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Home My WebLink About217536 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 355856 Page 1 of 1 0 ONE CIVIC SQUARE AIRGAS MID AMERICA CARMEL, INDIANA 46032 Po Box 532606 CHECK AMOUNT: $52.09 ATLANTA GA 30353-2609 CHECK NUMBER: 217536 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9907417321 52 . 09 OTHER EXPENSES TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: tsuu-r[r-uoys INVOICE Np. :SOLD TO'?NUMBER: SHIP,TO _ 'zINVOICEDATE'RENTALP...URCHASE ORDER iNO.,, TERM$ 99074173211 1813998 1778561 01/31/2013 RENT NET 30 MATERIAL/;DESCRIPTION � l3EG!BAL SHIP RETURN i ApJ E:NR 8AL LEASES SUBJECT NET(,LAYS: i RATE � r PRICE DOCtfMENTiDATE r,• Tp;RENT 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 . provisions by written advice to us within(15)days after the date of this document. SHIP TO:1778561 AIRGAS USA, LLC Airgas. CITY OF CARMEL SEWER ACT. NO. 8606074182 www.airgas.com 1301ST AVE SW PNC BANK,ABA NO. 031000053 CARMEL IN 46032-2009 Airgas USA,LLC PO Box 9249 Marietta,GA 30065-2249 ;go)opq Page 1 of 1 Disclosure Terms of Sale: Each sale of Goods or services by an Arrgas'M company is and shall be governed by the terms and conditions 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://www.airgas.corn/customer serviceiterms asox(collectively the"Terms of Sale"), Each 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. Notice Regarding Cy)jnder Rentals/Lgrases and Responsibility: -I his document shows the total number of cylinders charged to Buyer(i.e.,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof. Buyer.agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(it returned Such cylinders to Seller in good replacement cost thereof. working order or(ii}pays Seller the Kctl:r cergnt C ider._ ekumsiDeposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors. Such cylinders shall not be used 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 will 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 cylinder's condition is(.teemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty ciays after the cylinder was returned. Vyarranty_ All produetS, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will rneet 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 OTHERIV`4'ISE. Terms of Payment: Unless otherwise specified in a Contract.Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to SGII&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($2.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases;n the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel. Title tQ Eguipment: Title to all rental equipment shall remain in Seller's name. Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes: 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 to the purchase price. Ite.m.tzed 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 nialerials: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 quantified the relationship between the charges and the actual costs associated 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 adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No. 11246,the Rehabilitation Act of 1973 and the Viotnam Era Veterans Readjustment Assistance Act of,07a,a8 as amended, Airgas eBusiness Now doing business with Airgas is easlcr than ever with our eBusiness website,http:l/www.airgas.com. Visit us online today to see how www.airgas.com can save you time and money. Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF C.ARMEL 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 2/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/2013 9907417321 $52.09 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 # 126683 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 9907417321 01-7362-06 $52.09 Voucher Total $52.09 Cost distribution ledger classification if claim paid under vehicle highway fund