HomeMy WebLinkAbout160412 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
0 r CHECK AMOUNT: $328.43
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 160412
CHECK DATE: 6/1012008
DEPARTM ACCO UNT PO NUMBER IN VOICE NU MBER AMOUNT DESCRIPTION
2201 4231100 00462660 37.15 BOTTLED GAS
2201 4231100 00463075 160.50 BOTTLED GAS
2201 4231100 00464272 27.38 BOTTLED GAS
2201 4231100 00464273 47.60 BOTTLED GAS
2201 4231100 00888281 55.80 BOTTLED GAS
INV
p ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING "LEASED CYLINDER EXTENDED
P BALANCE BALAN gAUDAYS CYLINDERS RATE AMOUNT
R 050.: 1 1 1 1 0 31 .290 8.99
R 11X 1 0 0 1 1 0 .290 .00
R 147 2 1 1 2 0 62 .320 19.84
R 220 2 1 1 2 0 62 .290 17.98
R 330 1 0 0 1 0 31 .290 8.99
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 55.80
3400 W 131ST ST INVOICE: 00888281
WESTFIELD IN 46074 INVOICEDATE: 05/31/08
TOTAL CYL VALUE: 1400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
__ITEM gQion_...,gi0 _DESCRIPTION UOM NCB AMOUNT_.
Loc;�tion: Ir
W 1 0 COVER BLACK NYLON, 3" X 11 EA 27.38 27.38
ZIPPER
+CALL MIKE WHEN IN+
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Subtotal 27.38
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Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 INV 27.38
3400 W 131ST ST INVOICE: 00464272 INCLUDING TAX
WESTFIELD IN 46074 INVOICEDATE: 06/03/08
ORDER: 01024096 -01 P /O: MIKE
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ITEM Qn QTY DESCRIPTION UNIT
sHIP'o..:, BIQ.<... UOM R AMOUNT I
-,n ICE.
Location: D' J
MIP195377 1 0 ADAPTER, TORCH -INTNL STYLE WATER EA 47.60 47.60
#18, 20)
Subto al 47.60
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(,Taxable amount: 10.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOU O ICE N T 47.60
THISINV
3400 W 131ST ST INVOICE: 00464273 INCLUDINGTAX
WESTFIELD IN 46074 INVOICEDATE: 06/03/08
ORDER: 01024096 -02 P /O: MIKE
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ITEM I QTY I QTY DESCRIPTION I UOM UNIT l AMOUNT
SH PID aQ PRICE
Locution:
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CD 50 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 30.249 30.25
UN1013
50CF 60.4980/100CF 1.
FSCFUEL SRCHGWC 1 0 TEMP FUEL SURCHARGE W/C EA 3.95 3.95
I HMCHAZ MAT CHG 11 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
Subtotal 37.15
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TOTAL CYLINDERS SHIPPED: 1 RETURNED: J-
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Taxa amount: 10.00
CARMEL STREET DEPT CUSTOMER: 07851 37.15
INV THIS
3400 W 131ST ST INVOICE: 00462660
INCLUDING TAX
WESTFIELD IN 46074 INVOICEDATE: 05/28/08
ORDER: 01023246 -00 P /O: SHOP
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ITEM QTY OTY DESCRIPTION I UOM I UNIT I AMOUNT
sNPC P- °P,ICE
Location: D
!WLTWT- 18 -12R 1 0 12.5' TORCH PKG.- RUBBER HOSES EACH 140.00 140.00
WLT13N12 10 0 #8 ALUMINA NOZZLE 1/2" EA 1.70 17.00
WLT41V35 1 0 BACK CAP MEDIUM EA 3.50 3.50
Subtotal 160.50
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Taxable a 10.00 _I
CARMEL STREET DEPT CUSTOMER: 07851 160.50
3400 W 131ST ST INVOICE: 00463075
WESTFIELD IN 46074 INVOICEDATE: 05/29/08
ORDER: 01020250 -00 P /O: MIKE
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$328.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 00462660 42- 311.00 $37.15 1 hereby certify that the attached invoice(s), or
2201 00463075 42- 311.00 $160.50 bill(s) is (are) true and correct and that the
2201 00888281 42- 311.00 $55.80
2201 00464272 42 311.00 $27.38 materials or services itemized thereon for
2201 00464273 42 311.00 $47.60 which charge is made were ordered and
received except
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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))
05/28/08 00462660 $37.15
05/29/08 00463075 $160.50
05/31/08 00888281 $55.80
06/03/08 00464272 $27.38
06/03/08 00464273 $47.60
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