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313299 07/10/17
(9) CITY OF CARMEL, INDIANA VENDOR: 360202 ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: S"'"'"508.93' CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 313299 PALATINE IL 60055-0660 CHECK DATE: 07/10/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231100 77752161 508.93 BOTTLED GAS 0_ § O / k � O § ) 2 2 > c ® -02 \ 0 % w X O e E 2 E 2 OL -4 k k q E 2 0 % ) o ¥ o « A $ g -n 7 k k / 3 � E \ £ a \ 4h- ƒ > . o n 2 0 � CL ® 2 2 ( z ; & K O E O / A m | / § z $ J i 3 R a k $ \ c § k g ƒ \ 7 0 m ¥ m , = o m E ) D O i k 2 k f CL U) CD =r \ CD - i CL \ % 3 \ _ n . & \ 2 N) 0 k \ 0 o E � I o_ 2 « E \ E * C \ - § E £ § � ) ƒ � , - , ƒ -0 %« - 2 qc - CLƒ \ § ) cr \ CD ■ ; � � CD \ = D \ § 0 \ 0 \ Fr 4 c � 2 0 87 -4 -n <° k O� � � � ) ƒ kk C o 2 / e © # D 3 2 CD 4 { § C) %k k k } � � � \f 0 / - f } a � D §/ g = a E 00 E� o \ � x 7 � m - x 73- $ Q / PD / } 3 m m ° 2 = C C " ° C § $ / k 73 G , R 0 \ § \ ECD k { CL 0 CL 0) X } 4t \ / \ \ $ > . . / 0 =r90 § E ® � 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. INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days ORDERITEM NUMBER ITEM DESCRIPTION CITY CITY C K UNIT TAX SHIP RETN ' INVOICE NO:77752161 CUSTOMER:71675029 DATE:6/15/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 92381749 DT 6/14/2017 PT# CUSTOMER PO/RELEASE TOM VERBAL SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 THERE ARE 3 LARGER CYLS ON THE BOTTOM OF THE RACK THEY ARE EMPTY IF THEY ARE PRAXAIR CYLS PLEASE TAKE THEM OX M-AD OXYGEN USP AD 18 19 CO 25.36 456.48 N UMSCFCD2 ENERGY AND FUEL CHARGE 1 EA 12.50 12.50 N UZZZHMD3 HAZARDOUS MATERIAL CHARGE 1 EA 13.95 13.95 N UDELIVERYCHARGE DELIVERY CHARGE 1 EA 26.00 26.00 N Total Cylinders Shipped/Returned 18 19 ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHPMENTS,RETURNS,AND/OR BALANCE OF THE SUBTOTAL TAX AMOUNT CHARGE OF 1.5%PER MONTH(18% PRAXAR CYLINDERS N YOUR POSSESSION IS CORRECT AT THE F— — ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 508.93 �.�� USD $ 508.93 BALANCE,WHICHEVER IS GREATER OR CONTRACTUALLY ALLOWED. 343-01F