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HomeMy WebLinkAbout197069 05/11/2011 a CITY OF CARMEL, INDIANA VENDOR: 355856 Page 1 of 1 ONE CIVIC SQUARE AIRGAS MID AMERICA CHECK AMOUNT: $44.62 CARMEL, INDIANA 46032 PO BOX 802615 CHICAGO IL 60680 CHECK NUMBER: 197069 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 111270677 44.62 MATERIALS SUPPLIES ORIGINAL INVOICE S 116111 1 0=14 11111191=11111116 e Airgas Mid America INVOICE DATE GUST. NO. INVOICE NO. DUE DATE PAY THIS AMOUNT Air �s. PO Box 1117 04/21/11 A3X18 111270677 05120111 $44.62 Bowling Green, KY 42102 -1117 AMOUNT ENCLOSED SOLD sY AIRGAS -MID AMERICA Check 5825 ELMWOOD AVENUE INDIANAPOLIS IN 46203 -6032 Credit Card 317- 783 -2331 Please visit www.airgas.com /onlinebillpay or complete the information on the reverse side of this form. T78 P182 *AUTO MIXED AADC 296 PLTO 019347 SOLDTO (CITY OF CARMEL SEWER III III' II "IIII'l "'lli' 1 CIVIC SQ Airgas Mid America {4" CARMEL IN 46032 -2584 PO Box 802615 Chicago, IL 60680 -2615 CAW 00A3X180011127067700000044625 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 304 325 -5702 x 6521 ORDER INVOI E'NUMBER' ACCOUNTiNLIMBER 'i €NVDICEDATE` 3 k'.:". ACGOUNT -NAME 104997 -00 111270677 A3X18 04/21/11 CITY OF CARMEL SEWER •CUSTOMER QRDER'sNtlME3E€? ::SRN. F':SLS,€ TERR "Sfl€P VIA ..rTERMS �c'PAGE CARMEL WELDING AGENT 019 14 14 PICK -UP NET 30 DAYS 1 nELIVER RD Y', OER �xx r QrY oTY cYLIr�DER d U UNIT PART_NUMBER IP SNPED aro DESCRIPTIDN r 30 PRICE AMOUNT aHao' tz�rD ,M n_ RELEASE LARRY EIDSON LOCATION: O1 10499 03 :30SRCACETYLENECL 1 0 ACETYLENE SURCHARGE EA 1.6500 1.65 N LOCATION: YC 10499"03-30 C MC 1 a ACETYLENE SIZE MC (CL UO CL 38.9700 38.97 N CGA 200 1 1 VOL: 1.0 1.0499`C3;30HAZHAZMAT 1. C HAZARDOUS MATERIALS CHAR EA 4.00 4.00 N Subtotal 44.62 TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1 TAX C :0;00000001 TAX DES RP:I DIA A SALE TAX CT:0031201550 -010 E P:01/O1/37 rAXASLEAMOuNT AMOUNTS`- t'. $.00 1 THIS'INVOICEI'j 44.62 ffirga SHIP TO: www.airgas.com CITY OF CARMEL SEWER ACT. NAME AIRGAS MID AMERICA Airgas Mid America 130 1 STAVE SW ACT. NO. 8606074123 PO sox 1117 CARMEL IN 46032 -2009 PNC BANK- ABA NO. 031000053 Bowling Green, KY 42102 -1117 REF. 111270677/A3X18 sE .oamoo ORIGINAL INVOICE VISA MASTERCARD DISCOVER AMEX Exp. mm/yy Card CVV (3-digit number in signature panel on back of card) Print Name Card Billing Address_ Card Holder's Phone Number Signature If you are-faxing this form please provide your Airgas acct and Invoice from the reverse side. Disclosure Teo�s of SI[e: Each solo or Goods msemicexbyuvAimm"company is and shall be governed hy the tom*and conditions onohk� Disclosure, the Terms m Sale affixed w umAc--cru one has bee mu Terms of Sale found at ltLr)..i!www.a ,,erviwALqT)s,asj)x (collectively the "Ternns of SaleA Each commutm,mnoaem Good, u,smvicv between Seller and Buyer (zon^ac0 shall include these Terms orSsle.mummo with any other material oosu/mnume Goods u, services being said, their price, delivery terms, and all other special provisions, ^oonuv'emrym any items of,ane/u/a personal property xmmueum any Contract v,owonvis,vm,muuuvaa/e'toBuyer. This document shows the. total number ^/(-xnnuors cxm,oeu/oouv^,(u, cylinders which oexerxmu,emewo/ eased m Buys; and which Buyer has not nyon`ed) aocmdinum Seller's records mom the month ending date shown- The number mowmuom thus charged maox, shall v° considered correct to' all contractual purposes between Buyer and Seller, unless Buyer reports to Seller /c writing any errors Buyer *a/mo within oouaysamarm* date hereof, Bu�r agrees to Continue 00 pay rent or- Lill cylinders chtwacd to Buyer until Bu has either (I) rQkffued such (,vIind0r-- In Seller w ,00d working order or (i;! pavo S-Mor lhe