307098 01/20/17 CITY OF CARMEL, INDIANA VENDOR: 360202
g ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******881.00*
CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 307098
PALATINE IL 60055-0660 CHECK DATE: 01/20/17
M TON
DEPARTMENT ACCOUNT PO NUM ER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 75360865 255.11 BOTTLED GAS
1120 4231100 75683783 625.89 BOTTLED GAS
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PLEASEPETACHAND RETURNTOPPORTIONWITHPAYMENI
QUESTIONS: COMMENTS:
Please note the format of your invoice has changed and now includes more
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.
-77777
INVOICE DETAIL AND PURCHASE SCRIPTION TERMS: Net 10 Days
ITEM NUMBER I EM DESCRIPTION QTY CITY BACK
• • UNIT AMOUNT
SHIP RETN ORDER
INVOICE NO:75683783 CUSTOMER:7167 i029 DATE:12/31/2016
SHIP FROM 70613,PXPKG IN IANAPOLIS IN HS
ORDER REFERENCE 87346115 DT 121 /2016 PT#
CUSTOMER PO/RELEASE VERBAL DENNIS
SHIP VIA Our Truck
SHIP TO ACCOU T:76168978
DENNIS 317-741-10153
OX M-AD OXYGEN USP AE 18 4 CO 25.36 456.48 N
OX M-M OXYGEN USP M 4 17 CO 29.74 118.96 N
UMSCFCD2 ENERGY AND F L CHARGE USSURFEE 1 EA 12.50 12.50 N
UZZZHMD3 HAZARDOUS MA ERIAL CHARGE USSURFEE 1 EA 12.95 12.95 N
UDELIVERYCHARGE DELIVERY CHAROE USSURFEE 1 EA 25.00 25.00 N
Tot l Cylinders Shipped(Returned 22 21
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMEN t OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AMOUNT
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENT ,RETURNS,AND/OR BALANCE OF THE
CHARGE OF 1.5%PER MONTH(18% PRAXAR CYLINDERS 0 YOUR POSSESSION IS CORRECT AT THE
ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS 0 4 THE DATE SHOWN ON THIS INVOICE. 625.89 O.QO JUSDI $ 625.89
BALANCE,WHICHEVER IS GREATER OR
CONTRACTUALLY ALLOWED.
343-01F
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