214941 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 360202 Page 1 of 1
ONE CIVIC SQUARE 982-PRAXAIR DISTRIBUTION INC CHECK AMOUNT: $103.19
CARMEL, INDIANA 46032 DEPT CH 10660
PALATINE IL 60055-0660 CHECK NUMBER: 214941
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 44583986 103 . 19 BOTTLED GAS
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INVOICE
To Pla ce Orders wvo� <nrunns�p <>
rs call Sales 11/19/12 NY127
Dept. at: (317) 481-4550 44583986
R
*PAYMENT 2
/
DUE BY; 11 9/2012
E
4 4 e5-1i1:4494 M 982-PRAXAIR DISTRIBUTION INC
T
CITY OF CARMEL FIRE *MS* DEPT CH 10660
2 CIVIC SQUARE PALATINE IL 60055-0660
CARMEL IN 46032-7543 (800) 266-4369
CITY OF CARMEL FIRE *MS*
540 W 136TH ST
LI��ILIIL fill I11L it1111111LI11L1 �1 If1111,11, P STATION 46
PO tl o CARMEL IN 46033
TIM ORDER.
2088550- ORDER DATE BRANCH SLS SHIP VI
00 1/14 982 704 9R62 OURq TRUCK
TERMS
ITEM:i NLIM9ER _.
SR NET 10 PAGE
QUANTT TI[Y CYtINDEk$
... SN2PPEp B70'.::: .. ....
.: IINfPPFO:R¢T D : ITEM DESCF7Ip?IQry : . ..
UNkT .`UNi? PF?tCE
AnnOuvr
L S #: TIM FAGAN 407-3747
TIM FAGAN 407-3747
**
LOCATION- 982
OX M-ADN
0 OXYGEN USP AD (COC ONLY L
VOL: 135 6.3 57.24
Lot: 0982231322
ZZZHM Qty' 9
MSCFC 0 HAZARDOUS MATERIAL CHARG
ENERGY AND FUEL CHARGE A 8.95 8.95
A 15.00 15.00
Su of 1 81.19
OTA CY IN ER
SHIPPED: 9 RETURNE :
9
Pay I
Call llu8001266-436 rto sta rd!
Del ar e
v 22.00
ACCOUNTS PAST DUE WILL BE CHARGED A SERVICE T X .00
CHARGE OF SI.00 OR q FINANCE CHARGE OF SERVICE
TAXABLE AMOUNT
PER MONTH 118%ANNUAL RATE)OF THE
OUTSTANDING BALANCE. WHICHEVER IS GREATER.
103.19
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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 OTHER
expressly stipulated on this invoice.
WARRANTIES-DISCLAIMER: equipment,
nders.equipment,p ION. No claim of any kind with respect to all cylinders,
li IMPLIED,AND ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
c product or merchaRndise delivered herewith will meet iheirCmanufacturer's standard specifications.SELLER MAKES NO
Seller warrants all y
WARRANTY OF ANY KIND WHATSOEVER,EXPRESS O
PURPOSE ARE HEREBY DISCLAIMED r SELLER AND EXCLUDED FROM THIS TRANSACTION.
whether based on contract, negligence,warranty, strict liability or otherwise, shall be greater than the price paid for such r em r.
product Or merchandise delivered, equipment, In such event,
respect to which such claim is made.
LIABILITY: is officers.agents,
he usa e,storage,or transportation of said cylinders,
title shall pass to Customer when
equipment.ui ment.Customer shall defend,indemnify and hold harmless Seller, r
nvoices rendered covering said cylinders or equipment are paid in full. Customer assumes all liability for damages (from accidents
Customer understands and agrees that title to cylinders and egwpmeni remain pwith the Seller,except in the case of a sale of cylinders,°f and/or P
caused by and all damages and/or liability to any person whomsoever,arising out of or resulting from
or incurred in the use or transportation of said cylinders and/or q
and employees from any the Seller.In the event of any accident involving
equipment by rees to return them in as good condition subject t°reasonable wear and tear.Customer shall be liable for all damage involving
or
the Customer or anyone while they are in the custody of the
been retOUmed to,
report ng,with for, s andsaddresses of witnesses and parties involved Customer
and/or li negligence,
good working condition and repair and agrees furnish to Seller a complete report in writing,with names and es,whether arising from neg g
loss of the cylinders and/or equip Custom ardles promptly use until they have s ecial.indirect,incidental or consequential damages,
said cylinders and/or equipment, law.Seller will not be liable for any p
and Customer shall make all reports required by
warranty,strict liability or otherwise.
