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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.