HomeMy WebLinkAbout225415 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $203.81
INDIANAPOLIS IN 46278
„o„ o CHECK NUMBER: 225415
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 07013317 99 . 70 OTHER EXPENSES
1094 4239012 08256642 10 .47 SAFETY SUPPLIES
2201 4231100 08256964 87 . 36 BOTTLED GAS
601 5023990 08257352 6 .28 OTHER EXPENSES
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INV .-_ _ITEM - INVOICE DATE -INVOICE- - BEGINNING -SFIIPPED- RETURNED- ENDING I LFASFD -L'.AUDAYS .CYLINDER- EXTENDED
yp - BALANCE BAIANCF CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 -1 0 30 .349 10.47
I
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I
I
MC 000 353Q
f
_ TAX: . 00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10.47
1411 E. 116TH ST. INVOICE: 08256642
CARMEL IN 46032 INVOICE DATE: 09/30/1-3
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.
Terms
154252 Indiana Oxygen Company
P.O. Box 78588
Indianapolis, IN 46278-0588
Invoice Invoice Description PO # Amount
or note attached invoice(s) or bill(s))
Date Number ( $ 10.47
9/30/13 8256642 Rental of Oxygen tanks Sep'13
Total $ 10.47
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.
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 8256642 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
17-Oct 2013
$ 10.47 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
.JL0-,, I- . -1..1".�Y...i .-J,. -1-ILVI
iii=ivi - iiJ'vCiCc vr"+TE il':VCivc BEGINNING �uioorn or_'ri IRnlrn ENDING I EASED RAI/nAYS CYLINDER EXTENDED
p BALANCE r1.NIVCE Cr%iiJi.u- -
R ALY ACETYLENE 1 0 0 :!. 1 0 .389 .00
R MIX MIX GASES 1 0 0 1 0 .349 . 00
R NIT NITROGEN 1 0 1 0 0 18 .349 6 .28
• OXY OXYGEN 1 0 0 1. 1 0 .349 . 00
• SHP SMALL HIGH PRESSURE 1- 0 0 1 0 0 .349 .00
i
� l
I
TAX: . 00
CARMEL WATER CUSTOMER: 12598 TOTAL ® 6 .28
3450 W 131ST ST INVOICE: 0825 7"357
CAMEL IN 46074-8267 INVOICEDATE: 09/30/1.3
TOTAL CYL VALUE: 900. 00 P/O:
INDIANA OXYGEN COMPANY P.O. BOX 78588• INDIANAPOLIS, IN 4.6278-0588
..... : .. .. ...... : .. t
TYPE SUP ' GROU PERIOD EXPIRATION DESCRIPTION cvl.EASED RATE AMOUNT
L AC1 MIX 12 10/2013 07013317 1 99.70 99 .70
E O FER 1 YEAR AND 5 YEAR LEASES
YR $1 )2 . 19 PE CYL (ACETYLENE=$209 . 1.6) PLUS T7�?
CARMEL WATER CUSTOMER: 12598 TOTAL ® 99 .70
3450 W 131ST ST INVOICE: 070133-17
CARMEL IN 46074-8267 INVOICEDATE: 10/03/1.3
P/O:
INDIANA OXYGEN COMPANY - P.O. PDX 78588• INDIANAPOI.IS, 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 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 10/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/201; 08257352 $6.28
r
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 # 133026 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
i
08257352 01-6360-03 $6.28
b7C 133 '1 t 7
I
I
Voucher Total j()5 9 S
Cost distribution ledger classification if
claim paid under vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANik INDIANA OXYGEN COMPANY CUSTOMER:07851- PAGE: 1
P.O. BOX 78588 INVOICE: 08256964
INDIANAPOLIS, IN 46278-0588 INVDATE: 09/30/13 -
317-290-0003 SALESPERSON:0 0 0 TERR-. 007
BRANCH:-- 004 --
P/O:--- .-.- ---
TERMS: N F,1, 30
B S
- 1 CARMEL STREET DEPT H CARMEi, STREP'J' DEPT
L 3400 W 131ST ST I 3400 W 11-31ST ST
L CARMEL IN 46074 P CARME1., TNI 1116074
- T T
0 0
1 INVOICE AMOUNT: 87.36
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMEN-1------------------------------------------
ITEN11 INVOICE DATE, !N'V0I'7E--I -SH!PpFn RFTURNFzD I ENDING ,I-EASED BALIDAYS CYLINDER EXTENDED
TYPd BALANCE I LINDERS PATE AMOUNT -
• ALY ACETYLENE 3 0 0 3 0 90 .389 35.01
• ARG ARGON 1 0 0 1 1 0 .349 .00
• CO2 CARBON DIOXIDE 1 0 0 1 0 30 .349 10.47
• MIX MIX GASES 2 0 0 2 0 60 .349 20.94
• OXY OXYGEN 2 0 0 2 0 60 .349 20.94
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 87.36
3400 W 131ST ST INVOICE: 08256964
CARMEL IN 46074 INVOICEDATE: 09/30/1.3
TOTAL CYL VALUE: 2700. 00 P/o:
INDIANA OXYGEN COMPANY P.O. BOX 78588 e 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))
09/30/13 08256964 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
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 08256964 I 42-311.001 $87.36 1 hereby certify that the attached invoice(s), or
1 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
W 16, 2013
Street Commis i er
str®et-CemmIssiopQ
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund