192053 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1
ONE CIVIC SQUARE EAST SIDE GAS INC
CARMEL, INDIANA 46032 P.O. Box 26061 CHECK AMOUNT: $36.73
LAWRENCE IN 46226 CHECK NUMBER: 192053
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7933 36.73 OTHER EXPENSES
LAS f S I U.L,, 1100S i tK
LAWRENCE, IN 46226
Ph: 800 -834 6169
INVOICE
Truck: FORKLIFT #S01
Driver: BREN C
Invoice: 7933 11/09/10 10:36'
Sold To:
CARMEL WASTE WAT
9609 HAZEL DELL PKWY
INDIANAPOLIS; IN 46280
Acct 051561
Tank I
Products
Qty Rtn Price Amount
1 1 34.32 34.32
IG331 33# LIQUID ALU
1.0 2.41 2'.41
IG691 ADM IN FEE
Invoice Summary
Subtotal: 36.73
Total: 36.13
Due On Or Before: 12/09/10
Customer
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How To Close Gas Supply Valves
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vite; Iwe ber listed on the front of
this delivery invoice.
RELIGHTING YOUR PILOTS.
We strongly recommend that for safely 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. Ha4e wet or flooded appliances and controls serviced immediately.
e. Understand that propane odor can fadn 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.
It. Repeated pilot outages could indicate a hazardous
condition Do not attempt to relight the pilot, call your
serviceman.
RE ORDER FORM q TSR3B AVAILABLE FROM WEHOF FORMS (800) 2211208
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.
VOUCHER 106577 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
.4
7933 01- 7502 -06 $36.73
Voucher Total $36.73
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
352060
EAST SIDE GAS CO. INC. Purchase Order No.
5010 N. Post Road Terms
P.O. Box 26061 Due Date 11/15/2010
Lawrence, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/201( 7933 $36.73
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 Officer