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HomeMy WebLinkAbout332997 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 360202 ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $*******218.55* •i� !rte CARMEL, INDIANA 46032 DEPT CH 10660 CHECK NUMBER: 332997 PALATINE IL 60055-0660 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231100 86175847 218.55 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 360202 982-PRAXAIR DISTRIBUTION INC IN SUM OF$ 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 $218.55 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 86175847 42-311.00 $218.55 1 hereby certify that the attached invoice(s),or 11/27/18 86175847 02 Bottle Fill $218.55 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, December 3,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer QUESTIONS: COMMENTS: Please note the format of our invoice has changed and now includes more PLEASE REFER INQUIRIES REGARDINGTHIS INVOICE TO ��` y g information to help you manage your Praxair account. PRAXAIR DISTRIBUTION,INC. CUSTOMER SERVICE 1400 POLCO ST If you wish to receive the document electronically in the future,please contact us. INDIANAPOLIS IN 46222 800-266A369 Pay your bill online at www.praxairdirect.com/bil[pay or call 1-800-266-4369. INVOICE DETAIL AND PURCHASE DESCRIPTION TERMS: Net 10 Days. `AYMENT DJE11/301241$ ITEM NUMBER ITEM DESCRIPTION CITY QTY BACK LIOM VOLWT UNIT AMOUNT TAX SHIP RETN ORDER PRICE Y/N INVOICE NO:86175847 CUSTOMER:71675029 DATE:11/20/2018 SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS ORDER REFERENCE 66005850 DT 11/19/2018 PT# CUSTOMER PO/RELEASE VERBAL ANDREW PHONE SHIP VIA Our Truck SHIP TO ACCOUNT:76168978 ANDREW YOUNG @ 317-797-1412 OX M-M OXYGEN USP M 5 5 CO 32.12 160.60 N UMSCFCD2 ENERGY AND FUEL CHARGE 1 EA 13.75 13.75 N UZZZHMD3 HAZARDOUS MATERIAL CHARGE 1 EA 13.95 13.95 N UDE_LIVER_YCHARGE DELIVERY CHARGE _ 1 EA 30.25 30.25 N Total Cylinders Shipped/Returned 5 5 ACCOUNTS PAST DUE WILL BE CHARGED THE PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT THE . GREATER OF A SERVICE CHARGE OF$7,ORA CriWDERSP N YOUR RETURNS, SSESSION IS BALANCE OF THE AT THE CLOSE OFR SUBTOTAL TAX AMOUNT ._IN_YOICE AMOUf''i l FINANCE CHARGE OF 1.5%PER MONTH(18% BUSINESS ON THE DATE SHOWN ON THIS INVOICE.PAYMENT RECEIVED ANNUAL RATE)OF THE OUTSTANDING WITHOUT INVOICE APPLICATION INSTRUCTIONS WILL BE APPLIED PER BALANCE,UNLESS OTHERWISE SPECIFIED IN PRAXAIR'S DISCRETION AT ANY TIME AFTER THE NINETIETH DAY 218.55 0.00 USD $ 218.55 THE CONTRACT. FOLLOWING PAYMENT RECEIPT. 343-01F