189764 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1
ONE CIVIC SQUARE EAST SIDE GAS INC
s 0 CHECK AMOUNT: $35.17
CARMEL, INDIANA 46032 P.O. BOX 26061
LAWRENCE IN 46226 CHECK NUMBER: 189764
CHECK DATE: 9/14/2010
DEP ARTME NT A CCOUNT P O NUMBER INVOICE NU MBER AMO UNT DESCRIPTION
651 5023990 6725 35.17 TRANSPORTATION EXPENS
LAST S1UL HUU61LK
5010 N POST RD
PO BOX ;26061
LAWRENCE, 6
Ph: 800- 834 6
INVOICE
Truck: FORKLIFT #S01
Driver: BRENT COOK
Invoice: 6725 08/17/10 10:27
Sold To:
CARMEL WASTE WAT
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
Acct 051561
Tank IG030/331
Products
Qty Rtn Price Amount
1 1 32.76 32.76
IG331 33# LIQUID ALU
1.0 2.41 2.41
IG691 ADMIN FEE
Invoice Summary
Subtotal: 35.17
Total: 35.11
Due On Or Before: 09/16/10
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Customer
AUG 2 4 2010
By
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yV.op us al the telephone num-
vMe n9e� her listed on the front of
this delivery invoice.
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RELIGHTING YOUR PILOTS.
We strongly recommend that for safety reasons, you call a
qualified technician to relight your pilots. However, if you
relight the pilots yourself:
a. Turn all appliance controls and manual shut -off valves
to the OFF position.
b. Slowly open the tank shut -off valve.
c. Carefully smell for the presence of propane at floor level
and low spots before attempting to relight the pilot.
d. If gas is detected STOP See "WHAT TO DO IF YOU
SMELL GAS" above.
e. Follow the manufacturer's instructions for pilot lighting.
YOUR PROPANE SYSTEM AND APPLIANCES HAVE BUILT
IN SAFETY FEATURES ...to help keep them working:
a. Do not allow unqualified personnel to service your
propane system or appliance.
b. Do not tamper with gas controls on appliances.
c. Do not let your system run out of propane.
d. Have wet or flooded appliances and controls serviced immediately.
e. Understand that propane odor can fade or be covered
up by other strong odors.
f. Do not light pilot light in areas where there are strong
odors completely ventilate the area first.
g. Call a qualified technician to relight pilots or carefully
follow the equipment manufacturer s instructions.
In. Repeated pilot outages could indicate a hazardous
condition Do not attempt to relight the pilot, call your
serviceman.
RE -ORDER FORM X TSR3B AVAILABLE FROM WEHOF FORMS (800) 221-1209
IMPORTANT INFORMATION ON PROPANE SAFETY
WARNING STATEMENT: Propane is an extremely flammable
gas. Propane vapor reduces oxygen available for breathing and
may cause suffocation in confined spaces. Propane liquid may
cause freeze burn similar to frostbite. Propane can contain small
quantities of chemicals known to cause cancer or birth defects.
FOR YOUR SAFETY, PROPANE HAS AN ODOR ADDED SO YOU
CAN DETECT LEAKS You and each member of your family
must know the smell of propane. Ask your serviceman or
deliveryman to demonstrate its odor. If anyone in your Household
cannot smell propane. or it smells weak, call us immediately. Pro-
pane is heavier than air and will collect at floor level. Carefully
smell at floor level and in low spots to check for propane.
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
352060
EAST SIDE GAS CO. INC. Purchase Order No.
5010 N. Post Road Terms
P.O. Box 26061 Due Date 9/7/2010
Lawrence, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/2010 6725 $35.17
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 A ll cer
VOUCHER 106138 WARRANT ALLOWED
352060 IN SUM OF
EAST SIDE GAS CO. INC.
5010 N. Post Road
P.O. Box 26061
Lawrence, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6725 01- 7502 -06 $35.17
Voucher Total $35.17
Cost distribution ledger classification if
claim paid under vehicle highway fund