Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
159752 05/28/2008
CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1 F 8 ONE CIVIC SQUARE 982 PRAXAIR DISTRIBUTION INC a CARMEL, INDIANA 46032 DEPT CH 10660 CHECK AMOUNT: $299.30 PALATINE IL 60055 -0660 CHECK NUMBER: 159752 CHECK DATE: 512812008 DEPART ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION 1120 4231100 29356541 22.65 BOTTLED GAS 1120 4231100 29398846 55.00 BOTTLED GAS 1120 4231100 29398847 41.61 BOTTLED GAS 1120 4231100 29398848 41.29 BOTTLED GAS 1120 4231100 29530206 52.53 BOTTLED GAS 1120 4231100 29530207 49.65 BOTTLED GAS 1120 4231100 29530208 36:57 BOTTLED GAS i I I i INVOICE oaz RCCauNa (NOME m;rs�R 05/09/08 LM593 29530206 To Place Orders call Sales Dept. at (317) 481 -4550 *PAYMENT DUE BY: 05/19/2008 R E 982 PRAXAIR DISTRIBUTION INC B223- 1!3:10146 T DEPT CH 10660 PALATINE IL 60055 -0660 CITY OF CARMEL FIRE D *MS* (800) 266 -4369 e AP 2 CIVIC SQUARE CITY OF CARMEL FIRE D *MS* CARMEL IN 46032 -7543 P STATION 45 10701 N COLLEGE AVENUE o INDIANAPOLIS IN 46208 PO A ORDER R ORDER GATE BRANCH SLS TERR SHIP VIA TERMS PAGE TOM SMALL 417 -5042 6149237-0005/07 982 9NH 948 OUR TRUCK MGJ NET 10 1 OUANL4T L}AN TITY. rEld Nt1MBEti u SsnPRfip &D SNtPPe6 t iC M it S4 IPTIDN t1Ntt `UIV7T PRI[E LOCATION: 982 OX M —AD 9 0 OXYGEN USP AD CL 2.48 22.32 12 VOL: 126 Lot: 0982812921 Qty: 9 OX M —M 0 OXYGEN USP M L 7.15 7.15 VOL: 124 Lot: 0982812 03 Qty: 1 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 2,56 2.56 MSCFC 1 0 ENERGY AND FUEL CHARGE EA 8.00 8.00 Subt 40.03 TOTAL CY IN ERS SHIPPED: 10 RETURNED: 13 Pay your bills by red't card! Del Char e 12.50 Call 1- 800 266 -436 to start T x .00 ACCOUNTS PAST DUE WILL CHARGED A SERVICE CHARGE E CHARGE OF $I.00 DR A FINANCE CHARGE OF 1.5:4 PER MONTH "18A ANNUAL RATE) OF THE /y�7�� L�7 OUTSTANDING BALANCE, WHICHEVER IS GREATER. 00 ;J'�1ytulYF1 52 .53 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 shall 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,lor 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 receipted 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 event the Customer violates any of the terms hereof, or fails to return tre cy- rnders and,or eq.:iprnent 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 Customer's 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 enttled 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 Sellers right to demand strict compliance with and performance of all covenants, conditions and /or terms hereof. Notice of demand tot 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: Buyer represents to Seller that Buyer 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 Is solvent within the meaning 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: All 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 tee pa;d to o imposed by any governmental authority, and all of the charges are retained by Seller. DISCLOSURE STATEMENT In compliance with the Federal Truth-In Lending Act, if applicable, Buyer may be charged any amount approved by Seller's credit department, suaiect 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 51.00 ON THE BALANCE DUE. INVOICE OpTf'; :aG1~6U1'i`F;U iNU.