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Home My WebLink About222444 07/30/2013 F CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $359.81 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 222444 QOM O CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 01032417 116 . 22 REPAIR PARTS 2201 4232100 01035647 233 . 12 GARAGE & MOTOR SUPPIE 1094 4239012 08243983 10 .47 SAFETY SUPPLIES _________________________________ __________ _____ __ INV ITEM. INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED ryp LANCE CA..A10E CYLINCERS RATE AMOUNT R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .349 10.47 23 04 _ I _ TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10.47 1411 E. 116TH ST. INVOICE: 08243983 CARMEL IN 46032 INVOICEDATE: 06/30/13 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 Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO # Amount 6/30/13 8243983 Rental of oxygen tanks Jun'13 $ 10.47 Total $ 10.47 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$ $ 10.47 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 8243983 4239012 $ 10.47 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 25-Jul 2013 $ 10.47 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE IN DI V\ INDIANA OXYGEN COMPANY CUSTOMER: 9_4698 _ PAGE: 1 P.O.BOX 78588 INVOICE: 01032417 ORDER: 01789310-01 INDIANAPOLIS,IN 46278-0588 -INV DATE: 07/11/13 ORD DATE: 05/21/13 j 317-290-0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 INT: DAB P/O: JIM BUTTLER 966-3762 TERMS: NET 30 SHIP VIA: Will Call I RELEASE#: B S I CARMEL CITY OF FIRE DEPT. H CARMEL, CITY OF FIRE DEPT. L FIRE STATION #1 P FIRE STATION #1 L 2 CIVIC SQUARE 2 CIVIC SQUARE TO CARMEL IN 46032 TO CARMEL, IN 46032 INVOICE AMOUNT: 116.22 ------------ ------------------------------ PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- ITEM C" nTy DE UCCA UNIT v A"f0UNT SHIP�D a/0 PRICE ** Location: D ** MIP253521 1 0', CoNSUMABLES xIT FOR xr-40 roRCll EA 116.22 116.22 jSubtotal 116.22 I I II � I i I I i Visit us at facebook or o the I web) at ww .indinaoxygen. om II Taxable amount:) 0.00 CARMEL CITY OF FIRE DEPT. CUSTOMER: 94698 AMOUNT 116.22 THIS INVOICE FIRE STATION #1 INVOICE: 0103241.7 INCLUDING TAX 2 CIVIC SQUARE INVOICEDATE: 07111.11.3 CARMEL IN 46032 ORDER: 01789310-01. P/O: JIM BUTTLER 966-3762 INDIANA OXYGEN COMPANY o P.O. BOX 78588 o INDIANAPOLIS, IN o 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)) 01032417 $116.22 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. ALLOWED 20 Indiana Oxygen IN SUM OF $ PO Box 78588 Indianapolis, IN 46278 $116.22 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 01032417 I 42-370.00 I $116.22 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 JUL 2 9 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE INDIANA INDIANA OXYGEN COMPANY -CUSTOMER:-07851 PAGE: I P.O.BOX 78588 [INVOICE 01.035647 ORDER: 01842398-00 @mom INDIANAPOLIS,IN 46278-0588 INVDATE: 07/19/13 ORD DATE: 07/19/13 317-290-0003 SALESPERSON: 000 !TERR: 007- BRANCH: 004 INT: MMG P/O: TERMS: NET 30 SHIP VIA: Will Call RELEASE#: B s I CARMEL STREET DEPT H "APME], STREET DEPT L 3400 w 131ST ST 3400 W 131ST ST L CARMEL IN 46074 CARMEL, IN 46074 T T 0 0 INVOICE AMOUNT: 233 .12 --------------------------------- --------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- I QTY UNIT ITEM I DESCRIPI-10114 UOM PRICE AMOUNT ago SHIP'D Location: ID ALY1382FO5 44 0 86 .035 X 44# SP SPOOLARC86 LB 2.533 111.45 16015X44 70S6015X44 SPOO1, OX 220 2 0 2 2 OXYGEN, COMPRESSED, 2.2 CYL i 24.983 49.97 UN1072 440CF @ ll.3559/1000P AL S 1 0 1 ACETYLENE, DISSOLVED, 2.1 CYL 71.696 71.70 UN1001 147CF @ 48.'/'/28/`0.0C;;' RECORD "ACTUAL" CUBIC ;'00TAC.;-' CF CF (60-175CF/CYL) Subtotal 233.12 TOTAL CYLINDERS SHIPPED: 3 RETURNED: 3 vis it us At facebook or oi the webat www.indianaoxygen. --om J--Taxable amount: 0.00 -1 CARMEL STREET DEPT CUSTOMER: 0785, AMOUNT 233.12 3400 W 131ST ST INVOICE: 0103564 / THIS INVOICE -IkCL6D[-NG TAX CARMEL IN 46074 INVOICE DATE: 07/19/13 ORDER: 01842398-00 P/O: SHOP 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)) 07/19/13 01035647 $233.12 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. ALLOWED 20 Indiana Oxygen IN SUM OF $ P. O. Box 78588 Indianapolis, IN 46278-0588 $233.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 I 01035647 I 42-321.001 $233.12 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 id 13 -V . -7 -ff N t 18MOr Title Cost distribution ledger classification if claim paid motor vehicle highway fund