HomeMy WebLinkAbout198578 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