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224540 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $244.26 CARMEL, INDIANA 46032 PO BOX 78588 INDIANAPOLIS IN 46278 CHECK NUMBER: 224540 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 01049968 36 . 10 OTHER EXPENSES 601 5023990 07013151 208 . 16 OTHER EXPENSES -- - "A""' JC JLIVV IVI f"VIIIIVIV vvllll IVViII ril lvi�IVl ---- !NV SUP 9NIT PERIOD EXPIRATION DESCRIPTION „ASFD RATE AMOUNT TYPE GROUP DATE I L AL ALY 12 09/2013 07013151 1 � 108.46 108.46 L 0X1 OXY 12 09/2013 07013151 1 99 .70 99 .70 Ial k� i I I i i i i I i E 0 FER 1 YEAR D 5 YEAR LEASES YR $1 2 .19 PE CYL (ACETYLENE=$209 . 16) PLUS `PAS CARMEL WATER CUSTOMER: 12598 TOTAL ® 208. 16 3450 W 131ST ST INVOICE: 0701.3151. _— CARMEL IN 46074-8267 INVOICEDATE: 09/17/1.3 P/O: INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588 VOUCHER # 132834 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 07013151 01-6360-03 $208.16 Voucher Total $208.16 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 9/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/19/2013 07013151 $208.16 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 l � Date Officer ORIGINAL INVOICE INIJIAN1�. INDIANA OXYGEN COMPANY CUSTOMER 20668 PAGE: 1 P.O.BOX 78588 INVOICE 01 049968 ORDER: 01861262-00 INDIANAPOLIS,IN 46278-0588 INV DATE_ 08/7.9_/13 1 ORD DATE: 08/29/13 317-290-0003 SALESPERSON: 000 TERR: 007 BRANCH: 004 !INT: TFS P/O: SHOP _ TERMS: NET 30 _ 'SHIP VIA w i.1.1 Call RELEASE q: B S I CARMEL CITY OF H CARMEL CITY OF L 9609 HAZELDELL ROAD P 9609 HAZELDELL ROAD L ' INDPLS IN 46280 I:NDPLS IN 46280 T T O O i INVOICE AMOUNT: 38.63 ------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT-------------------------------------------- orr arr -- --- = UNIT AMOUNT I ITEM SHIP'D ago DESCRIPTION UOM PRICE ** Location: D ** I HAR404303OX1 ! 2 ''I 0'I 4043 .030 X 1# SPL ALUMINUM L13 8.65 17.30 4043030X1 #SPL. 040431;]. HAR4043035X1 2 0 4043 .035 X 1# SPL. ALUMINUM LB 9.40 18.80 j 4043035X1 04043F1 I Subtotal 36.10 I i � i j it ' II it I I i I I ` ptil Visit us at facebooki or oa the /&I/;��\ we at www.indianaoxygen. om i State 7.000% �. j j I i Taxable amount: 36.10 CARMEL CITY OF CUSTOMER: 20668 3 63 j 9609 HAZELDELL ROAD INVOICE: 01049968 INDPLS IN 46280 INVOICEDATE: 08/29/13 ORDER: . 01861.262-00 P/O: SHOP 3(, i© INDIANA OXYGEN COMPANY P.O. BOX 78588 o INDIANAPOLIS, IN 46278-0588 VOUCHER # 136391 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 01049968 01-7202-06 $36.10 i I Voucher Total $36.10 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 9/11/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/11/2013 01049968 $36.10 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 Date Officer