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309397 03/27/17
w 4�'`� CITY OF CARMEL, INDIANA VENDOR: 360202 ' ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: S'•""'"854.10" �� r°; CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 309397 +*. PALATINE IL 60055-0660 CHECK DATE: 03/27/17 ETON GO DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231100 76297558 321.81 BOTTLED GAS 1120 4231100 76352514 532.29 BOTTLED GAS -0 O o < < 0 m O / m /§ O \ 0 CL c -14t 4t z \ ® -0R i ^ 2 C) ® M n / x . O e 9 = q 2 $ 2 k k q E 2 \ 0 m m o w o ® [ j § k w / % \ ) _0— § n x 2 / G \ \ \ CD C) > E ® -1 / > O '69� ) / q | \ 5 j $ / \ \ / \ / / R E ° E ® o m a $ E 0 2 n o J n § f a e Q f - # / E 7 $ [ \ <. CD � - C o ƒ ' CDCD 3. § © rr CD \0 \ k k & ® ( - s co k \ a/ 0 w E { 7 \ C S 3 � / fu Q , y T %7 § m § CL kƒ j --I \ } _ E CC7 0 D � � \ �® 0 \ C t § / / 2 < a 4 o 0 0EF 0 k c G \ R q ƒ / s R $ _ # / 2 G ; m 3 ) / ik k \ :3 | cr CD 0_ D 9E f }f (D \ ( > 9/ } oCL ° 3 �. r / C-) / / M n / CD / j E - - \ \ r- 0 CD 2 ) C c cn = / % (D ƒ CD§ $ n = o # § / § } - \ \ Q. CD « r , \ ) \ & r / \ CDD E % c CD @ ( rLL.AJG✓G1/"1Vfl/'11Y✓f�C1✓l�IY 1Vr rVf\1IVIYYY11Tlrf11IVIGIY1 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. RENTAL DETAIL AND DESCRIPTION TERMS: Net 10 Days ITEM NUMBER ITEM DESCRIPTION BEG CYL CYL END LEASE TYPE SUBJECT UNIT AMOUNT TAX BAL SHIP RETIN BAL OFFSET TO RENT PRICE Y/N INVOICE NO:76297558 CUSTOMER:71675029 DATE:2/21/2017 CUSTOMER PO/ PERIOD 1/20/2017 TO 2/20/2017 SHIP TO ACCOUNT:76168978 --CYLINDER RENT SUMMARY— RNTU410 Med High Pressure<50cf 16 12 9 19 R2 562 0.53 297.86 N RNTU430 Med High Pressure>50cf -33 3 3 -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 i ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE A SERVICE CHARGE OF$1 OR A FINANCE ACKNOWLEDGES THAT THE ABOVE SUBTOTAL TAX AMOUNT CHARGE OF 1.5X PER MONTH(18% SHIPMENTS,RETURNS,AND/OR BALANCE OF ANNUAL RATE)OF THE OUTSTANDNiG THE PRAXAIR CYLINDERS IN YOUR BALANCE,WHICHEVER IS GREATER OR POSSESSION IS CORRECT AT THE CLOSE OF 321.81 0.00 USD $ 321.81 CONTRACTUALLY ALOWED. BUSINESS ON THE DATE SHOWN ON THIS 343-01F c m < « 0 q � O / q / 2 O J § 2 2 \ ® 2 / 0 # 2 ? # k n - \ / 2 ¢ z / k 2 � O % \ k ® ? \ ~ [ ) q 7 0 2 0 - E » § -n m CD 0 2 / �. O D / § \ § \ 7 k ƒ $ k D \ C q � 2} e 2 -n O O | CD $ § t HE < & ƒ§ k d- § i °E / / km ^ n Am Q - o k ® l } / 2 ± 3CL CD CL § s \ M . ƒ R R / / \ / , \ 0 CD k k O & 9 =r - k co . \ i @ EF < a , q EF CL E & f 7 \ / g 0 [ , - > - f _0 a N § - . /\ 2 ) m CD ty CD- � w # CD- _ � \ \ /$ 3 } ( 5 � -n < CCD o \ _ m o k/ \ § m ƒ \ CD C a � cu Z CL / ( Q kƒ 3 " } 0 7( § E t72 � \$ \ � - f_? ) K o > §o Gc p mo » X 0 \ . q / to CD } j E M c \ \ r- O 3 2 z « § A CD C CD / o § D 2CD CD 7 \ \ / / ) } \ \ \ } § k 4 \ \ CL e 2 CD P Q a o 7 § § PLEASE DETACH AND RETURN TOP PORTION WITHPAYMENT 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 800-2664369 Pay your bill by credit card! Call 1-800-266-4369 to start. INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days QTY CITY BACK UNIT TAX, ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER UOM VOLWT PRICE AMOUNT YIN INVOICE NO:76352514 CUSTOMER:71675029 DATE:2/24/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 89381745 DT 2/23/2017 PT# CUSTOMER PO/RELEASE VERBAL TOM PHONE ORDER SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 TOM 317-741-0153 OX M-AD OXYGEN USP AD 19 21 CO 25.36 481.84 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 19 21 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 SHIPMENTS,RETURNS,AND/OR BALANCE OF THE 1=- - - CHARGE OF 1.5%PER MONTH(18% PRAXAIN CYLINDERS N YOUR POSSESSION IS CORRECT AT THE ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. J32.Z9 O.00 VSD $ 532.29 BALANCE,WHICHEVER IS GREATER OR CONTRACTUALLY ALLOWED. 343-01 F