317375 10/11/17 CITY OF CARMEL, INDIANA VENDOR: 360202
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: S*******357.01CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 317375
(9, )
PALATINE IL 60055-0660 CHECK DATE: 10/11/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 78926655 249.25 BOTTLED GAS
1120 4231100 78936709 107.76 BOTTLED GAS
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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
CITY CITY BAC K UNIT TAX
ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER UOM VOL/WT PRICE AMOUNT Y/N
INVOICE NO:78926655 CUSTOMER:71675029 DATE:9/15/2017
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 42171281 DT 9/14/2017 PT#
CUSTOMER PO/RELEASE VERBAL TOM
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
***TOM PAYNE 317-741-0153****
OX M-AD OXYGEN USP AD 5 12 CO 9.62 48.10 N
OX M-M OXYGEN USP M 5 4 CO 29.74 148.70 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 10 16
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 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.
BALANCE,WHICHEVER IS GREATER OR 249.25 0.00 USD $ 249.25
CONTRACTUALLY ALLOWED.
343-01F
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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
CITY CITY
ITEM NUMBER ITEM DESCRIPTION SHIP RETN �,'C K UNIT AMOUNT TAXD
INVOICE NO:78936709 CUSTOMER:71675029 DATE:9/16/2017
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 42183770 DT 9/15/2017 PT#
CUSTOMER PO/RELEASE VERBAL TOM
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
***TOM PAYNE 317-741-0153****
OX M-AD OXYGEN USP AD 6 CO 9.62 57.72 N
UMSCFCD2 ENERGY AND FUEL CHARGE 1 EA 12.50 12.50 N
U777HMD3 HAZARDOUS MATERIAL CHARGE 1 EA 11.54 11.54 N
UDELIVERYCHARGE DELIVERY CHARGE 1 EA 26.00 26.00 N
Total Cylinders Shipped/Returned 6
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% PRAXAIR CYLINDERS N YOUR POSSESSION IS CORRECT AT THE
ANNUAL BALANCE,RATE)OF THE OUTSTANDING
IS OR CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 107.76 0,00 USD $ 107.76
CONTRACTUALLY ALLOWED.
343-01F