318236 11/07/17 0♦�.�Cly*f
a, CITY OF CARMEL, INDIANA VENDOR: 360202
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $**.....227 22*
?4 CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 318236
v«. PALATINE IL 60055-0660 CHECK DATE: 11/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 79376165 227.22 BOTTLED GAS
0 _0 O \ $ «
k § 0 O / 7 � : O
§ � 2 2 q ® � 0
^ m / / m
m
\ O E \ = E 2
�
/ k k E E 2 0 0
m w o w o Cl) N)
m e ) $ a
, $ # q / � 2
U) ] > % q =
ƒ m -0a
t > � z
/ \ k \ ° K
3 a # ■
W R
/ z 2
/ \ > O
/ O
/) |
\ % Z
%
J i 2
LT
#
z k $ ƒ / � k k
{ � i g ƒ Q m
$
� o = ; v
/ 4 0 % R
� 2 � m R 2
c 2
2 \ < C \ = E
CL <
CD I § E « \ }
k & 7 % / a U
% @ o
CO) / m - k
§ i ƒ � / 7
, S ( E
3
c
o /
%I \ qQ i _ a
CD 0
k$ § 2
; w _ m $ « k
\/ _ p c \
; ( / � 2 ( 7 /
[/ k ƒ \ k C o
2 / $ # \ g 0 Z 2
7 3 §
E 2; § [ }
a/ \ - 2 0 D
\f \ {
f o D
�/ D
eo / \ - r
» -COD r
2 0 \
n } j E � O
£ f n ) A CD@ C
2 ( / / cn
) \ /
\ g , \
k CL� \ f \ §
§ ƒ °
\ \ §
\ / / \ � a
�
§ § /
PLEASEDETACHAND RETURN TOP PORTIONWITHPAYMENT
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
ITEM NUMBER ITEM DESCRIPTION QTY CITY BACK UOM VOL1WT UNIT AMOUNT TAX
SHIP RETN ORDER PRICE Y/N
INVOICE NO:79376165 CUSTOMER:71675029 DATE:10/18/2017
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 45580277 DT 10/17/2017 PT#
CUSTOMER PO/RELEASE DON PHONE
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
DON SMALL 317-416-0850 CELL
OX M-ADN OXYGEN USP AD(COC ONLY) 18 18 CO 9.62 173.16 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 18 18
ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT ,yl
A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE SUBTOTAL TAX AMOUNT
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 227.22 0.00 USD $ 227.22
CONTRACTUALLY ALLOWED.
343-01F