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Home My WebLink About195489 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO 0 CHECK AMOUNT: $187.55 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 195489 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 2201 4231100 00697215 110.50 BOTTLED GAS 2201 4231100 08127666 67.84 BOTTLED GAS 601 5023990 08128124 9.21 CONT SERVICES OTHER ORIGINAL INVOICE INDIANY1 INDIANA OXYGEN COMPANY CUSTOMER: 07851 (PAGE: 1 P.O. BOX 78588 INVOICE: 00697215 ORDER: 01424899 -00 INDIANAPOLIS, IN 46278 -0588 INVDATE: 02/24/11 IORDDATE: 02/24/11 317- 290 -0003 SALESPERSON: 000 I TERR: 007 BRANCH: 004 INT: TRM P10: SHOP TERMS: NET 30 I SHIP VIA: Will Call RELEASE M I CARMEL STREET DEPT H CARMEL STREET DEPT 3400 W 131ST ST F 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 110.50 PLEASE SEND TOP PORTION WITH YOUR PAYMENT ITEM OTY °..ory DESCRIPTION UOM 'UNiT AMOUNT Location: OX 220 2 0 2 2 OXYGEN, COMPRESSED, 2.2 CYL 23.10 46.20 UN1072 440CF 10- 5000 /1000F AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 52.316 52.32 UN1001 147CF 35.5891/100CF RECORD "ACTUAL" CUBIC FOOTAGE CF CF (60L175CF /CYL) TIL1586L 1 0 LG CAMO FLEECE LINED WINTER PR 4.95 4.95 GLOVES WINTERGLOVES FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE WIC EA 4.08 4.08 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95 Subtotal 110.50 TOTAL CYLI ERS SHIPPED: 3 RETURNED: 3 Due to cu rent fuel rice IOC has adjusted the Fue Sur harge Taxable amount:1 0.00 CARMEL STREET DEPT CUSTOMER: 07851 6 0 110.50 3400 W 131ST ST INVOICE: 00697215 CARMEL IN 46074 INVOICEDATE: 02/24/11 ORDER: 01424899 -00 P /O: SHOP INDIANA OXYGEN COMPANY F.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 CYLINDER RENTAL INVOICE I_N IDIANik INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 08127666 INDIANAPOLIS, IN 46278 -0588 INV DATE: 02/28/11 317 -290 -0003 SALESPERSON: 0 0 0 TERR: 007 BRANCH: 004 P /O: TERMS: NET 30 CARMEL STREET DEPT I CARMEL STREET DEPT L 34.00 W 131ST ST I 3400 W 131ST ST L CARMEL IN 46074 P CARMEL IN 46074 T T O O INVOICE AMOUNT: 67.84 PLEASE SEND TOP PORTION WITH YOUR PAYMENT---.------------------------------------- Nv TEM r� INVOICE DATE. INVO]CE,• ae�INNI SHIPPEp" RETURNED EN °i �eASeo gAL/DAYS' CYLINDER EXTENDED �p BACAkICF' RALANC:F CYhINDERS' .__RATE,' •AMOUNY.; R ALY ACETYLEN 3 1 1 3 0 84 .369 31.00 R ARG ARGON 2 0 0 2 1 28 .329 9.21 R CO2 CARBON DIOXIDE 1 0 0 1 0 28 .329 9.21 R OXY OXYGEN 2 2 2 2 0 56 .329 18.42 TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 67.84 `.TOTAL 3400 W 131ST ST INVOICE: 08127666 CARMEL IN 46074 INVOICE DATE: 02/28/11 TOTAL CYL VALUE: 2400.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $178.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 00697215 42- 311.00 $110.50 1 hereby certify that the attached invoice(s), or 2201 08127666 42- 311.00 $67.84 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 Thursd?'aj1 March 10, 2011 Street CornIfirsioner oiit rufflie�fpner 1"itle 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)) 02/24/11 00697215 $110.50 02/28/11 08127666 $67,84 I hereby certify that the attached invoice(s), or bM(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk Treasurer INV ITEM INVOICE BATE INVOICE BEGINNING SHIPPED RETURNED "ENDING LEASED.': 6ACIDAYS CYLINDER EXTENDED _BALANCE _r °BAL'ANCE _CYLINDERS. _.._R AMO R ALY ACETYLENE 1 0 0 1 1 0 .369 .00 R MIX MIX GASES 1 1 1 1 1 0 .329 .00 R NIT NITROGEN 1 0 0 1 0 28 .329 9.21 R OXY OXYGEN 1 0 0 1 1 0 .329 .00 R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .329 .00 r TAX: .00 CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 T•TOTAL.l 1 9.21 3450 W 131ST ST INVOICE: 08128124 CARMEL IN 46074 -8267 INVOICEDATE: 02/28/11 TOTAL CYL VALUE: 1200.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588. VOUCHER 104268 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 A7XW INDIANAPOLIS, IN 46278 n Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 08128124 01- 6360 -03 $9.21 Voucher Total $9.21 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 3/8/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/8/2011 08128124 $9.21 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 3 Zj111 Date Officer