HomeMy WebLinkAbout333971 01/04/19 (9 ,
CITY OF CARMEL, INDIANA VENDOR: 360202
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECKAMOUNT: $*******187.43*
CARMEL, INDIANA 46032 DEPT CH 10660
CHECK NUMBER: 333971
CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 86629383 187.43 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 360202 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
982-PRAXAIR DISTRIBUTION INC IN SUM OF$ 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
$187.43
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
86629383 42-311.00 $187.43 1 hereby certify that the attached invoice(s),or 12/14/18 86629383 Bottled Gas $187.43
1120 101 Prior Year 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
Thursday,January 3,2019
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and-1 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-Treasuf er
QUESTIONS: COMMENTS:
Pit 1.i �EFERitG1�lRIlrREGAOtNG.T SINVOfGETfl Please note the format of your invoice has changed and now includes more
PRAXAIR DISTRIBUTION,INC. information to help you manage your Praxair account.
CUSTOMER SERVICE
1400 POLCO STIf you wish to receive the document electronically in the future,please contact us.
INDIANAPOLIS IN 46222
800-266-4369 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 . -lLko, �N qk 2M2 V"
ITEM NUMBER ITEM DESCRIPTION QTY QTY BACK UOM VOUWT UNIT AMOUNT TAX
SHIP RETN ORDER PRICE Y/N
INVOICE NO:86629383 CUSTOMER:71675029 DATE:12/14/2018
SHIP FROM 70613,PXPKG INDIANAPOLIS IN HS
ORDER REFERENCE 67007434 DT 12/13/2018 PT#
CUSTOMER PO/RELEASE VERBAL JOHN PHONE
SHIP VIA Our Truck
SHIP TO ACCOUNT:76168978
****JOHN ALVERSON 317-345-2752***
*
OX M-M OXYGEN USP M 4 4 CO 32.12 128.48 N
UMSCFCD2 ENERGY AND FUEL CHARGE 1 EA 13.75 13.75 N
_____-U=HMD3—__.._._-____.__ HA Z-RDO.US.MATERIAL CHARGE—___ _ _1 - EA 14.95 14.95 N
UDELIVERYCHARGE DELIVERY CHARGE 1 EA 30.25 30.25 N
Total Cylinders Shipped/Returned 4 4
I
ACCOUNTS PAST DUE WILL BE CHARGED THE PLEASE NOTE PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT THESte. ` =n
GREATER OF A SERVICE CHARGE OF$1,OR A ABOVE SHIPMENTS,RETURNS,AND/OR BALANCE OF THE PRAXAIR SUBTOTAL TAX AMOUNT IN11010E Al1tlOUNT
FINANCE CHARGE OF 1.5%PER MONTH(18% CYLINDERS IN YOUR POSSESSION IS CORRECT AT THE CLOSE OF .,_ "`, „
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 187.43 0.00 JUSDI $ 187.43
THE CONTRACT. FOLLOWING PAYMENT RECEIPT.
343-01F