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Home My WebLink About206292 02/14/2012 A. CITY OF CARMEL., INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $481.18 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 206292 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 08173577 77.29 BOTTLED GAS 601 5023990 08174006 10.51 OTHER EXPENSES 2201 4231100 7009358 99.70 BOTTLED GAS 211 R4462838 25834 776408 101.65 STORM WATER PHASE II 1094 4239012 779830 181.52 SAFETY SUPPLIES 1094 4239012 8173233 10.51 SAFETY SUPPLIES CYLINDER RENTAL INVOICE INDIANA INDIANA OXY COMPANY CUSTOMER: 07851 PAGE: 1 GORE P.O. BOX 78588 INVOICE: 08173577 INDIANAPOLI IN 46278 -0588 INV DATE: 0 1/31/12 317 290 -0003 SALESPERSON: 0 0 0 TERR: 007 BRANCH: 004 p/O: TERMS N i-71.` 3 III CARMEL STREET DEPT H CARMEC, S`N° E'E'l' DEPT 3400 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 CARMEL TN 46074 T T O O INVOICE AMOUNT: 77 29 PLEASE SEND TOP PORTION WITH YOUR PAYMENT INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAL/DAYS CYLINDER EXTENDED BALANCE, DAi ANGE CYLINDERS __RATE AMOUNT- R ALY ACETYLE E 3 1 1 3 0 93 .379 35.25 R ARC ARGON 2 0 1 1 1 11 .339 3.73 R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .339 10.51 R MIX MIX GASES 0 1 0 1, 0 20 .339 6.78 R OXY OXYGEN 2 2 2 2 0 62 .339 21.02 I TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 77.29 3400 W 131ST ST INVOICE: 08173577 CARMEL IN 46074 INVOICE DATE: 01/31/12 TOTAL CYL VALUE: 2400 P /O: INDIANA OXYGEN COMPANY o P.O. BOX 78588 o INDIANAPOLIS, IN 46278 -0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $77.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 08173577 42- 311.00 $77.29 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 r Wednesday, February 08, 2012 Street Commissioner V Titie Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 01/31/12 08173577 $77.29 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 ORIGINAL INVOICE INDIAMA. INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1 P.O. BOX 78588 INVOICE: 00776408 I ORDER: 01561369-00 INDIANAPOLIS, IN 46278 -0588 INV DATE: 0 1109/12 ORD DATE: 01 /05/12 317- 290 -0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 TINT: TRM P /O: SHOP -MIKE 1 TERMS: NET 30 SHIP VIA: UPS RE B S CARMEL STREET DEPT H CARMEL STREET DEPT 34.00 W 131ST ST P 3400 W 131ST ST CARMEL IN 46074 ATTN; MIKE T T CARMEL IN 46074 O 0 INVOICE AMOUNT: 101.65 PLEASE SEND TOP PORTION WITH YOUR PAYMENT ITEM QTY Qn DESCRIPTION UOM UNIT AMOUNT SHIP°D 13 PRICE HAR404318X36 20 0 7 4043 1/8 X 36 X 10# BOX ALUMINUMi LB 4.50 90.00 40431/8X36X10 0404360 MAX BE HARRIS OR ALCOTEC. Subtotal 90.00 I I I 1 w. o o i R, I I i II u� I i I I j I Visit us at facebook or oi the ?.r.eiht 11.65 web at www.indi naoxygen. om I I I Taxable amount: 0.00 CARMEL STREET DEPT CUSTOMER: 0';851 AMOU O ICE N T 101.65 THIS INV 3400 W 131ST ST INVOICE: 00776408 INCLUDING TAX CARMEL IN 46074 INVOICEDATE: 01/09/12 ORDER: 01561.369 -00 P /0: SHOP -MIKE INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 WDIANA IiNIIDNANA OXYGEN COMPANY, INC. 1 ]P.O. BOX 78588 DELIVERY TICKET 1N DUT4APbus, INDLANA 46278 -0588 Bloomington 0 Cincinnati p Fishers o Indianapolis s (812) 330 -9210 i(513)353 -2448 (317) 841 -0002 .(317) 290 -0003 Lafayette A Marion 0 Muncie o Seymour 0 Vincennes (765) 474 -7095 (765) 662 -8700 (765) 289 -2373 (812) 522 -4421 (812) 882 -4323 L:. C J4 =32 2 4 C America's Oldest OaslWelding Supply CUSTOMER 0 5 1 ORDER t 156 j. ,::r6` )i 1 CARMEL. STREET LIEF( T =i4 o( W 131ST S T ORDER DATE 01 ()5/ 1 ATTN a M 11- E I -)RJY IN 46074 PAGE 00 i LIF- 00 1. 