219367 04/24/2013 CITY OF CARMEL, INDIANA VENDOR. 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
o .� CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $111.92
.� INDIANAPOLIS IN 46278 CHECK NUMBER: 219367
CHECK DATE: 412 412 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 08231388 10 . 82 SAFETY SUPPLIES
2201 4231100 08231712 90 . 28 BOTTLED GAS
601 5023990 08232091 10 . 82 OTHER EXPENSES
________________________________________ rLenxocvu yrrun i.vw ..�
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENBVlG LEnO[D BALMAY6 CYLINDER EXTENDED
p BALANCE BALANCE CYLINDERS RATE AMOUNT
SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .349 10.82
-CE
APR 0 9 2013
Purchas
Dascript n Tate
P.O.#O.L.#Rud,et Inoe cr
Purcha or Nppr oW I
I
I
I
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10.82
1411 E. 116TH ST. INVOICE: 08231389
CARMEL IN 46032 INVOICEDATE: 03/31/13
TOTAL CYL VALID 100 . 00 P!O
INDIANA OXYGEN COMPANY • P.O. BOX 785889 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
3131113 8231388 Rental of oxygen tanks Mar'13 $ 10.82
Total $ 10.82
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$
$ 10.82
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1094 8231388 4239012 $ 1082 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
13-Apr 2013
Signature
$ 10.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
DIANA INDIANA OXYGEN COMPANY CUSTOMER:67851 PAGE: 1
P.O. BOX 78588 INVOICE: 08231712
INDIANAPOLIS, IN 46278-0588 INVDATE: 03/31/13
317-290-0003 SALESPERSON:000 TERR: 007
BRANCH. 004
P/O:
TERMS NET 30
CARMEL STREET DEPT H
I CARMEL STREET DEPT
�
3400 W 131ST ST F 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 90.28
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
1N° ITEM INVOICE DATE INVOICE BE°ulpj��'NE SHIPPED RETURNED ° pljLC I CVLINRLRS BAUDAYS CYLINDER NaWNT
• ALY ACETYLENE 3 0 0 3 0 93 .389 36 . 18
• ARG ARGON 2 0 0 2 1 31 . 349 10 .82
• CO2 CARBON DIOXIDE 1 0 O 1 0 31 .349 10.82
R MIX MIX GASES 1 0 0 1 0 31 .349 10.82
R OXY OXYGEN 2 0 0 2 0 62 .349 21.64
I
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 90.28
3400 W 131ST ST INVOICE: 08231712
CARMEL IN 46074 INVOICEDATE: 03/31/13
TOTAL CYLVALLE 2700. 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 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))
03131/13 08231712 $9028
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
$90.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept INVOICE NO I ACCT#/TITLE I AMOUNT Board Members
2201 I 08231712 I 42-311.00 j $9028 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
r
rid pril 19, 2013
treettFommjss r
ree ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INV ITEM INVOICE DATE INVOICE BEGINNING $HIPPED RETURNED ENDING LEASED BAIDAYS CYLINDER EMENDED
vP BA NCE BALANCE CYLINDERS RATE AMOUNT
• ALY ACETYLENE 1 0 0 1 1 0 .389 .00
• MIX MIX GASES 1 1 1 1 1 0 .349 .00
• NIT NITROGEN 1 0 0 1 0 31 .349 10.82
• OXY OXYGEN 1 0 0 1 1 0 .349 .00
• SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .349 .00
W
TAX: .00
CARMEL WATER CUSTOMER: 12598 - TOTAL 10. 82
3450 W 131ST ST INVOICE: 08232091
CARMEL IN 46074-8267 INVOICE DATE: 03/31/13
TOTAL VAUe 1200 . 00 Pi0
INDIANA OXYGEN COMPANY • P.O. BOX 785880 iNWAiVAFOUS; :i:-.:.o .4v27F-45W .
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 4/15/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/15/2013 08232091 $10.82
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
VOUCHER # 131365 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
08232091 01-6360-03 $10 82
1
Voucher Total $10.82
Cost distribution ledger classification if
claim paid under vehicle highway fund