HomeMy WebLinkAbout259448 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 360202
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $'•*'***219.84"
CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 259448
9M�roX PALATINE IL 60055-0660 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 73293068 73.19 BOTTLED GAS
1120 4231100 73307465 146.65 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
982-PRAXAIR DISTRIBUTION INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DEPT CH 10660 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PALATINE, IL 60055-0660 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$219.84 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
73293068 42-311.00 $73.19 1 hereby certify that the attached invoice(s),or 6/7/16 73307465 $146.65
1120 101 1120 101
73307465 42-311.00 $146.65 bill(s)is(are)true and correct and that the 6/7/16 73293068 $73.19
1120 1 1 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Tuesday,June 07,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QUESTIONS: COMMENTS:
F a�, Please note the format of our invoice has changed and now includes more
PLEASE#tEPER1N�QUIRIES,REC,ARDIN`G'TH1SiNVOtCETO ;= Y 9
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 . H&N j61512 10..k..„� ,6,
ITEM NUMBER ITEM DESCRIPTION QTY CITY BACK UOM VOLIWT UNIT AMOUNT TAX
SHIP RETN ORDER PRICE YIN
INVOICE NO:73293068 CUSTOMER:71675029 DATE:5/26/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 79852669 DT 5/25/2016 PT#
CUSTOMER PO/RELEASE
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
OX M-M OXYGEN USP M 1 1 CO 29.74 29.74 N
OX M-ADN OXYGEN USP AD(COC ONLY) 10 CO N
UMSCFCD2 ENERGY AND FUEL CHARGE USSURFEE 1 EA 12.50 12.50 N
U777HMD3 HAZARDOUS MATERIAL CHARGE USSURFEE 1 EA 5.95 5.95 N
UDELIVERYCHARGE DELIVERY CHARGE USSURFEE 1 EA 25.00 25.00 N
Total Cylinders Shipped/Returned 1 11
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE SUBTOTAL TAX AMOUNT INVOICE AMOUNT
'
CHARGE OF 1.5%PER MONTH(iS% PRAXAR CYLINDERS IN YOUR POSSESSION IS CORRECT AT THE
• ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE $@ qq
BALANCE,WHICHEVER IS GREATER OR 0.00. 0.00 USD 73.19
CONTRACTUALLY ALLOWED:
343-01F
QUESTIONS: COMMENTS:
PLEASE REFERINQUIFEIES RCGARDING#THIS INVOICE TO Please note the format of your invoice has changed and now includes more
information to help you manage your Praxair account.
PRAXAIR DISTRIBUTION,INC.
CUSTOMERSERVICE
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 PAYMENTDUE6/;!/2016
CITY CITY BACK UOM VOUWT UNIT AMOUNT TAX
ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER PRICE YIN
INVOICE NO:73307465 CUSTOMER:71675029 DATE:5/28/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 79869124 DT 5/26/2016 PT#
CUSTOMER PO/RELEASE
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
OX M-ADN OXYGEN USP AD(COC ONLY) 10 CO 9.62 96.20 N
UMSCFCD2 ENERGY AND FUEL CHARGE USSURFEE 1 EA 12.50 12.50 N
UZZZHMD3 HAZARDOUS MATERIAL CHARGE USSURFEE 1 EA 12.95 12.95 N
UDELIVERYCHARGE DELIVERY CHARGE USSURFEE 1 EA 25.00 25.00 N
Total Cylinders Shipped/Returned 10
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT -� ! '�
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE `SUBTOTAL TAX AMOUNT "�»',LNVOI,C'E %MOUNTY
CHARGE OF 1.5%PER MONTH(18% PRAxAR CYLINDERS IN YOUR POSSESSION IS CORRECT AT THE
ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE.
BALANCE,WHICHEVER IS GREATER OR 0.00 0.00 VSD 146.65
CONTRACTUALLY ALLOWED.
343-01 F