HomeMy WebLinkAbout194634 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
L ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $108.56
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 194634
CHECK DATE: 2/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08123488 75.12 BOTTLED GAS
601 5023990 08123951 10.20 OTHER EXPENSES
601 5023990 690998 23.24 OTHER EXPENSES
PLEAb'l- a D I OP PORTION WITH YOUR PAYMENT
INV ITEM NVOICE,DATE,INV.OICE BEGINNING SHIPPED__ RETURNED ENDING' .LEASED gAUD4Y5; CYLINDER "EXTENDED
P BALANCE 13ALANCE- CYLINDERS- =RATE n! AUNT-
R ALY ACETYLENE 1 0 0 1 1 0 .369 .00
R MIX MIX CASES 1 0 0 1 1 0 .329 .00
R NIT NITROGEN 1 0 0 1 0 31 .329 10.20
R OXY OXYGEN 1 0 0 1 1 0 .329 .00
R "SAL SMALL ACETYLENE 0 1 1 0 0 0 .329 .00
R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .329 .00
TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 TOTAL 10.20
3450 W 131ST ST INVOICE: 08123951
CARMEL IN 46074 8267 INVOICEDATE: 01/31/11
TOTALCYLVALUE: 800.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INI)IANAPOLIS, IN 46278 -0588
F'LLASFSLNU IUFVUhIIUN WIIH YUUM YAYNIIzNI
torv ._arr r; l]FSCRiRTION .__UOM AMOUNT `4
UN
SHIP'0 BJO
r 3w E:
Location: D
AL MC 1 0 1 1 ACETYLENE 10CF CYL 16.35 16.35
CGA -200
10CF 163.5000/100CF
FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 3.94 3.94
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
Subto al 23.24
TOTAL CYLINDERS SHIPPED: 1 RETURNED; 1
I
1
Duel to Cu.rent fuel price IOC
I
has adjusted th Fue Sur barge
Taxable amount: 10.00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 AMOUN 23.24
O ICE
3450 W 131ST ST INVOICE: 00690998 THISINV
INCLUDINGTAX
CARMEL IN 46074 -8267 INVOICEDATE: 01/28/11
ORDER: 01413928 -00 P10: KR12711
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278-0588
VOUCHER 103983 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO WATER
PO BOX 78588 OPERA7f0N3
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
690998 01- 6200 -03 623.24
Voucher Total 3. q-
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 2/4!2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2011 690998 $23.24
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
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 1 PAGE: 1
P.O. BOX 78588 INVOICE: 08123488
INDIANAPOLIS, IN 46278 -0588 INV DATE: 01/31/
317- 290 -0003 SALESPERSON: 0 0 0 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 30
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 75.12
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV BEGINNINGS H ENDING LEASED CYLINDER; EXTENDED"
P I I CE DATE INVOICE BALANCE SHIPPED RETURNED ,BALANCE BAIJDAYS
_CYLINDERS RATE: AMO
R ALY ACETYLENE 3 0 0 3 0 93 .369 34.32
R ARG ARGON 2 0 0 2 1 31 .329 10.20
R CO2 CARSON DIOXIDE 1 0 0 1 0 31 .329 10.20
R OXY OXYGEN 2 0 0 2 0 62 .329 20.40
'PAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 75.12
3400 W 131ST ST INVOICE: 08123488
CARMEL IN 46074 INVOICE DATE: 01/31/11
TOTAL CYL VALUE: 1600.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
i
i
1
i
VOU NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$75.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 08123488 42- 311.00 $75.12 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
Monday, Feb,�ar 14, 2011
f
fpltA�
Street Commissioner
CICGI LVI011l ItJJIUEtdf
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
01/31111 08123488 $75.12
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