�1t'1; wEE3E:ft'.�:i 05/09/08 LM594 29530207 To Place Orders call Sales Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 05/19/2008 R E 962- PRAXAIR DISTRIBUTION INC 8223 213 :10147 T DEPT CH 10660 PALATINE IL 60055 -0660 (800) 266 -4369 B CITY OF CARMEL FIRE D *MS* 5 CITY OF CARMEL FIRE D *MS* AP STATION 41 0 2 CIVIC SQUARE P 2 CIVIC SQUARE CARMEL IN 46032 a CARMEL IN 46032 PO p 1 ORDER p ORDER GATE BRANCH SLS TEflfl SHIP VIA TERMS PAGE TOM SMALL 417 -5042 6149167 -00 5/07 962 9NH 948 OUR TRUCK MGJ NET 10 1 cv1 woes �UANTIT µ¢ryTIFY: irr 1�:; BEa ;FEM scfliarlArr uNer ur�1r 1 AIlRQfJ11kT LOCATION: 982 OX M —AD 8 0 OXYGEN USP AD CL 2.48 19.84 8 VOL: 112 Lot: 0982812921 Qty: 8 OX M —M 1 0 OXYGEN USP M CL 7.15 7.15 VOL: 124 Lot: 0982812 03 Qty: 1 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 2.16 2.16 MSCFC 1 0 ENERGY AND FUEL CHARGE EA 8.00 8.00 Subt 37.15 OTAL CYLINDERS SHIPPED: 9 RETURNED: 9 I Pay your bills by redit card! Del ar e 12.50 Call 1- 800 266 -436 to start. T x .00 ALL OUNTS PAST DUE WILL BE CHARGED A SERVICE CHARGE OF St.00 OR A FINANCE CHARGE OF t.SY. I PER MONTH 1111 ANNUAL RATEI 11 THE OUTSTANDING BALANCE. WHICHEVER IS GREATER. 00 l"l1Y li/�`{ 47.65 a Q INVOICE 05/09/08 LM595 29530208 To Place Orders call Sales Dept. at: 317 481 -4550 *PAYMENT DUE BY: 05/19/2008 R E 982 PRAXAIR DISTRIBUTION INC 8223- 3/110148 T DEPT CH 10660 PALATINE IL 60055 -0660 (800) 266 -4369 g CITY OF CARMEL FIRE D *MS* S CITY OF CARMEL FIRE D *MS* L AP STATION 44 T 2 CIVIC SQUARE 5032 E MAIN STREET CARMEL IN 46032 o CARMEL IN 46032 PO I ORDER ORDER OATS BRANCH S TERA SNIP VIA TERMS PAGE TOM SMALL 417 -5042 6149211 -00 5/07 982 9NH 948 OUR TRUCK MGJ NET 10 1 OUA NT4T. I"TITY >Cp1. n1D5i3S rouMaE� iM tsesciPTiorr 1��a iN+at vrc r�rn ARA{}l1Nr SH IPPED AET'D: LOCATION: 982 OX M —AD E 0 OXYGEN USP AD CL 2.48 14.88 VOL: 84 Lot: 0982812921 Qty: 6 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 1.19 1.19 MSCFC 1 0 ENERGY AND FUEL CHARGE EA 8.00 8.00 Subt 24.07 TOTAL CYLINDERS SHIPPED: 6 RETURNED: 5 Pay your bills by credit c rd! Del ar e 12.50 Call 1-800-266-4369 to s Li Tax .00 ACCOUNTS PAST DUE WILL RE CHARGED A SERVICE CHARGE OF $1.00 OR A FINANCE CHARGE OF 1 -SK C PER MONTH (18% ANNUAL RATE) OF THE O� 1 36.57 OUTSTANDING BALANCE, WHICHEVER IS GREATER. W Ulm [1F 01.1 CYLINDER INVa,tE �,�rVia�R; u� DEMURRAGE RENTAL INVOICE 29356541 FAGEiNUM8ER To Place Orders call Sales 982- PRAXAIR DISTRIBUTION INC 1 Dept. at; (317) 481 -4550 DEPT CH 10660 INVaiCF DATE PALATINE IL 60055 -0660 800 266 -4369 04/20/08 3625 3 1/1:36326 BRN: 982 ace;ov�rr..a....: CITY OF CARMEL FIRE *MMS* LM332 2 CIVIC SQUARE CARMEL IN 46032 -7543 CITY OF CARMEL FIRE *MMS* a 5 N 2 CIVIC SQUARE o L L P T �n�, �lnnn, n, ,,n�l�,�n�n�u,nn, {I�i�u�� T CARMEL IN 46032 0 0 COMMENTS: PO K MC THI N PAYMENT DUE BY: 05/20/08 948 ITEM NUtd6£R OROBH_- LNU ©iCE .$N1P OATi sECgaflNm cYiwuEns eMLSriusgs Er,niN� cYLtHi]¢9s RENT ;CYLIPoRSRt RAT£ ..AMOUNT BALA?VG& SH£PPEq,dE2aguyn. BALANCE £EhSEII TYPE C3RYS, 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: .00 TOTAL VALUE OF CYLINOEPS PLEASE NOTE: PAYMENT OF THIS INVOICE ACKNOWLEDGES THAT THE ABOVE 120.00 BALANCE OF OUR CYLINDERS IN YOUR HANDS IS CORRECT AT THE CLOSE OF TTL 22.65 BUSINESS ON THE DATE SHOWN ON THIS INVOICE. IN V OICE �ATfi: .f "AGCSiUri7. .';fNV01C E. n 0 M IT: 04/24/08 LM-993 29398846 To Place Orders call Sales Dept. at: 317 481 -4550 *PAYMENT DUE BY: 05/04/2008 R E M 982 PRAXAIR DISTRIBUTION INC 12175_ 14:16913 T DEPT CH 10660 o PALATINE IL 60055 -0660 CITY OF CARMEL FIRE D *MS* (800) 266 -4369 G AP 2 CIVIC SQUARE 5 CITY OF CARMEL FIRE D *MS* mm� L CARMEL IN 46032 -7543 STATION 45 P 10701 N COLLEGE AVENUE o INDIANAPOLIS IN 46208 PO R pR ORDER DA Tf BflA NLH SLS TEflfl SHIP VIA TERMS 85933 -00 4/22 982 9NH 948 OUR TRUCK ARC NET 10 1 QUANTITY (W ITV CYI.IN dEfI$ rEM,MU�,' iEM o�scr?1PrION �r, r; uNtr rRc� annOnr7 SHIPPED 914.. RH{PPFO :RET D ORDERED BY TOM SMALL 71 -260 LOCATION: 982 Or 'M--AD 14 0 OXYGEN 'USP AD CL 2.48 34.72 VOL: 196 Serial 9 (Ship) Serial 8 (Ship) Serial 7 (Ship) Serial 6 (Ship) Serial AR0195020 (Ship) Serial NN0563599 (Ship) Serial AR0194997 (Ship) Serial ARD195020 (Ship) Serial 14 (Ship) Serial 13 (Ship) Serial 12 (Ship Serial 11 (Ship Serial 10 (Ship) Serial NN0563599 (Ship) Serial 9 (Return Serial 7 (Retu Serial 5 (Return) Serial 5 {Retu Serial 4 Retur Serial 3 (Return) Serial 2 (Return) Serial 8 (Return) Serial 14 (Retu Serial 13 (Retur Serial 12 (Retu Serial 11 (Retur 3 Serial 10 (Retu Pay your bills by red t card! CONTI UED Cali 1 -800 -266 -4361 Lv sta t. TAXABLE AMOUNT ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE L RGE OF $1.011 DR A FINANCE CHARGE OF 1.5'l. MONTH 11@% ANNUAL RATEI OF THE n� n1T STANDING BALANCE, WHICHEVER IS GREATE R. I V1O�' V.1.- INVOICE aaT£ ACCOUIV7 i:INVQIGE Nt1M1ABEA:: 04/24/08 LM594 29398847 To Place Orders call Sales Dept. at: 317) 481 -4550 *PAYMENT DUE BY: 05/04/2008 R E M 982 PRAXAIR DISTRIBUTION INC 12 17 5 3 14: 16 9 15 T DEPT CH 10660 0 PALATINE IL 60055 -0660 (800) 266 -4369 B CITY OF CARMEL FIRE D *MS* 5 CITY OF CARMEL FIRE D *MS* L AP STATION 41 0 2 CIVIC SQUARE P 2 CIVIC SQUARE CARMEL IN 46032 0 CARMEL IN 46032 AO p ORDER p ORDER UATE BRANCH SLS TERR SHIP VIA TERMS PAGE 5985963 -00 4/22 982 1 3NH 948 OUR TRUCK ARC NET 10 1 nVANTiT uANTIV CYLINQ£AS FEM NllM9ER:.: ITEM 6F3CRIA ?iON llNff N1T PRIG AE4AOEIN� :c LOCATION: 982 OX M -AD 9 0 OXYGEN USP AD L 2.48 22.32 VOL: 126 Se ial 168182 (Ship) Serial 034239 (Ship) Serial AR0121706 (Ship) Serial D215922 (Ship) Serial AR0121706 (Ship) Serial D167910 (Return) Serial 034239 (Ship) Serial 168182 (Ship) Serial 168182 (Ship) Serial BW117885 (Ship) Serial D167910 (Return) Serial BW330697 (Return) Serial AR0128217 (Return) Serial ARD149210 (Return) Serial D87843 (Return) Serial NN0563618 (Return) Serial NNO563618 (Return Serial AR0124665 (Retu Lot: 0982811 22 Qty: 3 Lot: 0982811 21 Qty: 6 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 1.79 1.79 MSCFC 0 ENERGY AND FUEL CHARGE EA 5.00 5.00 Subt 29.11 TO TAL CY IN ERS SHIPPED: 9 RETURNED: 9 Pay your bills by redit card! Del Ch e 12.50 Call 1- 800 266 -436 to sta T X �2�.'04 TAXABLE AMOUNT 1` ACCOUNTS PAST OUE WILL BE CHARGSU A SERVICE 1 CHARGE OF §I, 00 OR A FINANCE CHARGE OF 1.5% DICE 01 J 111 MONTH {Ig% ANNUAL RATE ER THE 27.11 MOUNT /I ']�ls!•� OUTSTANDING BALANCE, WHICHEVER IS GREATER. /"�IIVk D O INVOIC QAT E: :I` ACIC"OUN!f ::1NVQiCE I+}l1MBE Fi':::;: 04/24/08 LM595 29398848 To Place Orders call Sales Dept. at: 317) 481 -4550 *PAYMENT DUE BY: 05/04/2008 R E M 982 PRAXAIR DISTRIBUTION INC 12175-414! 16916 T DEPT CH 10660 PALATINE IL 60055 -0660 (800) 266 -4369 B CITY OF CARMEL FIRE D *MS* 5 CITY OF CARMEL FIRE D *MS* AP STATION 44 2 CIVIC SQUARE 5032 E MAIN STREET CARMEL IN 46032 o CARMEL IN 46032 PO I ORDER k ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE 85946-0004/22 982 9NH 948 OUR TRUCK ARC NET 10 1 AllA LANTITY CML NUERS 7 ks 1M6�R SHIPPED slD. FEM {3ESCF21P710N iINLF. LtNlt PFtICe AMOUNT BHIPPED ':RET.D LOCATION: 982 OX M -AD E 0 OXYGEN USP AD L 2.48 14.88 VOL: 84 .Se11a1 it: D02 6631 (J1lipJ Serial NN131631 (Ship Serial D324258 (Ship) Serial NN131631 (Ship) Serial D026631 (Ship) Serial D324258 (Ship) Serial 4 (Return) Serial 3 (Return) Serial 2 (Return) Serial 1 (Return) Lot: 0982811 21 Qty: 6 OX M -M 1 0 OXYGEN USP M CL 7.15 7.15 MSDS: 518388 VOL: 124 Serial 03553 (Ship) Serial 2673 (Return) Lot: 0982810803 Qty: 1 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 1.76 1.76 MSCFC 1 0 ENERGY AND FUEL CHARGE EA 5.00 5.00 Subtotal 28.79 TOTAL CYLINDERS SHIPPED: 7 RETURNED: 5 Pay your bills by redit card! Del Char e 12.50 Call 1- 800 266 -4369 to start. T x 2.02 1 TAXABLE AMOUNT ACCOUNTS PAST DUE WILL BE CHARGED A SERVILE C OE $1.00 OR A FINANCE CHARGE OF 1.5% 1 Y y PER MONTH (18 ANNUAL PATE) OF THE 2 0 7 9 OUTSTANDING BALANCE. WHICHEVER IS GREATER. ICJ] 77 AM NT- "1 INVOICE 13NVDICE'NtIMBER,I To Place Orders call Sales 04/24/08 LM593 29398$46 Dept. at: (317) 481 -4550 R E 982 PRAXAIR DISTRIBUTION INC 12175- 2/4:16914 T DEPT CH 10660 PALATINE IL 60055 -0660 (800) 266 -4369 B CITY OF CARMEL FIRE D *MS* s CITY OF CARMEL FIRE D *MS* AP I STATION 45 0 2 CIVIC SQUARE P 10701 N COLLEGE AVENUE CARMEL IN 46032 o INDIANAPOLIS IN 46208 PO R ORDER R OR DE0. GATE BRANCH SLS tER0. SHIP VIA TERMS PAGE 5985933-0004/22 982 9NH 948 OUR TRUCK ARC NET 10 2 cv Ivoeps ITpM.NUM�ER: asANriz LaRlnry :ITEM 13ESCR'IPTION UNkT UNIT PRfCE AM�7UNT s re Ea eta Serial 1 (Return) Lot: 0982811 21 Qty: 12 Lot: 0982807321 Qty: 2 ZZZHM 1 0 HAZARDOUS MATERIAL CHARGHEA 2.78 2.78 MSCFC 0 ENERGY AND FUEL CHARGE A 5.00 5.00 subt 42.50 TOTAL CYLINDERS SHIPPED: 14 RETURNED: 14 Pay your bills by credit card! Del Charge 12.50 Call 1-800-266-4369 to start. Tax ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE TAXABLE AMOUNT 4 C CHARGE OF $1.00 OR A FINANCE CHARGE OF 1.5% I S PER MONTH 118% ANNUAL RATE) OF THE 42 50 OUTSTANDING BALANCE, WHICHEVER IS GREATER. l'11Y ILJlJ'V VOUCHER NO. V`.'ARRANT NO. ALLOWED 20 982- Praxair Distribution, Inc. IN SUM OF Dept Ch 10660 Palatine, IL 60055 0660 $299.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 315.00 1 hereby certify that the attached invoice(s), or 1120 42 311.00 $299.30 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 q5 -36 3� A7�Z Z,�� q 4� �55 r a9 Title Cost distribution ledger classification if claim paid motor 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 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)) Medical Oxygen $299.30 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