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215058 12/04/2012
CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $1,196.57 �+o CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 215058 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 00862190 72 . 00 OTHER EXPENSES 601 5023990 00862191 70 .26 OTHER EXPENSES 102 4467099 00863439 818 . 00 OTHER EQUIPMENT 601 5023990 00863456 48 . 05 OTHER EXPENSES 601 5023990 00863457 177 . 75 OTHER EXPENSES 1094 4239012 8210766 10 . 51 SAFETY SUPPLIES i i uw I SHIPD B/O ** Location: D ** I ----- - -- ----- MIL907312 1i 0 MILLERMATIC 180 AUTOS!!;'!' 230v. EA 818.00 818.00 24GA.-5/16" MM180 **** CALL JIM BULTER 96'6-3762 WHEN IN SN: MC380249N i subtotal 818.00 I I i 1 i ;I I I i � I I i 1 I Visit us at faclbook or oi the we at www.indianaoxygen. om I I Taxable amount: 10.00 CARMEL CITY OF FIRE DEPT. CUSTOMER: 94698 AMOUNT 818.00 I THIS INVOICE FIRE STATION #1 INVOICE: 00863439 INCLUDING TAX 2 CARMEL CIVIC SQUARE INVOICEDATE: 1.1/20/1.2 CARMEL IN 46032 ORDER: 01.71.1158-00 P/O: VERBAL: JIM BULTER INDIANA OXYGEN COMPANY 0 P.O. BOX 78588• INDIANAPOLIS, IN o 46278-0588 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Oxygen IN SUM OF $ PO Box 78588 Indianapolis, IN 46278 $818.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 00863439 1 102-670.99 I $818.00 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 n � 22D12 P, d a Fire Chief 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)) 00863439 $818.00 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 ITEM pry QTY DESCRIPTION I UOM UNIT AMOUNT - SHIP' ._.o - - - - - - -- -- - --- _ ** Location: A ** + - --- --- .. MIP204323 2 O DRAG SHIELD ICE40 `PORC!? EA 15.36 30.72 625XTREME MIP204325 5 O STD. TIP 40AMP (5PK) 1CI?40 TORCH EA 4.01 20.05 625XTREME E/C/ MIP192048 5 O ! ELECTRODE EXTENDED (5PK) 1CIi40 EACH 9.47 47.35 ICE55 TORCH 625XTREME, 2050/ MIP192047 5 0 STD. ELECTRODE (5PK) iCL;4O 1CI7:55 ; EA 9.82 49.10 625XTREME 2050/ E/C/ ; I ' MIP000068 j 101 0 .035 TIP (IOPK) M10GUN / MM140 EACH 1.51 15.10 r ! MM180 MM211 MM212 MM252 MIP169725 1 j 0 169725 NOZZLE SLIP 5/8 Tl! 25 "GUN,' .EACH.,, 15.43 15.43 j RECESS M25GUN MM252 177.75 .Y ! i I it ij I i i ! visit us on facebook or o the weblat www.indianaoxygen. om II , Taxable amount:amount: 10.00 I CARMEL WATER CUSTOMER: 12598 AMOUNT 177.75 INVOICE THIS 3450 W 131ST ST INVOICE: 00863457 CARMEL IN 46074-8267 INVOICEDATE: 1.112011.2 ORDER: 01'710837-CO P/O: 46278-0588 �IT.E;q. I_ -OTy I OTV DESCRIPTION UOM I UNIT AMOUNT ** Locat_on: AC 144 1 0 1 1 COMPRESSED GASES, N.O.S. , 2 .2 CYL 39.69 39.69 UN1956 144CF @ 27.5625/100CF (75% ARGON 25% CARBON DIOXIDE) i FSCFUEL SRCNGWC 11 0 TEMP DIESEL SURCHARGE W/C EA 4.41 4.41 jHMCHAZ MAT C',IG 1 Oi HAZARDOUS MATERIAL CHARC": E;A 3.95 3 .95 I 48.05 I TOTAL CYLINDERS SHIPPED: 1 RETURNED: I I i ' I Visit us on facebook or oa the web I at www.indianaoxygen. om j I � � Taxable amount: 10.00 CARMEL WATER CUSTOMER: 12598 48.05 3450 W 131ST ST INVOICE: 00863456 , CARMEL IN 46074-8267 INVOICE DATE: 1.1/20/1.2 ORDER: 0171081.8-00 P/O: INDIANA OXYGEN COMPANY P.Q. PDX 78588• INDIANAPOLIS, IN 46278-0588 ,. . i. j ITEM. -ury olY_-; DESCRIPTION UOM - AMOUNT SHIP'D I B/o --- ---- - - — —!