HomeMy WebLinkAbout174371 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $205.29
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 174371
CHECK DATE: 7/812009
DEPARTM ACCOUNT P NUM BER IN VOICE NU MBER AMOUNT DESCRIPTION
601 5023990 00554128 205.29 OTHER EXPENSES
ITEM o on DESCRIPTION I UOM I UNIT AMOUNT j
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SNPID s/o PRICE
Location: D
OX 337 1, Oi 1 1 OXYGEN. COMPRESSED, 2.2 CYL 61.542 61.54
UN1072
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337CF 18.2617/1000F
AL S 1' 0 11 1 ACETYLENE, DISSOLVED, 2.1 CYL 84.976 84.98
UN1001
147CF 57.8068/100CF
RECORD "ACTUAL" CUBIC FOOTAGE
CF
CF
(60 -175CF /CYL)
'OX 20 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL' 14.782 1.4.78
UN1072
20CF 73.91.00/1000F
OX 80 1 0, 11 1 OXYGEN, COMPRESSED, 2.2 CYL 18.76 18.76
UN1072
70CF 26.8000/100CF
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IAL MC I 'I 11 0 1 1 ACETYLENE 10CF CYL 19.514 19.51
i I I CGA -200
10CF 195.1400/100CF I
iFSCFUEL SRCHGWCI 1 01 TEMP DIESEL SURCHARGE W/C EA 2.77 2.77
HMCHAZ MAT CHG 1! 01 HAZARDOUS MATERIAL CHARGE EACH 2.95 2.95
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Subtotal 205.29
TOTAL CYLINDERS SHIPPED: 5 RETURNED: 5
Due' to current fuel price IOC
hasladjusted the Fuel Sur harge
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CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 AMOUNT CONTINUED
THISINV
3450 W 131ST ST INVOICE: 00554128 INCLUDING TAX
WESTFIELD IN 46074 -8267 INVOICEDATE: 06/18/09
ORDER: 01180038 -00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
ORIGINAL INVOICE
INIJI ANA I INDIANA OXYGEN COMPANY CUSTOMER: 12598 PAG 2
P.O. BOX 78588 INVOICE: 00554128 ORDER: 01180038 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 06/18/09 ORD DATE: 06/18/09
317 290 -0003 SALESPERSON: 000 I TERR: 007
BRANCH: 004 INT: TIM
TERMS: NET
SHIP VI A: Will Call
RELEASE
B S
I CARMEL WATER TREATMENT PLANT H CARMEL WATER TREATMENT
3450 W 131ST ST F 5484 E 126TH ST PH5
WESTFIELD IN 46074 -8267 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 205.29
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM OTY OTY DESCRIPTION I UOM UNIT AMOUNT
I I SHIP'D B/ i PRICE
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j Due to current fuel price3 IOC 1 j
has adjused the Fuel Sur harge
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!Taxable amount: 10.00
CARMEL WATER TREATMENT PLANT CUSTOMER: 12598 AMOUNT 205.29
THIS INV016E
3450 W 131ST ST INVOICE: 00554128
1 INCLUDING TAX
WESTFIELD IN 46074 -8267 INVOICEDATE: 06/18/09
ORDER: 01180038-00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
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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. A
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 6/29/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2009 00554128 $205.29
I hereby certify that the attached invoice(s), or bill(s) is (are) true and p
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
4-j-' J
Date icer
VOUCHER 092207 WARRANT ALLOWED
154252 IN SUM OF
INDIANA OXYGEN CO
PO BOX 78588 k N
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00554128 01- 6200 -04 $205.29
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Cost distribution ledger classification if
claim paid under vehicle highway fund