HomeMy WebLinkAbout257060 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 360202
{; r ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******212.99*
?� CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 257060
PALATINE IL 60055-0660 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 72521949 212.99 BOTTLED GAS
QUESTIONS: COMMENTS:
W-' ALE?REFE1PiG3tfE5 F3EGL�RD N� S 1 V�OtGE TOS Please note the format of your invoice has changed and now includes more
- �` ' 77'71 " "� � information to help you manage your Praxair account.
PRAXAIR DISTRIBUTION,INC.
CUSTOMER SERVICE
1400 POLCO ST If you wish to receive the document electronically in the future,please contact us.
INDIANAPOLIS IN 46222
800-266-4369 Pay your bill by credit card! Call 1-800-266-4369 to start.
INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days PAYMfl ,� / 2/205
QTY QTY BACK UOM VOIJWT UNIT AMOUNT TAX
ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER PRICE Y/N
INVOICE NO:72521949 CUSTOMER:71675029 DATE:3/2/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 76854941 DT 3/1/2016 PT#
CUSTOMER PO/RELEASE VERBAL
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
OX M-ADN OXYGEN USP AD(COC ONLY) 17 19 CO 9.62 163.54 N
OX M-M OXYGEN USP M 1 CO N
UMSCFCD2 ENERGY AND FUEL CHARGE USSURFEE 1 EA 12.50 12.50 N
U777HMD3 HAZARDOUS MATERIAL CHARGE USSURFEE 1 EA 11.95 11.95 N
UDELIVERYCHARGE DELIVERY CHARGE USSURFEE 1 EA — 25.00 -_ 25.00 N.
Total Cylinders Shipped(Returned 17 20
ACCOUNTS PAST DUE WLL BE RGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES TH
A SERVICE O
E CHARG OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND OR BALANCE OF THE AT SUBTOTAL TAX AM OUNT ` INV0ICE,l MOUNT ?.
CHARGE OF 1.5%PER MONTH 118
ANNUAL RATE)OF THE OUTSTANDING PRAXAIR CYLINDERS IN YOUR POSSESSION IS CORRECT AT THE �+
BALANCE,WHICHEVER IS GREATER OR CLOSE OF BUSINESS ESS ON THE DATE SHOWN ON THIS INVOICE. 0.00 0.00 USD $ 212.99
CONTRACTUALLY ALLOWED.
343-01 F
VOUCHER NO. WARRANT NO.
ALLOWED 20
982-Praxair Distribution, Inc.
IN SUM OF$
Dept Ch 10660
Palatine, IL 60055-0660
$212.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 72521949 42-311.00 $212.99 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
MAR 2 3
KJ(Nvv fl/j.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund