HomeMy WebLinkAbout159407 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $194.31
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 159407
CHECK DATE: 5/14/2008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239099 00453674 110.58 OTHER MISCELLANOUS
2201 4231100 00455564 20.40 BOTTLED GAS
2201 4231100 00455955 10.20 BOTTLED GAS
2201 4231100 00884005 53.13 BOTTLED GAS
i
ORIGINAL INVOICE
fN- bU1N -A INDIANA OXYGEN COMPANY CUSTOMER: 03390 PAGE: 1
P.O. BOX 78588 INVOICE: 00453674 I ORDER: 01007288 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 04/24/08 ORD DATE: 04/22/08
317 290 -0003 SALESPERSON: 000 TERR: 001
BRANCH: 001 INT: RLU
P /O:
TERMS: NET 30
SHIP VIA: Our Truck
RELEASE
B S
I CARMEL CLAY PARKS H CARMEL CLAY PARKS
1235 CENTRAL PARK DR EAST F 1235 CENTRAL PARK DR EAST
CARMEL IN 46032 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 110.58
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM QTY. ory DESCRIPTION UOM AMOUNT
SHIP_'D HO UNIT
PRICE—
Location: W
OX AD 4 0 4 2 OXYGEN, COMPRESSED 2.2 CYL 20.968 83.87
UN1072 (USP GRADE)
60CF 139.7867/1000F
ENTER LOT NUMBER ABOVE
FSCFUEL SURCHRG 1 0 TEMP FUEL SURCHARGE OUR TRUCK EA 4.76 4.76
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
Subtotal 91.58
TOTAL CYLINDERS SHIPPED: 4 RETURNED: 2
V ED
APR 2 9 2008
www.india aoxyg n.com BY: De l Cha ge 19.00
email invoice @indianaoxy en.com
7 3 0^ 42, Ad q`l
Taxable amount: 0.00
CARMEL CLAY PARKS CUSTOMER: 03390 AMOUNT 110.58
THIS INVOICE
1235 CENTRAL PARK DR EAST INVOICE: 00453674 INCLUDINGTAX
CARMEL IN 46032 INVOICE DATE: 04/24/08
ORDER: 01007288 -00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -058
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.
Indiana Oxygen Co. Date Due
PO Box 78588
Indinapolis, IN 46278 -0588
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
110.58
4/24/08 453674 Oxygen
Total 110.58
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
Voucher No. Warrant No.
Allowed 20
Indiana Oxygen Co.
PO Box 78588
Indinapolis, IN 46278 -0588 In S of
110.58
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 453674 4239099 110.58 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
10 -Oct 2007
Signature
110.58 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INV ITEM., INVOICE DATE INVOICE BEGINNING SHIPPED r RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
a ,,c,..:,. ...w.,: _BALANCE.. BALANCE r CYLINDERS ,:.RATE. AMOUNT
R 050 1 0 0 1 0 30 .290 8.70
R 11X 1 0 0 1 1 0 .290 .00
R 147 2 0 0 2 0 60 .320 19.20
R 220 2 0 0 2 0 60 .290 17.40
R 330 0 1 0 1 0 27 .290 7.83
TAX: .00
53.13
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL Oo-;
3400 W 131ST ST INVOICE: 00884005
WESTFIELD IN 46074 INVOICEDATE: 04/30/08
TOTAL CYL VALUE: 1400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
I
j ITEM SHHIP'D B/O DESCRIPTION UOM p NIT AMOUNT
i RICE
Location: D I
IWLT13N08 6 0 #4 ALUMINA NOZZLE 1/4" EA 1.70 10.20
WLT13N10 6 0 #6 ALUMINA NOZZLE 3/8" EA 1.70 10.20
i
j Subtotal 20.40
I
I
I i
I I
I
www.indianaoxyg�n.com
j
emalil invoice @indianaoxy en.com
i
I I
j Taxable amount:j 0.00
CARMEL STREET DEPT CUSTOMER: 07851 20.40
3400 W 131ST ST INVOICE: 00455564
WESTFIELD IN 46074 INVOICEDATE: 05/01/08
ORDER: 01011080 -00 P /O: MIKE
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ITEM QTV Qry DESCRIPTION UOM UNIT AMOUNT
SHIP'D B/O PRICE
Location: D s
WLT13N12 .6 0 #8 ALUMINA NOZZLE 1/2" EA 1.70 10.20
Subtotal 10.20
ww .india aoxyg n.co
email in oice @'ndia aoxy en.com
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 10.20
3400 W 131ST ST INVOICE: 00455955
Bit-
WESTFIELD IN 46074 INVOICEDATE: 05/02/08
ORDER: 01011652 -01 P /O: MIKE
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Y 1 C (-Ca t�_CL �I�' 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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
c V Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
006N 006 -3 bill(s) is (are) true and correct and that the
ON 6t6IA a ll �G materials or services itemized thereon for
66q 6S 3 l 1 �U. e�C U which charge is made were ordered and
received except
20
Signatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund