HomeMy WebLinkAbout229839 3 /12/2014 ,`C4q
CITY OF CARMEL, INDIANA VENDOR: 359584
® i`• ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: S"'"'5,390.75'
a° CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 229839
"Mi oN�°" CHICAGO IL 60686 CHECK DATE: 03112/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 665102 5,142.75 OTHER EXPENSES
601 5023990 665103 248.00 OTHER EXPENSES
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS665102 INV DATE: 2/20/14 *** PAGE 1 OF 1 ***
DUE DATE: 3/22/14
SOLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WATER, PLANT 5
3450 WEST 131ST STREET 5484 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID #: 610504545 DATE SHIPPED: 2/20/14 TERMS NET 30 DAYS
B/L #. . 576927-00 SHIP WHS : 29 SALESPRSN: 294
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
TAX EX# : 356000972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
80.0000 805002 1 . 000 4000.0000# 1 . 2370 4,948. 00
50 .0000 # BAG SODIUM FLUORIDE GRAN
>A F/S
--------------------------------------------------------------------------------
3 .0000 873311 11 . 870 450 .0000# . 3550 159 . 75
150.0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
--------------------------------------------------------------------------------
QUESTIONS, CALL 317-898-8632
* REMIT TO ADDRESS :
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 5, 107 . 75
INS & SEC SURCHARGE 35 . 00
-----------------
PAID ON OR PRIOR TO 3/22/14 INVOICE TOTAL USD 5,142 . 75
PAID AFTER 3/22/14 INVOICE TOTAL USD 5,245 .61
Original Document
W
BRENNTAG
AlEw
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS665103 INV DATE: 2/20/14 ** PAGE 1 OF 1 ***
DUE DATE: 3/22/14
SOLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID #: 610504545 DATE SHIPPED: 2/20/14 TERMS NET 30 DAYS
B/L #. . 576932-00 SHIP WHS : 29 SALESPRSN: 294
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
TAX EX# : 35600972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
------------------------------------------------------------------------
4.0000 873311 11 . 870 600 .0000# . 3550 213 .00
150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
----------------------------------------------------------------------------
QUESTIONS, CALL 317-898-8632
* REMIT TO ADDRESS :
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 213 .00
INS & SEC SURCHARGE 35 . 00
-----------------
PAID ON OR PRIOR TO 3/22/14 INVOICE TOTAL USD 248. 00
PAID AFTER 3/22/14 INVOICE TOTAL USD 252.96
Original Document
�s
VOUCHER # 134255 WARRANT # ALLOWED
359584 IN SUM OF $
BRENNTAG MID-SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686-0037
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
665103 01-6180-03 $248.00
4�51ea �i 5�ya.?S.
Voucher Total 5�9 .7c�4'2�W-00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
359584
BRENNTAG MID-SOUTH INC Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686-0037 Due Date 2/26/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/2014 665103 $248.00
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