HomeMy WebLinkAbout210902 07/17/2012 a CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $95.13
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 210902
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08194484 84 . 96 BOTTLED GAS
601 5023990 08194896 10 . 17 CONT SERVICES OTHER
CYLINDER RENTAL INVOICE
INL)l XNA INDIANA OXYGEN COMPANY CUSTOM ER:07851 PAGE: 1 _
,' P.O. BOX 78588 INVOICE: _08194484
INDIANAPOLIS, IN 46278-0588 INV DATE: 06/30/12
317-290-0003 SALESPERSON:0 0 0 1 TERR: 007
BRANCH: 004
P/O: _
TERMS: N-P P 3 0
I CARMEL STREET DEPT H CARMEL SPREE' DEPT
� 3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL, IN 46074
T T
O O
[INVOICE AMOUNT: 84. 9 6
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-----------------------------------------
INV ITEM INVOICE DATE.__INVOICE I_bEG NING ENDING ^LEASED CYLINDER EXTENDED
-;;p----- - -EAL'ANCE----SHIPPED RETURNED .., �..,��_ BAUDAYS.
.,JDERS --RATE —_ _ —P.A.40UNT---_— _
R ALY ACETYLENE 3 1 1 3 0 90 .379 34 . 11
• ARG ARGON 1 1 0 2 1 11 . 339 3 .73
• CO2 CARBON DIOXIDE 2 0 1 1 0 49 . 339 16.61
• MIX MIX GASES 1 0 0 1 0 30 .339 10. 17
• OXY OXYGEN 2 0 0 2 0 60 .339 20.34
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TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 84.96
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3400 W 131ST ST INVOICE: 08194484 L _-
CARMEL IN 46074 INVOICEDATE: 06/30/12
TOTAL CYL VALUE: 2700 . 00 P/O:
INDIANA OXYGEN COMPANY o P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$84.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 08194484 I 42-311.001 $84.96 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
Wednesday,��idly 11, 2012
vv Street Commis i of e s
Street C(TJ;tie rd
7lissioner
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))
06/30/12 08194484 $84.96
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
INS --!TE�4 !NVO!CE DATE,--INVOICE BEGINNING gNIPPED RFTLIRNEP_. ENDING LEASED RAL D CYLII
YP BALANCE '5 LAN0C. CYLINDERS ll
• ALY ACETYLE E 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 30 .339 10.17
• OXY OXYGEN 1 0 0 1. 1 0 .339 . 00
• SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .339 .00
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- --- - ----' -I ---- TAX: .00
CARMEL WATER CUSTOMER: 12598 TOTAL ® 10.17
3450 W 131ST ST INVOICE: 08194896
CARMEL IN 46074-8267 INVOICEDATE: 06/30/12
TOTAL CYL VALUE: 1200. 00 P/O:
INDIANA.OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER # 121404 WARRANT # ALLOWED
154252 j 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
08194896 01-6360-03 $10.17
Voucher Total $10.17
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 7/9/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2012 08194896 $10.17
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 Officer