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Home My WebLink About211803 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 j ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $108.82 CARMEL, INDIANA 46032 PO BOX 78588 o� INDIANAPOLIS IN 46278 CHECK NUMBER: 211803 CHECK DATE: 8114/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 08198607 87 . 80 BOTTLED GAS 601 5023990 08199011 10 . 51 OTHER EXPENSES 1094 4239012 8198270 10 . 51 SAFETY SUPPLIES CYLINDER RENTAL INVOICE INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1 �.` P.O. BOX 78588 INVOICE: 08198607 INDIANAPOLIS, IN 46278-0588 INV DATE: 07/31/12 317-290-0003 SALESPERSON:0 0 0 TERR: 007 BRANCH: 004 P/O: TERMS: NET 3 0 B CARMEL STREET DEPT H CARMEL, S'1'RI::E`P DEPT � 3400 W 131ST ST P 3400 W 131-ST ST CARMEL IN 46074 CARMEI:� TN 46074 T T O O INVOICE AMOUNT: 87.80 ---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------=----------------------- -- INV ITEM -INVOICE DATE - INVOICE BEGINNING SHIPPED RF_TURNE-D_ ENDING LEASED BAUDAYS- CYLINDER EXTENDED _ -� _ BALANCE .,LANCE CYLINDERS -RATE- -AMOUNT- R ALY ACETYLENE 3 0 0 3 0 93 .379 35 .25 R ARG ARGON 2 0 0 2 1 31 .339 10.51 R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .339 10. 51 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 _ TAX: .00 CARMEL STREET DEPT CUSTOMER: 07851 TOTAL - 87 . 80 3400 W 131ST ST INVOICE: 08198607 CARMEL IN 46074 INVOICEDATE: 07/31/1-2 TOTAL CYL VALUE: 2700. 00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588 UCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER iana Oxygen IN SUM OF $ CITY OF CARMEL O. Box 78588 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by F ianapolis, IN 46278-0588 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. o $87.80 Payee Purchase Order No. N ACCOUNT OF APPROPRIATION FOR Terms Carmel Street Department Date Due Invoice Invoice Description Amount Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) { 1 08198607 42-311.00 $87.80 I hereby certify that the attached invoice(s), or 07/31/12 08198607 $87.80 bill(s) is (are)true and correct and that the �l materials or services itemized thereon for which charge is made were ordered and received except Thu,rsday�A�jigust 09, 2012 UW4/ /Y P4 } Street Commissioner trees Comnj,+ss;oner le Tit Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 20 c f, t• r:, Clerk-Treasurer t,. �. INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED CYLINDER CYLINDER EXTENDED p BALANCE BALANCE CYLINDERS -RATE - AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .339 10. 51 t i Purchase or Descrlption Pff —� P.O.# G.L.# U- U22)L Budget Line Desc Purchaser Date Approval Date —1-- - — -- TAX: . 00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL / 10.51 1411 E. 116TH ST. . INVOICE: 081982•/0 CARMEL IN 46032 INVOICEDATE: 07/31/1.2 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 7/31/12 8198270 Rental of oxygen tanks 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. 4,CCT#/TITLE AMOUNT Board Members Dept# 1094 8198270 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 9-Aug 2012 Signature $ 10.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund INV ..ITEM __INVOICE SATE INVOI(:E_.. BEGINNING SHIPPED-IRETURNEDI _ENDING LEASED BAUDAYS CYLINDER EXTENDED iYF' - 6;"N WCE- - 3AIJdJC E-- C'i LING j PATE ...OUNT• ALY ACETYLENE 1 0 0 1 1 0 .379 . 00 • MIX MIX GASES 1 0 0 1 1 0 .339 .00 • NIT NITROGEN 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 'v a� V� i i i I _ TAX: . 00 CARMEL WATER CUSTOMER: 12598 TOTAL ® 10. 51 3450 W 131ST ST INVOICE: 0819901.1. CARMEL IN 46074-8267 INVOICEDATE: 07/31/1.2 TOTAL CYL VALUE: 1200. 00 P/O: INDIANA OXYGEN COQ ILPAN a' P.O:_PDX 78588-_,INDJ;ANAPOLIS, IN_s. 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 8/9/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/2012 08199011 $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 Officer VOUCHER # 121824 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 08199011 01-6360-03 $10.51 Voucher Total $10.51 Cost distribution ledger classification if claim paid under vehicle highway fund