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314726 08/15/17 CITY OF CARMEL, INDIANA VENDOR: 360202 ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******548.84* Q CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 314726 PALATINE IL 60055-0660 CHECK DATE: 08/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231100 78173925 517.69 BOTTLED GAS 1120 4231100 78252808 31.15 BOTTLED GAS , / po D qq § § z g ® 0 } z ^ m 0 t m \ O e k = E 2 CL ) / < k 2 E / / 0 % k d 0 ® a ( j \ § k l / / ) 00 A E t t -n > k CL .4 _0 3 2 0 0 OL > zz _ 7 o . O | / e M E f & 2 z % \ \ 5/ ` / 0 k « CD - F 2 J k 0 CD 0) , G A v 0 2 \ e $ _ / F . § # f I 5. C \ § CDCL m - CL « n ƒ 2 % 3 G k 27 C7 a . K o 2 0 f k 0 » Ei . 2 £ E S. 0 2 CL a - , w • S_ ( R a � CLm CDr | o CD kI « e qO CD S' 7 Q � > E ( CD 0 § CD § j m L \ CD CL ) i i � D ) m® 0 \ C ( § k ) § � < � $ 0 co 22 _ _ o m OD k k \ k ( 2 / OD D ƒ \ CD ik § k k » � / 2 0 D }f ( \ ( -n � > Sr� § / CD f � 0 ? \ CD r/ E \j ) C0 % ƒ c m \ / $ }(D m 9) n _ - \ § m \ E CL / Q / \ } k k ] ® [ 69 > CD P \ 2 g CD \ § / \ 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 QTY QTY BACK UNIT AMOUNT TAX ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER UOM VOLMT PRICE Y/N INVOICE NO:78173925 CUSTOMER:71675029 DATE:7/20/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 40698134 DT 7/18/2017 PT# CUSTOMER PO/RELEASE verbal tom phone SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 317 571 2630 PHONE TOM OX M-AD OXYGEN USP AD 16 16 CO 25.36 405.76 N OX M-M OXYGEN USP M 2 2 CO 29.74 59.48 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/Retumed 18 18 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 CHARGE OF 11.5%PER MONTH(18% PRAXAR CYLINDERS N YOUR POSSESSION B CORRECT AT THE BANNUAL ALANCE AWHICHEVER OF THE OUTSTANDING GREATERROOR CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 517.69 0.00 USD $ 517.69 CONTRACTUALLY ALLOWED. 343-01 F PLEASEDETACHANDRETURN IUNNURIIUNVVIIHI'AYMtNI 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. RENTAL DETAIL AND DESCRIPTION TERMS: Net 10 Days AMOUNTITEM NUMBER ITEM DESCRIPTION BEG CYL CYL END LEASE TYPE SUBJECT UNIT BAL SHIP RETN BAL OFFSET TO RENT PRICE Y/N INVOICE NO:78252808 CUSTOMER:71675029 DATE:7/22/2017 CUSTOMER POI RELEASE PERIOD 6/20/2017 TO 7/20/2017 SHIP TO ACCOUNT:76168978 --CYLINDER RENT SUMMARY-- RNTU410 Med High Pressure<50cf -1 31 28 2 R2 40 0.53 21.20 N RNTU430 Med High Pressure>50cf -36 2 2 -36 R2 N UMZGOVMI SAFETY&ENVIRONMENTAL SERV FE 1 EA 9.95 9.95 N ACCOUNTS PAST DUE WL L 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 1.5%PER MONTH(18% SHIPMENTS,RETURNS,AND/OR BALANCE OF ANNUAL RATE)OF THE OUTSTANDING THE PRNUVR CYLINDERS IN YOUR 31.15 0.00 USD $ 31.15 BALANCE,WHICHEVER IS GREATER OR POSSESSION IS CORRECT AT THE CLOSE OF CONTRACTUALLY ALOWED. BUSINESS ON THE DATE SHOWN ON THIS 343-01 F