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Home My WebLink About175744 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $193.01 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 175744 CHECK DATE: 8/6/2009 DEPAR AC COUNT PO NUM BER INVOICE NU MBER AMOUNT DESCRIPTION 601 5023990 i 0055580 57.57 OTHER EXPENSES 2201 4231100 5508792 135.44 BOTTLED GAS Wow ITEM QTR' i ory I �l UNIT SHIPI) fro DESCRIPTION i UOM PRICE AMOUNT Location: D I jAL B lI 0 11 1 ACETYLENE 40CF 1 CYL 25.03 25.03 CGA -520 1 j 40CF 62.5750/100CF 1 ATT1500840 1 2 0 6290 -1 EA I 13.41 26.82 I FSCFUEL SRCHGWCI 1. 01 TEMP DIESEL SURCHARGE W/C I EA 2.77 2.77 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95 Subtotal 57.57 I TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1 i I I 1 I11 i I I I i i Due to current fuel price3 IOC hash adjusted the Fuel Sur harge State 7.000% 3 j Taxable a 54.62 CARMEL CITY OF CUSTOMER: 20668 AMOUNT 61.39 9609 HAZELDELL ROAD INVOICE: 00555580 INV INDPLS IN 46280 INVOICEDATE: 06/24/09 INCLUDING TAX ORDER: 01182157 -00 P /O: JERRY 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 7/29/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/29/2009 00555580 $57.57 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 VOUCHER 092525 ARRANT ALLOWED 154252 IN SUM OF ItiOIANA OXYGEN CO PO BOX 78588 N INDIANAPOLIS, IN 46278 10 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 00555580 01- 6200 -04 $57.57 Voucher Total $57.57 Cost distribution ledger classification if claim paid under vehicle highway fund ORIGINAL INVOICE INDIAN,, INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 GON E P.O. BOX 78588 INVOICE: 00561183 ORDER: 0119194300 INDIANAPOLIS, IN 46278 -0588 INVDATE: 07/21/09 ORDDATE: 07/21/09 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: BMX P /O: MIKE T ERMS: NET 30 SHIP VIA: Will Call RELEASE H: j 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: 135.44 I PLEASE SEND TOP PORTION WITH YOUR PAYMENT ITEM_ 1 DTr EC/ro DES CRIPTION i UOM r N E_ AMOUNT- S HIP"D Location: D TIL1350L 1 0 LG IMP COWHD MIG,4 "CUFF -CD PR 9.25 9.25 i TIL1426XLC 1 0 XL IMP GRAIN COWHD,KS DRVRS -BULK PR 6.25 6.25 i ALY1382FO5 44 0 86 035X44 #SP LB 2.726 119.94 Subtotal 135.44 i I j j i I i I I I I Due to current fuel price3 IOC has adjusted the Fuel Sur barge Taxable amoun 0.00 I l CARMEL STREET DEPT CUSTOMER: 07851 INV 135.44 THIS 3400 W 131ST ST INVOICE: 00561183 WESTFIELD IN 46074 INVOICEDATE: 07/21/09 ORDER: 01191943 -00 P /O: MIKE INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 a 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 a� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/21/09 00561183 $135.44 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 N ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $135.44 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 00561183 42- 311.00 $135.44 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 T u sday 30, 2009 �t reej �ommissi n r Yee nmmiccj Title Cost distribution ledger classification if claim paid motor vehicle highway fund