HomeMy WebLinkAbout168049 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CID
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $396.19
s• INDIANAPOLIS IN 46278
CHECK NUMBER: 166049
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100, 00515611 325.20 BOTTLED GAS
2201 4231100. 08018167 70.99 BOTTLED GAS
ORIGINAL INVOICE
INDIA A INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 j
P.O. BOX 78588 INVOICE: 00515611 ORDER: 01113215 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 01/05/09 I ORD DATE: Cl/Q5/09
317 290 -0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 i INT: BMK
P10: SHOP
TERMS: NET 30
SHIP VIA: Will Call
RELEASE
B S
CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 32 5.2 0 1
PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
UNIT
ITEM ar J R
S /0 DESCRIPTION I UOM PRICE AMOUNT l
W'I
i Location: D
�INWN19918 l0 01 NICKLE 99 1/8 ELECTRODE LB 32.52 325.20
Subtotal 325.20
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email invoice @ndianaoxygen.com
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:Taxable amoun ',0.00 j
CARMEL STREET DEPT CUSTOMER: 07851 INV 325.20 THIS 3400 W 131ST ST INVOICE: 00515611 N
WESTFIELD IN 46074 INVOICEDATE: 01/05/09
ORDER: 01113215 -00 P /O: SHOP
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07 851 PAGE: I
P.O. BOX 78588 INVOICE: 08018167
INDIANAPOLIS, IN 46278 -0588 INV DATE: 12/31/08
317- 290 -0003 SALESPERSON: 0 0 0 TERR: 007
BRANCH: 004
PIO:
TERMS: NET 3 0
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST I 3400 W 131ST ST
L WESTFIELD IN 46074 P WESTFIELD IN 46074.
T T
O O
INVOICE AMOUNT: 70.99 1
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV BEGINNING ENDING LEASER CYLINDER EXTENDED
yp ITEM NVOICE DATE NVOICE BALANCE SNIPPED RETURNED BALANCE CYLINDERS BAUD
RATE_ grnou
R 050 1 0 0 1 0 31 .310 9.61
R 11X 1 0 0 1 1 0 .310 .00
R 147 3 0 0 3 0 93 .340 31.62
R 220 3 1 2 2 0 65 .310 20.15
R 330 1 0 0 1 0 31 .310 9.61
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 70.99
3400 W 131ST ST INVOICE: 08018167
WESTFIELD IN 46074 INVOICEDATE: 12/31/08
TOTAL CYL VALUE: 1600.00 PIO:
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))
12/31/08 08018167 $70.99
01/05/09 00515611 $325.20
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$396.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 08018167 42- 311.00 $70 -99 I hereby certify that the attached invoice(s), or
2201 00515611 42- 311.00 $325 -20 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
�aturday, J�anua 7, 2009
All ✓t/j-A
Street CommissionPV
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund