HomeMy WebLinkAbout196835 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