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HomeMy WebLinkAbout204585 12/13/2011 a CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $82.56 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 204585 CHECK DATE: 12/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 08165356 72.69 BOTTLED GAS 601 5023990 08165787 9.87 OTHER EXPENSES CYLINDER RENTAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOM 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 081,65356 INDIANAPOLIS, IN 46278 -0588 INV DATE: 11/30/11 317 -290 -0003 SALESPERSON: 0 0 0 TERR: 007 BRANCH: 004 P /O: TERMS Ni ?'P 3 O B CARMEL STREET DEPT H CAFZMIsi_ S'!'f31 ?1.;`'I'' ]]EP I' 3400 W 131ST ST P 3400 W "1- 31ST' S'i' CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE AMOUNT: 72 .69 PLEASE SEND TOP PORTION WITH YOUR PAYMENT INV ITEM INVOICE:DATE_- INVOKE_._- __B -SHIPPEQ RETURNED ENDI Ne LEASED ggUDAYS CYLINDER EX ENDED YF 6ACANCE' RA!ANCE CVL!N�ERS RATE AMOUNT. R ALY ACETYLENE 3 0 0 3 0 90 .369 33.21 ARG ARGON 2 0 0 2 1. 30 .329 9.87 CO2 CARBON DIOXIDE 1 0 0 1 0 30 .329 9.87 R OXY OXYGEN 2 0 0 2 0 60 .329 19.74 I I TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 F ToTAL 3400 W 131ST ST INVOICE:. 0 8 16 5 3 5 6 CARMEL IN 46074 INVOICEDATE: 11/30/11 TOTAL CYL VALUE: 2400.00 P /O: 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 $72.69 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 08165356 42- 311.00 $72.69 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 Friday,lDecember 09, 2011 I h� J Street Commissioner 1 Street CT ^t i nis sionu, 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)) 11/30/11 08165356 $72.69 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 t wV ITEM lNVOICE DATE INVOICE 6EGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED YP ,_T,._., w- .BALANCE__, BALAN .CYL -...-,RATE A R ALY ACETYLEN 1 0 0 1 1 0 .369 .00 R MIX MIX GASES 1 0 0 1 1- 0 .329 .00 R NTT NITROGEN 1 0 0 1 0 30 .329 9.87 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 TAX: .00 CARMEL WATER CUSTOMER: 1.2598 TOTAL 9. 3450 W 131ST ST INVOICE: 0816578'7 CARMEL IN 46074 8267 INVOICE DATE: 11/30/11. TOTAL CYL VALUE: 1.2 0 0.00 PIO: INDIANA OXYGEN. COMPANY a P.O. BvX -18588 ­-INDIANAPOLIS, IN .46278 0588: VOUCHER 113170 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO WATER PO BOX 78588 OPERAT101YS INDIANAPOLIS, .IN 46278 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR I Board members PO INV ACCT AMOUNT Audit Trail Code 08165787 01- 6360 -03 $9.87 Voucher Total $9.87 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARAMEL 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 12/6/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6!2011 08165787 $9.87 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