�T.�_-_
SNIFF) sfO PRICE
RELEASE 573 -5250
*DRIVER ASK FOR KATIE TOURNEY
Location: W
OX AD 5 0 5 4 OXYGEN, COMPRESSED 2.2 CYL 22.788 113.94
UN1072 (USP GRADE)
75CF 151.9200/1000F
I I
ENTER LOT NUMBER ABOVE
G I
.Lot. 00614003 Qiy: 5
'1
P'SCFUEL SURCHRG 1 0 TEMP DIESEL SURCHARGE OUR TRUCK EA 4.32 4.32
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
Location: A
OX M6A 0 0 O 2 OXYGEN, COMPRESSED 2.2 CYL 18.406 0.00
UN1072 (USP GRADE)
OCF N/A
ENTER LOT NUMBER ABOVE
Subtotal 121.21
Due to current fuel rice IOC
basi adjusted the Fuel Sur barge
I
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CARMEL CLAY PARKS CUSTOMER: 03390 CONTINUED
1235 CENTRAL PARK DR EAST INVOICE: 00640088 Eli
CAR-MEL IN 46032 INVOICEDATE: 06/25/10
ORDER: 01325176- PIO: CAREY
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
154252 Indiana Oxygen Company Terms
P.O. Box 78588
Indianapolis, IN 46278 -0588
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/25/10 640088 Oxygen 142.19
Total 142.19
1 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278 -0588
In Sum of
142.19
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1094 640088 4239012 142.19 1 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
15 -Jul 2010
Signature
142.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
IN Q .N INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O. BOX 78588 INVOICE: 08093499
INDIANAPOLIS, IN 46278 -0588 INV DATE: 06/30/10
Illm 3I7- 290 -003 SALESPERSON: 0 0 0 TERR: 007
BRANCH: 004
NO:
TERMS: NET 3 0
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST I 3400 W 131ST ST
L CARMEL IN 46074 P CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 69 .69
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gA3JDAYS CYLINDER EXTENDED
vp BAI- ANGF.- RALANCF.- CYLINDERS ._RATE AMOUNT
R 050 1 0 0 1 0 30 .319 9.57
R 11X 1 0 0 1 1 0 .319 .00
R 147 3 0 0 3 0 90 .349 31.41
R 220 2 0 0 2 0 60 .319 19.14
R 330 1 0 0 1 0 30 .319 9.57
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 69.69
TOTAL
3400 W 131ST ST INVOICE: 08093499
CARMEL IN 46074 INVOICEDATE: 06/30/10
TOTAL CYL VALUE: 1600.00 P /O:
INDIANA OXYGEN COMPANY P.O. SOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. •O. Box 78588
Indianapolis, IN 46278 -0588
$69.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 08093499 42- 311.00 $69.69 1 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
�/Thursdayf ,July,', 2010
k1/ L
Stree +y Commissioner
streak F b a�i i j
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))
06/30/10 08093499 $$9.69
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
IiNV INVOICE BEGINNING RETURNED
r. ITEM INVOICE DATE SHIPPED ggi_gnlCE-
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: 08093993
WESTFIELD IN 46074 -8267 INVOICE DATE: 06/30/10
TOTAL CYL VALUE: 800.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
e M
VOUCHER 1021.28. WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278 0'9�°����
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08093993 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 7/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 08093993 $9.57
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited audited same in accordance with IC 5- 11- 10 -1.6
7 /J1
Date Officer