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Home My WebLink About215468 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $369.78 INDIANAPOLIS IN 46278 CHECK NUMBER: 215468 CHECK DATE: 12112/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 08215273 84 . 96 BOTTLED GAS 601 5023990 08215664 10 . 17 OTHER EXPENSES 1094 4239012 0863023 156 . 86 SAFETY SUPPLIES 601 5023990 0865629 117 .79 OTHER EXPENSES ORIGINAL INVOICE INDIAN.A INDIANA OXYGEN COMPANY CUSTOMER: 03390 PAGE: 1 P.O.BOX 78588 -INVOICE:_ 00863023 ORDER: 01709850-00 INDIANAPOLIS, IN 46278-0588 INVDATE: !1/19/12 ORD DATE: 11/15/12 317-290-0003 ISALESPERSON: 000 — 1 TEPIR: 001 -BRANCH: 00 DMS P/0: M(_'_-0 0-3 5 33- TERMS: NET SHIP-VIA:-- Our. TTllCk RELEASE#: 'TI"-p FTN 7-Pj-) 7Nnv 9 a 7niq B NOV 2 6 2012 S I CARMEL CLAY PARKS H "A!ZMEL CLAY PARKS L P 1411 E. 116TH ST. Ry� 1 1235 CENTRAL PARK DR EAST L CARMEL IN 46032 CARME!, IN 46032 T T 0 0 I VOICE AMOUNT: 156.86 IN- --------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- OTY UNIT QTY DESCRIPTION UOM I AMOUNT ICE R R TT ERIC MEHL***k**************** Location: OX AD i 5 0 5 5 OXYGEN, COMPRESSED 2 .2 CYL 25.123 125.62 UN1072 (USP GRADE) 75CF @ 167.186'//1.000'; ENTER LOT NUMBER ABOVE Lot: D1105201 Qty: 5 FSCFUEL SURCHRG; 1 0 TEMP DIESEL SURCHARGE OUR T;ZUCK EA 5.31 5.31 HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CIIARCI` EA 3.95 3 .95 S"Ib o a1 134.88 l __1pl e T AL C YLIN hRb SHIPPED: 5 Y.. p 0 Description 0 1' O. C.L. # # j3uclget Date Line UeSC- I Date,__ — purchaser rsI t us on facebooklor o-i the !)el Charge 21.98 Approval we at www.indianao-y' gen. 7om ] Taxable amount:! 0.00 CARMEL CLAY PARKS CUSTOMER: 03390 AMOUNT 156.86 1 THISINVOICE 1411 E. 116TH ST. INVOICE: 00863023 1 INCLUDING TAX CARMEL IN 46032 INVOICIEDATE: 11/19/12 ORDER: 01709850-00 P/O: MC003533 INDIANA OXYGEN COMPANY e P.O. BOX 78588• INDIANAPOLIS, IN e 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 11/19/12 863023 Oxygen tank refills $ 156.86 Total $ 156.86 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$ $ 156.86 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 863023 4239012 $ 156.86 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 6-Dec 2012 Signature $ 156.86 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund CYLINDER RENTAL INVOICE fNIJIANA INDIANA OXYGEN COMPANY cUST0_MER:07851 PAGE: MME P.O. BOX 78588 INVOICE: 08215273 INDIANAPOLIS, IN 46278-0588 INV DATE____11./3 0/12 317-290-0003 SALESPERSON:0 0 0 1 TERR: 007 BRANCH: 004 P/O.. TERMS: NET 30 B S I CARMEL STREET DEPT H CARMF,:l_, ST!�F:E'T DEPT L 3400 W 131ST ST 3400 W 131ST ST L CARMEL IN 46074 CARMEL, IN 460'74 T T 0 0 1 INVOICE AMOUNT: 84.96 -------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------------------------------- E BEGINNING— D F Nr!NC LEASED. CYLINDER FXTENDFD---1 P INVOICEDNIE INVOiCE_ BALANCE SHIPPE -R 4 BALANCE CYLINDERS BALDAYS ATE AMOUNT R ALY ACETYLENE 3 0 0 3 0 90 .379 34.11 R ARG ARGON 2 0 0 2 1 30 .339 10.17 • CO2 CARBON DIOXIDE 1 0 0 1 0 30 .339 10.17 • MIX MIX GASES 1 0 0 1 0 30 .339 10.17 • OXY OXYGEN 2 0 0 2 0 60 .339 20.34 TAX: .00 TOTAL CARMEL STREET DEPT CUSTOMER: 07851 OOT 84-96 3400 W 131ST ST INVOICE: 082152'73 CARMEL IN 46074 INVOICEDATE: 11/30/1.2 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 08215273 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 ti t t� Friday, D cember 07, 2012 StStreet�Comna'issioiier 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)) 1.1/30/12 08215273 $84.96 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer -- TYPE ITEM INVOICE DA i LT INVOICE -BEGINNING- "SHIPPED RETURNED"--E LANCE LEASED__ BA,LJDAYS CYLINDER EXTENDED p BALANCE BALANCE , CYLINDERS RAIE AMOUNT R ALY ACETYLENE 1 0 .379 .00 R MIX MIX GASES 1 1 1. =!- 1 0 .339 .00 R NIT NITROGEN 1 0 0 1 0 30 .339 10.17 R OXY OXYGEN 1 1 1 1. 1 0 .339 .00 R SHP SMALL HIGH PRESSURE 1- 0 0 7-- 0 0 .339 . 00 I I I � I I I I _ TAX: .00 CARMEL WATER CUSTOMER: 12598 TOTAL ® 10.17 3450 W 131ST ST INVOICE: 08215664 CARMEL IN 46074-8267 INVOICE DATE: 11/30/12 TOTAL CYL VALUE: 1200. 00 P/O: i_ ♦N �.7,!-'�:3�R..Tti •...!ll\ :RT,.�7::�,�'', �� v?�c$ .,.,:i.1�_IlI_ iV 1l I' ��=`.= �'N<.:;'...:462.7,.8-0588 .. nv nT Y - UNIT ITEM 4rOUNT SHIPD eo DESCRITION -- _ PRICE ! ** Location: W ** HAC9100614 1 0 D-85 (85 HANDLE MIXER) EACH I 38.11 38.11 HAC1800710 1 0 J-63-1 EA 65.24 65.24 HAC1600850 1 0 23A90-1 EA 13.60 13.60 ** Location: " j A ** I i OKIFUL3001X 1 0 FLINT RENEWAL 40 HOI,I)ER PER BOX PK 0.84 0.84 FLINTS I o1 117.79 � I I i II I j it I i I I • j i Visit us on facebook or o the webl at www.indianaoxgen. om i i Taxable amount: 10.00 CARMEL WATER CUSTOMER: 12598 AMOUNT 117.79 3450 W 131ST ST INVOICE: 00865629 INVOICE INCLUDING TAX CARMEL IN 46074-8267 INVOICEDATE: 11/29/1.2 ORDER: 0170961.2-01 P/O: GEREG INDIANA OXYGEN COMPANY o P.O. BOX 78588® INllIANAPOLI.S, IN e 46278-0588 VOUCHER # 122969 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 08215664 01-6360-03 $10.17 � �lo5Ga`i OI 67x,0(0 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 12/5/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/5/2012 08215664 $10.17 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 uj Date Officer