The URL can be used to link to this page

Home My WebLink About216748 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ' ONE CIVIC SQUARE INDIANA OXYGEN CO CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $441.04 INDIANAPOLIS IN 46278 CHECK NUMBER: 216748 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 00877683 123 . 84 OTHER EXPENSES 601 5023990 00877684 8 . 95 OTHER EXPENSES 2201 4231100 00878987 297 . 74 BOTTLED GAS 1094 4239012 8219042 10 . 51 SAFETY SUPPLIES ITEM OTY OTY DESCRIPTION TU_OM UNIT AMOUNT ** Location: A ** I 1 OX 150 1 01 11 1 OXYGEN, COMPRESSED, 2.2 CYL 12.00 12.00 I UN1072 155CF @ 7.7419%1.000F MIP192052 5 0 TIP EXTENDED 40A. (5PK) TCE40 EA 4.71 23 .55 1 ICE55 TORCH 625XTREME; 2050/ KISKC2803544 44 01 70S6 .035 X 44# SPL LB 1.82 80.08 I 7056035x44 #SPOOL I IFSCFUEL SRCHGWCI 11 0 TEMP DIESEL SURCHARGE WIC EA 1 4.26 4.26 iHMCHAZ MAT CHG 1 1 0 HAZARDOUS MATERIAL CHARGE EA 1 3.95 3.95 I Subtotal 123.84 I i I I TOTALYLIiERS SHIPPED: 1 RETURNED: 1 11 I I I i i I i I i i i I � j i Visit us on fac e book or ol the I i web� at www.indianaoxygen. om i Taxable amount: 0.00 CARMEL WATER CUSTOMER: 12598 AMOUNT 123.84 j THIS INVOICE 3450 W 131ST ST INVOICE: 00877683 CARMEL IN 46074-8267 INVOICEDATE: 01/15/13 ORDER: 01732342-00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 �QI ao DESCRIPTION UOM I PRNCE AMOUNT ** Location: A ** I -------- ----- — MIP231411 5 0 LENS COVER (5PK) 4-1/2X3-3/4 EA 1.79 8.95 COVERPLATE E/C/ i I Subtotal 8.95 I ; 1 i I �I Visit us on fac book or oa the i web! at www.indianaoxygen. om i i I I Taxable amount: 10.00 CARMEL WATER CUSTOMER: 12598 AMOUNT 8,95 THIS INVOICE 3450 W 131ST ST INVOICE: 008 77684 i CARMEL IN 46074-8267 INVOICEDATE: 01/15/1.3 INCLUDING TAX ORDER: 01732351.-00 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 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 1/22/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/22/2013 00877684 $8.95 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 )2L-S/!3 Date Officer VOUCHER # 123320 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 00877684 01-6200-06 $8.995 / Voucher Total 1 �a Cost distribution ledger classification if claim paid under vehicle highway fund ORIGINAL INVOICE INDIAN.1k INDIANA OXYGEN COMPANY CUSTOMER: 0_785_1 -- !PAGE: 1 P.O.BOX 78588 INVOICE 00878987 J ORDER: 01731496-00 INDIANAPOLIS,IN 46278-0588 INV DATE: 01/18/13 ORD DATE: 01/14/13 317-290-0003 SALESPERSON: 000 j TERR: 007 BRANCH: 004 TINT: DAB P/O: VERBAL: MIKE HENRICKS TERMS: NET 30 SHIP VIA_: Direct Ship RELEASE#: B S I CARMEL STREET DEPT H CARMEL, STREET DEPT L 3400 W 131ST ST P ALT: MIKE HENRICKS L CARMEL IN 46074 3400 W. 131ST ST. T T CARMEL, IN 46074 O O INVOICE AMOUNT: 297.74 -------------------------------------------PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- ITEM OTV 0TY DESCRIPTION UOM I UNIT AMOUNT SHIP'D 6/0 PRICE ** Location: D ** NAS100AB-4000-71 1 0 kANCHOR AB-4000 GOUGING TORCH PKG EA 1 253 .30 253.30 7FT. CABLE Subtotal 253.30 i i I i i i I i i I ' � I I Visit us t facebook or oi the Freight 44.44 we at ww .indianaoxygen. om � I ( Taxable amount: 10.00 CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT a 297.74 3400 W 131ST ST INVOICE: 00878987 INCLUDING TAX. CARMEL IN 46074 INVOICEDATE: 01/18/13 ORDER: 01731.496-00 P/O: VERBAL: MIKE HENRICKS INDIANA OXYGEN COMPANY e P.O. BOX 78588• INDIANAPOLIS, IN • 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 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)) 01/14/13 00878987 $297.74 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. ALLOWED 20 Indiana Oxygen IN SUM OF $ P. O. Box 78588 Indianapolis, IN 46278-0588 $297.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 1 00878987 1 42-311.001 $297.74 I 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 Friday, January 25, 2013 Street`Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund INV ITEA! INVOICE DATE - -!NV(1rF BEGINNING SHIPPED RFr1JRNED1 FNZN� LEASED CYLINDER EXTENDED ryP BAL-1. . BAUDAYS RATE AMOINT R SHP SMALL HIGH PRESSURE 1 0 01 0 31 .339 10. 51 PurChass Dpscriptbn P.O.# �rn C C) 11 or F G.L.#— 422 go/, Budget Line Des er Purchase Date ,-- ,-,-7 I Approval Data —T— TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10.51 1411 E. 116TH ST. INVOICE: 0 821.9 0,112 CARMEL IN 46032 INVOICE DATE: 12/31/ 12 TOTAL CYL VALUE: 10 0 . 'r)C 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 12/31112 8219042 Rental of oxygen tanks Dec'12 $ 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. ACCT#[TITLE AMOUNT Board Members Dept# 1094 8219042 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 24-Jan 2013 T Signature $ 10.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund