HomeMy WebLinkAbout200485 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $132.19
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 200485
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00734073 46.87 OTHER EXPENSES
2201 4231100 08148809 75.12 BOTTLED GAS
601 5023990 08149255 10.20 OTHER EXPENSES
CYLINDER RENTAL INVOICE
I:NDI. /Nil INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O. BOX 78588 INVOICE: 08148809
INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/31/11
317-290-0003 SALESPERSON: 0 0 0 TER R: 007
BRANCH: 004
PIO:
TERMS: Nl 'V 3 0
B CARMEL STREET DEPT H CARMEL S`VREET DEPT
L 3400 W 131ST ST I 34.00 W 1.31.S'!' ST
L CARMEL IN 46074 P CARM "Ll, 1 "N 46074
T T
O O
INVOICE AMOUNT: 75.12
PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
.ENV ITEM N`JOICE�DATE. INVOICE BEGINNING gHIPPED- RETURNED ENDING LEASED RAVDAYS CYLINDER EXTENDED
P BALANCE BALANCE. CYLINDERS RATE AA'CUNT
AL ACETYLENE 3 0 0 3 0 93 .369 34.32
ARG ARGON 2 0 0 2 1 31 .329 10.20
CO2 CARBON DIOXIDE 1 0 0 7. 0 31 .329 10.20
OXY OXYGEN 2 0 0 2 0 62 .329 20.40
i
I
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851_ 75.12
TOTAL
3400 W 131ST ST INVOICE: 08148809
CARMEL IN 46074 INVOICEDATE: 07/31/11.
TOTAL CYL VALUE: 2400.00 P /o:
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
$75.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 08148809 42 311.00 $75.12 1 hereby certify that the attached invoice(s), or
bilt(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
{jThursda /Aug 11, 2011
�r
Street Commissioner
V IIGGI vvtii �I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199°
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 bili(s))
07/31/11 08148809 $75.12
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
INV ITERA MVOICF OATS .INVOICE BEGINNING $HIPPED IRETURNFO ENDING LEASED BAI�DAYS CYLINDER EXTENDED
P BALANCE BA. A:JCF I CYIJ7JDFR5 RATE At ".OUNT
R ALY ACETYLENE 1 1 1. 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
OXY OXYGEN 1 0 0 1. 1 0 .329 .00
SHP SMALL HIGH PRESSURE 1- 0 0 1.- 0 0 .329 .00
TAX: .00
CARMEL WATER CUSTOMER: 12598 TOTAL 10.20
3450 W 131ST ST INVOICE: 08149255
CARMEL IN 46074 8267 INVOICEDATE: 07/31/11
TOTAL CYL VALUE: 12 00.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
N il
:ITEM.. flir L''c�ry .DESCRIPTION UOM PRIC AMOUNT
III IBM
SHIP'D BIG
E
Location: A
AL A75 1 0 1 1 ACETYLENE, DISSOLVED, 2.1- CYL 39.787 39.79
UN1001
81CF 0 49.11.98/1.0001'
PRICE INCLUDES TEMPORARY CARBIDE,
SURCHG
RECORD ACTUAL CUBIC FOOTAGE:
f
FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.13 4.13
i
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
I i
Subtotal. 46.87
I
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 7.
Due to current fuel price3 IOC
has adjusted the Fuel Sur harge 1
Taxable amount: 0.00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 46.87
3450 W 131ST ST INVOICE: 00734073
CARMEL IN 46074 -8267 INVOICEDATE: 07/22/11.
ORDER: 01489437-00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Gam' tw"+ �r �R a' 7'�St 5 '�t.`�. s.�,,� :.n na ,a'e. _.fie
VOUCHER 111994 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00734073 01- 6200 -06 $46.87
k-) 9 Iq1i;t55 bt,L%t 63 10•w
Voucher Total S7-
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 45278 Due Date 818/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2011 00734073 $46.87
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