HomeMy WebLinkAbout202168 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
`i ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $318.36
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 202168
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
601 5023990 208.16 7008342
2201 4231100 746501 110.20 BOTTLED GAS
ORIGINAL INVOICE
1NU7ANA INDIANA OXYGEN COM PANY CUST OMER: 07851 W j 1 j
P.O. BOX 78588 INV OICE: 00746501 ORDER: 01511713-00
INDIANAPOLIS, IN 46278 0588 IIN DAT E: 09/12/11 ORD DATE: 09/12/11
317- 290 -0003 I SALES PERSON: 000 I TERR: 007
i BR 0 04 INT: TRM I
FP/O: VE MIKE
I TE NE 3
I SHIP VIA: "'Jill ca
RELEASE k: j
B S
1 CARMEL STREET DEPT H CARMEL, STREET DEPT
3400 W 131ST ST 1 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 11.0.20
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
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ITEM SHR D. eio [)ESCHIr l iON I LiOi4i
I PRICE.
Location: D
TIL594 -6X6 1 0 6X6 1802 SILICA BLANKET' EACH 63.00 63.00
CALL WHEN IN.. 733 -2001 MIKE IN THE SHOP!
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Location: Q
HAR0006560 11 0 65 1/8 NICKEL AY ELEC 5}# PKG LB 47.20 47.20
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I j i Subtotal 110.20 I
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Due to cu Lent fuel price IOC
has, adjusted th� Fuel Sar harge
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Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 0'7851. 110.20
3400 W 131ST ST INVOICE: 0 '0746'_5 D1
CARMEL IN 46074 INVOICEDATE: 0917.2111.
ORDER: 01511713 -00 P /O: VERBAL MIKE
INDIANA OXYGEN COMPANY 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
$110.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
2201 00746501 42- 311.00 $110.20 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
Thursday Septtember 22, 2011
w
rr Y a
Street Commissioner
A+ri3Af Corr ±i.ccinnor
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))
09/12/11 00746501 $110.20
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
PLEASE SEND TOP PORTION WITH YOUR FAYMCN T-
NI
TYPE -SUP OUP PER100 tnpATEUiJ `DESCRIPTION I. AS HAPB AiJ:OUAi7
L ALl ALY 12 09/2011 07008342 I 1. 108.46 108.46
L 0X1 OXY 12 09/2011 07008342 I 1. 99.70 99.70
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n�
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E O PER 1 YEAR AND 5 YEAR LEASES
YR $1 2 19 PER CYL (ACETYLENE= $209.16 PL
CARMEL WATER CUSTOMER: 17.598 TOTAL 208.16
3450 W 131ST ST INVOICE: 07008347..
CAMEL IN 46074 -8267 INVOICEDATE: 09/05/11
P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER 112440 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO O p,�
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
7008342 01- 6360 -03 $208.16
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Voucher Total $208.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 9/19/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2011 7008342 $208.16
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