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314197 7/31/2017
♦d-C 1AM �! CITY OF CARMEL, INDIANA VENDOR: 360202CHECK AMOUNT: S N N.....432.85 N ONE CIVIC SQUARE 982 PRAXAIR DISTRIBUTION INC CHECK NUMBER: 314197 ;� =a CARMEL, INDIANA 46032 DEPT CH 10660PALATINE IL 60055-0660 CHECK DATE: 07/31/17 DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT 85 BOTTLED GAS 1120 4231100 78085355 n _0 o % $ « \ CD 0/ \ k k / - / 0 7 z ^ m 0 In m \_ O e k E 2 E ) < k E E 2 0 0 % E ® ® © / § k # / / ] > / C:) = k £ 6 0 L710 :3 # -n > q z_ / / Q \ k 0 m T. � 6 _ m CL z 2 z 2 > 9 ; « o 3 (DOD Z | 7 ¥ 5 _ J a ■ a R m / / k k % i » i m • 2 k § c m § } ;CL # f 7 2 to § k % + — CL C n % 3 Q a ? @ a E K • / o E R 02- c §ca a @ k o k @ — 2 y k / } / m § 3 e [ = a 7 K« — m E Eƒ ■ § / 2 7 \ i ( � 2 k R D Cl) ) \ 0 g § k ) m < a m 0 oc o E -5C /} k k k ƒ k ( ) / ^ kCL 0 Z ( « 3 o %k / { cn V =ro e° � D }f 0 D 90 KO E �E \ § M r ¥ - _ / f M n / / } 7 \ PD D O i ° C . E 3 E ; % m \_ E m / / � p , _ 0 \ ] M \ / / CL m / Cl) X ] z CD N CL 4A > } 2 A g . \ 6D Z ° \ F'LtAJtUtIA(;NANUKtIUKN IUNF'UK1IUNVVI1HF'AYMENI QUESTIONS: COMMENTS: MimiPlease 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 11111' ND PURCHASE DESCRIPTION TERMS: Net 10 DITEM NUMBER ITEM DESCRIPTION ays CITY CITY BACK UOM VOL/WT UNIT AMOUNT TAX SHIP RETN ORDER PRICE YIN INVOICE NO:78085355 CUSTOMER:71675029 DATE:7/8/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 40567696 DT 7/7/2017 PT# CUSTOMER PO/RELEASE VERBAL TOM SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 OX M-AD OXYGEN USP AD 15 12 CO 25.36 380.40 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 15 12 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 SHPMENTS,RETURNS,AND/OR BALANCE OF THE CHARGE OF 1.5%PER MONTH(18% PRAXAR CYLINDERS N YOUR POSSESSION 15 CORRECT AT THE ANNUAL RATE)OF THE OUTSTANDING CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 43''.H`C O.00 VSD $ 432.85 BALANCE,WHICHEVER IS GREATER OR CONTRACTUALLY ALLOWED. 343-01F