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Home My WebLink About233191 06/04/14 CITY OF CARMEL, INDIANA VENDOR: 359584 a`. ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,990.03* :. CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 233191 CHICAGO IL 60686 CHECK DATE: 06/04/14 y . DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350400 734794 928.49 GROUNDS MAINTENANCE 2201 4350400 736163 963.54 GROUNDS MAINTENANCE 601 5023990 737490 98.00 OTHER EXPENSES Brenntag Mid-South, Inc. B R E N NTAG 1405 Highway 136 W • P.O. BOX 20 _a Henderson, Kentucky 42419-0020 INVOICE#: BMS736163 INV DATE: 5/19/14 *** PAGE 1 OF 1 *** DUE DATE: 6/18/14 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. & 126TH STREET CARMEL IN 46032 FEDERAL ID _# : 610504545 DATE SHIPPED: 5/19/14 TERMS . . :_ NET 30 DAYS B/L # . . . . . 669797-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : VERBAL FOB . . : DELIVERED TAX EX# : 0031201550-020 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ---- -------------- ----- - - - --- - - ----- - --- - ---- -- - --- - - -- ---- - - --- ------- --------- 329 . 9803 365998 10 . 14000 329 . 9803G 2 . 9200 963 . 54 1 . 0000 G BULK SODIUM HYPOCHLORITE 12 . 50 DRUM OFF-330 G POLY TOTE>A BLK PO #17572 FOR 2008 ----- ---- ---------- - --- --- - ---- - ----- ---- -- - - -- - - -- - ---------- --- --------------- QUESTIONS, CALL 317-898-8632 *************************************** * REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 *************************************** MERCHANDISE 963 . 54 -- --------------- PAID ON OR PRIOR TO 6/18/14 INVOICE TOTAL USD 963 .54 PAID AFTER 6/18/14 INVOICE TOTAL USD 982 .81 Original Document ***ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE *** Brenntag Mid-South, Inc. B R E N N TAG 1405 Highway 136 W• P.O. BOX 20 A Henderson, Kentucky 42419-0020 INVOICE#: BMS734794 INV DATE: 5/16/14 *** PAGE 1 OF 1 *** DUE DATE: 6/15/14 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. & 126TH STREET CARMEL IN 46032 FEDERAL_ I_D # : 610504545 DATE SHIPPED : 5/16/14 TERMS NET 30 DAYS B/L # . 669790-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : VERBAL FOB . . : DELIVERED TAX EX# : 0031201550-020 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ----------- ------- - --------- --- - -- -- --- ---- - - - --- - -- -- --- -------------- --- -- ---- 301 . 2422 723584 9 . 66000 301 . 2422G 3 . 0822 928 . 49 1 . 0000 G BULK MURIATIC ACID 20 DEG DRUM OFF-330 G POLY TOTE>A BLK PO #17572 FOR 2008 . ------------ ---------------- ----- -- -- - --- - - ---- - -- - -- ------- - --- ------- - -------- QUESTIONS, CALL 317-898-8632 *************************************** * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 *************************************** MERCHANDISE 928 . 49 ----------------- PAID ON OR PRIOR TO 6/15/14 INVOICE TOTAL USD 928 .49 PAID AFTER 6/15/14 INVOICE TOTAL USD _.94.70.6._,_. Original Document ***ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE *** 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/16/14 BMS734794 $928.49 05/19/14 BMS736163 $963.54 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Brenntag Mid-South Inc IN SUM OF $ 3796 Reliable Parkway Chicago, IL 60686-0037 $1,892.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 BMS734794 j 43-504.00 j $928.49 1 hereby certify that the attached invoice(s), or 2201 BMS736163 1 43-504.00 $963.54 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except o //rid�/fiay 30, 2014 VV ttreeett&o°mmiEsi 4 Title Cost distribution ledger classification if claim paid motor vehicle highway fund BRENNTAG ..._.. BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS737490 INV DATE: 5/20/14 *** PAGE 1 OF 1 *** DUE DATE: 6/19/14 SOLD TO: SHIP TO: CARMEL WASTE WATER CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 5/20/14 TERMS NET 30 DAYS B/L #. . 674387-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 407542 SHIP VIA: CUSTOMER PICKUP CUSTOMER PO#: GM52014-A FOB . . : ORIGIN FRGT COMMENT: COLLECT TAX EX# : 356000972-001-9 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 591147 1 .00000 100 .0000# .6300 63 .00 50.0000 # BAG SODA ASH DENSE PLASTIC BAG >A RPK -------------------------------------------------------------------------------- l QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 63 .00 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 6/19/14 INVOICE TOTAL USD 98. 00 PAID AFTER 6/19/14 INVOICE TOTAL USD 99 .96 Original Document iSi,.F 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 5/24/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/24/2014 737490 $98.00 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 VOUCHER # 135214 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 737490 01-6180-03 $98.00 Voucher Total $98.00 Cost distribution ledger classification if claim paid under vehicle highway fund