HomeMy WebLinkAbout159927 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 75568 CHECK AMOUNT: $160.27
INDIANAPOLIS IN 46278
CHECK NUMBER: 159927
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 00459008 160.27 BOTTLED GAS
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ITEM sQTY oTY DESCRIPTION UOM U N IT AMOUNT
ago
Location: D
OX 220 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 38.452 38.45
UN1072
220CF 17.4782/100CF
AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 68.783 68.78
UN1001
147CF 46.7912/100CF
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RECORD "ACTUAL" CUBIC FOOTAGE
CF
CF
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(60 -175CF /CYL)
�VICO331 0015 1� Oi 2 -3 -101 CUTTING TIP EA 23.07 23.07
VICO331 -0016 1I 0 3 -3 -101 CUTTING TIP EA 23.07 23.07
!FSCFUEL SRCHGWC 11 01 TEMP FUEL SURCHARGE W/C EA 3.95 3.95
IHMCHAZ MAT CHG 1 Oi HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
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Subto$al j 160.27
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TOTAL CYLINDERS SHIPPED. 2 RETURNED. 2
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www.indiaiaoxygen.com
email invoice@
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 160.27
3400 W 131ST ST INVOICE: 00459008 i
WESTFIELD IN 46074 INVOICEDATE: 05/14/08
ORDER: 01017008 -00 P /O: SHOP
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Proscrihed- tikiate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995)
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.
Pay e e
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
�J IN SUM OF
C.
A it p(luo �w-78 0S e 8
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 I I too, 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
20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund