HomeMy WebLinkAbout192121 11/23/2010 a CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
i 0 CHECK AMOUNT: $19.78
s.�lo CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 192121
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 08110460 9.89 SAFETY SUPPLIES
601 5023990 08111302 9.89 CONT SERVICES OTHER
CYLINDER RENTAL INVOICE
I.KDI N A INDIANA OXYGEN COMPANY CUSTOMER: 03390 1 PAGE: 1
P.O. BOX 78588 INVOICE: 08110460
INDIANAPOLIS, IN 46278 -0588 INV DATE: 10/31/10
317 290 -0003 SALESPERSON :0 0 0 TERR: 001
BRANCH: 0
NOV 0 2 010 I TERM NET 3 0
I
_B CARMEL CLAY PARKS H CARMEL, CLAY PARKS
L 1235 CENTRAL PARK DR EAST 1235 CENTRAL PARK DR EAST
O CARMEL IN 46032 u Tim o CARMEL IN 46032
V r{ InT
C h a P INVOICE AMOUNT: 9.89
e
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
'INV
INVOICE DATE INVOICE BEGINNING "ENDING LEASED CYLINDER EXTENDED
S R[ TURNE[l E ALDA_ S
o ni,hN_
,R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 _319 9.39
0'
gu S
Due to increas d regulatory costs on ace ylene
I0C is increasing acetylene cylin er ren a1. ra es TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 T(}7AL 9.89
1235 CENTRAL PARK DR EAST INVOICE: 08110460
CARMEL IN 46032 INVOICE DATE: 10/31/10
1 OTAL CYL VALUE: 75.00 P /O:
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
10/31/10 8110460 Rental of oxygen tanks 9.89
Total 9.89
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
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278 -0588
In Sum of
9.89
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1094 8110460 4239012 9.89 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
18 -Nov 2010
X4
Signature
9.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
P E E St D TOP PORTION WITH YOUR PAYMENT
I N V ITEM INVOICE DATE_ INVOICE_ BEGINNING SHIPPED RETURNED ENDING LEASED BAVDAYS CYLINDER EXTENDED'
ii'PE BALANCE. BALANCE ..CYLINDERS RATE_ AMOUNT
R ALY ACETYLENE 1 0 0 1 1 0 .369 .00
R MIX MIX GASES 1 1 1 1 1 0 .319 .00
R NIT NITROGEN 1 0 0 1 0 31 .319 9.89
R OXY OXYGEN 1 1 1 1 1 0 .319 .00
R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .319 .00
Due to increas d regu atory costs on ace ylene
IOC is increasing ace ylene cylin Per ren al ra es TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 TOTAL 9.89
3450 W 131ST ST INVOICE: 08111302
CARMEL IN 46074 -8267 INVOICEDATE: 10/31/10
TOTAL CYL VALUE: 800.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588- INIDIANAPQOLIS: -g•N� 46278.7,-0588
VOUCHER 103300 WARRANT ALLOWED
154252 IN SUM OF
4.
INDIANA OXYGEN CO p WA
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08111302 01- 6360 -03 $9.89
Voucher Total $9.89
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 11/16/2010
invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/16/201( 08111302 $9.89
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