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Home My WebLink About163252 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $249.28 INDIANAPOLIS IN 46278 CHECK NUMBER: 163252 CHECK DATE: 9/3/2008 DEPARTMENT ACC OUNT PO NUM I NVOICE NUM AMOUNT DESCRIPTION 2201 4231100 00484067 114.13 BOTTLED GAS 1047 4239099 479897 135.15 OTHER MISCELLANOUS ORIGINAL INVOICE 1- UTAN1k INDIANA OXYGEN COMPANY CUSTOMER: 03390 PAGE: 2 P.O. BOX 78588 INVOICE: 00479897 ORDER: 01050789 -00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 08/04/08 ORD DATE: 07/31/08 317 290 -0003 SALESPERSON: 000 TERR: 001 BRANCH: 001 INT: RLU P /O: TERMS: NET 30 SHIP VIA: Our Truck RELEASE B CARMEL CLAY PARKS ED H CARMEL CLAY PARKS L 1235 CENTRAL PARK DR E A '}(�(�A 1235 CENTRAL PARK DR EAST L P CARMEL IN 46032 A�67 LW`�" CARMEL IN 46032 T T O O INVOICE AMOUNT: 135.15 PLEASE SEND TOP PORTION WITH YOUR PAYMENT 7 UNIT ITE S�icn, �•.3io DESCRI AT 1 ON AMOU NT,�� OTAL YLINDERS SHIPPED: 5 RETURNED: 5 F IVED 8 2008 BY: Purchase Description P.O. P F Budget j Une Desor PurCti see Ay Approval ate I I .india aoxygrn.coT Del Charge 19.00 emalil in @indianaoxy en.com Taxable amount: 0.00 i CARMEL CLAY PARKS CUSTOMER: 03390 135.15 1235 CENTRAL PARK DR EAST INVOICE: 00479897 CARMEL IN 46032 INVOICEDATE: 08/04/08 ORDER: 01050789 -00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588• INDIANAPOLIS, IN 46278 -0588 K ACCOUNTS PAYABLE VOUCHER r 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 Date Due Indianapolis, IN 46278 -0588 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/4/08 479897 Oxygen Outdoor Aquatics 135.15 Total 135.15 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 i Voucher No. Warrant No. Indiana Oxygen Company Allowed 20 154252 P.O. Box 78588 Indianapolis, IN 46278 -0588 In Sum of r 135.15 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 479897 4239099 135.15 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 18 -Aug 2008 F'', bA l>7/YV1A yy Signature 135.15 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 I 00484067 ORDER: 01059194 -00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 08/20/08 ORD DATE: 08/20/08 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: BK P /O: 126ST BRIDGE j TERM NET 30 j SHIP VIA: W ill Call RELEASE B S CARMEL STREET DEPT H CARMEL STREET DEPT 3400 W 131ST ST F 3400 W 131ST ST WESTFIELD IN 46074 WESTFIELD IN 46074 T T O O INVOICE AMOUNT: 114.13 PLEASE SEND TOP PORTION WITH YOUR PAYMENT ITEM DESCRIPTION UOM :UNIT AMOUNT ,1 SHIP .s Maio PRICE Location: D OX 220 1 0 1 0 OXYGEN, COMPRESSED, 2.2 CYL 38.452 38.45 UN1072 220CF 17.4782/100CF AL S 1 0 1 0 ACETYLENE, DISSOLVED, 2.1 CYL 68.783 68.78 UN1001 147CF 46.7912/1000F RECORD "ACTUAL" CUBIC FOOTAGE CF CF (60 -175CF /CYL) FSCFUEL SRCHGWC 11 0' TEMP FUEL SURCHARGE W/C EA 3.95 3.95 ?�RCHAZ MAT CHG 1I 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95 I Subtotal 114.13 'OTAL �YLINDERS SHIPPED: 2 RETURNED: 0 I I j j I indianaoxyg n.Cv email in *ndia aoxy en.com I Taxable amount: 10.00 CARMEL STREET DEPT CUSTOMER: 07851 AMOU O ICE N T 114.13 THIS INV 3400 W 131ST ST INVOICE: 00484067 INCLU i WESTFIELD IN 46074 INVOICEDATE: 08/20/08 ORDER: 01059194 -00 P /O: 126ST BRIDGE INDIANA OXYGEN COMPANY a 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 $114.1 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 00484067 42- 311.00 $114.13 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 Thursday, August 28, 2008 Street C missioner 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)) 08/20/08 00484067 $114.13 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