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Home My WebLink About205892 01/31/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $504.11 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 205892 CHECK DATE: 1131/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 00776813 240.78 BOTTLED GAS 2201 4231100 00777533 182.66 BOTTLED GAS 601 5023990 00779481 70.47 OTHER EXPENSES 1094 4239012 8169120 10.20 SAFETY SUPPLIES ITEM. QN i Q o DESCRIPTION I UOM PRICE-- I AMOUNT Location: AC 144 I 1 0 1 1 COMPRESSED GASES, N.O.S., 2.2 CYL 39.69 39.69 UN1956 I 144CF 27.5625/1000F (75% ARGON 25% CARBON DIOXIDE) FSCFUEL SURCHRG 1 0 TEMP DIESEL SURCHARGE OUR TRUCK 1 EA 4.85 4.85 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EACH 3.95 3.95 I I Subtotal 48.49 I i I TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1 I I I I I i I i I I I I I i I I i Visit us on faclbook or o the Del. Charge 21 98 we at wi.indianaoxygen. om I I I I j I I i Taxable amount:f 10.00 CARMEL WATER CUSTOMER: 12598 70.47 I 3450 W 131ST ST INVOICE: 00779481 CARMEL IN 46074 -8267 INVOICEDATE: 01/19/12 ORDER: 01567641-00 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 1/24/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/24/2012 00779481 $70.47 hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 113535 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 WATER INDIANAPOLIS, IN 46278 OPERATIONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 00779481 01- 6200 -06 $70.47 Voucher Total $70.47 Cost distribution ledger classification if claim paid under vehicle highway fund ORIGINAL INVOICE I.NDIANLk. INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 00776813 ORDER: 01563442 -00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 01/10/12 ORD DATE: 01/10/12 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: TRM P O: 1 10 -12 (TERMS: NET 30 SHIP VIA: Wi Call RELE ASE N_ B CARMEL STREET DEPT H CARMEL STREET DEPT L 3400 W 131ST ST P 3400 W 131ST ST L CARMEL IN 46074 CARMEL IN 46074 T T O O IN A M O U NT: 240.78 PLEASE SEND TOP PORTION WITH YOUR PAYMENT-'-.,--- ITEM HW On UNIT DESCRIPTION UOM PRICE AMOUNT Location: D OX 220 2 0 2 2 OXYGEN, COMPRESSED, 2.2 CYL 24.255 48.51 UN1072 440CF 11.0250/1000F AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 65.178 65.18 UN1001 147CF 44.3388/100CF PRICE INCLUDES TEMPORARY CARBIDE( SURCHG r RECORD "ACTUAL" CUBIC FOOTAGE CF j CF I I (60 -175CF /CYL) OKIHOSTH- 1741PL 1 O 1/4 X 50 -T -BB GRADE T TWINHOSE EACH 71.82 71.82 1 /4X50TBB FUEL GAS HOSE TGRADE j OKIHOSTH- 1731PLI 1 0 1/4 X 25 -T -BB GRADE T,'TVu:LNiOSi EACH 47.30 47.30 4 1 /4X25TBB FUEL GAS HOSE TGRADE I FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.02 4.02 j HMCHAZ MAT CHG 1 O; HAZARDOUS MATERIAL CHARGE; EACH 3.95 3.95 I Subtotal: 240.8 1_ I TOTAL YLINDERS SHIPPED: 3 RETURNED: 3� I Visit us at facebook or oa the we at www.indianaox`gen. om Taxable amount: 1 0.00 CARMEL STREET DEPT CUSTOMER: 0785.1 a 240.78 3400 W 131ST ST INVOICE: 00776813 Eli CARMEL IN 46074 INVOICE DATE: 01/10/12 ORDER: 01563442 -00 PIC: 1 -10 -12 INDIANA OXYGEN COMPANY o P.O. PDX 78588 o INDIANAPOLIS, IN o 46278 -0588 i ij ORIGINAL INVOICE INDIANA. INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 00777533 ORDER: 01564205 -00 j INDIANAPOLIS, IN 46278 -0588 INV DATE: 01/12/12 ORD DATE: 01/11/12 j 317 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 TINT: DAB P /O: SHOP TERMS: N 3 0 SHIP VIA: Will Call RELEASE B CARMEL STREET DEPT H CARMEL STREET DEPT L 3400 W 131ST ST P 3400 W 131ST ST L CARMEL IN 46074 CARMEL IN 46074 T T O O INVOICE A M OU NT: 182 .66 PLEASE SEND TOP PORTION WITH YOUR PAYMENT I QTP QTY DESCRIPTION UOM UNIT AMOUNT _ITEM. .SHIP'D arp PRICE Location: b AR 110 0 0 0 1 ARGON, COMPRESSED, 2.2 CYL 38.588 0.00 UN1006 (110CF /CYL) OCF N/A AC 75/25 1 0 1 0 COMPRESSED GASES, N.O.S., 2.2 CYL 64.575 64.58 UN1956 (384CF /CYL) 384CF 16.8164/100CF (75% ARGON 25% CARBON DIOXIDE) I ALY1382FO5 44 0 86 .035 X 44# SP SPOOLARC86 LB 2.314 101.82 j 86035X44 70S6035X44 SPOOL i i MIP212242 1 01 1 2.50 MAGNIFYING LENS DTOPTER EA 8.29 8.29 1 j MAGNIFIER LENS I FSCFUEL SRCHGWC l O TEMP DIESEL SURCHARGE W/C EA 4.02 4.02 IHMCHAZ MAT CHG 11 O HAZARDOUS MATERIAL CHARGE EACH 3.95 3.95 i Subtotal I 182.66 I i I I I TOTAL CYLINDERS SHIPPED: 1 RETURNED: 11 I i i i i i I Visit us at facebook or oa the web at www.indiinaoxygen. om j I I I I i Taxable amount:, 0.00 I CARMEL STREET, DEPT CUSTOMER,: 07851. 182.66 j 3400 W 131ST ST INVOICE: 007'7'/533 CARMEL IN 46074 INVOICEDATE: 01/12/1.2 ORDER: 01564205 -00 P /O: SHOP 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)) 01/10/12 00776813 $240.78 01/12/12 00777533 $182.66 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. WA N ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $423.44 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 00776813 42- 311.00 $240.78 I hereby certify that the attached invoice(s), or 2201 00777533 42- 311.00 $182.66 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 r Thursday, January 26, 2012 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund P ITEM INVOIGEDATE INVOICE" BEGINN: SI IIPPED- 'IETURNED E LEASED d gpl n4yS_ _CYLINDER EXTENDED p BALANCE BALAE CYLINUt_RS ni:FE' %.NCUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .329 10.20 {'urchase escriptiol X n:Ks All 0 2012 �oa� F L. tM CJ012 LBY:___ I udget 94'F G)1 I ine Desc urchaser. Date ,pproval Date i TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03 3 9 0 TOTAL 10.2 O 1411 E. 116TH ST. INVOICE: 08169120 CARMEL IN 46032 INVOICEDATE: 12/31/1-1 TOTAL CYL VALUE: 100.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 154252 Indiana Oxygen Company Terms P.O. Box 78588 Indianapolis, IN 46278 -0588 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12131111 8169120 Oxygen tank rental 30205 10.20 Total 10.20 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 No. 154252 Indiana Oxygen Company Allowed 20 P.O. Box 78588 Indianapolis, IN 46278 -0588 4 In Sum of 10.20 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1094 8169120 4239012 10.20 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 26 -Jan 2012 �&Ijzf'j2� Signature 10.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund