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Home My WebLink About217032 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355856 Page 1 of 1 10J� ONE CIVIC SQUARE AIRGAS MID AMERICA CHECK AMOUNT: $52.09 CARMEL, INDIANA 46032 PO BOX 532609 ATLANTA GA 30353-2609 CHECK NUMBER: 217032 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9906378004 52 . 09 OTHER EXPENSES TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693 INVOICEI'NO. SOLQ TO NUMBER :'_: SHIP.Tb INVOICE QATE RENTAL PURCHASE ORDER O TERMS 99063780041 1813998 1 1778561 1 12/31/2012 RENT NET 30 MATERUIL(OffSGRIPTION r BE BAL SHIP RETURN 30J EIVt7 BAt t BASES SUt3JECT : NET RATE PRICE xa OOCUMENTIOATE f4ENT.:.t RAYS. RRCYLISM-AC - Rent Cyl Ind Small Acetylene 2 0 0 0 2 1 1 31 $0.58/DAY $17.98 N RRCYLISM-OX - Rent Cyl Ind Small Oxygen 1 0 0 0 1 0 1 31 $0.56/DAY $17.36 N ------------------------------------------------------------------------------------------------------------ ---- ---- ----- - 3 0 0 0 3 $35.34 ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- Hazmat: 16.75 Important.See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the AMOUNT DUE ; $ 52.09 Reverse side of this form.You will be deemed to have accepted the provisions in the said Notice as part of the contractual arrangements between you and us,unless you reject such a. provisions by written advice to us within(15)days after the date of this document. SHIP To:1778561 CITY OF CARMEL SEWER AIRGAS USA, 074 Airgas. www.airgas.com 130 1 STAVE SW ACT. A ,ABA NO. Airgas USA,LLC CARMEL IN 46032-2009 PNC BANK,ABA NO. 031000053 PO Box 9249 Marietta,GA 30065-2249 SEA-001000 Page 1 of 1 Disclosure Terms of Sale: Each sale of Goods or services by an Airgas'"company is and shall be governed by the terms and conditrons on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http:?wwn e:rgas.com;customer_servicefternns.aspx(collectively the"Terms of Sale"). Fach Contract for the sale of Goods or services between Seller and Buyer("Contract)shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer_ Nonce Regarding C-Antler Rentals Leases and Responsibility: This document shows the total number of cylinders charged to Buyer(i.e.,cylinders which Seller has rented or leased tc Buyer,and:•dhich Buyer has not returned)according to Seiler's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered co iec,t fc� contractual Purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims will-:'n 60 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(it)pays Seller the replacc31nent cost thereof. R,,fi tae<i t Cyrnde r Reourns%Deposit. Refillable refrigerant c y r iders shall remain the property of Airgas or its third-patty vendors. Such cylinders shall riot be,rased by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants). Each refillable cylinder w1i'be subject to a cylinder deposit fee,as established by Airgas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cyl'nder's condition is deemed to be unfit for reuse,as determined by Airgas.which determination shall be irrefutable sixty days after the cylinder-was returned. Warranty: All products, other items of sale:, cylinders and other containers furnished by an Airgas cornpany shall conform to the description thereof published by the manufacturer at the tn,e of sale and will meet Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES. INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES. SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT, SPECIAL,INCIDENTAL, CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT.OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY.OR OTHERA/;SE. Teams of Payment: Unless otherwise specified in a Contract.Buyer shall make payment in full within 30 days after the date of Sellers invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 1.5:$on the unpaid.past due balance,will be assessed monthly (minimum two dollars±52.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges., Upon notice and receipt of wrderlying doclimentallon.Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel, Title In,Equipment: Ttle to all rental equipment shall remain in Sellers name. Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment, l xes:. Any taxes imposed by federal.state.or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition in the purehaso price. temized Charges: (a)The total amount due from the Buyer 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 government authority,and all of the charges are retained by the Seller.The Seller has not specifically fluantified the relationship between the charges and the actual costs assoc,ated with the charges.which can vary by product,service,time and place,among other things.. (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts: Certain Airgas companies are U.S.government contractors and subcontractors and are subject to and ad'nere to the requirements of federal laws, executive orders,a^.d attendant rules and regulations, specifically Executive Carder No. 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness `0n,!;do.- AirTr_. .. t',.;:ever vdl'h utir eB+rsiness wa,„a_<,'te, http:tl www.airgas,com. Visit,rs online today to see how www.airgas.com can save you t1we arc=lllililly 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355856 AIRGAS USA, LLC Purchase Order No. PO BOX 532609 Terms ATLANTA, GA 30353-2609 Due Date 2/7/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/7/2013 9906378004 $52.09 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 Date Officer VOUCHER # 126625 WARRANT# ALLOWED 355856 IN SUM OF $ AIRGAS USA, LLC PO BOX 532609 ATLANTA, GA 30353-2609 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9906378004 01-7362-06 $52.09 Voucher Total $52.09 Cost distribution ledger classification if claim paid under vehicle highway fund