0 31.7 INITIALS NAME GADIEL STREET DEPT TERR 007 SHIP VIA UPS NONE- TRIG SHOP —NINE 000 00 0 CHRO P .O. SALES SHIP CODE PREPAID UPS ORDER TYPE 05— JAN°12 01 :58PM1 PHON BRANCH COUPPD TIME PHONE# 317 -73s -001 tIW@ u s r n nn a s (ROUTE 7 r r r USER q '7 E XT&BE P SHIP HAZARD CLASS NO NIMBER ORDER BNORD LUC AMOUNT AMOUNT 2 Lk� 4043 i IB Y 36 X 10� BOY ALL€I�IN€!Ifi 1 HAR #318X36 tJ �0 L�3G 2+). +7() 404311826X10 0404360 MAY BE HARRIS OR ALCOTEC. Total Weight; 20.0000 SPE %TRC T T i ffi$9 TELEGHONE NJMBER: 8005-355053 PLACARDS: ACCEPTED REFUSED Custooer authorizes Seller to debit Customer's credit cart or deduct fro@ the TERMS BCONDITIONS Customer's deposit any outstanding balance remaining an the Customer' acco ghnECT S TOA LOFTHE CON AC REVERSESP AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. IMPORTANT x PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY (SIGNATURE) DATE ON THE REVERSE SIDE OF THIS DOCUMENT. ALL SALES MADE ARE SUBJECT TO SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES x SHIPPED AND RETURNED RENTAL CYLINDER COUNT. SHIPPED BY FILE TITLE TO ALL MERCHANDISE COVERED BY THIS INVOICE REMAINS THE PROPERTY OF INDIANA OXYGEN CO., INC. UNTIL PAID FOR IN FULL. IT IS MUTUALLY AGREED THAT CYLINDERS ARE RENTED TO CUSTOMER AND NO TITLE THERETO PASSES TO CUSTOMER. Customer agrees to pay a deposit of 100.00 for each cylinder rented. C ustomer may secure this deposit with cash or a credit card. The deposit will be returrid to Customer within 45 days after Customer returns all cylinders in Customer's possession. Customer acknowledges that the deposit, or any portion thereof, may be withheld for damage, unpaid rent, lost cylinders, and/or any outstanding balance remaining on Customer's account. A daily rental or demurrage charge, at established rates, will be invoiced on the last day of each calendar month. Customer agrees to be responsible for all loss or damage to any cylinder resulting from any cause whale .in customer's possession. Customer acknowledges delivery and acceptance of the cylinders in good condition and agrees to return said cylinders in good condition. No change in or addition to the .terms and provisions hereof shall be made unless approved in writing by a representative of Seller authorized to accept this agreement. Refilling of rented cylinders except by the Seller or loan of cylinders without the Seller's written consent is prohibited. All empty cylinders shall be returned to the Seller complete with caps. Said cylinders returned without caps shall be subject to an $8.00 charge per cap. CUSTOMERS RETAINING CYLINDER OVER 6 MONTHS MAY BE BILLED FOR SAME IN THE EVENT INDIANA OXYGEN COMPANY IS REQUIRED TO RESORT TO LEGAL ACTION TO COLLECT ANY AMOUNTS DUE FROM. CUSTOMER. IN THE EVENT IOC IS REQUIRED TO RESORT. TO LEGAL ACTION TO COLLECT ANY AMOUNTS DUE FROM THE CUSTOMER; IT SHALL BE ENTITLED TO RECOVER, IN ADDITION TO THE AMOUNTS DUE, ITS COURT COSTS AND REASONABLE ATTORNEY FEES AND/OR AGENT FEES. Customer acknowledges that Customer will be charged at minimum a $25.00 fee by Indiana Oxygen Co. for any check that is returned due to non-sufficient funds. No merchandise may be returned for credit without authorization from us in writing. Said merchandise is subject to a restocking charge at the option of the seller, plus transportation if picked up by the seller. Warranty: Indiana Oxygen Co. warrants that the Gas Products delivered hereunder shall be of standard purity, as defined by the Compressed Gas Association criteria. Indiana Oxygen Co. makes no other warranty of any kind, either expressed or implied, including, but not limited to, any warranty of merchantability or fitness for a particular purpose. Determination, of the suitability of the Gas Products furnished hereunder for the use contemplated by Customer is sole responsibility Of Customer, and Indiana Oxygen Co. shall bear no responsibility in connection therewith. TERMS: NET 30 DAYS, I PER MONTH REPRESENTING AN 18% PER ANNUM CHARGE ON UNPAID BALANCES WILL BE ADDED, 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 Indiana Oxygen Company Purchase Order No. POB 78588 Terms Indianapolis, In 46278 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/05/12 0776408 Creek sign materials for Stormwater project $101.65 r s s J` 1 Total' 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. ALLOWED 20 Inriiana Oxygensomanu IN SUM OF PO Box 78588 Indianapolis, IN 46278 $101.65 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), Or 25834 9/23/4025 211- R4462838 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 Z 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund CYLINDER LEASE INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: