HomeMy WebLinkAbout305056 11/14/16 aur-.4dgy
CITY OF CARMEL, INDIANA VENDOR: 360202
® t�r ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******430.85*
:• CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 305056
9M,TON PALATINE IL 60055-0660 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 74798442 430.85 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
982-PRAXAIR DISTRIBUTION INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DEPT CH 10660 IN SUM OF$ 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.
$430.85 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
74798442 42-311.00 $430.85 1 hereby certify that the attached invoice(s),or 11/2/16 74798442 $430.85
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, November 04, 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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
'rLLI\JL VL 11\VI IAIYV 1\LI VI\IN 1 V1 .1 V1\I IVI1 —II I a 1 1111x11...111
QUESTIONS: COMMENTS:
REF it t6tQU S t;E�At2DiNB S INVO1CM : Please note the format of your invoice has changed and novii includes more
n. . .., .a=.���w.. 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
800-266369 Pay your bill by credit card! Call 1-800-266-4369 to start.
INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days YME 17� UE 'p11i3120
CITY QTY BACK UOM VOLAW UNIT AMOUNT TAX
ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER PRICE Y/N
INVOICE NO:74798442 CUSTOMER:71675029 DATE:10/24/2016
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 84892906 DT 10/21/2016 PT#
CUSTOMER PO/RELEASE TOM
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
TOM PAYNE 317-571-2630
OX M-AD OXYGEN USP AD • 15 11 CO 25.36 380.40 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 15 11
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AMOUNT INVO C QUC+t7 '{
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE
CHARGE OF 1.5%PER MONTH(18% PRAXAIRCYLQJDERS IN YOUR POSSESSION IS CORRECT AT THE
ANNUAL BALANCE,WHICHEVER ISOF THE TANDING GREATEROR CLOSE OF BUSRJEss ON THE DATE SHOWN ON THIS INVOICE. 430.85 0.00 USD $ 430.85
CONTRACTUALLY ALLOWED.
343-01 F