211612 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1
d ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $261.68
' f DEPT CH 10660 CARMEL, INDIANA 46032
PALATINE IL 60055-0660 CHECK NUMBER: 211612
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 43630294 114 . 36 BOTTLED GAS
1120 4231100 43708502 147 .32 BOTTLED GAS
INVOICE
OkT£' ACCOUNT# INVOIC:5-i..... i
08/06/12 NY127 43708502
To Place Orders call Sales
Dept. at: (317) 481-4550 *PAYMENT DUE BY: 08/16/2012
R
E
M 982—PRAXAIR DISTRIBUTION INC
a a 6e-1/1:4 4 7 7 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*
L 540 W 136TH ST
P STATION 46
o CARMEL IN 46033
PO# ORDER X ORDER DATE BRANCH SLS TER' SHIP VIA TERMS PAGE
TIM 1104473-00 8/02 982 704 962 OUR TRUCK BGS NET 10 1
;. TY GYCIND£RS
- arErn NUM8 5a - .;:.: iM flffscxiPrioN - uaIr.:''uriiT:varcF; ;... .::ANJ(3U1�fT: :::' :-
.:::. .. ..'.: SHiPPEO:_':::E20 SNSPPEO RET'D -.
** LOCATION: 982 **
OX X—ADN 1 0 OXYGEN USP AD (.COC ONLY) L 6.36 63.60
ltd 14 VOL: 150
Lot: 098221 621 I Qty: 4 -
Lot: 0982220 21 Qty: 1
Lot: 0982221 21 Qty: 5
OX M—M 2 0 OXYGEN USP M CL 19.66 39.32
2 2 VOL: 248
Lot: 0982220 01 Qty: 2
ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 8.95 8.95
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 13.45 13.45
Subtotal 125.32
TOTAL CYLINDERS SHIPPED: 12 RETURNED: 16
Pay your bills by credit c rd! Del Charje 22.00
Call 1-800-266-4369 to sta
m__x .00
TAXABLE AMOUNT
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE a�A�QI��_:_:
CHARGE OF$1.00 OR A FINANCE CHARGE OF 1.5% 1�'
PER MONTH(IB%ANNUAL RATE)OF THE
OUTSTANDING BALANCE,WHICHEVER IS GREATER .00 j�7���/�/� ��j{ ']
/hj1(F{,JUNIT__:__.. 147.32
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 inaured 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
fee paid to o.imposed by any governmental authority,and alt 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$1.00 ON THE BALANCE DUE.
INVOICE 07/27/12 NY127 43630294 OA'fE� ACCOUNT #�." 1NVOICE-NUNiBER
To Place Orders call Sales
Dept. at: (317) 481-4550 *PAYMENT DUE BY: 08/06/2012
R
E
M 982-PRAXAIR DISTRIBUTION INC
18334-1/1:18371 T DEPT CH 10660
PALATINE IL 60055-0660
CITY OF CARMEL FIRE *MS* (800) 266-4369
2 CIVIC SQUARE
® CARMEL IN 46032-7543 H CITY OF CARMEL FIRE *MS*
540 W 136TH ST
® T P STATION 46
o CARMEL IN 46033
PO# ORDER# ORDER DATE BRANCH SLS TERR SHIP VIA TERMS PAGE
1020651-00 7/25 982 704 962 OUR TRUCK JHP NET110 1
" -' .DUANTIT UANTITV CVLINOERS :
-. -ITEM.NUMBER<- - : ITEM DESCRIPTION -- _ UNIT --NIT PRICE.... AMOUNT:
SHtPPEO:--.ef0_ SH/PPEO
** LOCATION: 982 **
OX M-ADN 11 0 OXYGEN USP AD (COC ONLY) L 6.36 69.96
11 11 VOL: 165
Lot: 0982217 22 Qty: 3 _ _ _
Lot: 0982220 21 Qty: 8
ZZZHM 1 0 HAZARDOUS MATERIAL CHARGEEA 8.95 8.95
MSCFC 1 0 ENERGY AND FUEL CHARGE EA 13.45 13.45
subtotal 92.36
TOTAL CYLINDERS SHIPPED: 11 RETURNED: 11
Pay your bills by credit card! Del Charge 22.00
Call 1-800-266-4369 to start.
TELx .00
ACCOUNTS PAST DUE WILL CHARGED A SERVICE TAXABLE AMOUNT --INVOICE: _
CHARGE OF 4100 OR A FINANCE CHARGE OF 1.5% _ -PER MONTH(18%ANNUAL RATE)OF THE .00 AMOUNT 114.36
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 all darr,age to or
toss 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 andror 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 witnrn
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 free o`such It,thy_ev,w!of IF e ;cvency or bankruptcy of the Customer.or in the event the Customer violates any of the terms hereof, or fads to return
Me cyimders 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 ail 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 ail expenses of enforcement hereof and the costs of retaking said cylinders andlor 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
tees 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 Seiler 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
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, 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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
982-Praxair Distribution, Inc.
IN SUM OF $
Dept Ch 10660
Palatine, IL 60055-0660
$261.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43708502 42-311.00 $147.32 1 hereby certify that the attached invoice(s), or
1120 43630294 42-311.00 $114.36 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
AUG 13 2012
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed 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))
43708502 $147.32
43630294 $114.36
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
Clerk-Treasurer