HomeMy WebLinkAbout203755 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1
ONE CIVIC SQUARE 982 PRAXAIR DISTRIBUTION INC
CARMEL, INDIANA 46032 DEPT CH 10660 CHECK AMOUNT: $166.80
PALATINE IL 60055 -0660 CHECK NUMBER: 203755
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 195740 -18.59 BOTTLED GAS
1120 4231100 41231352 56.23 BOTTLED GAS
1120 4231100 41238752 129.16 BOTTLED GAS
INVOICE OnT£ �ACOUN7i: fNY01C NPINIBER
11/09/11 NY127 41231352
To Place Orders call Sales
Dept. at: 317 481 -4550 *PAYMENT DUE BY: 11/19/2011
R
E
982- PRAXAIR DISTRIBUTION INC
7956 1/2:9236 T DEPT CH 10660
PALATINE IL 60055 -0660
CITY OF CARMEL FIRE *MS* (800) 266 -4369
B 2 CIVIC SQUARE
CARMEL IN 46032 -7543 s CITY OF CARMEL FIRE *MS*
540 W 136TH ST
0 P STATION 46
0 CARMEL IN 46033
PO JORDER 9 ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
8493778 -00 1/07 982 704 962 OUR TRUCK JAF NET 10 1
crtlians
.a7E1N:NUMR „t vANT/T, 1fAt1TITV
D.:
StHrt ;;;BiD i M.0E3Ct211 ti4f� UNt7 tJN17 PRt AM(3UN7
sm ::Rer:?::
LOCATION: 982
OX M -ADN 3 0 OXYGEN USP AD (COC ONLY) L 5.61 16.83
18 VOL: 45
Lot: 0982130 21 Qty: 3
ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 8.45 8.45
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 10.00 10.00
subtotal 35.28
TO TAL CY IN ER SHIPPED: 3 RETURNEE: 18
Pay your bills by credit c rd! Del ar e 20.95
Call 1 800 266 436 to sta
Tax .00
TAXABLE AMOUNT
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE `Q�C
CHARGE OF $1.00 OR A FINANCE CHARGE OF 1.5% 1.1 �k V:. Fes
PER MONTH (18% ANNUAL RATE) HE IS GREATER.
OUTSTANDING BALANCE, WHICHEVER .00 p ![CS 1 1'T' 56.23
ER
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.
WARRANT] ES- 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 /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 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. If 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
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 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 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 Sellet in collectinq 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 iegu'ations 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 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. 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 akT£ a���� fog i1TSM1ll3Eft
To Place Orders call Sales 11 /10 /11 NY127 1 41238752
Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 11/20/2011
R
E
M 982 PRAXAIR DISTRIBUTION INC
7956 2/2:9237 T DEPT CH 10660
PALATINE IL 60055 -0660
(800) 266 -4369
B
L S CITY OF CARMEL FIRE *MS*
CITY OF CARMEL FIRE *MS* 540 W 136TH ST
2 CIVIC SQUARE P STATION 46
CARMEL IN 46032 0 CARMEL IN 46033
PO p ORDER ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
8506857 -00 1/08 982 704 962 OUR TRUCK NSF NET 10 1
UANTLT._ NT12V C4LINQERS:
FEk: NUMBER iF€t! DE...... fiUk E1Nk7 liN7T PRkCE AM()U�\ET
ssRPtFU: Bto
:RET'0.:.-
LOCATION: 982
OX M -ADN 1E 0 OXYGEN USP AD (COC ONLY) CL 5.61 89.76
1E 0 VOL: 240
Lot: 0982131322 Qty: 16
ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 8.45 8.45
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 10.00 10.00
Subt 108.21
TOTAL CY IN ER SHIPPED: 16 RETURNED: 0
Pay your bills by credit card! Del Char e 20.95
Call 1-800-266-4369 to start.
