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318015 10/31/2017 CITY OF CARMEL, INDIANA VENDOR: 360202 CHECK AMOUNT: S**.....169.50* ONE CIVIC SQUARE 982 R DISTRIBUTION INC CHECK NUMBER: 318015 CARMEL, PALATINE ?a; EL, INDIANA 46032 DEPT 1 106600660 ' NE IL 60055-0660 CHECK DATE: 10/31/17 9 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT BOTTLED GAS DESCRIPTION 1120 4231100 79278157 169.50 0 0 -0 O % $ « O % 0 \ z ® n $ w q \ $ < / c / % 4 0 \ $ N) OD 0 $ a E q * k �Gn C k 0 ) _0 $ E \ 01 0 St > I z O D / 2 \ CL ° 0 � � § � © OL � § 0 2 4 > -n O i 8 0 O z | \ S ¥ $ 2 > 0 g [ 0 / / ƒ m } ƒ 2 ; n § o § f e CL k � R2 E 2 { 0 ( 2 :5. CL / E . & I 0 ! E § k & / 2 N O % 2 o g y \ Ef k° CL ƒ M i � /{ , ; J 2 a E C. c |� [ � - � § Q a ± 7 CD G G § [ C < \ J j m \ G > \ \$ . o @ nk -4c < \ o o am k = C o E \ j § k CD o g 22 q # % ) / 0 Z ; ki m (j) \ N) 2CL 3 \f (D / / o > C) 6LT = 3 / k 0 \ n / \ § E_ / a § & 0 3j \ C c D % ¢ / % $ / i p a \ 2 cL M M \ k § / 5 } § \ 7 » \ f § c3L _ > & B s - 0 . 7 % § k ° o 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 DESCRIPTIONITEM NUMBER ITEM SHIP RETN ;D INVOICE NO:79278157 CUSTOMER:71675029 DATE:10/7/2017 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 44643012 DT 10/6/2017 PT# CUSTOMER PO/RELEASE TOM PAYNE PHONE ORDER SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 TOM PAAYNE 317-741-0153 OX M-AD OXYGEN USP AD 12 14 CO 9.62 115.44 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 27.61 27.61 N Total Cylinders Shipped/Returned 12 14 ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS NVOICE 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% PRAXAR CYLINDERS N YOUR POSSESSION IS CORRECT AT THE ANNUALRATE) F THEVER O TSTANDI OR CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE. 169.50 0.00 USD $ 169.50 CONTRACTUALLY ALLOWED. 3�3-01F