HomeMy WebLinkAboutAir Liquide America Corporation -2001 02 01AIR LIQUIDE
~ -
Healthcare
Air Liquide America Corporation
Air Liquide America Corp
1650 SAND LAKE RD. STE 390
ORLANDO FL 32809
Phone: 877-848-2524
Fax: 407-996-3428
Ship To:
WINTER SPRINGS/FIRE DEPT
1126 E SR 434
WINTER SPRINGS FL 32708
Cylinder Lease
Invoice #
8062846
Invoice Date
28-FEB-2001
Bill To (Buyer):
WINTER SPRINGS FIRE DEPT
1126 E SR 434
WINTER SPRINGS FL 32708
Account No. 249809 - 0001 Payment Method Terms. NET 30 Purchase Order Number
Lease Number
23338
lease Description
12 Month(s)
Start Date
01-FEB-2001
Cylinder Description
901-22+ HIGH PRESSURE 100CF & OVER
901-44L+ HIGH PRESSURE 100CF & OVER
Quantity Leased
2
3
. Unit Price
27.50 I Year
27.50 I Year
End Date
31-JAN-2002
Extended Amount
22992
HAZMAT CHARGE - LEASE
55.00
82.50
5.00
Tax Information
Tax Code Description
Rate
Taxable Amount
Tax Amount
N
Exempt
0%
142.50
0.00
The Hazmat and Medical Charges are not fees or taxes imposed by any governmental entity.
~~~~-af1~~
ft.:::. ~ #-~,of .~ _~K$
l', pp 0 ~! ~nr;1
"'"":.- .'
(
, iJ '
T'Y Of I,A,\.I'lTE;::l SPR~NCS
~ _ ~~... Deportmant
rtl'lG, "'"
Unit Of Measures Codes: SCF = Standard Cubic Feet; CYL = Cylinder; CCF = Hundred Cubic Feet; LB = Pounds; EA = Each
IMPORTANT NOTICE
YOU HAVE BEEN PROVIDED WITH MATERIAL SAFETY DATA SHEET(S) FOR THE PRODUCT(S) LISTED
IF YOU NEED ADDITIONAL COPIES, PLEASE CALL US AT 800-231-1366
lemit To: Sub Total $ 142.50
Air Liquide America Corporation
PO Box 200269 Total Tax Amount $ 0.00
:
Houston TX 77216-0269
Total Invoice Amount $ 142.50
Date Printed: March 2. 2001
PINR143 - 3.1.2.120
He 3000 (6"99)
Page Number: 1 01 1
Important: The reverse side of this document Is part hereof unless otherwise indicated thereon.