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Home My WebLink About198578 06/22/2011 CITY OF CARMEL VENDOR: 154252 ,INDIANA Page 1 of 1 t atJ ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $330.79 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 198578 SON CHECK DATE: 6/22/2011 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 00722514 95.27 BOTTLED GAS 2201 4231100 00724694 140.00 BOTTLED GAS 2201 4231100 08140313 75.12 BOTTLED GAS 601 5023990 08140770 10.20 OTHER EXPENSES 1094 4239012 8139959 10.20 SAFETY SUPPLIES NV ITEM- I NVOICE DATE INVOICE BEGINNING_ .SHIPPED REfUt ?NED ENDING LEASED BAIIDAYS CYLINDER EXTENDED P BALANCE BAL.+fJGF. CY; INDERS AAT2 A,.1CUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .329 10.20 E I I I Purchase Description I 1 P.O.# PorF GL.# Budget clU t:I I Line Descr Purchaser 149 Approval ate I I I TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 10 20 TOTAL: 1411 E. 116TH ST. INVOICE: 08].39959 CARMEL IN 46032 INVOICE DATE: 05/31./31. TOTAL CYL VALUE: .1-00.00 P10: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 154252 Indiana Oxygen Company Terms P.O. Box 78588 Indianapolis, IN 46278 -0588 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5131111 8139959 Oxygen 10.20 a Total$ 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 #/TITL AMOUNT Board Members Dept ept 1094 8139959 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 16 -Jun 2011 Signature 10.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE INDIAN1, INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 00724694 ORDER: 01473240 -00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 06/14/11 I ORD DATE: 06/14/11 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 T INT: DAB PIO: SHOP TERMS: NET 3 0 SHIP VIA: Will Call RELEASE B S I CARMEL STREET DEPT H CARMEL STREET DEPT 3400 W 131ST ST P 3400 W 131ST ST CARMEL TN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 140.00 PLEASE SEND TOP PORTION WITH YOUR PAYMENT nn UNIT ITEM ,.ow.- arr DESCRIPTION Uom j AMOUNT:: i SHIP'D B/O PRICE Location: LIFFW3718 50 0 6013 1/8 x 50# FW37 1/8 LB 2.80 140:00 FW371/8 60131/8 Subtotal 140.00 I I Due to current fuel prices IOC i has adjusCed th Fuel Sur harge Taxable amount: 0.00 CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 140.00 THIS INVOICE 3400 W 131ST ST INVOICE: 00724694 INCLUDING TAX CARMEL IN 46074 INVOICEDATE: 06/14/11 ORDER: 01473240 -00 PIO: SHOP 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 $140.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 00724694 42- 311.00 $140.00 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 y lMon June 20, 2011 4j Street Comrni it v Title 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)) 06/14/11 00724694 $140.00 reby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance 1- 10 -1.6 20 Clerk- Treasurer CYLINDER RENTAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851. PAGE: 1 P.O. BOX 78588 INVOICE: 081.40313 INDIANAPOLIS, IN 46278 -0588 INV DATE: 05/31/11 317- 290 -0003 SALESPERSON: 0 0 0 TERR: 007 BRANCH: 004, P /O: TERMS: N fs7.' 30 B CARMEL STREET DEPT H CARMEL S'PREE`I' DEPT L 3400 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 75.12 PLEASE SEND TOP PORTION N /ITH YOUR PAYMENT it n G n G BEGINNING ENDING LEASES CYLINDER EXTENDED ly, .wP _IxE n INVC „CE DATE INVOIC_ cINLANCE .H lPPF�I. RFTI�PNFf) DnI Ai�GE C'iuNDEi�S �ALII]AY$ nnTE- 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 CARBON DIOXIDE 1 1 1 1_ 0 31 .329 10.20 R OXY OXYGEN 2 0 0 2 0 62 .329 20.40 I f I TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 75.12 3400 W 131ST ST INVOICE: 0814031.3 CARMEL IN 46074 INVOICE DATE: 05/31/11. TOTAL CYL VALUE: 2400.00 PIO: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN o 46278 -0588 ORIGINAL INVOICE INIJUNik INDIANA OXYGEN COMPANY CUSTOMER: 07851 I PAGE: 1 DUNE P.O. BOX 78588 INVOICE: 00722514 ORDER: 01469511 -00 INDIANAPOLIS, IN 46278 -0588 INVDATE: 06/06/11 ORDDATE: 06/06/11 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: TRM P /0: 6 -6 -11 TERMS: NET 30 SHIP VIA: Will Call RELEASE B S I CARMEL STREET DEPT H CARMEL STREET DEPT L 3400 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 T T O O INUdICE AMOUNT: 95.27 PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------- sNlao ``ao RIPTIOI UOM MOUNT -UNIT A- ITEM OTY DE C I PRICE Location: D AR 336 1 0 1 1 ARGON, COMPRESSED, 2 -2 CY'L 63.00 63.00 UN1006 331CF 19.0332/1000F FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.32 4.32 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95 HAR404318X36 5 0 4043 1/8 X 36 X 10# BOX ALUMINUM LB 5.00 25.00 40431/8X36X10 0404360 MAY BE HARRIS OR ALCOTEC. Subtotal 95.27 I TOTAL CYLINDERS SHIPPED: 1 RETURNED: lj I Due to current uel price IOC has adjusted the FueL Sur harge Taxable amount:1 10.00 CARMEL STREET DEPT CUSTOMER: 07853. 95:27• OICE THIS INV 3400 W 131ST ST INVOICE: 00722514 _INCLU CARMEL IN 46074 INVOICEDATE: 06/06/11. ORDER: 01469511 -00 PIO: 6 -6 -11 INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN e 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $170.39 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 08140313 42- 311.00 $75.12 1 hereby certify that the attached invoice(s), or 2201 00722514 42- 311.00 $95.27 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 ThuP Pay, �June 16, 2011 Street Commissioner Title 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)) 05/31/11 08140313 $75.12 06/06/11 00722514 $95.27 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 "�y�= T- L L H J C J r l v u 1 v r r V n I v ry VVI I n r u u h5 r H r I V r t v I INV ITEM INVOICE DATE INVOICE- SEGINNING .SHOPPED RETURNED ENDING LEASED CYLINDER EXTENDED EACANCE BALANCE gAUDAYS CYLINDERS. RATE AMOUNT R ALY ACETYLENE 1 0 0 1 1 0 .369 .00 R MIX MIX GASES 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 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: 08140770 CARMEL IN 46074 -8267 INVOICEDATE: 05/31/11 TOTAL CYL VALUE: 1200.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588!- INDIANAPOLIS, IN 46278 -0588 VOUCHER 111473 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO W,q PO BOX 78588 OOEF �nON, INDIANAPOLIS, IN 46278 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 08140770 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 6/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/13/2011 08140770 $10.20 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