HomeMy WebLinkAbout260076 06/28/16 tij.coq y�
.• CITY OF CARMEL, INDIANA VENDOR: 36002
J ONE CIVIC SQUARE 982• AXAIR DISTRIBUTION INC CHECK AMOUNT: $*******108.88*
CARMEL, INDIANA 46032 DEPT CHPR10660 CHECK NUMBER: 260076
9M«oN. PALATINE IL 60055-0660 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 73394229 108.88 BOTTLED GAS
I
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
982-PRAXAIR DISTRIBUTION INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DEPT CH 10660 IN SUM OF$ 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.
$108.88 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
73394229 42-311.00 $108.88 1 hereby certify that the attached invoice(s),or 6/21/16 73394229 $108.88
1120 101 1120 101
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
Tuesday,June 21,2016
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QUESTIONS: COMMENTS:
F�LEIREFEi INQUIiES REGARDINGIia' INVOICE p.� Please note the format of your invoice has changed and now includes more
'' in ormation to help you manage your Praxair account.
PRAXAIR DISTRIBUTION,INC.
CUSTOMER SERVICE
1400 POLCO ST If ou 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. i
INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days 'AY�MENT DUE 61207
ITEM NUMBER ITEM DESCRIPTION CITY CITY BACK UOM VOIJWT UNIT AMOUNT TAX
SHIP RETN ORDER PRICE Y/N
INVOICE NO:73394229 CUSTOMER:71675029 DATE:6/4/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 79990996 DT 6/3/2016 PT#71175242
CUSTOMER PO/RELEASE VERBAL-TOM
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
OX M-M OXYGEN USP M 2 3 CO 29.74 59.48 N
UMSCFCD2 ENERGY AND FUEL CHARGE USSURF IEE 1 EA 12.50 12.50 N
U777HMD3 HAZARDOUS MATERIAL CHARGE USS�URFEE 1 EA 11.90 11.90 N
UDELIVERYCHARGE DELIVERY CHARGE USSURFEE 1 EA 25.00 25.00 N
Total Cylinders Shipped/Returned 2 3
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AM OUNT IN1/OICE AAOl�1NT¢.
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,ANDIOR BALANCE OF THE
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 US�+ $D - 108.88
CONTRACTUALLY ALLOWED.
343-011