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308022 02/13/17
(9, ) CITY OF CARMEL, INDIANA VENDOR: 360202 ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: Sw*x**x771.62CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 308022 PALATINE IL 60055-0660 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 _ 4231100 75829440 566.41 BOTTLED GAS 1120 4231100 75909057 205.21 BOTTLED GAS n -0 O o < « S_ q � O / m / CD O ) � 2 2 \ ® � 0 0 0 . ° 0 % T O e E 2 q 2 CL j k k q 3 2 0 0 o o 0 2 = A a a U) 0) -n / C k / CDG E \ 0 — / \ ƒ / � / o , n � 3 � 6 # it m ° _d z CL 2 / z _ > -n O | / § / X . / @ % J E 3 L7 - z e i / 2 § CL / � /0 /_ \ CD 2 g f = E 9 F 2 \ [ [ = / CL CD . E C - / / E % 3 2 / % o Q f \ $ ƒ k i ƒ CL $ } } \ [ / § R 3 o � � - a ƒ _0 %@ \ q > z s 7 § \ j ) \ - ( » � J0 CL CD \$ & D 4 ) \ 0 g § k ) C k a $ o 0 }} k / ƒ \ k C o 2 / q # D J Z ; 4 3 § o %k § k C/) } ( < T e� w 0 > }/ \ §_/ » d)LT \ \ E q f \ n / / j E / \ D r E 2 = C ' m / �_ E m / O a �_ 0 \ g \ CD a OL \ 7 \ � ] z c CD l > q9 0 C \ k ° \ rLL/1VL✓LI/1V11!\IY✓1\LIVI\IY IVr rVI\IIVIY YYIIIb/'IIIYILIYI QUESTIONS: COMMENTS: Please note the format of your invoice has changed and now includes more PRAXAIR DISTRIBUTION,INC. information to help you manage your Praxair account. 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. RENTAL DETAIL AND DESCRIPTION TERMS: Net 10 Days ITEM NUMBER BEG CYL CYL END LEASE SUBJECT UNIT AMOUNT TAX ITEM DESCRIPTION BAL SHIP RETN BAL OFFSETTYPE TO RENT PRICE YIN INVOICE NO:75909057 CUSTOMER:71675029 DATE:1/23/2017 CUSTOMER PO/ PERIOD 12/20/2016 TO 1/20/2017 SHIP TO ACCOUNT:76168978 --CYLINDER RENT SUMMARY-- RNTU410 Med High Pressure<50cf -4 48 28 16 R2 342 0.53 181.26 N RNTU430 Med High Pressure>50cf -20 6 19 -33 R2 N RNTU999 Disp/cust owned 7 7 R2 217 N UMZGOVMI SAFETY&ENVIRONMENTAL SERV FE 1 EA 23.95 23.95 N USSURFEE ACCOUNTS PAST DUE WLL BE CNARGED PLEASE NOTE PAYMENT OF THIS INVOICE A SERVICE CHARGE OF$1 OR A FINANCE ACKNOWLEDGES THAT THE ABOVE SUBTOTAL TAX AMOUNT CHARGE OF 1.5%PER MONTH(18% SHIPMENTS,RETURNS,AND/OR BALANCE OF ANNUAL RATE)OF THE OUTSTANDING THE PRA%AIR CYLINDERS IN YOUR 205.21 0.00 USD $ 205.21 BALANCE,WHICHEVER IS GREATER OR POSSESSION IS CORRECT AT THE CLOSE OF CONTRACTUALLY ALOWED. BUSINESS ON THE DATE SHOWN ON THIS 343-01 F n -0 O c < « 0 - O > m � 0 �_ 2 2 \ ® ° § 0 \ 0 k W 0 2 2 CL ) k / k 9 � 9 9 -i U qPJ � t k W. n 0) 2 k ® \ § Z > k k / #o § n 2 m 3 � § 7 & w 2 k 2 7 & 2 -n O O m Z | � ® » _ i 3 2: r, J ; g I e r CL g § / $ 0 2 F -n m 00 k § CL eM§E Q l § c f 2 \ c k C � CL cr - E I n ƒ % 3 § © ? a P O K [ 7 i E § M q k }CD / CL / % k = £ § o 7 , - , ƒ %M K q Q [ kƒ CD § ) \ } CL 2 � = D/ .« 0 7 § k G c ƒ C [ a7 2 § g E7 g © ° q 7 7 C o 0J © CD D Z ( pj � � C:) 2E k kI | � CD � � \( ¢ � f2 / \ k > §/ ko M 5 k 66 D 0 0 ƒ » 3 0 2 n 2 j E r- 0 E f y $ § ƒ cCD � % \ E $ a k q 2.B2 _CD M \ / G CD m ] k # g 0 C \ m $ K \ CD ^ 0 C k ® 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 DESCRIPTIONITEM NUMBER ITEM TY TY BACK • AMOUNTUNIT SHIP RETN ORDER PRICE Y/N INVOICE NO:75829440 CUSTOMER:71675029 DATE:1/20/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 87835599 DT 1/19/2017 PT# CUSTOMER PO/RELEASE TOM VERBAL SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 TOM 317-571-2600 OX M-AD OXYGEN USP AD 18 20 CO 25.36 456.48 N OX M-M OXYGEN USP M 2 2 CO 29.74 59.48 N UMSCFCD2 ENERGY AND FUEL CHARGE USSURFEE 1 EA 12.50 12.50 N U777HMD3 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 20 22 ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AMOUNT A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHFMENTS,RETURNS,AND/OR BALANCE OF THE "' ," 'I CHARGE OF 1.5%PER MONTH(18% PRAXAIR CYLINDERS N YOUR POSSESSION IS CORRECT AT THE ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 566.4 O.00 Url $"""' 566.41 BALANCE,WHICHEVER IS GREATER OR CONTRACTUALLY ALLOWED. 343-01 F