156950 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1
ONE CIVIC SQUARE 982 PRAXAIR DISTRIBUTION INC
CHECK AMOUNT: $419.22
CARMEL, INDIANA 46032 DEPT cr+ iosso
PALATINE IL 60055 -0660 CHECK NUMBER: 156950
CHECK DATE: 315/2008
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1120 4231100 28583237 70.75 BOTTLED GAS
1120 4231100 28590009 36.25 BOTTLED GAS
1120 4231100 28596915 28.21 BOTTLED GAS
1120 4231100 28677596 41.29 BOTTLED GAS
1120 4231100 28677597 41.49 BOTTLED GAS
1120 4231100 28677598 28.21 BOTTLED GAS
1120 4231100 28758489 22.65 BOTTLED GAS
1120 4231100 28758493 120.68 BOTTLED GAS
1120 4231100 28758494 8.68 BOTTLED GAS
1120 4231100 28758495 21.01 BOTTLED GAS
INVOICE
02/05/08 LM595 28596915
To Place Orders call Sales
Dept. at: 317 481 -4550 *PAYMENT DUE BY: 02/15/2008
P
E
M 982 PRAXAIR DISTRIBUTION INC
2329 1/1:2334 T DEPT CH 10660
PALATINE IL 60055 -0660
CITY OF CARMEL FIRE D *MS* (800) 266 -4369
AP
2 CIVIC SQUARE 5 CITY OF CARMEL FIRE D *MS*
L CARMEL IN 46032 -7543 STATION 44
5032 E MAIN STREET
o CARMEL IN 46032
PO b DRDER N GRGER GATE Bfl ANGH SL$ TERR SHIP VIA TEP MS PAGE
5112027 -00 1/30 982 9PV 948 OUR TRUCK JHP NET 10 1
OUANTIT llANTITV. "r`r(. �1N11fR5
ITEM NUMBER ,TE DE $1 IRTICN UNIT, :IiN! ?.VRIC'E 11MOLl1VT
SXIPPEO e1O, :BN /PPEO :RET'�
ORDERED BY DONNIE, 571 -2600
LOCATION: 962
OX M =kD 4 0 OXYGEN USP AD L 2.48 9.92
VOL: 56
Serial NM0563590 (Ship)
Serial NMO563618 (Ship)
Serial NN0491610 (Ship)
Serial NN0491610 (Ship)
Serial D218093 (Return)
Serial AR0195020 (Return)
Serial D218093 (Return)
Serial AR0195020 (Return)
Lot: 0982803521 Qty: 4
ZZZHM 1 0 HAZARDOUS MATERIAL CHARG A .79 .79
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00
Su tot 1 15.71
TO TAL CYLINDERS SHIPPED: 4 RETURNEE: 4
Pay your bills by credit c rd! Del Char e 12.50
Call 1-800 -266 -4369 to star
T x .00
TAXABLE AMOUNT
ACCOUNTS PAST DUE WILL BE CHARGED A SEFVICE V OI
CHARGE OF SI.00 OR A FINANCE CHARGE OF 1.5%
PER MONTH ANNUAL PATE) OF THE 100 28 21
OUTSTANDING G B ALANCE, WHICHEVER IS GREATER. IU4 'u` GO
TERMS CONDITIONS
These terms and conditions represent the entire agreement between the parties hereto and there are no collateral, oral or other agreements or understandings, unless
expressly stipulated on this invoice.
WARRANTIES-DISCLAIMER:
Seller warrants all cylinders, equipment, product or merchandise delivered herewith will meet their manufacturer's standard specifications. SELLER MAKES NO OTHER
WARRANTY OF ANY KIND WHATSOEVER, EXPRESS OR IMPLIED, AND ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
PURPOSE ARE HEREBY DISCLAIMED BY SELLER AND EXCLUDED FROM THIS TRANSACTION. No claim of any kind with respect to all cylinders, equipment,
product or merchandise delivered, whether based on contract, negligence, warranty, strict liability or otherwise, shall be greater than the price paid for such item in
respect to which such claim is made.
LIABILITY:
Customer understands and agrees that title to cylinders and equipment remains with the Seller, except in the case of a sale of cylinders, or equipment. In such event,
title shalt pass to Customer when invoices rendered covering said cylinders or equipment are paid in full. Customer assumes all liability for damages from accidents
caused by or incurred in the use or transportation of said cylinders and /or equipment. Customer shall defend, indemnify and hold harmless Seller, its officers, agents,
and employees from any and all damages and /or liability to any person whomsoever, arising out of or resulting from the usage, storage, or transportation of said cylinders,
and /or equipment by the Customer or anyone while they are in the custody of the Customer. The Customer acknowledges receipt of the cylinders and /or equipment in
good working condition and repair and agrees to return them in as good condition subject to reasonable wear and tear. Customer shall be liable for all damage to or
loss of the cylinders and /or equipment regardless of the cause until they have been returned to, and reeeipted for, by the Seller. In the event of any accident involving
said cylinders and /or equipment, Customer shall promptly furnish to Seller a complete report in writing, with names and addresses of witnesses and parties involved
and Customer shall make all reports required by law. Seller will not be liable for any special, indirect, incidental or consequential damages, whether arising from negligence,
warranty, strict liability or otherwise.
USE RESTRICTIONS:
None of the above cylinders and/or equipment shall be sublet or loaned by the Customer, nor shall it be removed from the location of the job for which it was intended
to be used as above set forth. nor shall it be removed from the county in which it was delivered to Customer, except by prior written consent of Seller. It the law requires
the user to be licensed, Customer shall not use or permit use without such license. In the event of damage, breakage, or mechanical failure of said cylinders and /or
equipment for any cause, Customer, at its own expense, shall forthwith return the cylinders and /or equipment to Seller. Customer is not authorized, without prior written
consent of Seller, to expend any money or incur any expense for Seller's or Customer's account for repairs to said cylinders and /or equipment. Seller may terminate
any lease at any time by tender to Customer of unused rent in which event Customer shall forthwith return cylinders and /or equipment to the Seller at such place, within
the county, as the Seller shall designate. Customer shall, at its own expense, maintain liability and fire insurance and such other insurance as Seller may request at
the time of such leasing. In the event of the insolvency or bankruptcy of the Customer, or in the evert the Customer violates any of the terms hereof, or fails to return
the cylinders and /or equipment or in the event the cylinders and /or equipment are levied upon by any legal process, such lease shall. without notice, immediately
terminate and all rights of the Customer to possession of the cylinders and /or equipment shall immediately terminate. Seller may repossess the same or any part thereof
with or without notice and with or without legal process, and Seller and its agents are hereby authorized to go upon Customers property and remove impediments and
may use all force necessary to repossess said cylinders and /or equipment, and Customer hereby, for itself and its employees expressly waives all damages and claims
of damage or trespass, physical or pecuniary, caused by the Seller in the process of taking and removing said cylinders and /or equipment. In the event of any breach
by the Customer hereunder, said Customer promises and agrees to pay all expenses of enforcement hereof and the costs of retaking said cylinders and /or equipment
and the Seller shall be entitled to judgement for such expenses and for all rentals, merchandise, product and damages due hereunder, and for reasonable attorney's
fees and court costs.
NOTICE OF NON WAIVER:
The failure by the Seller, at any one or more time, to insist upon the strict performance by the Customer of the covenants, conditions and /or terms of this agreement,
shall not be construed as a waiver of Seller's right to demand strict compliance with and performance of all covenants, conditions and /or terms hereof. Notice of demand
for strict compliance is hereby waived by the Customer.
RETURNED MERCHANDISE:
Original invoice must accompany merchandise, product, cylinders or equipment returned for credit.
RESTOCKING:
Restocking and handling charges will be made on regularly inventoried merchandise, product, cylinders or equipment returned. Special order items are not subject to
return for credit.
RENTED CYLINDERS AND ITEMS:
By accepting rented cylinders or rented equipment, Buyer agrees to: return rented cylinders to Seller on demand; be responsible for any loss of, or damage to rented
cylinders or equipment and to reimburse Seller at the current rate of charges for such loss or damage; indemnify Seller against all loss arising out of injuries to persons,
or damage to property connected with the use of the rented cylinders or equipment and/or the Contents of the cylinders; reimburse Seller for any reasonable cost and /or
attorney's fees incurred by Seller in collecting payment due or enforcing the terms of these conditions, and be responsible for cylinders or equipment as to proper care,
maintenance, loss of or damage to them (normal wear and tear expected) until they are returned to Seller. PLEASE NOTE: YOUR PAYMENT OF THIS INVOICE IS
YOUR ACKNOWLEDGMENT THAT THE CYLINDER RENTAL BALANCE OF OUR CYLINDERS IN YOUR HANDS SHOWN ON THIS INVOICE IS CORRECT AT THE
CLOSE OF BUSINESS ON THE DATE SHOWN ON THIS INVOICE.
CUSTOMER'S REPRESENTATION OF SOLVENCY:
Bayer represents tu Serer !hat Br.yer has not ceased to pay its debts in the ordinary course of business, that it can pay its debts as they become due, and that Buyer
s soli ert vwithrr the rnean ng of the federal bankruptcy act.
LITIGATION:
In the event of litigation, the prevailing party shall be entitled to be reimbursed for reasonable attorney's fees and costs of suit.
CLAIMS:
Al! claims for defective material, shortages and discrepancies are waived unless made in writing within 30 days of receipt of delivery.
SURCHARGES:
The total amount due from the Customer 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 governmental authority, and all of the charges are retained by Seiler.
DISCLOSURE STATEMENT
In compliance with the Federal Truth-in Lending Act, it applicable, Buyer may be charged any amount approved by Seller's credit department, subject to the following
conditions NO LATE CHARGE IF THE ACCOUNT IS PAID WITHIN 30 DAYS. ALL INVOICES UNPAID 30 DAYS FROM DELIVERY ARE SUBJECT TO A LATE
CHARGE OF 1.5° PER MONTH (ANNUAL PERCENTAGE RATE OF 18 OR A MINIMUM OF S1.00 ON THE BALANCE DUE.
INVOICE
.::ACC GStJN 4P1V01>rE •h7UN1BE R.
To Place Orders call Sales 02/01/08 LM594 28583237
Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 02/11/2008
R
E
M 982 PRAXAIR DISTRIBUTION INC
8148 114: 10536 T DEPT CH 10660
PALATINE IL 60055 -0660
CITY OF CARMEL FIRE D *MS* (800) 266 -4369
AP
2 CIVIC SQUARE 5 CITY OF CARMEL FIRE D *MS*
CARMEL IN 46032 -7543 STATION 41
o P 2 CIVIC SQUARE
0 CARMEL IN 46032
PO p OROFR p
�111 E R GATE BRANCH SLS TERR SHIP VIA TERMS PAGE
111938 -00 1/30 982 9PV 948 OUR TRUCK JHP NET 10 1
0.t1ANTVT 11ANTITY
NOEA$
�f M,;NEtt ft SfNPPE9 ,ef0 FEfi1 tiESCFtIP..TIAN NT ;IJNIi Ga? AMOt11�}T
sH FPEO IM
ORDERED BY TOM, 571-260
LOCATION: 982
OX M -AD 17 OXYGEN USP AD CL 2.48 42.16
VOL: 238
Serial AR0098855 (Ship)
Serial AR0195021 (Ship)
Serial D324258 (Ship)
Serial AR0128217 (Ship)
Serial D6118 (Ship)
Serial BW330670 (Ship)
Serial D167910 (Ship)
Serial AR0180494 (Ship)
Serial 0202755 (Ship)
Serial AR0180523 (Ship)
Serial ARD189239 (Ship)
Serial ARD098855 (Ship)
Serial D324258 Ship)
Serial D167910 Ship)
Serial AR0128217 Ship)
Serial BW330670 (Ship
Serial AR0195021 Ship)
Serial 9 Retu n)
Serial 8 Return)
Serial 7 Retu n)
Serial 6 (Return)
Serial AR0180494 (Return)
Serial 0202755 (Return)
Serial AR0180523 (Return)
Serial AR0189239 (Return)
Serial 17 Return)
n} etu n)
Pay your bills by red 't c r Serial 16 CONTINUED
Call 1- 800 266 -436 to sta t.
TAXABLE AMOUNT nl ^r
•ACCauNTS FAST cue —L aE GH;.RCeG a sER V�,.s X11 rt k
CHARGE OF 51.00 OR A FINANCE CHARGE OF 1,5%
PER MONTH (1 8% ANNUAL RA OF THE
AM /FO �J�,
OUTSTANDING BALANCE. WHICHEVER IS GREATER. �vE J U
INVOICE
i�i OA7E'. .i ...AGGOUN7 i�: ,lNVC1JCE ,N1jfv1BE R
02/04/08 LM593 28590009
To Place Orders call Sales
Dept. at: 317 481 -4550 *PAYMENT DUE BY: 02/14/2008
R
E
M 982 PRAXAIR DISTRIBUTION INC
8148- 3/4:10538 T DEPT CH 10660
PALATINE IL 60055 -0660
(800) 266 -4369
B
L CITY OF CARMEL FIRE D *MS* S CITY OF CARMEL FIRE D *MS*
L AP STATION 45
2 CIVIC SQUARE P 10701 N COLLEGE AVENUE
CARMEL IN 46032 0 INDIANAPOLIS IN 46208
PO b ORDER A �113 DA TE BRANCH SLS TERR SHIP VIA TERMS PA 5112057 -00 ER 1/30 982 9PV 948 OUR TRUCK JHP NET 10 1
DUANTIT: ANTITY
evLir,as
I...... UM9�R ;fuPnEa:. B {D I7EM OE$tRIP1iON 11NlT :lfN1i QRtCE' A�Q
i aHfPPED; ReT o>
ORDERED BY DONNIE, E71-2600
LOCATION: 982
OX M -AD 7 OXYGEN USP AD CL 2.48 17.36
VOr.: 98
Serial 049357 (Ship)
Serial 049357 (Ship)
Serial 049357 (Ship)
Serial 049357 Ship
Serial D572143 Ship
Serial 049357 (Ship
Serial D572143 Ship
Serial NN0491535 Return)
Serial AR0098868 Return)
Serial AR0149753 Return)
Serial D87843 Return)
Serial D87843 Return)
Serial NN0491535 Return
Serial NN0563630 Retu n)
Serial NN0563630 Return
Serial D80553 Return
Serial NN0491535 (Retu n
Serial NN0563630 (Return)
Lot: 0982803 21 Qty: 4
Lot: 0982803C22 Qty: 1
Lot: 0982800 22 Qty: 1
Lot: 0982800 22 Qty: 1
ZZZHM 1 0 HAZARDOUS MATERIAL CHARG EA 1.39 1.39
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00
Su tot 1 23.75
Pay your bills by credit card! CONTINUED
Call 1- 800 266 -436 to start.
TAXA AMOUNT
1
ACCOU:ITS PAST DUE WILL BE CIIARGED A SERVICE {I� Vol
CHARGE OF 51.00 OR A FINANCE CHARGE OF I.S%
PER MONTH ANNUAL RATE THE
OUTSTANDING G BALANCE, WHICHEVER VER ER IS GREATER. V.,::::
CYLINDER 1NVaICE
S- DEMURRAGE RENTAL
INVOICE 28758493
FA E:NVMBER,;'
To Place Orders call Sales 982-PRAXAIR DISTRIBUTION INC 1
Dept. at: (317) 481-4550 DEPT CH 10660 INvo�eE, flare
PALATINE IL 60055-0660
800-266-4369 02/20/08
6 156 1- 218:85999 BRN. 982
CITY OF CARMEL FIRE D*MS* LM593
AP
2 CIVIC SQUARE CITY OF CARMEL FIRE D*MS*
CARMEL IN 46032-7543 STATION 45
10701 N COLLEGE AVENUE
T T INDIANAPOLIS IN 46032
COMMENTS_ PO HC TERR
PAYMENT DUE BY 03/21/08 948
mAftE SHICIPET) h TYPE
Customer Owned Leases is
R 410 Med high pres 50cf 50 13 18 45 15 DAY 1008 .100 100.80
R 430 Med high pres 50cf 4 1 1 4 0 DAY 125 .095 11.88
R MZ SAFETY ENVIRONMENT 0 0 0 0 0 0 8.00 8.00
11 CYLINO�RS TAX: .00
TOTAL VALUE
0 PL E A NOTE: PAMENT OF THI INVOCE ACKNOWLEDGES THAT THE ABVE
362 BA L A OF OUR Y CYLINDERS IN YOUR YOUR HANDS 15 CORRECT AT THE CLOSE O OF 120.68
TOTA
BUSINESS ON THE DATE SHOWN ON THIS INVOICE.
