209907 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1
ONE CIVIC SQUARE 982 PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $254.26
CARMEL, INDIANA 46032 DEPT CH 10660
PALATINE IL 60055 -0660 CHECK NUMBER: 209907
CHECK DATE: 612012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 43129712 114.02 BOTTLED GAS
1120 4231100 43181494 140.24 BOTTLED GAS
INVOICE
DATE `!ACi 3U3ift� ii i fNYL17t.' i fkUNIBEFf i
To Place Orders call Sales 1 06/07/12 NY127 43181494
Dept. at: (317) 481 -4550 *PAYMENT DUE BY: 06/17/2012
P
E
M 982 PRAXAIR DISTRIBUTION INC
6362- 1/1:6395 T DEPT CH 10660
PALATINE IL 60055 -0660
CITY OF CARMEL FIRE *MS* (800) 266 -4369
B 2 CIVIC SQUARE
I CARMEL IN 46032 -7543 S CITY OF CARMEL FIRE *MS*
540 W 136TH ST
T
O P STATION 46
o CARMEL IN 46033
PO M ORDER p ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
0536560 -00 6/05 982 704 962 OUR TRUCK MWT NET 10 1
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AM DELIVERY
LOCATION: 982
OX -M —AD— 1E a OXYGEN USP AD L 5.99 95.84
1 1 VOL: 240
Lot: 0982214 22 Qty: 16
ZZZHM HAZARDOUS MATERIAL CHARG A 8.95 8.95
MSCFC ENERGY AND FUEL CHARGE A 13.45 13.45
Subt 118.24
TO TAL CYLINEERS SHIPPED: 16 RETURNED: 16
Pay your bills by credit card! Del ar a 22.00
Call 1-800-266-4369 to start
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE TAXABLE AMOUNT
CHARGE OF 51.00 OR A FINANCE CHARGE OF 1.5% 04G
PER MONTH ANNUAL RATE) THE 00 4 lOt�JitiN':`C> 140.24
OUTSTANDING G B BALANCE, WHICHEVER IS GREATER.
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. 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
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 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
ana veg \atxons concemmg hazardous materials: charges for nanaling, delivery ano shipping; and/or charges for energy or fuel. None of tire cf idiges represent a fax 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 51.00 ON THE BALANCE DUE.
INVOICE DATE A��r; 1P1fQ10E N fM1l€3E£fi
05/29/12 NY127 43129712
To Place Orders call Sales
Dept. at: 317 481 -4550 *PAYMENT DUE BY: 06/08/2012
R
E
982 PRAXAIR DISTRIBUTION INC
1634- 1/1:1638 T DEPT CH 10660
PALATINE IL 60055 -0660
CITY OF CARMEL FIRE *MS* (800) 266 -4369
B 2 CIVIC SQUARE
CARMEL IN 46032 -7543 H CITY OF CARMEL FIRE *MS*
L 540 W 136TH ST
T STATION 46
D o CARMEL IN 46033
PO N ORDER b
FDDATE BRANCH SLS TERR SHIP VIA TERMS PAGE
TIM 0443184 -00 5/24 982 704 962 OUR TRUCK SR NET 10 1
QUANTIT: UANTITY :CYLINDER$:: PFI �'AMt111tT
TEtd'NUMBER 1FEM {5E5Cf IP71Off EJ...
$iNPREO: 0!O
ED :RET•D:
R ELEASE TIM FAGIN 4073747
LOCATION: 982
OX M -ADN 0 OXYGEN USP AD (COC ONLY) C L 6.06 30.30
VOL: 75
Lot: 0982214322 Qty: 5
OX M -M 2 0 OXYGEN USP M CL 19.66 39.32
2 VOL: 248
Lot: 0982214 01 Qty: 1
Lot: 0982214 01 Qty: 1
ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 8.95 8.95
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 13.45 13.45
Subtotal 92.02
T OTAL CYLINDERS SHIPPED: 7 RETURNED: 9
Pay your bills by redt c rd! Del ar e 22.00
Call 1- 800 266 -436 to sta
T x .00
TAXABLE AMOUNT ITIVpfCE
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE
CHARGE OF $1.00 OR A FINANCE CHARGE OF $.5%
PER MONTH (18% ANNUAL RATE) OF THE
00 ALVIOEaNT 114.02
OUTSTANDING BALANCE, WHICHEVER IS GREATER.
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 ail 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 tees 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 reQUlat10D5- COnCernln�hazaCdO .uS�IlatellalS:.charAe.$_f a d i y �pu1g atldLOr�harges _f�r�Rergy..or-fuel_None -of_ the charges- vepresent -a -tax or-
tee pai o or impose y any governmen a au on y, ana a i o�rges a re di�oZiy aeu r.
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 °'0) OR A MINIMUM OF $1.00 ON THE BALANCE DUE.
VOUC NO. WARRANT NO.
982 Praxair Distribution, Inc. ALLOWED 20
IN SUM OF
Dept Ch 10660
Palatine, IL 60055 -0660
$254.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43181494 42- 311.00 $140.24 1 hereby certify that the attached invoice(s), or
1120 43129712 42- 311.00 $114.02 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
111 N 18 2012
7
Fire Chief
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
Nhom, 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))
43181494 $140.24
43129712 $114.02
1 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 I
Clerk- Treasurer