HomeMy WebLinkAbout226352 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $190.48
CARMEL, INDIANA 46032 PO BOX 78588
•, row�; INDIANAPOLIS IN 46278 CHECK NUMBER: 226352
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01071219 100 . 20 OTHER EXPENSES
2201 4231100 08261171 90 . 28 BOTTLED GAS
---------------------------------------- rLIZMO�OCivv i yr rvn i iviv vvi to i i—rrirvii
INv ITEM- INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
rP --— - - BALANCF -BALANCE-- -CYLINDERS_- - RATE _.AMOUNT
• ALY ACETYLENE 3 0 0 3 0 93 .389 36.18
• ARG ARGON 1 0 0 1 1 0 .349 .00
• CO2 CARBON DIOXIDE 1 0 0 1 0 31 .349 10. 82
• MIX MIX GASES 2 0 0 2 0 62 .349 21. 64
• OXY OXYGEN 2 0 0 2 0 62 .349 21.64
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 90.28
TOTAL
3400 w 131ST ST INVOICE: 082.61171
CARMEL IN 46074 INVOICEDATE: 10/31/13
TOTAL CYL VALUE: 2700. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$90.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 08261171 I 42-311.001 $90.2tr 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
Thu r y, 2013
V V *-ev 1-1 M
Str§AGFeAQq%er
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))
10/31/13 08261171 $90.28
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
ITEM QT o __ DESCRIPTION --- - UOnn _.! UNIT _AMOUNT
SHIP'D I B/O PRIGE
** Location: D ** I I
' OX 150 11 0! 1 1 OXYGEN, COMPRESSED, 2 .2 CYI, 19.305 19.31
UN1072
155CF @ 12.4548/100Ci
AL S 1 0�! 1! 1 ACETYLENE, DISSOLV] D, 2 .1 CY;_, 71.696 71.70
UN1001
147CF @ 48.'/'/28;? .,...
RECORD "ACTUAL" Ciif3.1:C
CF
CF
I
(60-175CF/CYL)
FSCFUEL SRCHGWC' 1 OI TEMP DIESEL SURCHARG?; W/C [aA 4.24 4.24
HMCHAZ MAT CHG 1 0 I HAZARDOUS MATERIAL; 4.95 I 4.95
S. bto a 100.20
TOTAL CYLINDERS ED: 2
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web'. at www.indianaoxygen. om
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' Taxable amount:! ;0.00
CARMEL WATER CUSTOMER: 1.2598 AMOUNT 100.20
THIS INVOICE
3450 W 131ST ST INVOICE: 01071.2.19 INCLUDING
CARMEL IN -46074-8267 INVOICEDATE: 1-0/29/13
ORDER: 01888850-00 P/O: JA10-29-13A
INDIANA OXYGEN COMPANY ® P.O. BOX 78588• INDIANAPOLIS, IN a 46278-0588
VOUCHER # 133308 WARRANT # ALLOWED
I
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
,i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
i
01071219 01-6200-06 $100.20 i
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i�
Voucher Total $100.20
r
Cost distribution ledger classification if l
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 11/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/9/2013 01071219 $100.20
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