220513 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366748 Page 1 of 1
ONE CIVIC SQUARE AIRGAS USA,LLC
CARMEL, INDIANA 46032 PO BOX 532609 CHECK AMOUNT: $52.58
o�cc ATLANTA GA 30353-2609 CHECK NUMBER: 220513
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9015896951 52 . 58 OTHER EXPENSES
TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693
ORDER NO. -' INVOICE NO. I INVOICE DATE I SOLD TO NO. OLD:TO NAME
1014662791 9015896951 05/17/2013 1805175 CITY OF CARMEL
PO/RELEASE BRANCH SHIP VIA PAYMENT TERMS .. :.---`ORDER DATE
DEPOT CARMEL WELDING-WATER S112 OTHER NET 30 05/17/2013
DELIVERY NO / -_:, MATERIAL NUMBER QTY UQM OTY8t0 CYLINDER
UNIT_PRICE UOM` AMOUNT
DESCRIPTION SHIRR sHao:: RETD
5000081963 OX 20 1 CL 1 1 22.71 , CL 22.71 N
OXYGEN INDUSTRIAL 20 CGA 540 (Vol: 19.000 FT3)
5000081963 AC MC 1 CL 1 1 29.87 CL 29.87 N
ACETYLENE IND MC CGA 200 (Vol: 8.000 FT3)
Sale subtotal: 52.58
,
SHIP TO:1805175 AMOUNT. 52.58_ _
it CITY OF CARMEL °
www.airgas.com 3450 W 131 ST ST AIRGAS USA,LLC
Airgas USA,LLC WESTFIELD IN 46074-8267 Acct No.8606074182
PO Box 9249 PNC Bank,ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEA-001000 Page 1 of 1
Disclosure
o Each Sulr Goods or servk, ,by an Airgas"coilipany is and shall L governed by th-,wmis and on'his DjscL,a:(-" -ferit), .-,,`ixed
!rc- Anplicai,;i:Yune.has bapri he lerms of Sale foun,!M cutatorner vely the .,air").
La,, for the _,,fGf)ods or servt,�e7,between Seller �ild Buyer('"Comraco')<,Ihall include thesa forms of Sale, any Jhr de,,i,;:!U i:,i the
boinj- Id,;glair price.uI:tI;veiy terms,and ail spec ial proisaims 'Goods'releis to a!,,v terr& personal des^ribed r, I ontiact
or so.provided a to Buyer
z,rd Resl2onLibility. this document sho,,,,;trie total number ot cyl riders to Buyer cy!, w` c Soi s rented or
Buyer,and BUVef ties nor ei;ioaid)according w Seller's records a.,,c't the month enc rc,bate•;ho
Vn Th-.-,:mnit.er of cylirrr is ti,oF cliaiged to shall be
ed�correct fo.- ^tractual purpo�,--:4 I.e,,+-,een Buyer an:1 Seller,unless Buyer reports to Selie!,tri oiriting any er:r, i3l'Jyer dairrs r 60 cays after ,aio hereof.
B.." ';rocs to continju :,ay refit on� s charged tc Buyer until Buyer h,,,z either(I)retum(;r,such cylinder,;c,) in guod order or(if) Se:le, the
cost',ht�re:,f
Ref, Cyl rder sirt Refii1Ebi-,,refrigerant cy,ri!`.,rs shall remain the p,,operty ofAiroas ar is thro-party Such hail not:De
_g�
r'nan the stf)m,,)u J(r,s products;),1!cf,ised fromAiriimz or the return and wc!,3mat:oii I,
jasas(e.g.,IF_cfF;�cffl':>) Each
ne s,,jbje(,t f;;I ,rJndar deposit -s estab:isred:>y Airgas from finie to lime. Airgas will 1-tuild the deposit.f„ .`nen the
CIP:1, 1.:,ass Lh,-cyl•r,q:`z: i;,deonf nd tc,be unlit for muse,as deter rimed ,v Airgas,which dio:crrllination sh<til ,10,jtolb:e s'xly i after the(,yiri-,•va>;
All rrodtjci5;, tems of cvlingers and otlier containers fwni^;hed by an Airgas company ;ha to the therecf p0,,j_IwJ I)y the
i-r("-at the L,p, if and wll Sollor's;)Ljrity spt,cifications for all products. SELLER SPECIFICALLY DISCLAIMS ANY
3THER EXPRESS -"^R IMPLIED
STA ARDS, GUARANO'EES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARI,ICULAR PURPLN;,- OR NON-
'NF
,-t'r;GFMENT AND Ar,,Y WARRANTIES THAT MAY BE ALL EGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.
:ro 'J Liabliltv: Sir-- LER SHALL BE LIABLE ONLY FOR THE REPAIR OFt REPLACEMENT OF DEFECTIVE CAS CYLINDERS ;:ND PRODUCTS, �.NCLUDING
H�'.'F.'PLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEEI SL!CH SPEC I FICA rIONS. BUYr-RKNOWINGLY
AND !-•.j--LY ASSUMES i'HF RISKS OF TRANSPORTING AND USING COMPRESSED GASES. SELLER SHALL,NOT BE LIABLE FOR ANY DIRECT ;,j.-XCEPT AS
EXPFE,SSLY PROVIDE?HEREIN), INDIRECT SPECIAL, INCIDENTAL, CONSEQUENTIAL ANDIOR PUNITIVE DAIV.,AGES,ARISING OR ALLEGED TC';RISE OUT
OF tN CONNECTiCIN WITH ITS PERIrORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE.OR EOUWMENT SOLD Cj- FASFF�BY
3E I,L�-,R.WHETHER Sili;H DAMAGE REStPLTS FROM ANY NEGLIGENT ACT OR OMISSION OR 1S RELATED TO LIAB11-11 Y. 3TI-ER10,,
Te, IPrIyfl!mL P,",�,.hpnwise speci!; ,in a Contract.Bu\,er shall make payment in full within 30 after the ;i Seilef s invn:( !,suedp,, i!i credit
O I",sallcr's, of Bu,' _, conditior,-;r,d ability to pay./ i,!1,_payment chor,,.:of 1.,E`,,,
en 111b
or the";axirl.
rate allevnifle,in the state whHoii Ihe Goods are dewerev,whichee!- a.
S,t !: Upor receipt oi since IyI1'Ud0CLImentatio,,,Buyer shall p jz I,,Seder a surchaqc.:I,the even!0' xXLra0fdinarj or'D, anwo,
_ijS iised In inoproj,
I ti! op-m-1Qvit: -I t:C: ci rental eqjLdp,,.woi sqiif remain:i ;caller's name. B,y,,t shall not cover,modify.IVITIOVII w;•l);,rvvise disturb i-'k,.ntificatiol) I)Cicia of
Se r;: equipment
taxes Ly•ederql, :i vlhpr governnicnta nuthority un Jio sale, use or pose,I,,,sion of Gooc;�.<i, 'he sa!e o; Cfseivc,'s an Airgas
be Pe;(- in addik I I the purchase price,
o. Char 11 - I j -
gcs, �a, total account ironi the Buyer ri@y include varirfi,-. ;ten-,ized ch&rqo,,, nc!udinq charq,�, �or the nano -1 hazardous n,:::+ and for
CO;C. 'il-9 with law"i-iIr:wlyu;ltioal' hazardous lriiterials:charger'()I handling.delivery;ind shipping-andjo, r.hnTge-,foi w )I,fue).Ncog, i I'.charqes
tax or Tcc *,o or impcs,•<i any government authority,and all of tne charges are retained by the S:3!;er f-hp. Seller t,its r t specifical il,,tif,ed the
betweiintn +,irqos and the,ictwil co-,Is associalad with the chartles,which can vary by proc=;serveo,,iiol,t,')Ild place, ollierthil,I;., NOSLICII
nc,already pr.,_.,J,,d for in a Hidorv,,iji Le imposed WjtrOLI',MILItUal consent.
Gc,---' an,�.r_ ain Airgas co i',a,I ios are U.S.go,o rn ment coil tracto�'�;and subcontractors and are subje,r:t.-, inol adhere t,,V,-,�re q ui reme r If, :eras laws
[>!("crs,wid rules and retild"IL'oris,spec;hc,7 ly Fyecutive Order No. 11246, in(-,-Rehab;!,Iation Act 0 and Ilre V,t•c:i I Era Veluruw, %,Jjilstnlriw
Airgas eBusmess
'i !s easier Our WCDS t0, htfo1l www.airgas.coni Vis,t us owti., 1 seo Y00
VOUCHER # 131669 WARRANT # ALLOWED
355856 i
IN SUM OF $
AIRGAS MID AMERICA
PO BOX 8 - 5-.3a (0 0� i
C I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR i
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
9015896951 01-6200-06 $52.58
i
I
f
i
I
Voucher Total $52.58
i
Cost distribution ledger classification if
claim paid under vehicle highway fund I
i
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 MID AMERICA Purchase Order No.
PO BOX 802615 Terms
CHICAGO, IL 60680-2615 Due Date 5/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2013 9015896951 $52.58
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