207106 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $1,629.89
CARMEL, INDIANA 46032 PO Box 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 207106
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01579512 -00 1,475.00 REPAIR PARTS
2201 4232100 01590199 -00 62.94 GARAGE MOTOR SUPPIE
1094 4239012 08177381 9.83 SAFETY SUPPLIES
2201 4231100 08177722 72.29 BOTTLED GAS
601 5023990 08178139 9.83 OTHER EXPENSES
INv ITEM INVOICE DATE INVOICE BEGINNING SHIPPED V RETURNE=D A LEA$ED BAUDAYS CYLINDER EXTENDED
p BALANCE BALANCE CYI.INgERS RATE A MOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 0 29 .339 9. $3
Purchase
Description
P.O. X020 rP or F s
G.L. LL4 7—
Buda I
Line�lescr I
I
Purchaser D to Approval D to
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3 TAX:
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 9.83
1411 E. 116TH ST. INVOICE: 08 117387
CARMEL IN 46032 INVOICE DATE: 02/29/7.2
TOTALCYLVALUE: 100.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588. INDIANAPOLIS, IN a 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
2129112 8177381 Rental of oxygen tanks Feb'12 30205 9.83
Total 9.83
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
1 20
Clerk- Treasurer
Voucher No. Warrant No,
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278 -0588
In Sum of
9.83
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 8177381 4239012 9.83 i 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
8 -Mar 2012
Signature
9.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
5 d YMEM
INV _ITL4A ..INVnICF.DATE __IN \10ICF BEGINNING _SHIPPED RETURNED ENDING LEASED HAUDAYS CYLINDER EXTENDED
BA::..wCE DAB l,P:Cf c !ND'cf'„— .!LATE_- &M0'.'NT
R ALY ACETYLENE 1 0 0 1 1 0 .379 .00
R MIX MIX GASES 1 0 0 1. 1 0 .339 .00
R NIT NITROGEN 1 0 0 1 0 29 .339 9.83
R OXY OXYGEN 1 1 1 1 1 0 .339 .00
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 0 .339 .00
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TAX: .00
CARMEL WATER CUSTOMER: 12598 TOTAL 9.83
3450 W 131ST ST INVOICE: 08178139
CARMEL IN 46074 -8267 INVOICEDATE: 02/29/1 -2
TOTAL CYL VALUE: 1200 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER 113927 WARRANT ALLOWED
154252 IN SUM OF
INDIANA 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
08178139 01- 6360 -03 $9.83
Voucher Total $9.83
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 SOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 3/6/2012
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2012 08178139 $9.83
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audite same in accordance with IC 5- 11- 10 -1.6
Date Officer
CYLINDER RENTAL INVOICE
FN- f)l.ANL1 INDIANA OXYGEN COMPANY
P.O. BOX 78588 NVOICE H 7II]22 PAGE: 1
INDIANAPOLIS, IN 46278 -0588 INV DATE: 0
317- 290 -0003 SALESPERSON; 0 0 0 1 TERR: 007
B RANCH: 0
PlO:
TERIVIS: N':;'1' 3 0
B S
I CARMEL STREET DEPT H CARME'l S': "EZT ?C?T DEPT
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMKI, IN 46074
T T
O O
INVOICE AMOUNT: 72.29
PLEASE SEND TOP PORTION WITH YOUR PAYML=NT-----------------------------.----------
Nv P E BALA NCF CYLINDERS ITEL NVOICE DATE INVOICE BECwNiNG SHIPPED RETURNED ENDING I LEASED BAL/DAYS CYLINDE" EXTENDED
BALANC II �I RATE AMOUNT
R ALY ACETYLENE 3 0 0 3 0 87 .379 32.97
R ARG ARGON 1 0 0 1 I 1. 0 .339 .00
R CO2 CARBON DTOXIDE 1 0 0 1. 0 29 .339 9.83
R MIX MIX GASES 1 0 0 1 0 29 .339 9.83
R OXY OXYGEN 2 0 0 2 0 58 .339 19.66
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TAX: .00
CARMEL STREET. DEPT CUSTOMER: 72.29
-TOTAL
3400 W 131ST ST INVOICE: 081 77722
CARMEL IN 46074 INVOICEDATE: 02/29/1.2
