HomeMy WebLinkAbout214692 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $228.44
CARMEL, INDIANA 46032 PO BOX 78588
INDIANAPOLIS IN 46278 CHECK NUMBER: 214692
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01701435 130 . 13 OTHER EXPENSES
2201 4231100 08211102 87 . 80 BOTTLED GAS
601 5023990 08211498 10 . 51 OTHER EXPENSES
CYLINDER RENTAL INVOICE
INDIA N-A INDIANA OXYGEN COMPANY CUSTOMER:0'7 PAGE: 1 _
�l P.O. BOX 78588 INVOICE: 082111.02
INDIANAPOLIS, IN 46278-0588 INV DATE: 10/31/12
317-290-0003 SALESPERSON:000 TERR: OO7
BRANCH: 004
P/O:
TERMS: _- N4, i,--`jO ---- —
B CARMEL STREET DEPT H CARMEL S` 'RE:ET DEPT
� 3400 W 131ST ST P 3400 W 1.31ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 87 . 80
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------— ----------
'.F✓' - — BEGINNING-- ENDING-� !F,ASED - CYLINDER EXTENDED _
YF ITEM INVOICE DATE —"-INJGICE —BALANCE off PrEv-RETiiRNcDi B_ ANCE—� CYI IMDERS 3Av DAYS 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
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TAX: . 00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL ® 87 . 80
3400 W 131ST ST INVOICE: 082111 0 2
CARMEL IN 46074 INVOICE DATE: 10/31/1.2
TOTAL CYL VALUE: 2700 . 0 0 P/O:
INDIANA OXYGEN COMPANY ® P.O. BOX 78588• INDIANAPOLIS, IN 9 46278-0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$87.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 08211102 1 42-311.001 $87.80 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
f Thursday, November 15 2012
VVV Q/Y "-��Ify
S,§re et Commissioner
Title
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))
10/31/12 08211102 $87.80
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
BEGINNING p NT11 F �ED �DCYLINDER ENV ITEM_____.__ INVOICE-DATE- .INVOICE SHIPPED RETURNED . BAUDAYS EAMOUNT._ �
R ALY ACETYLENE 1 0 0 1 1 0 .379 . 00
R MIX MIX GASES 1 0 0 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 SAL SMALL A2ETYLENE 0 1 1 0 0 0 .339 . 00
R SHP SMALL HIGH PRESSURE 1- 1 1. 1 - 0 0 .339 . 00
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TAX: . 00
CARMEL WATER CUSTOMER: 12598 ® 10. 51
3450 W 131ST ST INVOICE: 08211498 FTOTAL
CARMEL IN 46074-8267 INVOICEDATE: 10/31/12
TOTAL CYL VALUE: 1200. 00 P/O:
1NDIAIVA OXYGEN COMPANY-- P.
` UNIT
ITEM_ I QTY QTY DESCRIPTION I UOM AMOUNT
s�tlr-'c R'o - _ - - ---- — _
PRICE I
MI P2 512 9 2 1 I 0 f --- -------- ---- - - ------ -- ------- ---------
'
CLASSIC SERIES BLACK 9-13 EA 84.00 84.00
HELMET
� OKIWYPSP-1 11 0 STANDARD TIP CLEANER SET POP EA 1 3.20 3.20
TIPCLEANER
OX 20 , 1I 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 13.23 13.23
UN1072
20CF @ 66.1500/100Cf I
AL MC I 1 ' OI 11 1 ACETYLENE 10CF CYL 21.35 21.35 !
CGA-200
I � I lOCF @ 213 .5000/1::i'OCr' !
� � 1
FSCFUEL SRCHGWCI 11 Oj TEMP DIESEL SURCHARGE WIC EA 4.40 4.40
1 i !
HMCHAZ MAT CHG I 1j 01 HAZARDOUS MATERIAL CIIARGE EA 3.95 3.95
I
f Subt-otal 130.13
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TOTAL CYLINDERS SHIPPED: 2 RETtJiZN:-:!i: 2 '
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lVisit us on faclbookior oh the
web, at www.indianaoxygen.lom
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'Paxable amount:! !0.00
CARMEL WATER _ CUSTOMER: 12598 AMOUNT 130.13
3450 W 131ST ST INVOICE: 00856911
CARMEL IN 46074-8267 INVOICEDATE: 10/29/1.2
ORDER: 01.701.4,35- 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
VOUCHER # 122713 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
08211498 01-6360-03 $10.51
0I-7 a1U35-6o
Voucher Total f CAD. Q I i 1
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 11/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201', 08211498 $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
11y/i-7 0c,
Date Officer