I P.O. BOX 78588 INVOICE: 07009358 INDIANAPOLIS, IN 46278-0588 INVDATE: 02/05/12 317-290-0003 SALESPERSON: 000 ITERR; OOV BRANCH; 004 TERMS: NET 3 0 B S I CARMEL STREET DEPT H CARMEL STR EET DEPT L 3400 W 131ST ST 3400 W nIST ST CARMEL IN 46074 CAIDMF:]', IN 46074 T T 0 0 1 INVOICE AMOUNT: PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- 'INV RNT EXPIRATiON DESCR CYL RATE AMOUNT TYPE 6ROVP DATE l_EAsF___ L AC1 MIX 12102/2012 07009358 1 99.70 99.70 WE OFFER I YEAR AND 5 YEAR LEASES 1 YR $i 2.19 PER CYL (ACETY LENE=$209.16) PLUS 'I'AA CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 99.70 3400 W 131ST ST INVOICE: 07009358 CARMEL TN 46074 INVOtCEDATE: 02/05/1.2 P/O: 1.567 INDIANA OXYGEN COMPANY e P.O. BOX 78588 INDIANAPOLIS, IN 46278-0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $99.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# /Dept. INVOICE NO. ACCT #/TITHE AMOUNT Board Members 2201 07009358 42- 311.00 $99.70 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 Friday`, Feb4 yary 10, 2012 Street Commissioner r d Street uc, me sslaner Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/05/12 07009358 $99.70 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 Vlvi I UNIT -oiv- Y ^lPTiOfv JOM AMOUNT ITEM SHJP'D 810 DESCRIPTION PRICE RELEASE DAWN 573- 4026 I I I Location: OX AD 6 0 6 6 OXYGEN, COMPRESSED 2 -2 CYL 25.123 150.74 UN1072 (USP GRADE) 90CF 167.4867/1.00CF i I f ENTER LOT NUM13ER ABOVE Lot: 00117201 Q Y: 6 i i i FSCFUEL SURCHRG 1 0 TEMP DIESEL SURCHARGE OUR '.TRUCK EA 4.85 4.85 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE i EACH 3.95 3.95 I Subtotal- 159.54 p 1 rra JAN 2 5 2012 TOTAL CYLINDERS SHIPPED: 6 RETURNf�:I) 01 I j I i Description VIPST RI &J-Pp R.O. A l coagQ9 P or F G -L.# 0��- y239o�2 Budget Line Desor Visit us on facebook or o i thePUrchasc V De gjaf barge 21.98 web at wwv indi &naoxygen. om Approval Data I I Taxable amount: 0.00 CARMEL CLAY PARKS CUSTOMER: 03390 AMOUNT 181.52 1411 E. 116TH ST. INVOICE: 007'19830 THIS INVOICE CARMEL IN 46032 INVOICEDATE: 01/20/1.2 ORDER: 01567497 -00 PIO: MC007499 INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 'N ITEM. INVOICE.DATE. INVOICE_.. BEGINNING SHIPPED__ RETURNED ENDING LEASED gA11DAY5_ CYLINDER EXTENDED IF GALANCE- 9k.ANC- CYLINDERS -RASE AMOUNT R SHP SMALL HIGH PRESS 1 6 6 1 0 31 .339 10.51 Pill ;base i rIiptlon �yQ f ✓lk1'L i-.o u 3 0 1 0 _Q F Dot 'oval ?z TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 F TOTAL 10.51 1411 E- 116TH ST. INVOICE: 08173233 CARMEL IN 46032 INVOICE DATE: 01/3.1./1 TOTAL CYL VALUE: 1.0 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 1/20112 779830 First aid supplies 181.52 1131/12 8173233 Rental of oxygen tanks Jan'12 30205 10.51 Total 192.03 f 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 In Sum of 192.03 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1094 779830 4239012 181.52 1 hereby certify that the attached invoice(s), or 1094 8173233 4239012 10.51 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 9 -Feb 2012 Signature 192.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Nv ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLMOER EXTENDED TYPE BALANCE BALANCE CYLINDERS RATE- AMOUNT ALY ACETYLENE 1 0 0 1 1 0 .379 .00 MIX MIX GASES 1 1 1 1. 1 0 .339 .00 NIT NITROGEN 1 0 0 1 0 X 31 .339 10.51 OXY OXYGEN 1 0 0 1 1 0 .339 .00 SHP SMALL HIGH PRESSURE 1- 0 0 1.- 0 0 .339 .00 I I TAX: .00 CARMEL WATER CUSTOMER: 12598 TOTAL 10.51 3450 W 131ST ST INVOICE: 08174006 CARMEL IN 46074 -8267 INVOICEDATE: 01/31/1.2 TOTAL CYL VALUE: 1200.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN a 46278 =0588 VOUCHER 113694 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 apeR p INDIANAPOLIS, IN 46278 9 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 08174006 01- 6360 -03 $10.51 Voucher Total $10.51 Cost distribution ledger classification if claim paid under vehicle highway fund 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 217/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/7/2012 08174006 $10.51 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 ,a)), ,a)), G? p ,l ip. Date Officer