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Home My WebLink About208340 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 r ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $75.52 +a CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 208340 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 00803279 28.30 BOTTLED GAS 601 5023990 08182329 10.51 OTHER EXPENSES 651 5023990 801449 26.20 OTHER EXPENSES 1094 4239012 8181566 10.51 SAFETY SUPPLIES ORIGINAL INVOICE INDIANA INDIANA OXYGEN COMPANY �cusTOMER: 0785 PAGE: 1 BIE P.O. BOX 78588 INVOICE 00803 _ORDER: 01. 608420 00 INDIANAPOLIS, IN 46278 -0588 I INV DATE: 04/1.3/1 ORD DATE: 04/13/12 317 290 -0003 SAL 000 T ERR: 007 r BRANCH: 009 INT: TRM P /O: I N ^;`P 3 C SHIP VIA: W:i.] 1 Call RELEASE u: B S I CARMEL STREET DEPT 11 CARM :L• STREET DEPT 3400 W 131ST ST F 3400 W 131ST ST CARMEL IN 46074 CAilMi;1T, TN 46074 T T O O INVOICE AMOUNT: 28.30 PLEASE SEND TOP PORTION WITH YOUR PAYMENT -ITEM PRICE- Location: sQT?a._.L- T DESCRIPTION UOM UNIT AMOUNT P RICE Location: D CD 50 j 1 Oj 11 0 CARBON DIOXIDE, 2.2 CYL J 19.845 19.85 UN1013 50CF 39.6900/100CF !FSCFUEL SRCHGWC 1 OI TEMP DIESEL SURCILARG W/C EA 4.50 4.50 j HMCHAZ MAT CHG 11 01 HAZARDOUS MATERIAL C!1ARG!? E A 3.95 3.95 °•,.,t.ota]. i 28.30 I TOTAL CYLINDERS SHIPPED: I I i 1 I I I I visit us at facebook or on the web, at www.indianaoxygen. om ,Taxa amo :0.00 CARMEL STREET DEPT CUSTOMER: 0785. 20.30 3400 W 131ST ST INVOICE: 00803279 CARMEL IN 46074 INVOICE DATE: 0 ORDER: 01608420 -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 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)) 04/13/12 00803279 $28.30 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 C VOUCHER N WA RRAN T NO. ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $28.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I 00803279 I 42- 311.00j $28.30 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 Thurs8ay,/Apr"il 19, 2012 Street Commissioner/ Street ritre Cost distribution ledger classification if claim paid motor vehicle highway fund Ih! .BECINNINC- ENDING LEASED Rpi �f1AYS CYLINDER EXTENDED yP ITEM iiJbviCE CATS 'INVOICE BALANCE it ?PE.^. RETURNED BALA NCE CYLINDERS RATE AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .339 10.51 Purchase rn( D;�acripfior I P.O. �;7— F) or F G. L. I bfi y Bucket Line 'Jescr i AP 0 i3 Purchaser_ Dale Approval Date Y. I I I 1 TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 10.51 TOTAL 1411 E. 116TH ST. INVOICE: 08181566 CARMEL IN 46032 INVOICEDATE: 03/31/1 -2 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 3/31/12 8181566 Rental of oxygen tanks Mar'12 30205 10.51 Total 10.51 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 In Sum of 10.51 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1094 8181566 4239012 10.51 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 19 -Apr 2012 Signature 10.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund r,Ll oC JCIVU IVI'f VoI vvi In Iuom r A i mt::iJI INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED .RETURNED ENDING LEASED ggUDAYS CYLINDER EXTENDED .P. BALANCE BALANC C YLINDERS RATE. AMOUNT ALY ACETYLENE 1 0 0 1 1 0 .379 .00 MIX MIX GASES 1 0 0 1 1 0 .339 .00 NIT NITROGE 1 0 0 1 0 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 ul I W i I i I i I I i I TAX: .00 CARMEL WATER CUSTOMER: 12598 TOTAL lo, 10.51 3450 W 131ST ST INVOICE: 08182329 CARMEL IN 46074 -8267 INVOICEDATE: 03/31/12 TOTAL CYL VALUE: 12 0 0. 0 0 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 4/16/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2012 08182329 $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 Date O fj& r VOUCHER 114299 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 08182329 01- 6360 -03 $10.51 i Voucher Total $10.51 Cost distribution ledger classification if claim paid under vehicle highway fund PLEASE SEND TOPPORTIGNWiTHYOURPAYMEN I---- ITEM I ATY Q T Y DESCRIPTION UOM UNIT AMOUNT iIP'D TO PRICE t Location: D CR030018X1 1 0 300 1/8 X 1# PKG F.C. AI,UM:I.NUM L13 26.20 26.20 I RE300 -EOPP 3001/8X1 i Subtotal 26.20 j i i I I I i I I I I Visit us at facebook or oa the web at www.indianaoxygen. om I j i Taxable am ount:, !0.00 CARMEL WASTEWATER CUSTOMER: 160')2 AMOU O ICE N T 26.20 THIS INV 760 3RD AVE. SW INVOICE: 00801449 INCLUDING TAX CARMEL IN 46032 INVOICEDATE: 04/06/12 ORDER: 01605 -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 4/16/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2012 801449 $26.20 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 fficer VOUCHER 117151 WARRANT ALLOWED 154252 IN SUM OF INDIANA OXYGEN CO PO BOX 78588 INDIANAPOLIS, IN 46278 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 801449 01- 7202 -06 $26.20 Voucher Total $26.20 Cost distribution ledger classification if claim paid under vehicle highway fund