The URL can be used to link to this page

Home My WebLink About210416 07/05/2012 ,\yf CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $169.79 INDIANAPOLIS IN 46278 CHECK NUMBER: 210416 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 00820922 159.28 BOTTLED GAS 1094 4239012 8189973 10.51 SAFETY SUPPLIES ORIGINAL INVOICE INDIAN "X INDIANA OXYGEN COMPANY CUSTOM 0'185 1 PAGE: I P.O. BOX 78588 INVOICE: 00820922 ORDER: 01638693-00 INDIANAPOLIS, IN 46278-0588 INV DATE. 06/19/12 ORD DATE: 06/19/12 317-290-0003 SALESPERSON: 000 ITERR: 007 BRANCH: _IXO 4 INT: MMG P/O: SHOP TERMS: NET 30 SHIP VIA: W- Call RELEASE#: B S I CARMEL STREET DEPT H CARMR;l, STREET DEPT L 3400 w 131ST ST 3400 W 1.31-ST ST L CARMEL IN 46074 CARMEL IN 46074 T T 0 0 INVOICE AMOUNT: 159.28 PLEASE SEND TOP PORTION WITH YOUR PAYMENT IT iTE M DESCRIPTIO LIOM Ul CE -AMOUNT SHIFD 0 u0m p Location: D CD 50 1 0 0 1 CARBON DIOXIDE, 2.2 CYL 19.845 19.85 UN1013 50CF 39.6900/1000Y AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 65.178 65.18 UN1001 147CF Ca 44.3388/1000F PRICE INCLUDES TEMPORARY CARBTDE� SURCHG RECORD "ACTUAL" CUBIC FOO"LPACE CF CF (60-175CF/CYL) .AR 336 1 0I 1 0 ARGON, COMPRESSED, 2.2 CYL 66.15 66.15 UN1006 331CF 19.9849/100CF FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.15 4.15 HMCHAZ MAT CHG 1, 0 HAZARDOUS MATERIAL CHARGE I EA 3.95 3.95 Subtotal 159.28 �OTAL YLINDERS SHIPPED: 2 RETURNED: 2i Visit us at fac--book or oi the web at indimaoxygen.:= Taxable amount: 0 .00 CARMEL STREET DEPT CUSTOMER: 0785-1 159.28 3400 W 131ST ST INVOICE: 00820922 CARMEL IN 46074 INVOICEDATE: 06/1-9/1.2 ORDER: 01638693-00 P/O: SHOP I 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)) 06/19/12 00820922 $159.28 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 N ALLOWED 20 Indiana Oxygen IN SUM OF P. O. Box 78588 Indianapolis, IN 46278 -0588 $159.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 2201 I 00820922 I 42- 311.001 $159.28 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; June 28, 2012 UOW4 Street Commissioner r it 3�reet OmTitlessioner Cost distribution ledger classification if claim paid motor vehicle highway fund PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------------------------------- NV ITEM INVOICE DAT INVOICE BEGINNING SHIPPED RETIJRNFD ENDING LEASED BAI- /DAYS CYLINDER EXTENDED TY P E __BEG INNING BALANCE CYLC +CERS i7ATE AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .339 10.51 -E EIVIED JUN Q 6 2012 urchase ascription 4dK .0. �O �r orF 3. 2� 0/2 ua�t �c ine escr urchaser Date pproval Date TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 10- 10.51 1411 E. 116TH ST. INVOICE: 08189973 CARMEL IN 46032 INVOICEDATE: 05/31/17 TOTAL CYL VALUE: 100.00 P /O: INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588 i 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 5/31/12 8189973 Rental of oxygen tanks 30205 10.51 Total 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 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 8189973 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 28 -Jun 2012 Signature 10.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund