HomeMy WebLinkAbout165816 11/12/2008 o. CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $254.87
i� CARMEL, INDIANA 46032 PO BOX 78588
'ti« INDIANAPOLIS IN 46278 CHECK NUMBER: 165816
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 74.71 BOTTLED GAS
601 5023990 00502049 180.16 OTHER EXPENSES
I ary QTY i UNIT
ITEM sHiPO a/o DESCRIPTION I UOM PRICE l AMOUNT
Location: W
r. I
MIP204323 1 0 I I SHIELD,DRAG ICE- 40C EA 14.76 14.76
MIP192049 2i 01 SWIRL RING,ICE- 40C/55C EA 15.00 30.00
MIP204325 I 5 0 TIP,ICE- 40C 40AMP EA i 3.93I 19.65
MIP192047 5 01 ELECTRODE,ICE- 40C/50C/55C EA 9.621 48.10
i I i
;MIP192052 5! 0i TIP,EXTENDED ICE 40C/55C 40AMP EA 4.61 23.05
MIP192048 5 Oi ELECTRODE,EXTENDED ICE- 40C /50C EACH 8.92 44.60
55C
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Subtotal. i 1.80.16
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wwwl.indianaoxygen.col
j emalil inioice @indianaoxy en.com
Taxabl amount:' 0.00 1
AMNT
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 OU 180.16
INV THIS
3450 W 131ST ST INVOICE: 00502049 INCLU
WESTFIELD IN 46074 -8267 INVOICEDATE: 1.0 /30/08
ORDER: 01.090273 -00 P /O: GREG
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN .46278 -0588-
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 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 00502049 $180.16
<r
h
I hereby certify that the attached invoice(s), or bill(s) is (are) true and a
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date /Off i e
VOUCHER 083559 WARRANT ALLOWED
1 54252 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
00502049 01- 6200 -04 $180.16
4
0
Voucher Total $180.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED CYLINDER EXTENDED
YP BALANCE BALANCE CYLIN DERS gAL/DAYS RATE AMOUNT
R 050 1 0 0 1 0 31 .290 8.99
R 11X 1 0 0 1 1 0 .290 .00
R 147 3 0 0 3 0 93 .320 29.76
R 220 3 0 0 3 0 93 .290 26.97
R 330 1 0 0 1 0 31 .290 8.99
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 74 71
3400 W 131ST ST INVOICE: 08009417
WESTFIELD IN 46074 INVOICEDATE: 10/31/08
TOTAL CYL VALUE: 1800.00 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
$74.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 08009417 42- 311.00 $74.71 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
Friday, November 07, 2008
C l L�
Street Comi4itsioner
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))
10/31/08 08009417 $74.71
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