307558 01/27/17 ��'"� CITY OF CARMEL, INDIANA VENDOR: 360202
t` 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $ "'"" 354.77'
q ONE CIVIC SQUARE CHECK NUMBER: 307558
�\+° CARMEL, INDIANA 46032 DEPT IN 10660
PALATINE IL 60055-0660 CHECK DATE: 01127117
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1120 4231100 75733315 354.77 BOTTLED GAS
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PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT
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.
INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days
ITEM NUMBER ITEM DESCRIPTION CITY QTY BACK • • UNIT AMOUNT
SHIP RETN ORDER
INVOICE NO:75733315 CUSTOMER:71675029 DATE:1/7/2017
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 87534859 DT 1/6/2017 PT#
CUSTOMER PO/RELEASE
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
OX M-AD OXYGEN USP AD 12 4 CO 25.36 304.32 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 12 4
ACCOUNTS PAST DUE WILL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AMOUNT ; q r
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHPMENTS,RETURNS,AND/OR BALANCE OF THE
CHARGE OF 1.5%PER MONTH(18% PRAXAIR CYLINDERS N YOUR POSSESSION IS CORRECT AT THE ,,11
ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 3554.77 0.00 USD $ 354.77
BALANCE,W14CHEVER IS GREATER OR
CONTRACTUALLY ALLOWED.
343-01F