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Home My WebLink About196835 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $65.15 s ?o CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 196835 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 00709247 44.75 BOTTLED GAS 1094 4239012 08131440 10.20 SAFETY SUPPLIES 601 5023990 08132254 10.20 OTHER EXPENSES INV ITEM INVOICE DATE INVOICE BEGINNING RETURNEp ENDING LEASED gAL/DAYS CYLINDER `.rXTENOED p.. RAI ANCE .RALANCt.E CYLINDEPS. RATE_ __,.'.AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .329 10.20 Purchase u Descriptio 1` P.O. P r P G.L. 1 7 Budcmt Ur>e%Scr Purchaser Date Approval Date f TAX: 00 CARMEL CLAY PARKS CUSTOMER: 03390 TQTAL 10.20 1411 E. 116TH ST. INVOICE: 08131440 CARMEL IN 46032 INVOICEDATE: 03/31/11 TOTAL CYL VALUE: i00.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 9 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 3(31111 8131440 Oxygen 10.20 Total 10.20 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 10.20 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1094 8131440 4239012 10.20 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 21 -Apr 2011 Signature 10.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund INN INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gp�/DAYS CYLINDER EXTENDED ITEM INVOICE DATE .P _BALANCE... .BALANCE .CY RATE ALY ACETYLEN 1 0 0 1 1 0 .369 .00 MIX MIX GASES 1 0 0 1 1 0 .329 .00 NIT NITROGEN 1 0 0 1 0 31 .329 10.20 OXY OXYGEN 1 0 0 1 1 0 .329 .00 SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .329 .00 I TAX: .00 CARMEL WATER TREATMENT PLAINT CUSTOMER: 12598 TOTAL bo- 10.20 3450 W 131ST ST INVOICE: 08132254 CARMEL IN 46074 -8267 INVOICEDATE: 03/31/11 TOTAL CYL VALUE: 1200.00 P /O: INDIANA OXYGEN COMPANY e F.O. BDOX 78588e INDIANAPOLIS, IN 46278 -0588 VOUCHER 104610 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 WATM INDIANAPOLIS, IN 46278 omm-6 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 08132254 01- 6360 -03 $10.20 Voucher Total $10.20 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 4/18/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/1812011 08132254 $10.20 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 42/41 c I/— Date Officer ORIGINAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07 851 PAGE: 1 P.O. BOX 78588 INVOICE: 00709247 ORDER: 01443780 -00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 04/12/11 ORD DATE: 04/07/11 317 -290 -0003 SALESPERSON: 000 I TERR: 007 BRANCH: 004 INT: DAB P /O: #207 TERMS: NET 30 SHIP VIA: Will Call RELEASE B I CARMEL STREET DEPT H CARMEL STREET DEPT L 3400 W 131ST ST F 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE A MOUNT: 44.75 l PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------- UN OTY Y I ?EE.4 OrY pESCRIPTION;" UOM AMOUNT Location: D NA5187G 1 0 1/8 X 7" GRD. PURETUNG ANCHOR PK 44.75 44.75 100- 1 /87PG PURE TUNGSTEN 1870 Subtotal 44.75 1 Due to current fuel price IOC has adjusted the Fuel Sur barge I Taxable amount: 0.00 CARMEL STREET DEPT CUSTOMER: 07851 A MO U N T 44.75 3400 W 131ST ST INVOICE: 00709247 THIS INVOICE INCLUDING TAX CARMEL IN 46074 INVOICEDATE: 04/12/11 ORDER: 01443780 -00 P /O: #207 INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen 1N SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $44.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 00709247 42- 311.00 $44.75 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 J ursday/ Aprii 21, 2011 Street CommisEpner ii 'M CUMTttpesioner 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)) 04/12/11 00709247 $44.75 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