T x .00
E
ACCOUN TAXABL
TS PAST DUE WILL BE CHARGED A SERVICE AMOUNT 1 O
'1
CHARGE OF $1.00 OR A FINANCE CHARGE OF 1.5% 11\1
PER MONTH (10% ANNUAL RATE) 01 THE
OUTSTANDING BALANCE, WHICHEVER IS GREATER. 00 �'�j1(.tOUNT 12 9' 1 6
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 /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 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. If 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 riot 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
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 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 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 cylnders 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
ana regulations cc -,cernrng hazardous materials: charges fer 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 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, 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.
i= a ar STATEMENT
To Place Orders call Sales 982 PRAXAIR DISTRIBUTION
Dept. at: (317) 481 -4550 DEPT CH 10660
PALATINE IL 60055 -0660
ACCOUNT b
962 LM595
260 56 1/1:26 1 10
PAGE.NO. 1
CITY OF CARMEL FIRE D *MS*
AP
2 CIVIC SQUARE STATEMENT DATE
CARMEL IN 46032 -7543 10/28/11
T
D �IIIIIIIIIIIIIIIIIIIIIIII�II II II II II IIIIIIIIIIIIIIIIIIIIIIII II PLEASE REFER TO THE
ACCOUNT NUMBER WHEN
MAKING INQUIRIES
DATE j; OE5CR1PTIOJJ INVOtCF NO CHk .;CREDITS BAUNCE QMOUNT:::
03/25/11 PAYMENT 195740 18.59 18.59 CE 18.59 CR
LAST PAYMENT: 03/25 K 11 18.59
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE CHARGE OF $1.00 p o
OR A FINANCE CHARGE OF 1.5% PER MONTH 118% ANNUAL RATE) TOT^LL 18.59 CR
OF THE OUTSTANDING BALANCE. WHICHEVER IS GREATER. (?LE:A
CURRENT 11 -60 DAYS 61 -90 DAYS OVER 90 DAYS
.00 .00 .00 18.59 CP.
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 cy ;nders.
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 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 equ,pment shall oe 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 no shall it be removed from the county in which it was delivered to Customer, except by prior written consent of Seller. If the law requires
the user to be licensed C:,s:omer 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 C e, at its ;,an cxpen5r sha, rr,rthaVith return the cylinders and/or equipment to Seller. Customer is not authorized, without prior written
consent of Seller, to expe ,r: a money o* nc a! cxperse f Seller s or Customer's account for repairs to said cylinders and /or equipment. Seller may terminate
a y Inhse at inv C f :yl a"�!'n� equipment te 'he .Seller at such place within
the county, as tue Sc! s�_d a per st,a ,r :,i L ut ^�r
the time of such leasing Ic tie event of the insolvency or barkruptcy of the Customer. or in the event tie Customer i t ne re,r s r eren: c r,i!s
the cylinders and/or eauior eht or in the event the cylinders and equipment are levied upon by any legal process t.'C /wise shah. without nolice.:rnmeu,ateiy
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 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 rrn, i I
mamte "a ce- I:�y:, ill, J(3 P4 iv OF THIS INVCiCE )S
YOUR ACKNOWL IHAf N'A .A A L O= O'_ I+ _NDLPS ih yGuR HANDS SHOVd ON THIS INVOICE IS CORRECT AT THE
CLOSE OF BUSINESS ON THE DATE SHOWN ON 1 His 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: .i
The total amount dui, from the Customer may include various itemized charges, including: charges for the handling of h,.,zardous aterials and for compliance with laws
and regulations core ^"no hazardous materials: charges for handling, delivery and shipping; and /or charges for ener4 or fuel. None of the charges represent a tax or
tee pa J to ur 11 •l. acid oy dry govern e a' :thorny. a 31+ the lea +ie etm r by
DISCLOSURE STATEMENT
In compliance with the Federal Truth.-In Lending Act, If applicable, Buyer may be charged any amount approved by Serer s credit department, subject to the foilo.ving
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.
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))
41231352 $56.23
41238752 $129.16
195740 I I ($18.59)
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
982 Praxair Distribution, Inc.
IN SUM OF
Dept Ch 10660
Palatine, IL 60055 -0660
$166.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
1120 41231352 j 42- 311.00 j $56.23 1 hereby certify that the attached invoice(s), or
1120 41238752 42- 311.00 $129.16 bill(s) is (are) true and correct and that the
1120 I 195740 I 42- 311.00 I ($18.59) materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 2'1 2011
c
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund