HomeMy WebLinkAbout222040 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
ti CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $97.83
INDIANAPOLIS IN 46278 CHECK NUMBER: 222040
CHECK DATE: 7117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08244314 87 . 36 BOTTLED GAS
601 5023990 08244698 10 .47 OTHER EXPENSES
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:07 851 PAGE: 1
ti P.O. BOX 78588 INVOICE: 08244314
INDIANAPOLIS,IN 46278-0588 INV DATE: 06/30/13
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
� 3400 W 131ST ST P 3400 W 1.31ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
0 0
INVOICE AMOUNT: 87.36
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV _-ITEM . INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED 13AUDAYS CYLINDER EXTENDED
,p - - BALANCE BALANCE. CYLINDERS RATE AMOUNT
• ALY ACETYLENE 3 0 0 3 0 90 .389 35.01
• ARG ARGON 2 0 0 2 1 30 .349 10.47
• CO2 CARBON DIOXIDE 1 0 0 1 0 30 .349 10.47
• MIX MIX GASES 1 0 0 1 0 30 .349 10.47
• OXY OXYGEN 2 0 0 2 0 60 .349 20.94
• SAL SMALL ACETYLENE 0 1 1 0 0 0 .349 .00
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL ® 87 .36
3400 W 131ST ST INVOICE: 08244314
CARMEL IN 46074 INVOICEDATE: 06/30/13
TOTAL CYL VALUE: 2700. 0 0 P/O:
INDIANA OXYGEN COMPANY . P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$87.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 08244314 I 42-311.00 $87.36 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
`
�/d n e y uAIR, 2013
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))
06/30/13 08244314 $87.36
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
IN V ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gAUDAYS CYLINDER EXTENDED
TYPE BALANCE _ _ BALANCE 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 30 .349 10.47
R OXY OXYGEN 1 0 0 1 1 0 .349 .00
R SHP SMALL HIGH PRESSURE 1- 0 0 1- 0 0 .349 .00
i
I
l------ ---
TAX: 0 0
CARMEL WATER CUSTOMER: 12598 TOTAL ® 10.47
3450 W 131ST ST INVOICE: 08244698
CARMEL IN 46074-8267 INVOICE DATE: 06/30/13
TOTAL CYL VALUE: 1200. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INllIANAPOLIS, IN • 46278-0588
VOUCHER # 132012 WARRANT# ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility h
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
08244698 01-6360-03 $10.47
}
i
Voucher Total $10.47
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 7/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/2013 08244698 $10.47
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