ment shall be sublet or loaned by prior written consent of Seller.If ihe and/or
USE RESTRICTIONS: the Customer,nor shall it be removed from the location of the job for which it was intended
above cylinders and/or equip he event of damage, breakage,or mechanical failure of said cylinders
None of the a without such license. In t
shall not use or permit use wit turn the cylinders and/or equipment to Seller.Customer is not authorized,without prior written
to be used as above set forth,nor shall it be removed from the county in which it was delivered to Customer,except by P lace,within
e user to be licensed, Customer is own expense,shall forthwith re nitlin equipment to the Seller at such p request,wit at
the cause.Customer,at equipment for any move or incur any expense for Sellernt Cu tomerlshall forthw'rthaeturpnacylinders any/ ers and/or equipment. Seller may terminate
Seller,to expend any Y
consent of S of the terms hereof,or farmed immediately
any lease at any time by tender e Customer of unused rent in which eve ocr vi such lease shall, without notice,
Ivenc or bankruptcy of the Customer,or in the evenan ele altproc violates any art thereof
the county.
as the Seller shall designate. Customer shall,at its own expense, maintain
liability
any and such athrer ossess the same/or any part and
l the time of such leasing. In the event of the ins ert and remove impediments
the cylinders and/or equipment or in the event the cylinders and/or equipment are ressl waives all damages and claims
to ees exp Y
ce and with or will legal process.and ardent wand C Is are stomer hereby.�or authorized go nd upon s emp sromers prof Y tinders and/or equipment
terminate and all rights of the Customer to possession of the cylinders and/or equipment shall er d emovielf n d cylinders and/or equipment. In the event of any breach
tidh or wdhout no finders rocess of taking
may use ail force necessary ry to repossess pecuniary,caused by the Geller in the p
of damage or trespass,p y promises and agrees to pay all expenses of enforceme�oduct and damages due hereu1ndera'and for reasonable attorney's
ud ement for such expenses and for all rentals,merchandise, p
by the Customer hereunder,said Customer p
and the Seller shall be entitled to j 9 agreement,
fees and court costs.
one or more time,to insist upon the strict performance by the Customer of the covenants,conditions and/or terms of this
NOTICE OF NON-WAeVSeller.at any Nance with and performance of all covenants,conditions and
terms hereof.Notice of demand
The failure by
shall not be construed as a waiver of SelletherCustomermand strict comp
for strict compliance is hereby waived by
RETURNED MERCHANDISE: merchandise,product,cylinders or equipment returned for credit.
Original invoice must accompany duct,cylinders or equipment returned. Special order items are not subject to
on regularly inventoried merchandise,pro Y
RESTOCKING charges will be made 9
Restocking and handling 9 rented
return for credit.
RENTED CYLINDERS AND TEE or rented equipment, Buyer agrees to:return rented cylinders to Seller on demand;be responsible reimburse Seller nany t Of injuries to
cope and/or
rented cylinders proper care.
B accepting equipment as top p
By cylinders or equipment and/or the cononssandhbe sponsible for cylinders oYMENT OF THIS INVOICE IS
equipment and to reimburse Seller at the current rate of charges for such loss or damage:indemnify Seller against all loss arising for out of injuries t°cost an
rs or equipme use of the rented y of these cord NOTE:YOUR P T AT THE
cylinde connected with the u or enforcing the terms
or damage to property collecting payment due
attorney's fees incurred by Seller in
maintenance, loss of or damage to them(normal wear and tear expected)until they are returned to Seller. PLEASE
YOUR ACKNOWLEDGMENT THAT THE CYLINDER THIS WVOICENCE OF OUR CYLINDERS IN YOUR HANDS SHOWN ON THIS INVOICE IS CORK Buyer
CLOSE OF BUSINESS ON THE DATE SHOWN ON a its debts as they become due,and Y
CUSTOMER'S represents REPRESENTATION BF SOLVENCY:
s Not ceased to pay its debts in the ordinary course of business,that it can pay
Buyer rep act.
is solvent within the meaning of the federal bankruptcy
LITIGATION: prevailing ad shall be entitled to be reimbursed for reasonable attorney's fees and costs of suit.
In the event of litigation,the p 9 P
Y
CLAIMS: es and discrepancies are waived unless made in writing within 30 days of receipt of delivery. Hance with laws
All claims for defective material,shortages resent a tax or
g: es for the handling of hazardous materials and for compliance
SURCHARGES: nclude vanous itemized charges and including charges
The total amount due from the Customer may n and/or charges for energy or fuel.None of the charges re
an overnmental authority.and all of the charges are retained by Seller.
and regulations concerning hazardous materials,charges for handling.delivery subject to the following
fee paid to or imposed by Y 9 DISCLOSURE STATEMENT oved by Seller's credit department. sub/
In compliance v:rh the Federal Truth-In Lending Aci. if applicable, Buyer may be charged any amount app
CHARGE NO LATE
conditions
CHARGE IF THE ACCOUNT IS PAIDRATE OF 18'-)OR A �OICES
OF SINOOAON THE BALANCOE DUDELIVERY ARE SUBJECT TO A LA
CHARGE OF 1.5°°PER MONTH(ANNUAL PERCENTAGE
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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))
44583986 $103.19
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
$103.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 44583986 I 42-311.00 I $103.19 1 hereby certify that the attached invoice(s), or
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
PAC 3 2012
<
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund