HomeMy WebLinkAbout300005 07/12/16 0a o�_t�q�
J`! �. CITY OF CARMEL, INDIANA VENDOR: 3602,02
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******156.27*
: ��a CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 300005
, �*oN PALMIINE IL 60055.0660 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT Pb NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 73444450 156.27 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201 (Rev.1995)
982-PRAXAIR DISTRIBUTION INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DEPT CH 10660 IN SUM OF$ 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.
$156.27 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
73444450 42-311.00 $156.27 1 hereby certify that the attached invoice(s),or 7/1/16 73444450 $156.27
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
Friday,July 01,2016
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or biil(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QUESTIONS: COMMENTS:
Please note the format of our invoice has changed and now includes more
PLEASE REFER IPIQUlR1ES REGARDING7141S INVOICE, O Y 9
R �w;)7FTnkwm�nmw � ' ' �' 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 By your bill by credit card!Call 1-800-266-4369 to start.
INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 DaysDU
6/251QTY QTY BACK 2016
UOM VOLANTAMOUNTUNIT
ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER PRICE Y/N
INVOICE NO:73444450 CUSTOMER:71675029 DATE:6/15/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 80157869 DT 6/14/2016 PT#
CUSTOMER PO/RELEASE VERBAL TOM
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
TOM 317-416-0850
OX M-ADN OXYGEN USP AD(COC ONLY) 11 11 CO 9.62 105.82 N
UMSCFCD2 ENERGY AND FUEL CHARGE USSU RFEE 1 . EA 12.50 12.50 N
UZ77HMD3 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 11 11
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS P1VON:EACKNO EDGES THAT SUBTOTAL TAX AMOUNTINVOICE�AMOUNT '
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALA CE OF THE g ate,s# .r3
CHARGE OF 1.5%PER MONTH(18% PRA)(AR CYLINDERS IN YOUR POSSESSION LS CORRECT AT THE
ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ESS ON THE DATE SHOWN ON THIS INVOICE. r1
BALANCE,WHICHEVER IS GREATER OR 156.27 0.00 USD $ 156.27
CONTRACTUALLY ALLOWED.
343-01 F