TOTAL CYL VALUE: 2 400,00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$72.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 08177722 42- 311.00 $72.29 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
Thursday, March 08, 2012
Street Commissioner
Cyrao} (`nm miccinncr
Title
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))
02/29/12 08177722 $72.29
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
ORIGINAL INVOICE
�sT 7�7 1 P.O. BOX 78588 INVOICE: 007 92664
I ���IX:V
INDIANA OXYGEN CUSTOMER; 07851 PAGE: 1
i
(ORDER: 01$79512 -00
INDIANAPOLI IN 46278 -0588 i v DATE: 03 06/ 12 O DATE 03
317 -290 -0003 SALESP 000 j TERR: 007
BRANCH: 004 j INT: DAB
J EFF STEWART
I TE NET 3
SHIP V Will Call
RELEASE W--
CARMEL STREET DEPT R CARMEL STREET DEPT
3400 w 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL., TN 46074
T T
O O
INVOICE AMOUNT: 1, 475.00
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM Q QTY DESCRIPTION UOM j UNIT AMOUNT
SHIP ao II PRICE
I I Location: D
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REPEQ 1 0 REPAIR- EQUIPMENT EACH 1475.00 1475.00
TAG# 42611
P.O. 17630
(MILLER SYNCROWAVE 250DX
SER# LJ020003L
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CALL JEFF STEWART 317 417- 053
*DISCOUNT OF $127175, DUE TOJDAMA E ON MACHINE, OK BY JEFI
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I Subtotal I 1475.00
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Visit us at facrbook or o the I
web at www.indi naoxygen, om
it I i
!.T axable amount 0 00
CARIMEL STREET DEPT CUSTOMER: 0'785.1 AMO
1,175.00 THISINVOICE
3400 w 131ST ST INVOICE: 00792664 LINCLU
CARMEL IN 46074 INVOICEDATE: 03/06/1.7
ORDER: 0157951.2 -00 P /O: JEFF STEWART
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN o 46278 -0588
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 01851 PAGE: I
BUSE P.O. BOX 78588 INVOICE: 00792665 ORDER: 01590199-00
INDIANAPOLIS, IN 46278-0588 INV DATE: 03/06/12 j ORD DATE: 03/06/12
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 T INT; DAB
P/O: SHOP
TERMS: 3 0
I- SHIP VIA: Wj J I Call
RELEASE N:
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
L p
3400 W 131ST ST 1 3400 W 131ST ST
L
CARMEL IN 46074 CARMIl, IN 46074
T T
0 0
INVOICE AMOUNT: 62 .94
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM OTY QTY DESCRIPTION UOM UNIT AMOUNT
SHIP" 'alo -PRICE-
1** Location:
TIL1425XL 1 01 TOP GRAIN COWHIDE FLEECE' LTNED PR 10.25 10.25
71CWINTER GLOVES WINTERGLOVI;!S
TIL1075 1 0 WE WELD AMERICA CLOVE PR
10.25 10.25
JACHSLIOOBLK 1 0 HSL100 BLACK 4X5 SHADOW HELMET EA 42.44 42.44
3002498 0744-0504
SubLct 1 62. 94
Visit us At facebook or o the
weblat www indianaox7gen- orn
I amount:) _j 0.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 62.
3400 W 131ST ST INVOICE: 00792665 THIS INVOICE
INCLUDING TAX
CARMEL IN 46074 INVOICEDATE: 03/06/12
ORDER: 01590199-00 P/O: SHOP
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278-0588
E
_.___a..____..-
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$1,537.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #iTITLE AMOUNT Board Members
2201 01590199 -00 42- 321.00 $62.94 1 hereby certify that the attached invoice(s), or
2201 01579512 -00 42- 370.00 $1,475.00
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, March 09, 2012
Street Commissioner
Title
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
whoa, 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))
03/06/12 01590199 -00 $62.94
03/06/12 01579512 -00 $1,475.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
wlth IC 5- 11- 10 -1.6
,20
Clerk- Treasurer