Date:

PDI Order Location: Brampton, Ontario

Fax Order Form

Phone: 905 796-4755

Attn: Joseph Valiya
Company Name: Chrisbo Ent Inc

FAX: 905 450-5525

Customer Account No: LM946

Purchase Order Number:

Ship To:

Phone: (905) 362-0896

Chrisbo Ent Inc

Fax: (905) 362-0898

7151 Edwards Blvd

Ordered By:

Mississauga, ON

Special instructions:

L5S 1Z2

Fax back an order confirmation to (905) 362-0898

Order Information
Item#

Qty

Part No.

Cyl Style

Product Description

GRADE

AR 5.0UH-T

Argon UHP 99.999%

UHP

HY 5.0UH-T

Hydrogen UHP 99.999%

UHP

NI 5.0UH-T

Nitrogen UHP 99.999%

UHP

HY 5.0UH-TP6

6PK

HYDROGEN 99.999% UHP T 6PK

UHP

NI 5.0UH-TP9SB

9PK

NITROGEN 99.999% UHP T 9PK

SQ

UHP

AM 4.5-FA

FA

AMMONIA 99.995% FA

NI 5.0UH-TP6SB

6PK

NITROGEN 99.999% UHP T 9PK

SQ

99.995%
UHP

8
9

For Praxair Use Only

Order #

Entered By:

Date:

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