CYLINDER zaHVa�eE::r�u�tBER:_:
DEMURRAGE RENTAL
INVOICE 28758494
To Place Orders call Sales 982 PRAXAIR DISTRIBUTION INC 1
Dept. at: (317) 481 -4550 DEPT CH 10660 'i >fNYO10EDA:TE2yii4
PALATINE IL 60055 -0660
800- 266 -4369 02/20/08
61661- 3/6:66000 BRN 982 AGCflUCiTB ?3iis'
LM594
a CITY OF CARMEL FIRE D *MS* CITY OF CARMEL FIRE D *MS*
AP H STATION 41
2 CIVIC SQUARE P 2 CIVIC SQUARE
T CARMEL IN 46032 T CARMEL IN 46032
o D
COMMENTS: PO N HC TERR p
PAYMENT DUE BY: 03/21/08 948
TEM IJUk46PR ORDER: Y INVOICE SNfP PATE BEGM�NC YLiNOf EVLfNDE0.5 Eetiiry@ evinyoERS RENT CYL1NAEfi7: RAfE AMp�JF13
NUMBER BALANCfc SH1egED BALANCE LEASED TYPE:',!. DAYS
Customer Owned Leases 15
R 410 Med high pres 50cf 14 23 28 9 15 DAY 0 .100 .00
R 430 Med high pres 50cf 2 2 1 3 0 DAY 65 .095 6.18
R MZ SAFETY ENVIRONMENT 0 0 0 0 0 0 2.50 2.50
TAX: .00
TOTAL VALUE OF CYLINDERS
PLEASE NOTE: PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT THE ABOVE
1230.00 BALANCE OF OUR CYLINDERS IN YOUR HANDS IS CORRECT AT THE CLOSE OF n 8 .6$
BUSINESS ON THE DATE SHOWN ON THIS INVOICE. T::QT` L:
Jir 0 4 a CYLINDER awvoace r�r�e�?
DEMURRAGE RENTAL
INVOICE 28758495
PAGE: >ht...vIBER
To Place Orders call Sales 982-PRAXAIR DISTRIBUTION INC 1
Dept. at: 317) 481 -4550 DEPT CH 10660 mvotcE mar.:;:.
F.
PALATINE IL 60055 -0660
800- 266 -4369 02/20/08
61561- 4/8:86001 BRN: 982
LM595
CITY OF CARMEL FIRE D *MS* CITY OF CARMEL FIRE D *MS*
AP H STATION 44
2 CIVIC SQUARE P 5032 E MAIN STREET
T CARMEL IN 46032 T CARMEL IN 46032
o 0
COMMENT$; PO A NL TENN b
PAYMENT DUE BY: 03/21/08 948
ITEM N111b18ER OR02R:# tM11:010E. -SH1P pA7'i= •:�fNC eruatiens t�ilhoeAS Fem�c: eveLwoEps RPryT :CYk1NPE'if,. RATE ',M(YI�fJT::
BAdANCf: SHIPp£p gE�ugwea: BALANCE fEA:SE¢➢ iYP,E ::i G3AVS... ,.1. _.....:I
Customer Owned Leases 15
R 410 Med high Ares 50cf 12 8 9 11 15 AY 0 .100 .00
R 411 Med HiPr <50CF W /XRS 1 0 0 1 0 DAY 31 .315 9.77
R 430 Med high pres 50cf 3 0 1 2 0 DAY 92 .095 8.74
R MZ SAFETY ENVIRONMENT 0 0 0 0 0 0 2.50 2.50
TAX: .00
TOTAL VALVE OF CYLINDERS
PLEASE NOTE: PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT THE ABOVE
1270.00 BALANCE OF OUR CYLINDERS IN YOUR HANDS IS CORRECT AT THE CLOSE OF TOTAL 21.01
BUSINESS ON THE DATE SHOWN ON THIS INVOICE.
INVOICE pgrEi lAGCOUfJr:i J,1NV.OICEivUN1BER:.:.
����ll UUUUUU
To Place Orders call Sales 02/20/08 LM593 28677596
Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 03/01/2008
R
E
M 982 PRAXAIR DISTRIBUTION INC
61561- 5/8:86002 T DEPT CH 10660
0 PALATINE IL 60055 -0660
(800) 266 -4369
B
CITY OF CARMEL FIRE D *MS* S CITY OF CARMEL FIRE D *MS*
AP STATION 45
0 2 CIVIC SQUARE 10701 N COLLEGE AVENUE
CARMEL IN 46032 0 INDIANAPOLIS IN 46208
PO p ORDER tl ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
5290980 -00 2/18 982 9 TRUCK GJS NET 10 1
OUilNT 47 QUANTITY
�C�t'
irEM nnlnag�a irEM z3�sCr?la�c�rf UNjr itrJar rrCE AMOU1�tT
SNIPRED HIO..::.. SHIPPED :PET'D
LOCATION: 982
OX M -AD E 0 OXYGEN USP AD CL 2.48 14.88
VOL: 84
Serial 6 (Ship)
Serial 5 Ship)
Serial 4 Ship)
Serial 3 Ship)
Serial 2 Ship)
Serial 1 (Ship)
Serial 7 Return)
Serial 6 Return
Serial 5 Etu tu n)
Serial 4 tu n
Serial 3 n
Serial 2 (Return
Serial 1 (Retu n
Lot: 0982804 22 Qty: 1
Lot: 0982804 21 Qty: 5
OX M -M 1 0 OXYGEN USP M CL 7.15 7.15
VOL: 124
Serial 1 Ship)
Serial 1 Retu n)
Lot: 0982805CO2 Qty: 1
ZZZHM 1 0 HAZARDOUS MATERIAL CHARG EA 1.76 1.76
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00
Su tot 1 28.79
TOTAL CY IN ER SHIPPED: 7 RETURNEE: 8
Pay your bills by credit card! Del Charge 12.50
Call 1-800-266-4369 to sta t.
