HomeMy WebLinkAbout179718 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $197.17
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 179718
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 00585269 /99.40 BOTTLED GAS
2201 4231100 00587137 78.55 BOTTLED GAS
601 5023990 08060744 .1-19.61 OTHER EXPENSES
902 4359003 08061861 X 9.61 FESTIVAL /COMMUNITY EV
ORIGINAL INVOICE
INDUNY1 INDIANA OXYGEN COMPANY CUSTOMER: 005
P.O. BOX 78588 85269 i ORDER: 01233665 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 11/03/09 j ORD DATE: 11/03/09
317 290 -0003 SALESPERSON: 000 I TERR: 007
BRANCH: 004 INT: TIM
P /O: MIKE
TERMS: NET 30 j
SHIP VIA: Will Call
RELEASE i
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST P 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 99.40
PLEASE SEND TOP PORT!ON WITH YOUR PAYMENT
ITEM- _I_� QTY DESCRIPTION. UOM UNIT AMOUNT
rig o- PRICE
Location: D
OKIBESSQ -12 1 1 12 BESSEY SUPER 10 CLAMP EACH 78.55 78.55 I
iTIL1410L 1 O LG IMP PIGSKN DRVRS -CD I PR j 6.95 6.95
ITIL1426XLC 2 0 XL IMP GRAIN COWHD,KS DRVRS -BULK PR 6.95 13.90
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Subtotal i 99.40
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Duel to current fuel price IOC
has adjusted thL Fuel Sur barge
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'Taxable amount: 0.00 I i
CARMEL STREET DEPT CUSTOMER: 07851 U 99.40
THIS INV
3400 W 131ST ST INVOICE: 00585269 INCLU
WESTFIELD IN 46074 INVOICEDATE: 11/03/09
ORDER: 01233665 -00 P /O: MIKE
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ORIGINAL INVOICE
I1NDIA_Nr, INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 _I
P.O. BOX 78588 INVO ICE: 00587137 ORDER: 01233665 -01
t INDIANAPOLIS, IN 46278 -0588 INV DATE: 11/11/09 ORD DATE: 11/03/09
317 290 -0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 TINT: TIM
P /O: MIKE
TERMS: NET 30
SHIP VIA: UPS
RELEASE N
B S
I 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: 78.55
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM__ SQP� Ro, DESCRIPTION UOM I UNIT AMOUNT
i PRICE
Location:
OKIBESSQ -12 1 0 12 BESSEY SUPER 10 CLAMP EACH 78.55 78.55
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Subtotal 78.55
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Du e. to current fuel price IOC
has adjusted the Fuel Sur barge
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Taxable amount: 0.00 j
CARMEL STREET DEPT CUSTOMER: 07851 78.55
3400 W 131ST ST INVOICE: 00587137
WESTFIELD IN 46074 INVOICEDATE: 11/11/09
ORDER: 01233665 -01 P /O: MIKE
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))
11/03/09 00585269 $99.40
11/11/09 00587137 $78.55
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. WARR NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 00585269 42- 311.00 $99.40 1 hereby certify that the attached invoice(s), or
2201 00587137 42- 311.00 $78.55
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
�Thursda,y, /Novem er 19, 2009
Street Commission r
Street CcTtgrlssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
HHAYMENT------------
INV ITEM INVOICE DATI= INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gALlDAYS CvunoER EXTENDED
YP BALANCE _BALANCE CYLINDERS RA AM OUNT
D 200 2 0 0 2 1 31 .310 9.61
�3�9U�3
TAX: .00
CARMEL ART DESIGN DISTRICT CUSTOMER: 21366 9.61
TOTAL
111 W MAIN ST INVOICE: 08061861
CARMEL IN 46032 INVOICE DATE: 10/31/09
TOTAL CYL VALUE: 400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
Prestribed 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
1171 �a C o�I�✓��7s Purchase Order No.
Terms
5, 4�6� -�a5S' Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
c
1
4' K
c,
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in a cordance
with IC 5- 11- 10 -1.6. t
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
l�� /.chi 0���, �c`�/✓��< IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
9a2�y3 s9 00
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
902 D�D� /fib/ y3,5��3 S -6% 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
Si nature
Director of onpimfion
ie
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Nv ITEM ,INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED 9 ND CLEASED BAUDAYS CYLIN RATE R EXTEND
R 020 1- 0 0 1- 0 0 .310 .00
R 144 1 0 0 1 1 0 .310 .00
R 147 1 0 0 1 1 0 .340 .00
R 210 1 0 0 1 0 31 .310 9.61
R 337 1 0 0 1 1 0 .310 .00
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TAX: .00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 L 9.61
TOTA
3450 W 131ST ST INVOICE: 08060744
WESTFIELD IN 46074 -8267 INVOICEDATE: 10/31/09
TOTAL CYL VALUE: 800.00 P /O:
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 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 11/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/16/2001 08060744 $9.61
7
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
l li 605 a--X yt, ✓vt�"
Date Officer
VOUCHER 093607 WARRANT ALLOWED
154252 ��►�a IN SUM OF
IN OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08060744 01- 6360 -03 $9.61
Voucher Total $9.61
Cost distribution ledger classification if
claim paid under vehicle highway fund