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165740 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1 f ONE CIVIC SQUARE EAST SIDE GAS INC s ,rA CARMEL, INDIANA 46032 P o. eox 26061 CHECK AMOUNT: $34.39 �a LAWRENCE IN 46226 CHECK NUMBER: 165740 CHECK DATE: 11/1212008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER m� AMOUNT DESCRIPTION 651 5023990. 100432 34.39 TRANSPORTATION EXPENS- 1 DELIVERY ADDRESS TYPE DEL CYLINDERS DATE OF $ERV.Fi'. R TYP QUANTITY DELIVERED REMOVED SIZE ORDER c 't-f W 'T F-1 RITE. RTE. 1 1 L SEQ. o 0 0 0 8 0 9609 HAZEL DE-1 1. PIKWY MAP MAP 3 3 1 INDiANAP IN 46280- EX M VA I PG WK A ---'T WK B x- Y- CD� CD. WK G WK D RAfE 1201 -01 DRIVER i� f SON V 1 1. 1. F�-N 1: 96� -1 INSTR. TO HAZEL 00- k- lziKWY-N 1*0 ISF EAST SIDE GAS C.C.IMPANY 5010 N. PCIS'l ROAD I-AWRi-�.W.',E IN 41F,;!i2G- BILLING ADDRESS ACCOUNT NUMBER DIV. No. C W W T P 5 1 1 02 RECEIVED BY P. A.F. 0. x [IJA )01 PROP�NL TAX 2.41 9609 HAZI=L 0�--U- PKWY GTR. �LASTDLLIVERY DRIVER Admir Feem DEL INDIANAP(11LIS, IN 462 80- C T �j 09 30 08 X TAX TELEPHONE DATF t LS tR IN ap�1 171 k? )LIVERY T�CKET NO. 0/ �2; TOTAL 1004321 CUSTOMtR COPY Liquified Petroleum Gas a Propane a Flammable Gas O UN -1075 o Non Corrosive W ARNING! EXTREMELY FLAMMABLE, VAPOR AND LIQUID ARE COLORLESS, PRODUCT CONTAINS AN ODORANT UNPLEASANT ODOR. ASK YOUR DELIVERY PERSON TO LET YOU SMELL THE PROPANE, LEARN TO IDENTIFY THIS ODOR. Safety Information for Users of Propane The fact that propane burns makes it a very useful energy source. However, for the same reason, the propane and its container must be treated with respec'. You must be aware that propane is heavier than air and without proper ventilation can collect in low places like basernents, pits on the floor, etc. Like any energy efficient fuel, if ignited, propane can cause explosions or fires ��,hich could cause injury. Propane has an odorant added which, under some circumstances, may fade or not be able to be detected by sorne people. Have your propane delivery person allow you to smell the propane and remember the odor. If your sense of smell is impaired, notify your Propane Supplier. If you smell propane, open windows and doors to increase ventilation. Do not light matches or smoke. Do not operate switches, electricai appliances or thermostats. Do not provide an ignition source. Get everyone out of the building. Shut off the propane supply at the container. Call your propane supplier from your neighbor's phone. DO NOT go back into the building until your propane supplier has resolved the situation. Service or repairs to a propane system must be done by a trained propane service person. DO NOT ATTEMPT REPAIRS. 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 352060 v EAST SIDE GAS CO. INC. Purchase Order No. 5010 N. Post Road Terms P.O. Box 26061 Due Date 11/3/2008 Lawrence, IN 46226 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/3/2008 100432 $34.39 r 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 Date Officer VOUCHER 086574 WARRANT ALLOWED 352060 IN SUM OF c, EAST SIDE GAS CO. INC. 5010 N. Post Road P.O. Box 26061 Lawrence, IN 46226 Carmel Wastewater Utility a ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 100432 01- 7502 -06 $34.39 s Al Voucher Total $34.39 Cost distribution ledger classification if claim paid under vehicle highway fund