revm'emomuommo"mf. Retri_quant Cylir Refillable refrigerant cylinders shall remain the property of Alrqas or its third-party vericom, Such cylirders shall not be used riv Customer for purposes othu than the storage of gas prodzcts puiuhasud from Airgas or Pic return and reclarnation of certain gasos k o g refrigerants). Ea;h rufitkiLlk cyArder will be ,subjez.t to e c daipo�Jt fee, as estabikhed by Airgas frorn time to Iijinp. Airc as will refund the deposit fee when the Custorner returns the refr:� 'S the .1 gernril: cylinder Uriie, oylindoi'q cor is deerned 10 be U11fit for reuse, as d1plen-nined by Airgas, whidi determination shall be irrefutable qixty days after the cyfi-ricir reLirfied, All products, om^,iane uruu/a, qx/,uers and other containers fum/nx,m by on Airgas company a»ao mnfonn to the uoucwn:on ,xorcofpvolis:od by the nnoufacmmrm the xmvm sale and will mee Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS oRIMPLIED nn^woARoo, nu^mAmreEo. OR WARRANTIES, INCLUDING ANY WARRANTIES OF msmoxAwrxa/urr, nrmsao FOR p^ar/oumm punrous on wow' /wpmwacmswrmvoAwYvwRnAwr/EST**rw^voE,4LsosoTo^pmE^»»nsaVcrnFouaToMoeuSmas. SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES. SELLER SHALL NOT BE LIABLE FOR ANY DIRECT As EXPRESSLY PROVIDED HEREIN). INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL AND/OR PUNITIVE DAMAGES, ARISING OR Al.LEGED TO ARISE 0, t-"T OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT, OTHER ITEMS OF SALE, oe EQUIPMENT SOLD om LEASED a, SELLER, WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY, OR OTHERWISE. Terms oL2auy—rc Unless olherwiso specified in a Contract, Buyer shall make pa in full within 30 days af!er the date of Seller's invoice. ate pa char o,1o% oo the mpuu, past due m,/axc*wI000mnuessem"nmnm/ two dollars ($znD).n/ the ^mx/mvm lawful rat=aouwau1e the state where the Goods are delivered, wmvinvve,u�`� lrile to �u�omud.r/uomon,enm|w"/n-n^"t shall remain m Seller's name. Buyer shall not cover, mouny. remove o,nu`i.-�nw/se disturb any identification other muio/aur Seller's owm,m*/non any renmlequipment. Taxes- ^'`ytamm/mvoi°uvmuo'm.muLe.o,mh°r mmexm/avavmvunmoso/e, uspnrpnnsessmnofoocuo. u rompm*v—s:anua paid u/ouye,o` addition m the purchase price, 8 u :/xv�'u/am"vnr=e/mm/m,ouve,nmvmv/uuevoxuu*no/n/zoxrxumvs.muvumu�c,wm x the materials m o/oan�,,mnnaw n Witt) laws and regulations *,""em/"uxuca,'C!nvs.nu,e^a/sI charges for handlin deliver and smnp/no�oncxo,-oa,m"fo'anor< 9yv, fuel, None o/ the char represent atax or fpe paid mm Imposed ur any government authorit and all of the noa mmem.oeouvumueoa^rxaue/m,oasnvt specifically w,omm'm the "xa/oom/nh^wo°nthe char and the actual costs associated With the charges, which can var oy product, service, time and place, among other things, .oexamAiuS companies are u�. government contractors arid subcontractors arid are subject to and adhere m;bvrcv"/.cmu.tuor federal laws, exe,.mvy orders, arid attendant m/°sand reo"w."n,. specifically Executive Order No. 1, 1246. the nm//*wo^uo"xc[ of/onand the v/mnamsnivo,erav,oe*4v`o"oot Assistance Act n/1or4. all "samended. Airgas eo"amoss mc�oomo»vmnes^wimmma,u^au/o,mun*"erwxoo"'^u"^.^esv=obsue.:up://www.aimmu.,mm, v*//"son/me,ouyvm see how mmw.a/rgas.unmcan save y ou time and moorv. VOUCHER 115003 WARRANT ALLOWED 355856 IN SUM OF AIRGAS MID AMERICA PO BOX 802615 CHICAGO, IL 60680 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 111270677 01- 7200 -02 $44.62 Voucher Total $44.62 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355856 AIRGAS MID AMERICA Purchase Order No. PO BOX 802615 Terms CHICAGO, IL 60680 Due Date 4/28/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/28/2011 111270677 $44.62 I hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer