210036 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $219.23
INDIANAPOLIS IN 46278 CHECK NUMBER: 210036
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 00815419 120.92 BOTTLED GAS
2201 4231100 08190313 87.80 BOTTLED GAS
601 5023990 0819728 10.51 OTHER EXPENSES
ORIGINAL INVOICE
I' DIANik INDIANA OXYGEN COMPANY C 0 PAGE: 1
P.O. BOX 78588 INVOICE 0 0815419 ORDER: 00338454 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 0 5/30/12 ORD DATE: 05/24/12
317 290 -0003 SALESPERSON: 0 TERR: 007
BR ANCH: 021 TINT: CW
P /O: 216
T ERMS: NET 30
S HIP VI Wi Call
IRELEASE
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST F 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
I
INVOICE AMOUNT: 120.92
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
QTY. QTY UNIT
-ITEM- DESCRIPTION UOM AMOUNT
I B10— _P- -RICE
Location: Z
AR 336 1 0 1 1 ARGON, COMPRESSED, 2.2 CYL 120.918 120.92
UN1006
331CF 36.5311/100CF
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Subtotal 120.92
1
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1,
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Taxable amount: 0.00 1
CARMEL STREET DEPT CUSTOMER: 07851 120.92
3400 W 131ST ST INVOICE: 0081541 -9
CARMEL IN 46074 INVOICEDATE: 05/30/12
ORDER: 00338454 -00 P /O: 216
INDIANA OXYGEN COMPANY P.O. BOX 78588 9 INDIANAPOLIS, IN 46278 -0588
CYLINDER RENTAL INVOICE
I °a DIANYL INDIANA OXYGEN COMPANY CUSTOM 07851 1 PAGE: 1
P.O. BOX 78588 IN VOICE 08 190313
INDIANAPOLIS, IN 46278 -0588 INV DATE: 05/ 3 1 /12
317 290 -0003 SALESPERSON: 0 0 0 TERR: 007
B 004
TERMS: NET 3 0
B S
I CARMEL STREET DEPT H CARMEI -i STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L P
CARMEL IN 46074 CARMEL TN 46074
T T
O O
INVOICE AMOUNT: 87.80
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM INVOICE DATE INVOICE BEGINNING .SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
YF BALANCE BA LANCE CYLINDERS RATE AMOUNT.
R ALY ACETYLENE 3 0 0 3 0 93 .379 35.25
R ARG ARGON 1 1 1 1 1 0 .339 .00
R CO2 CARBON DIOXIDE 2 0 0 2 0 62 .339 21.02
R MIX MIX GASES 1 0 0 1 0 31 .339 10.51
R OXY OXYGEN 2 0 0 2 0 62 .339 21.02
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TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 87.
3400 W 131ST ST INVOICE: 08190313
CARMEL IN 46074 INVOICEDATE: 05/31/1 -2
TOTAL CYL VALUE: 2700.00 P /O:
INDIANA OXYGEN COMPANY 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
$208.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
2201 00815419 42- 311.00 j $120.92 1 hereby certify that the attached invoice(s), or
2201 08190313 42- 311.00 $87.80
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, June 15, 2012
)0;S
v v v Street Commissio�
Street Cmtlel mission er
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))
05/30/12 00815419 $120.92
05/31/12 08190313 $87.80
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
car
NP ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gAUDAYS CYLINDER EXTENDED
BALANCE BALANCE CYLIND RATE AMOUNT
R ALY ACETYLENE 1 0 0 1 1 0 .379 .00
R MIX MIX GASES 1 1 1 1 1 0 .339 .00
R NIT NITROGEN 1 0 0 1 0 31 .339 10.51
R OXY OXYGEN 1 0 0 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 10.51
3450 W 131ST ST INVOICE: 08190'728
CARMEL IN 46074 -8267 INVOICEDATE: 05/31/12
TOTAL CYL VALUE: 1200.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS IN 46278 =0588
VOUCHER 121150 WARRANT ALLOWED
4)
154252 IN SUM OF
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
r
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0819728 01- 6360 -03 $10.51
i
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 6/11/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/2012 0819728 $10.51
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 Officer