HomeMy WebLinkAbout228577 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $116.61
CARMEL, INDIANA 46032 PO BOX 78588
4;.oN�o INDIANAPOLIS IN 46278 CHECK NUMBER: 228577
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 01093959 105 . 79 BOTTLED GAS
1094 4239012 5269233 10 . 82 SAFETY SUPPLIES
-- QY--- -eTY UNIT
-ITEM' F _
PD PRICE
— _ tii�GC1NT .
** Location: D **
OX 220 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 24.983 24.98
UN1072
220CF @ 11.3559/1000F
AL S 1 0 1 1 ACETYLENE, DISSOLVED, 2.1 CYL 71.696 71.70
UN1001
147CF @ 48.7728/100CF
RECORD "ACTUAL" CUBIC FOOTAGE
CF
CF
(60-175CF/CYL)
FSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE WIC EA 4.16 4.16
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 4.95 4.95
Subtotal 105.79
TOTAL CYLINDERS SHIPPED: 2 RETURNED: 2
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Taxable amount:1 10.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT105.79
.THISINVe
3400 W 131ST ST INVOICE: 01093959
CARMEL IN 46074 INVOICEDATE: 01/08/14
ORDER: 01916404-00 P/O: SHOP
INDIANA OXYGEN COMPANY * P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$105.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
2201 I 01093959 I 42-311.001 $105.79 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
4
# % ' 6""
WednesdaydiQ
, 2014
Street Commissioner
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))
01/08/14 01093959 $105.79
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
INV ITEM INVOICE.DATF_- -INVOICE BEGINNING _SuIPpED- RETURNED-- ENDING__ --LEASED-
----ITEM CYLINDER -EXTENDED-----
P -- - -- �- - BALANCE- BALANCE.. CYLINDERS uAUCAYS`_ RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .349 10.82
3 3 U
To
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL ® 10. 82
1411 E. 116TH ST. INVOICE: 08269233
CARMEL IN 46032 INVOICEOATE: 12/31/13
TOTAL CYL VALUE: 100, 00 P/O:
INDIANA OXYGEN COMPANY a P.O. BOX 78588 o 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
12/31/13 8269233 Rental of Oxygen tanks Dec'13 36390 $ 10.82
Total $ 10.82
l 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 I Allowed 20 1
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 10.82
ON ACCOUNT OF APPROPRIATION F R
109 - Monon Center
PO#or Board Members
INVOICE NO. CCT#/TITL AMOUNT
Dept#
1094 8269233 4239012 $ 10.82 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
4 which charge is made were ordered and
received except
21-Jan 2014
1
I
$ 10.82 Accounts Payable Coordinator
Cost distribution ledger classification if f Title
claim paid motor vehicle highway fund