Tax .00
TAXABLE AMOUNT"
L�... I
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE
CHARGE OF $1.00 OR A FINANCE CHARGE OF 1.5%
PER MONTH ANNUM RATE OF THE 00 41.29
OUTSTANDING G B BALANCE, WHICHEVER VER IS GREATER. H'u1
'p INVOICE
OATE,SI iiACCOUN3;iaY. FNV0ICE NUMBER'
To Place Orders call Sales 02/20/08 LM594 28677597
Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 03/01/2008
R
E
M 982 PRAXAIR DISTRIBUTION INC
61561- 6/8:86003 T DEPT CH 10660
T PALATINE IL 60055 -0660
(800) 266 -4369
e
CITY OF CARMEL FIRE D *MS* 5 CITY OF CARMEL FIRE D *MS*
L AP H STATION 41
2 CIVIC SQUARE P 2 CIVIC SQUARE
CARMEL IN 46032 e CARMEL IN 46032
PO. ORDER b ORDER DATE BRANCH SlS TERR SHIP VIA TERMS PAGE
5290907 0002/18 982 9PV 948 OUR TRUCK GJS NET 10 1
nunrvT }7. Lu.NrrTti CYLINOEpS
ITEA{ NUMBER itEht DE$CRI PTA
ON UN {T UNIT PRI ANjOUIVT
SNIPPED- 8
..::'BNfPPFO RET'U
LOCATION: 982
OX M -AD E 0 OXYGEN USP AD CL 2.48 14.88
VOL: 84
Serial 6 (Ship)
Serial 5 Ship
Serial 4 Ship
Serial 3 Ship
Serial 2 Ship
Serial 1 Ship
Serial 9 Retu n
Serial 8 Return
Serial 7 Return
Serial 6 (Retu n
Serial 5 (Retu n)
Serial 4 Return
Serial 3 Return
Serial 2 Et tu n)
Serial 11 Return
Serial 10 u n
Serial 1 (Return
Lot: 0982804 21 Qty: 6
OX M -M 1 0 OXYGEN USP M CL 7.15 7.15
VOL: 124
Serial 0982805002 (Ship)
Lot: 0982805CO2 Qty: 1
ZZZHM 1 0 HAZARDOUS MATERIAL CHARG EA 1.96 1.96
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00
Subtotal 28.99
TOTAL CY IN ER SHIPPED: 7 RETURNED: 11
Pay your bills by credit card CONTINUED
Call 1 -800- 266 -436 to start.
ACC OUNTS PAST DUE WILL BE CHARGED A SERCE TAXABLE AMOUNT
CHARGE OF SI.00 OR A FINANCE CHARGE OF 1.E% VI .;IIVVU4CE.:::::
PEP MONTH IIB% ANNUAL RATE) OF THE �I ;1
OUTSTANDING BALANCE, WHICHEVER IS GREATER.
o cACC r�
jSN maw
WT-492MM Alf m M= RZON012012
INVOICE ii DATE:.... :.:aCCOUNTf aNYQ10E NUNiBEA�°
To Place Orders call Sales 02/20/08 LM595 28677598
Dept. at: 317 481 -4550 PAYMENT DUE BY: 03/01/2008
R
E
982 PRAXAIR DISTRIBUTION INC
61561- 8/8:86005 T DEPT CH 10660
0 PALATINE IL 60055 -0660
(800) 266 -4369
B
CITY OF CARMEL FIRE D *MS* S CITY OF CARMEL FIRE D *MS*
L AP STATION 44
2 CIVIC SQUARE P 5032 E MAIN STREET
CARMEL IN 46032 0 CARMEL IN 46032
PO R ORDER p ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
5290999 0002/18 982 9PV 948 OUR TRUCK GJS NET 10 1
QUFANT/T: UANTITX CYLINDES3$
ITEM' .NUMBE£t ;HmPEq efD fTEM {)ESCRIAtiDN i1NfT" V, 1T PF2tCE AMOUNT
LOCATION: 982
OX M -AD 4 C OXYGEN USP AD CL 2.48 9.92
VOL: 56
Serial 4 (Ship)
Serial 5 (Return)
Serial 3 (Ship
Serial 2 (Ship
Serial 1 (Ship
Serial 4 (Retu n)
Serial 3 Retu n
Serial 2 (Return
Serial 1 (Return)
Lot: 0982804 21 Qty: 4
ZZZHM 1 0 HAZARDOUS MATERIAL CHARG EA .79 .79
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00
OX M -M C 0 OXYGEN USP M CL 7.15 .00
M DS: 518388
VOL: 0
Serial 1 (Retu n)
Su total 15.71
T OTAL CYLINDERS SHIPPED: 4 RETURNE 6
Pay your bills by credit card! Del har e 12.50
Call 1-800-266-4369 to start.
Tax .00
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE TAXABLE AMOUNT
CHARGE OF SI.00 OR A FINANCE CHARGE OF 1.5% .fNV....
PER MONTH (10% ANNUAL RATE) OF THE 00 AFL l Ol IA1T.; 28.21
OUTSTANDING BALANCE, WHICHEVER IS GREATER. VF lJ1:Y:1: O q
x. d
CYLINDER luvoscc: �v�
DEMURRAGE RENTAL
INVOICE 28758489
iNUPk &f�•:I:i:ii:i'
To Place Orders call Sales 982 PRAXAIR DISTRIBUTION INC 1
Dept. at: 317) 481 -4550 DEPT CH 10660 INVOICE 3?ATf
PALATINE IL 60055 -0660
800- 266 -4369 02/20/08
35196-111:35267 BRN: 982
CITY OF CARMEL FIRE *MMS* LM332
2 CIVIC SQUARE
CARMEL IN 46032 -7543 CITY OF CARMEL FIRE *MMS*
g 5 2 CIVIC SQUARE
L I p P
I1I n�LI1�11nn�llu�I1n�1�I�n�u�nIunI�1�I�I1 T CARMEL IN 46032
a o
COM MENTS. PO R HC TERR p
PAYMENT DUE BY: 03/21/08 948
ITEf� NU6kSfR OR�EA If lNVP3CE SHIP I1�Tl,. BEGIPkING CYLINDERS CYLfNDERS EtiWNG CVLLNO¢BS R�pIT CYLINGEifl' Ft{FE (tM�UM7
hfU1NBER BALANCE 5HfRAED RETURNED:; ff f.EASEQ TYPE DAYS:
R 410 Med high pres 50cf 2 0 0 2 0 AY 62 .325 20.15
R MZ SAFETY ENVIRONMENT 0 0 0 0 0 0 2.50 2.50
TAX: I .00
TOTAL VALUE OF CYLIN7
NOT PLEASE
120.00 BALANCE OF OUR Y CY E LIN CYLINDERS F IN S YOUR HANDS IS S AT THE CLOSE OF 22.65
BUSINESS ON THE DATE SHOWN ON THIS INVOICE.
PLFASE
.DETA('4 6Nn [SRr
c
J
VOUCHER NO. WARRANT NO.
ALLOWED 20
982 Praxair Distribution, Inc.
IN SUM OF
Dept Ch 10660
Palatine, IL 60055 -0660
$419.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept.# INVOICE NO. ACCT #!TITLE AMOUNT Board Members
28758489 42- 311.00 $22.65 1 hereby certify that the attached invoice(s), or
42- 311.00 bill(s) is (are) true and correct and that the
42-311-00
materials or services itemized thereon for
42- 311.00 $396.57
which charge is made were ordered and
received except
r' r-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City corm 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
28758489 Medical Oxygen $22.65
28677598,28677597,28677598
28590009 ,28758493,28758494,28758495
Medical Oxygen Invoices Numbers: 28596915, 28583237 $396.57
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
20
Clerk- Treasurer