HomeMy WebLinkAbout157374 03/19/2008 a CITY OF CARMEL, INDIANA VENDOR: 355856 Page 1 of 1
j- ONE CIVIC SQUARE AIRGAS MID AMERICA
CHECK AMOUNT: $37.16
CARMEL, INDIANA 46032 PO BOX 802615
CHICAGO IL 60680 CHECK NUMBER: 157374
CHECK DATE: 3/1912008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
-651 5023990 111260441 37.16 MATERIALS SUPPLIES
I
r-
TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: (304) 353 -6177
ORDER�NUMBER�ft `f� QINV01C&NUMBER:. ,..A ;ACCOUNT�NUMBER A INVOICE`DATE ACGOUNT'NAME�,
171945 -00 111260441 A21F44 02/26/08 CITY OF CARMEL
CUST0MERl0RDE2 NUMBER BRN SLS rr:TERR SHIP.aVIA ._,.,:W TERMS..., PAGE
SEWER DEPT 014 14 14 PICK -UP NET 30 DAYS 1
DELIVERY ORDER CYLINDERS n U s
PART NUMBER �TMQTM DESCRIPTION O UNITAMOUNT
NUMBERS DATE z, SHIPPED siao Rero PRICE,,,,
LOCATION: IJYC
17194502:20 AC MC 1 0 ACETYLENE SIZE MC (CL UO CL 34.1600 34.16
CGA 200
1 1 VOL: 10
17194502;20 AZHAZMAT 1 0 HAZARDOUS MATERIALS CHAR EA 3.0000 3.00 N
Subtotal 37.16
TOTAL CYLINDERS SHIPPED: 1 RETURNED:
TAX C :0;00000001 TAX DESC P:IN IA SALE TAX CT:0031201550010 EX :01/01/37
TAXABLE'AMOUNT AMOUNT
$.00 THISjNVOICE" $37.16
SHIP TO:
r` CITY OF CARMEL ACT. NAME AIRGAS MID AMERICA
3450 W 131 ST ST ACT. NO. 8606074123
Airgas Mid America WESTFIELD IN 46074 -8267 PNC BANK, ABA NO. 031000053
PO Box 1117 REF. 111260441/A2F44
Bowling Green, KY 42102 -1117
ORIGINAL INVOICE
Disclosures
Terms of Sale: Each sale of goods or services by an Airgas'' company shali be pursuant to the Terms of Sale affixed to
the Account Application. The Terms of Sale can also be found at http jw.aircias.com/cListoti service/terms as.px,
Notice Regarding ylinder Rentals /Leases and Responsibility This Notice relates to rentals. leases and cylinder
balances. This document shows the total number of cylinders charged to you (that is, cylinders which we have rented or
leased to you, and which you have not returned) according to our records as of the month ending date shown. The_
number of cylinders thus charged to you shall be considered correct for all contractual purposes between you and us,
unless you report to us in writing any errors you claim within sixty (60) days after the date hereof. You agree to continue to
pay rent on all cylinders charged to you until you have either (i) returned such cylinders to us in good working order or (ii)
paid us the replacement cost thereof. If, for any reason you cannot return any cylinder to us, you shall, forthwith, upon
our billing, pay us the replacement cost thereof.
Iterni7ed_Charges: The total amount due from the customer (Buyer) may include various itemized charges, including:
charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous
materials; charges for handling delivery and shipping; and /or charges for energy or fuel. None of the charges represent a
tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Company (Seller).
The Company has not specifically quantified the relationship between the charges and the actual costs associated with
the charges, which can vary by product, service, time and place, among other things.
Government Contracts Certain Airgas companies are U.S. government contractors and subcontractors and subject to
and adhere to the requirements of federal laws. executive order, rand attendant rules and regulations, specifically
Executive Order No. 11246, the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of
1974, all as amended.
Finance Charges Past due accounts will be charged a finance charge at the periodic rate of one and one -half percent
(1 1/2 per month which is an annual percentage rate of 18 or a periodic rate not to exceed the maximum rate
allowed by state law.
www.Airgas.com
Now doing business with Airgas is easier than ever! Visit us online at www.airgas.cor With a username and password
tied directly to your account you'll get all of the benefits and service that you expect from Airgas, plus much more:
Pay invoices online You now have the ability to pay invoices online with a credit card as well as to
view 365 days of invoice information.
Find products fast Locate over 130,000 products instantly using keywords or part numbers. The
customized ply Catalog feature allows you to see your specific contracted pricing and any specialty item
you've purchased in the last 90 days.
Get complete product information Compare products and research detailed product information with
the click of a button.
place orders easily Save time with multiple ordering options. Easily order frequently purchased
products and look up past due orders.
Manage your account Access and manage information specifically about your account, including
credit status, invoice history and detail, multiple ship -to addresses, and gas cylinder inventory.
Visit us online today to see how www.airgas.com can save you time and rnoney!
V6UCHER 085073 WARRANT ALLOWED
3'55856 IN SUM OF
AIRGAS MID AMERICA
PO BOX 802615
CHICAGO, IL 60680
T
y am
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
111260441 01- 7200 -02 $37.16
1 Voucher Total $37.16
1
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) 'e
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.
t
Payee
355856
AIRGAS MID AMERICA Purchase Order No.
PO BOX 802615 Terms
CHICAGO, IL 60680 Due Date 3/13/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/13/2008 111260441 $37.16
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
J
Date Officer