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HomeMy WebLinkAbout323446 03/29/18 %'' qpF• CITY OF CARMEL, INDIANA VENDOR: 355856 i 3 ONE CIVIC SQUARE AIRGAS MID AMERICA CHECK AMOUNT: $********25.75* CARMEL, INDIANA 46032 PO BOX 532609 CHECK NUMBER: 323446 ATLANTA GA 30353-2609 CHECK DATE: 03/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9073766762 25.75 OTHER EXPENSES y 1;. VOUCHER NO. 181108 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 355856 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER AIRGAS MID AMERICA CITY OF CARMEL PO BOX 8622t3l'3- {rJ 3'�,� An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60680-2615 dates service rendered, by whom, rates per day, number of hours, rate per hour, 36?,53— .D numbers of units, price per unit,etc. Payee 25.75 355856 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR AIRGAS MID AMERICA Terms Carmel Water Utilitv PO BOX 802615 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), CHICAGO,IL 60680-2615 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached involce(s)or bill(s)) AMOUNT 9073766762 01-6200-06 $25,75 and received except 3/19/2018 9073766762 $25.75 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693 ORDERNO " , . NV IGE"N INVOI TE OLQ+T NQ, :SOLQ:TONAME- 1067083184 A`1=1067083184 9073766762 03/13/2018 1805175 CITY OF CARMEL «`EPO'!f2ELEASE%i" :012QER6Q BY ;:SNIP U(AI, PAYMENT i ERMS< t}R©ER URTE` CARMEL WELDING DEPOT OTHER NET 30 03/13/2018 QELIVERY"NO ! MATERIAL NUMBER GtTY CYLINAER DESCRIPTION UOM QTY Sto k<UNIT PRICE UOM AMOUNT 5000225895 AC MC 1 CL 1 1 19.00 CL 19.00 N ACETYLENE IND MC CGA 200 ' (Vol: 8 FT3) (H) Product Surcharge 1.00 Sale subtotal: 20.00 Airgas Hazmat Charge 5.75 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale ANiOUNT> .x='; SHIP TO:1805175 25.75 _ Airgase CITY OF CARMEL AIRGAS USA,LLC an Air Liquide company 3450 W 131ST ST WESTFIELD IN 46074-8267 Acct No.8606074182 Airgas USA,LLC PNC Bank,ABA No 031000053 PO Box 9249 Marietta,GA 30065-2249 For change of address email to:sdiv adrss@airgas.com REV 6.1.16 0015146 Page 1 of 1 or call 678-903-7716 AIRGAS USA LLC' MDT-SDBC SOUTH DMSION (7701590-6200 � For location nearest you visit Airgas. MANUAL DELIVERY ORDER. www.ciirgas.com FILLED_ REVIEWED STAGING AREA TOTAL PKGS TOTAL CYLINDERS "FREIGHT CHARGES SHIPPED:DELIVERED VIA SHP. I RET. ON _ ,BL# ITEM COUNT PCs. ZONE GR WEIGHT DECL VALUE$ BY O T f OUST.NO: L O a"r a D l F 1-4 S Ho 5000225895 P SLSM TERR ROUTE BRANCH CUSTOMER P.O.NUMBER SHIP VIA SSH ED vat D ENTERED BY ❑CASH `�❑'CHARGE ❑,VISA/MC/DISC/AMEX Exp.Date_L ❑AUTH.CODE ❑CHECK# C/o EXTENDED R In DESCRIPTION PART NUMBER Y-N VOLUME A,,] UNIT PRICE PRICE X UN1073 Oxygen,Refrigerated Liquid 2.2(5.1 X UN1977 Nitrogen,Refrigerated Liquid 2.2 X CL UN1072 Oxygen,Compressed 2.2(5.1). X CL UN1072 Oxygen,Compressed 2.2(5.1) X UN X CL UN1066 Nitrogen,Compressed 2.2 X CL UN1006 Argon,Compressed 2.2 X CL UN1046 Helium,Compressed 2.2 X CL UN1013 Carbon Dioxide 2.2 X LIN X UN X CL UN1956 Compressed Gas N.O.S. 2 2 (Argon,Carbon Dioxide) - - X CL UN1956 Compressed Gas N.O.S. 2.2 ( )( ) X CL UN1954 Compressed Gas,Flammable N.O.S. 2.1 .. ( )( ) X CL UN1001 Acetylene,Dissolved 2.1 ��t F5Y7 t`,,L- .o ; f X CL UN1001 Acetylene,Dissolved 2.1 X UN X CL UN1070 Nitrous Oxide 2.2(5.1) X CL UN1002 Air,Compressed 2.2 X UN X UN X CL UN3156 Compressed Gas,Oxidizing N.O.S. 2.2(5.1) ( )( ) e r DESCRIPTIONRT NUMBER This agreement subject to Airgas'standard terms and conditions. SUBTOTAL See reverse side for important safety information. PLACARDS OFFERED DEL CHG ACCEPTED FOR /� < �' THE ABOVE�/ _ FREIGHT CUSTOMER/� %✓'` r%' ACCEPT REJECT HAZ MAT _.-- - NAME CUSTOMER MUST SALES TTX ; PLEASE PRINT � �(,` - c�/ i Ql I_MAL HOICE ��_ •�CTOTAL . This is to certify that the above named materials are properly classified,described,packaged,marked-and labeled X �• and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. Airgas Pefsonnel f G Dater ANY VEHICLE CARRYING IN EXCESS OF 1000185 OF NON Emergency Contact:866-734-3438 Page Oi FLAMMABLE GAS AND/OR FLAMMABLE GAS CYLINDERS Purchaser agrees to obtain Material Safety Data Sheets(MSDS)from one of the following sources;- OF A T G OXIC/POISON G INCLUDING REQUIRES PLACARDS.ANY AMOUNT AS REQUIRES PLACARDB.USE NO OIL Of _ Point of Purchase,Airgas Web site<www.airgas.com>,or by calling the above ATlisted emergency contact hone number and selecting option#3. OR LUBRICANT OF ANY KIND ON OXYGEN'CYLINDER VALVES, g y P g P CUSTOMER COPY