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