HomeMy WebLinkAbout201264 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $95.52
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 201264
CHECK DATE: 9113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08152971 75.12 BOTTLED GAS
601 5023990 08153413 10.20 OTHER EXPENSES
1094 4239012 8152618 10.20 SAFETY SUPPLIES
HEM INVOICE DATE INVOICE SEOINr!IrlC SHIPPED RETURNED `EN^ING LE.A�EC BAUDA'�S CYL.INDER EXTENDED
P .BALANCE BALANCE CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .329 10.20
S p 0 poi,
Purchase O I
Descriptio
P.O. P r F
G.L.
Budget
Line Desc
Purchaser Date_
Approval Dat
i
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I TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 10.20
1411 E. 116TH ST. INVOICE: 08152618
CARMEL IN 46032 INVOICE DATE: 08/31/1.1.
TOTAL CYL VALUE: 100.00 P /O:
INDIANA OXYGEN COMPANY o P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ACCOUNTS PAYABLE VOUCHER
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
Indianapolis, IN 46278 -0588
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/31/11 8152618 Oxygen 10.20
Total 10.20
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.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278 -0588
In Sum of
10.20
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 8152618 4239012 10.20 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
8 -Sep 2011
Signature
10.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
w•,u.> i cnecn rw_ inincy
rr ITEM INVOICE UA I E INVOICE BALANCE 7::' SHIPI r Ht I UnNEU BALANCE CYLINDERS d u~rS RATE AMOUNT
R ALY ACETYLENE 1 0 0 1 1 0 .369 .00
R MIX MIX GASES 1 0 0 1 1 0 .329 .00
R NIT NITROGEK 1 0 0 1 0 31 .329 10.20
R OXY OXYGEN 1 0 0 1 1 0 .329 .00
R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .329 .00
I I I I I I I
I
TAX: .00
CARMEL WATER CUSTOMER: 12598 TOTAL 10.2 0
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 9/6/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/6/2011 08153413 $10.20
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
Date Officer
VOUCHER 112342 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO O WAS
PO BOX 78588 �nOlyS
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08153413 01- 6360 -03 $10.20
Voucher Total $10.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
CYLINDER RENTAL INVOICE
INDIAN11 INDIANA OXYGEN COMPANY CUSTOMER: 07851 1 PAGE: 1
P.O. BOX 78588 INVOIC 0815 2971
INDIANAPOLIS, IN 46278 -0588 INV DATE: 08/31/11
317 290 -0003 SALESPERSON: 0 0 O 1 TERR: 007
BRA 004_
P
TERMS NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L P
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 75.12
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
YP _�o.- -__AT ---C 'BEGINNING ENDING LEASED CYLINDER EXTENDED
TYP ITEM INVOICE DATE INVOICE BALANCE SHIPPED RETURNED BALANCE CYLINDERS BAUDAYS RATE AMOUNT
ALY ACETYLEN 3 0 0 3 0 93 .369 34.32
ARG ARGON 2 0 0 2 1 31 .329 10.20
CO2 CARBON DIOXIDE 1 0 0 1 0 31 .329 10.20
OXY OXYGEN 2 0 0 2 0 62 .329 20.40
L i
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1
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TAX .00
CARMEL STREET DEPT CUSTOMER: 07851 L 0,,T 75.12
TOTA
3400 W 131ST ST INVOICE: 08152971
CARMEL IN 46074 INVOICE DATE: 08/31/II
TOTAL CYL VALUE: 2400.00 P /O:
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/31/11 08152971 $75.12
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. W ARRA N T NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$75.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 08152971 42- 311.00 $75.12 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
1 Monday, September 12, 201'
Street Commissione li
e s t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund