220659 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
` ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $2,629.88
?a CARMEL, INDIANA 46032 PO BOX 78588
o� INDIANAPOLIS IN 46278 CHECK NUMBER: 220659
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01011766 93 . 59 OTHER EXPENSES
102 4467099 01015626 2 , 536 . 29 OTHER EQUIPMENT
., SHIP'D B/0 - -- F'HIGt I --
** Location: D ** ------ -- --
AC 80 1I 0 1 1 COMPRESSED GASES, N.O.S. , 2.2 CYL 32.105 32.11
i
UN1956
93CF @ 34.5215/1000P'
,i
(75% ARGON-25% CARBON DIOXIDE)
93 SCF CGA-
1 580 I
CYL80 1i 01 80 CF CYL SOLD OUTRIGHT EA 189.00 189.00
I f
MIL907531001 1 O SPECTRUM 625 X-TTREME 20E'1' X'1130 EIA 1776.00 1776.00
j TORCH
i
SN: MD180594P
i
MIL300371 1 Oi, SPOOLMATE 100 .030/.03`1 SPOL
O ,GUN EA 276.00 276.00
8' MM140 MM180 MM211
jMIP228926 1 01 I AIR FILTER KIT IN-LINE :?A 88.93 88.93
AIRFILTER E/C/
MIP253521 0 1! CONSUMABLES KIT FOR ml-40 !'ORCii EA 116.22 0.00
MIP249926 61 0'I ELELCTRODE XT30C & X'!160C (31)C) EA 6.38 38.28
TORCH NEW 375/
MIP249928 2i 0, PLASMA TIP 40 AMP X11160 (3PK) PK 10.77 21.54
TORCJ
i'iSTr v v v'J'o''i 1 i'v v I '_.`?.''v_'i-I'i"� ^v'PI:')`.^.1C' .�:J",1-''p''.'1'�_v-'_=/-C.i'�°i�A�.I I - - w-3'8- 1°-• n I
MM180mMM211 MMDVI2 MM21-2 MM252
1
HAR4705008 11 01 ! MATADOR 8-WAY PLIERS EA 22.94 22.94
(PRMYS-50)
PFD85033 1 01 SHOE HANDLE SCRATCH BRUSH - /1X16 IA 4.06 4.06
I
ROWS, CS WIRE, WOODEN BLOCK
HAR4043030X1 2 Oj 4043 .030 X 1# SPL AL,UMI:NUM LI3 8.65 17.30
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CARMEL CITY OF FIRE DEPT. CUSTOMER: 94698 AMOUNT CONTINUED
THIS INVOICE
FIRE STATION #1 INVOICE: 01015626 INCLUDING
2 CIVIC SQUARE INVOICEDATE: 05/22/113
CARMEL IN 46032 ORDER: O1.'189310-00 PIO: JIM B. 966-3762
INDIANA OXYGEN COMPANY P.O. BOX 78588 e INllIANAPOLIS, IN 46278-0588
ORIGINAL INVOICE
,
IN DLk- NA INDIANA OXYGEN COMPANY CUSTOMER: 94698 PAGE: I
P.O.BOX 78588 INVOICE: 01015626 ORDER: 01789310-00
INDIANAPOLIS,IN 46278-0588 INVDATE. __05/22/13 ORD DATE: 05/21/13
317-290-0003 SALESPERSON: 000 TERR: 007-
BRANCH: 0011 T INT: DAB
_P/O: JIM B. 966-3762
TERMS. NET 3
SHIP Call.
RELEASE#:
B S
I CARMEL CITY OF FIRE DEPT. H CAI�MhL, CITY OF FIRE DEPT.
L FIRE STATION #1 1 FIR�: STATION #1
L p
2 CIVIC SQUARE 2 lclIvIc SQUARE
T 0 T CARMEL IN 46032 o �, 1_,'ARMP' TN 46032
INVOICE AMOUNT: 2 536.29
------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
oTy�
- UNIT
DESGRIPTION
SHIP'D_ B/O
4043030X1 #SPL. 04043E1.
HAR70S603OX11 11 0 7056 .030 X 11# SPL. LB 2.80 30.80
70S603OX11 #SPL. (1-980flSK11))
MIP169715 2 0 NOZZLE SLIP ON (2PK) FLUSH E/C/ i EACH 1 10.29 20.58
MIOGUN MM140 MM180 MM211 MMI)VI2
HMCHRZ MAT CHG 1 ! 0 HAZARDOUS MATERIAL CHARGE EA 4.95 4.95
Sub'cotal 2536,29-
TOTAL CYLINllERS SHIPPED: I RETURNED:
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II I
II I i I II 11
Taxable amount:i 10.00 i
CARMEL CITY OF FIRE DEPT. CUSTOMER: 94698 2, 536.29
FIRE STATION #1 INVOICE: 01015626
2 CIVIC SQUARE INVOICEDATE: 05/22/13
CARMEL IN 46032 ORDER: 0178931.0--00 P/O: JIM B. 966-3762
INDIANA OXYGEN COMPANY o P.O. BOX 78588 o INDIANAPOLIS, IN a 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
PO Box 78588
Indianapolis, IN 46278
$2,536.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
24460 I 01015626 1 102-670.99 I $2,536.29 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
JUN -2 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
01015626 Plasma Cutter and Assessories for Training $2,536.29
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
4 ' - __U E6GIcl F I j I N __T
SHIPD B/O _
FRICE
Location:
CROLFBFC11618X1 1 0 LFBFC 1/16 X 18 X 1411K 125FI, L,B 19.20 19.20
CT125F-'TLPP LFBFC] /1 6X!8XI
MIP192052 TIP EXTENDED 40A. (5PK) EA 4.78 23 .90
ICE55 TORCH 625XTREME 2050/
Location:
AC 144 1 01 11 1 COMPRESSED GASES, N.O.S. , CYL 41.278 41.28
UN1956
144CF @ 28.6653/100C1;,
(75% ARGON 25% CAR130N ])J0X1!);,:)
Location: W
:
FSCFUEL SRCHGWC! 0 TEMP DIESEL SURCHARGE W/C HA 4.26 4.26
HMCHAZ MAT CHG 1 0 i HAZARDOUS MATERIAL CIIARGE EA 4.95 4.95
S,_,btoLal. 93.59
TOTAL �YLINI ERS SHIPPED: 1 RETURNE!
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Taxable amount:; 10.00
CARMEL WATER CUSTOMER: 1.2598 W 93.59
VLOJ
3450 W 131ST ST INVOICE: 01011'/66
CARMEL IN 46074-8267 INVOICEDATE: 05/10/33
ORDER: 01784693-00 P/O: STEVE CALLAHAN
INDIANA OXYGEN `COMPANY o P.O. BOX 785108- INDIANAPOLIS, IN e 46278-0588
VOUCHER # 131705 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
i
PO# INV# ACCT# AMOUNT Audit Trail Code
01011766 01-6200-06 $93.59
r
i
Voucher Total $93.59
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 5/28/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2013 01011766 $93.59
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 5-1.1-10-1.6
Date Officer