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HomeMy WebLinkAbout322313 02/27/18 ' ,rt GggF` CITY OF CARMEL, INDIANA VENDOR: 360202 ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: 49, as CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 322313 . PALATINE IL 60055-0660 CHECK DATE: 02/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231100 81168704 246.78 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) vendor# 360202 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 982-PRAMIR DISTRIBUTION INC IN SUM OF$ CITY OF CARMEL DEPT CH 10660 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. PALATINE, IL 60055-0660 Payee $246.78 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 81168704 42-311.00 $246.78 1 hereby certify that the attached invoice(s),or 2/16/18 81168704 $246.78 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, February 16,2018 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer QUESTIONS: COMMENTS: PLEA3E REFER IN4UIFk66 REGARDING THIS INVOICE TO 4 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 receivq=the document electronically in the future,please contact us. INDIANAPOLIS IN 46222 800-2664369 Pay your bill online at www.praxairdirect.com/billpay or call 1-800-266-4369. INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS:. Net 10 Daysd'PAYMENT DU�E2/10/20718 CITY QTY BACK UOM VOLJWT UNIT TAX ITEM NUMBER ITEM DESCRIPTION SHIP RETN ORDER PRICE AMOUNT Y/N INVOICE NO:81168704 CUSTOMER:71675029 DATE:1/31/2018 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 55490142 DT 1/30/2018 PT# CUSTOMER PO/RELEASE VERBAL TOM SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 TOM PAYNE 317-741-0153 DIRECT OX M-M OXYGEN USP M 6 6 CO 32.12 192.72 N UMSCFCD2 ENERGY AND FUEL CHARGE 1 EA 12.50 12.50 N UZZZHMD3 HAZARDOUS MATERIAL CHARGE 1 EA 13.95 13.95 N UDELIVERY_CHARGE ____ DELIVERY CHARGE 1__ _ .EA _ _ _ __ _27.61 __ 27.61 N Total Cylinders Shipped/Returned 6 6 ACCOUNTS PAST DUE WLL BE CHARGED PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT SUBTOTAL TAX AMOUNT _-INVOfG AMOUNT A SERVICE CHARGE OF$1 OR A FINANCE THE ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE CHARGE OF 7.5%PER MONTH(18% PRAXAIR CYLINDERS IN 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 246.78 0.00 USD $ 246.78 CONTRACTUALLY ALLOWED. 343-01'.