— PRICE ** Location: W ** HAC9100614 0 11 D-85 (85 HANDLE MIXER) EACH 38.11 0.00 HAC1800710 0 1 J-63-1 EA 65.24 0.00 ** Location: A ** ATT1500850 1 1 0 6290-2 EA 9.95 9.95 ATT1500840 1 0 1 6290 #1 TIP HARRIS EA 9.95 9.95 + OX 150 1 01 1I 1 OXYGEN, COMPRESSED, 2 .2 CYL 12.00 12.00 UN1072 155CF @ 7 /A:!9/1 /0 1' AL S 1 011 1 1 ACETYLENE, DISSOI-,VED, 2 .:! C;YL 30.0.0 30.00 UN1001 147CF @ 20. RECORD "ACTUAL" CU13.1 C F`00!`AC1; CF _ CF I (60-175CF/CYL)-/-----.---/--- --'--L 1 I - I ** Locatioh4 : W ** -- IFSCFUEL SRCHGWC 1 0 TEMP-DIESEL SURCHARGE; WIC PA 4:41 _4_41 HMCHAZ- ;+/MAT CHG i 1 0 HAZARDOUS MATERIAL CIIARG-' I A 3.95 3 .95 i Subrota.l. - 70.26 1 i i TOTAL iYLIN ERS SHIPPED: 2 RETURNED: 2 it 1 Visit us on facebook or o the we at wwi.indianaoxygen. om 1 I i Taxable amount:I 10.00 i CARMEL WATER CUSTOMER: 12598 AMOUNT 70.26 3450 W 131ST ST INVOICE: 008621.91 INCLUDING TAX CARMEL IN 46074-8267 INVOICEDATE: 11/15/1.2 ORDER: 0170961.2-00 P/O: GEREG INDIANA OXYGEN COMPANY e P.O. BOX 78588® INDIANAPOLIS, IN 46278-0588 — (TEivt = ory ory"-, --- --DESCRIPTION -UOM--I,-- UNIT — AMOUNT SHIP'D B/O PRICE ** Location: 'A ** REPGAS EQUIPMENT 1i 01 k REPAIR HARRIS TORCH COMB(' EACH 72.00 72.00 TAG 44013 j S::bt.oCal 72.00 ; i I I ! j I I I i i I i I visit us on facebook� or oa the web, at www.indianaoxygen. om i ! Taxable amount:) 10.00 CARMEL WATER CUSTOMER: 12598 AMOUNT 72.00 THIS INVOICE 3450 W 131ST ST INVOICE: 00862190 CARMEL IN 46074-8267 INVOICEDATE: 11/15/:!2 ORDER: 01-/01505- 00 P/O: INDIANA OXYGEN COMPANY o P.O. BOX 78588. INDIANAPOLIS,IN 46278-0588 VOUCHER # 122867 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 00863457 01-6200-06 $177.75 0pSL.5y s(� 11 L15 to8(.2 tni t I` Voucher Total 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 11/27/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/27/201,' 00863457 $177.75 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer "v ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED i1'P _AIANCE_ _ _ _Rn!,gNCF CYLINDFR$ RATE AMOUNT _ R SHP SMALL HIGH PRESSURE 1 0 0 ?. � 0 31 . 339 10. 51 C .�IVE, NOV 0 7 201Z Purch,se ►-_ L„ i en; Descri otion P.O.#_s1(/ P Or© G.L.# lo,?,q- 4tg9o/2 I j Bud. t Line escr Purch ser Dat Appr val Dat I I j _ I TAX: . 00 CARMEL CLAY PARKS CUSTOMER: 03390 r 10 . 51 TOTAL 1411 E. 116TH ST. INVOICE: 0821.0766 _. CARMEL IN 46032 INVOICE DATE: 10/3-1/1.2 TOTAL CYL VALUE: 100. 00 P/O: INDIANA OXYGEN COMPANY P.O. BOX 785889 INDIANAPOLIS, IN • 46278-0588 r;. s\�-', f 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 10/31112 8210766 Rental of oxygen tanks Oct'12 30205 $ 10.51 / c 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 8210766 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-Nov 2012 Signature $ 10.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund