218500 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
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ONE CIVIC SQUARE INDIANA OXYGEN CO
ro CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $366.35
off co INDIANAPOLIS IN 46278 CHECK NUMBER: 218500
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 00893199 84 . 70 REPAIR PARTS
2201 4237000 00893200 92 . 25 REPAIR PARTS
651 5023990 00894503 95 . 78 OTHER EXPENSES
601 5023990 00894863 74 . 08 OTHER EXPENSES
601 5023990 08227948 9. 77 OTHER EXPENSES
1094 4239012 8227238 9 . 77 SAFETY SUPPLIES
ORIGINAL INVOICE
INDIAN.A. INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O.BOX 78588 INVOICE: 00893200 J ORDER: 01746067-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/07/13 j ORD DATE: 02/14/13
317-290-0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: MMG
P/O: MIKE
TERMS: NET 30
SHIP VIA: Will Call
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RELEASE#:
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W 131ST ST F 3400 W 131ST ST
L
CARMEL IN 46074 CARMEL IN 46074
T T
b O
INVOICE AMOUNT: 92.25
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
DESCRIPTION UOM I UNIT
ITEM
-- - - _- --- QTY OTY P NIT _ AMOUNT
SHIED U0
** Location: D **
REPGAS 1 0 REPAIR-GAS APPARATUS REP 92.25 92.25
P.O. # 18953
TAG # 44507,
VICTOR CUT-TING TORCH
MODEL 100FC
WITH TIP
REPAIR AS NEEDED I
****CALL MIKE WHEN IN' **
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Subtotal 92:25
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Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 • 92.25
3400 W 131ST ST INVOICE: 00893200 ,
CARMEL IN 46074 INVOICE DATE: 03/07/1.3
ORDER: 01746067-00 P/O: MIKE
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 I PAGE: 1
OVUMP.O.BOX 78588 INVOICE: 00893199 ORDER: 01745661-00
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/07/13 )ORD DATE: 02/13/13
317-290-0003 SALESPERSON: 000 TERR: 007 j
BRANCH: 004 TINT: MMG
P/O: MIKE
TERMS: NET 30
I.
SHIP VIA: Will Call,
RELEASE'
#:' �,•;
B S
CARMEL STREET DEPT H CARMEL STREET DEPT
�
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 84.70
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
ITEC1 QTV ' aTV DESCRIPTION UOM UNIT AMOUNT
SHIP'D �o - PRICE
** Location: D **
REPGAS 1 0 REPAIR-GAS APPARATUS REP 84.70 84.70
P.O.# 18952 i
TAG# 44506
VICTOR CUTTING TORCH
MODEL# CAI350
REPAIR AS NEEDED
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**CALL MIKE WHEN IN**4*
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i Subtotal 84.70
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Taxable amount: 0.00 _
CARMEL STREET DEPT CUSTOMER: 07851. AMOUNT 84.70 THIS INVOICE
3400 W 131ST ST INVOICE: 00893199 INCLUDING
CARMEL IN 46074 INVOICEDATE: 03/07/1.3
ORDER: 01745661-00 P/O: MIKE
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 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))
03/07/13 00893199 $84.70
03/07/13 00893200 $92.25
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
$176.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 00893199 42-370.00 j $84.70 1 hereby certify that the attached invoice(s), or
2201 00893200 42-370.00 $92.25 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T /r day rch 21, 2013
Ua" q�dr
Street Comrrlis$o er
cam.#ree$w^,nmm�SSi�ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 20668 I PAGE: 1
ffiffBE P.O. BOX 78588 INVOICE:__ 00894503 !ORDER: 01747375-00 j
INDIANAPOLIS,IN 46278-0588 INV DATE: 03/12/13 ORD DATE: 02/18/13 !
317-290-0003 SALESPERSON: 000 I TERR: 007 !
BRANCH: 004 !INT: MMG
P/O: F13484
TERMS: NET 30
SHIP VIA: Will Call
RELEASE#:
B S
I CARMEL CITY OF H CARMEL CITY OF
L 9609 HAZELDELL ROAD P 9609 HAZELDELL ROAD
L
INDPLS IN 46280 1:NDPLS IN 46280
T T
O O
INVOICE AMOUNT: 102.48
------ PLEASE SEND TOP PORTION WITH YOUR PAYMENT---------------------------------- `1 ------
ITEM; _ , I OTY OTY __-_ DESCRIPTION UOM UNIT AMOUNT
sP!P'D B/0—:. I - PRICE
** Location: D **
HYP220674 4 0 SHIELD EA 18.21 72.84
HYP220670 1 0 SWIRL RING EA 22.94 22.94
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Subtotal 95.78
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State 7 .000% �I 6.70
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I Taxable amount-�., 5.7E
CARMEL CITY OF CUSTOMER_ 20668 !
THIS INVOICE
9609 HAZEL�DELL ROAD - !NVO!CE: 00894503-
INDPLS IN 46280 INVOICEDATE: 03/12/13
ORDER: 01747375-00 P/O: F13484
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 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 00894503 $95.78
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
3��i�j C��✓�r1. n
Date Officer
VOUCHER # 135133 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00894503 01-7202-06 $95.78
Voucher Total $95.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
INV ITEM-- .INVOICE DATE. __INVOICE Y_. BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS,_ CYLINDER EXTENDED
" y - BiSAi:CE-' DALAtJCE-- -CYLINDERS RATE-- - --AMOUNT
R ALY ACETYLENE 1 0 0 1 1 0 .389 .00
R MIX MIX GASES 1 0 0 1 1 0 .349 .00
R NIT NITROGEN 1 0 0 1 0 28 .349 9.77
R OXY OXYGEN 1 0 0 1 1 0 .349 .00 '
R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .349 .00
TAX: .00
CARMEL WATER CUSTOMER: 12598 TOTAL 10- 9.77
3450 W 131ST ST INVOICE: 08227948
CARMEL IN 46074-8267 INVOICEDATE: 02/28/13
TOTAL CYL VALUE: 1200. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
mom
Qry oTV - — - DESCRIPTION _- - UOM �N AMOUNT
IT
i
SHIP- ,D aro PrRICE - _
** Location: **
AC 144 1 0 1 1 COMPRESSED GASES, N.O.S. , 2.2 CYL 41.278 41.28
UN1956
144CF @ 28.6653/100CF
(75% ARGON 25% CARBON DIOXIDE)
MIP169725 1 0 169725 NOZZLE SLIP 5/8" M-25 GUN EACH 1 15.43 15.43
RECESS M25GUN MM252 E/C/
OKIWAP007060 1 0 LUBE-MATIC PADS PRE- TREATED 6PK' PK 7.95 7.95 j
LUBEMATIC
1
F SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C i EA 4.47 4.47
HMCHAZ MAT CHG i 1 . 0 HAZARDOUS MATERIAL CHARGE EA 4.9-5 4.95
Subtotal I 74.08
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SOTAL CYLINDERS SHIPPED: 1 RETURNED: 11
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Taxable amount: 10.00
CARMEL WATER CUSTOMER: 12598 AMOUNT 74.08
THIS INVOICE
3450 W 131ST ST INVOICE: 00894863 INCLUDINGTAX
CARMEL IN 46074-8267 INVOICEDATE: 03/13/13
ORDER: 01758300-00 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 3/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2013 08227948 $9.77
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
12,
Date Officer
VOUCHER # 131144 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
08227948 01-6360-03 $9.77
R4 (,3
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
- ----- --- -- --- --- ---------------------- -I-cr+oc JCINU ivr rvniiviv min ivun rnyiviu4l
_INV ITEM. INVO!CE DATE --;NVOICE BEGINNING SHIPPED RETURNED ENDING LEASED _BAUDAYS. CYLINDER EXTENDED
F BALANCE BALANCE CYLINDERS- - -RATE-- —A:1OUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 28 .349 9.77
Purchase 2
Description 1 o n to V15 F-C ICJ
P.O.#m 2 POrF
G.L.# Q �2
PLldcet
Line"Descr
Purchaser Date
Approval pate
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 9.77
1411 E. 116TH ST. INVOICE: 08227238
CARMEL IN 46032 INVOICEDATE: 02/28/13
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 ;8227238 nvoice Description
Date umber (or note attached invoice(s) or bill(s)) PO# Amount
2128113 Rental of oxygen tanks Feb'13
$ 9.77
Total $ 9.77
1 hereby certify that the attached invoice(s), or biii(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$
$ 9.77
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8227238 4239012 $ 9.77 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
21-Mar 2013
Signature
$ 9.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund