HomeMy WebLinkAbout203037 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032
PO BOX 78568 CHECK AMOUNT: $1,525.66
INDIANAPOLIS IN 46278 CHECK NUMBER: 203037
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 00755568 1,154.10 REPAIR PARTS
2201 4237000 00755569 361.69 REPAIR PARTS
1094 4239012 8156752 9.87 SAFETY SUPPLIES
ORIGINAL INVOICE
INDIANIyk INDIANA OXYGEN COMPANY _C_U_sT_ 07851 GE: 1
P.O. BOX 78588 INVOICE: 00755568 ORDER: 01527008-00
BUIE
INDIANAPOLIS, IN 46278-0588 INV DATE: 10/17/11 1 ORDDATE: 10/14/11
317-290-0003 SALESPERSON: 000 ITERR: 007
BRANCH: _004 INT: TRM
P/O: 10142011
�TERMS: NET 30
I SHIP VIA: Will Call
RELEASE
B 1 3
CARMEL STREET DEPT
CARMEL STREET DEPT
L P
3400 w 131ST ST 3400 W 131sT ST
L
CARMEL IN 46074 CARME], IN 46074
T T
0 0
t
INVOICE AMOUNT: 1,154.10
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
UNIT
4 fQTY-- -DE S CRIPTION UO --A
AMOUNT
L SHIP 'D 131U` TRICE M
Location: D
�MIP241979 0 BLACK ELITE DIGITAL IIE1,MET (QR) EA 306.35 306.35
TIL1425XL E1
1 01 TOP GRAIN COWHIDE FL 1N
i, PR 8.95 8.95
WINTER GLOVES WINTERGI;OVES
TIL1428XL 1 3 0 DRIVERS GLOVE, KEVLAR SEWN PR 7.95 23.85
SIZE X-LARGE
TIL1426XLC 3 0 XL IMP GRAIN COWIID,KS !)RVRS--B PR 6.98 20.94
TIL1426MC 1 0 MD IMP GRAIN COWHD,KS EA 7.75� 7.75
;RADMR0110ID 7 0 j MIRAGE, CLEAR LENS EA 2.49 17.43
RADMRR111ID 5 0; MIRAGE RT CLEAR A/F EA 2.49 12.45
0 KINS-16A 1 Oj 5" X 1/4" ROUND SOAPSTONE GS 21.60 21
OKIWSRO-1620-161 11 0 ANTI-SPAT 160Z. CAN ,12CS) E 5.76 5.76
ANTISPATTER EAGLE BRAND (1 4)
86 .035 X 44# SP SPOOIIARC86 1,13
ALY1382FO5 44 0 2 .314 1 101.82
86035X44 70S6035X44 SPOO!,
IviCO384-0938 1 0� CSV-CP TOTE KIT WIO TANKS LEACH 289.00 289.00
TOTE CYLCART
CYL20 2
0 OR 5# CO2 OU9.'R_iGIIT SA','_;' OF EA 8 8.58 177.16
2 0 ACT MC SOLD OUTRIGHT EA 62.00 .00 1-24.00 I.
OX 20 2 01 2� 2 OXYGEN, COMPRESSED, 2.2 CYL 5.00 10.00
UN1072
40CF 13 25.09CO3`
AL MC 2 01 2 ACETYLENE 10CF CYL 10.00 20.00
CGA-200
20CF 100.0000/100CF
PRICE INCLUDES TEMPORARY CAR131
SURCHG
SCFUEL SRCHGWCI 1, 01 TEMP DIESEL SURCHARGP] W/C EA
F 4.09 4.09
�HMCHAZ MAT CHG 1 O HAZARDOUS MATERIAL CHARG--: EACH 2.95I 2.95
Duel to current Fuel 'price 3 IOC
hasi ad3us�eci tfig Fuel Sur harge j
CARMEL STREET DEPT CUSTOMER: 07851. CONTINUED
Ink
3400 W 131ST ST INVOICE: 00755568
CARMEL IN 46074 INVOICEbATE: 10/17/11.
ORDER: 01527008-00 P/O: 10142011
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278-0588
ORIGINAL INVOICE t
INDIANA INDIANA OX YGEN COMPANY C U ST OME R 07851 j PAGE: 2
DUMB P.O. B OX 7858$ -I NVOIC E 0 0 75 ORDER: 01527008 -00
INDIANAPOLIS, IN 46278 -0588 INV DA TE_ 1.0 17 11 ORD DATE: 10/14/11
317- 290 -0003 SA LESPERSON: 00 0 j TERR: 007
B RANCH: 004 !NT: TRM
P /O 1Q 142011
TERMS: NPT,- 30
v SHIP VIA: Wi Call
A RELEASE
B S
i CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
L INVOICE AMOUNT: 1,154.10
PLEASE SEND TOP PORTION WITH YOUR PAYMEN 1-
rFnn oTY :,.QTY UNIT
SH1N v I' eu DESCRIPTinr! I UOM .i EFi%E AMOUNT
I
Subtotal 1154.10
I
I
I i
TOTAL YLINDERS SHIPPED: 4 RETURNED: 4i
j
i
L
I i
j
Duei current fuel price IOC
has adjusted the Fuel Sur harge
I i t
Taxable amount :1 I D D O
CARMEL STREET DEPT CUSTOMER: 07851 1,154.10
3400 W 131ST ST INVOICE: 00755`'68
CARMEL IN 46074 INVOICEDATE: 10/1.7/11,
ORDER: 01527008 -00 P /0: 10142011
INDIANA OXYGEN COMPANY v P.O. BOX 78588 INDIANAPOLIS, IN 9 46278 -0588
ORIGINAL INVOICE
INIJIANik INDIANA OXYGEN COMPANY 1 CUSTOMER -6-7-8-5 PAGE: I
P.O. BOX 78588 INVOICE: 00•55569 'ORDER: 01527709-00
INDIANAPOLIS, IN 46278-0588 INV DATE: 1, 0_/ 17 11 ORDIDATE: 10/17/11
317-290-0003
AN 000 ITERR: 007
�B_R I AN C H_:___0 0 1 INT: DAB
P/O: '.0/17/
TERMS: NE 3 0
SHIP VIA: W111. Call
'RELEASE
B 8
I CARMEL STREET DEPT H CAPME'l.. STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L P
CARMEL IN 46074 CARME1, IN 46074
T T
0 0
INVOICE AMOUNT: 361.69
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM QTY DESCRIPTION- UNIT UOM i AMOUNT
7 PRiCE-
Location: D
MIP216326 5 0 4-11/16INX5-5/8 FRON' LENS (5 P K) EA 2.00 10.00
COVERPLATE
MIP216327 5 0 LENS COVER 4-3/16 x 2-1/2 EA I 1.47 7.35
COVERPLATE
HAR308332X36 10 0I I 308 3/32 X 36 x 10# PKG S.S. ROD., LB 1 9.30 93.00
3083/32x36xlO STAINLESS STEEL,
WLT13NO8 101 0 #4 ALUMINA NOZZLE 1/4" r--:A
1.30 13.00
WLT13N12 10 01 #8 ALUMINA NOZZLE EA 1.44 14.40
T1D8-7500 1 01 SHIELD CUP EACH 50.14 50.14
THD8-7501 i 0 GAS DISTRIBUTOR 11;1AC11 19.82 19.82
THD9-8402 5 01 ELECTRODE EA. 8.12 40.60
THD9-7726 10 0 TIP
6.57 65.70
OKIWYPSP-1 i
0i STANDARD TIP CLEANER 1. EA 3 .20 3 .20 1
TIPCLEANER
'OKIFUL3001 2, 0; SPARK LIGHTER (10/13X) EA 2.02 4.04 1
STRIKER
1,
IHAR.4705008 I 0
MATADOR 8 -WAY PLIERS EA f 22.94 22.94
•(PRMYS_50)
TIL1410L 2 0 LG IMP PIGSKN DRVRS-Cl) PR 8.75 17.50 1
Su',b t o t a 361.69
Duels to cu�rent fuel price 3 IOC
has adjusted the Fuel Sur barge
i
Taxable amount:! 10.00
361.69
CARMEL STREET DEPT CUSTOMER: 07851.
3400 w 131ST INVOICE: 00/55 ST 569
CARMEL IN 46074 INVOICEDATE: 10/1-7/11.
ORDER: 01.527709-00 P/O: 10/17/2011
INDIANA OXYGEN COMPANY m P.O. BOX 78588 INDIANAPOLIS, IN 9 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))
10/17/11 00755569 $361.69
10/17/11 00755568 $1,154.10
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
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$1,515.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 00755569 42- 370.00 $361.69 1 hereby certify that the attached invoice(s), or
2201 00755568 42- 370.00 $1,154.10 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, October 20, 2011
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
IN DIANik INDIANA OXYGEN COMPANY CUSTOMER: 03 PAGE: 1
DUMB P.O. BOX 78588 IN V OICE: 081 56752
INDIANAPOLIS, IN 46278 -0588 INV DATE: 09/30/11
317 290 -0003 SALESPERSON: 0 O O 1 TERR: 001
B RANC H: 001
P
f TERMS: NET 3 0
B S
I CARMEL CLAY PARKS H CARMEL, CLAY PARKS R
1411 E. 116TH ST. P 1235 CENTAL PARK.DR EAST
CARMEL IN 46032 CARMEL TNI 46032
T T
O O
INVOICE AMOUNT: 9.87
PLEASE SEND TOP PORTION WITH YOUR V PAYMENT----------------------------------------
IN __ITEM, INVOICE DATE BEGINNING ENDING L EASED ASE CL EXTENDED
iIN INVOICE...: _SHIPP-ED RETI!RNED„ DING c ASEDS_ BA UDAYS YINDER L
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .329 9.87
i
PUr& ase
n Description X
20 1 P
P.O. vv
P or F
G.L. 4<2 /2
Iu
Budget
Line I escr L/ES
Purch aser Dat?
Appro at Dat
I
i
i
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL'' 9-87
1411 E. 116TH ST. INVOICE: 08156752
CARMEL IN 46032 INVOICEDATE: 09/30/1 -1
TOTAL CYL VALUE: 1-00 P /O:
INDIANA OXYGEN COMPANY 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
9130111 8156752 Oxygen 9.87
Total 9.87
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
9.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 8156752 4239012 9.87 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
20 -Oct 2011
Signature
9.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund