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Home My WebLink About236325 8 /27/2014 CITY OF CARMEL, INDIANA VENDOR: 359584 ® i'r ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,678.85* CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 236325 ?yi roN.Eo, CHICAGO IL 60686 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 810803 301.25 OTHER EXPENSES 601 5023990 810804 575.00 OTHER EXPENSES 601 5023990 810805 802.60 OTHER EXPENSES BRENNTAG ..... BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS810803 INV DATE: 8/14/14 *** PAGE 1 OF 1 *** DUE DATE: 9/13/14 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 8/14/14 TERMS NET 30 DAYS B/L #. . 766340-00 SHIP WHS : 29 SALESPRSN: 299 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 -------------------------------------------------------------------------------- 5.0000 873311 11 . 87000 750 .0000# . 3550 266 .25 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- I QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 266 .25 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 9/13/14 INVOICE TOTAL USD 301 .25 PAID AFTER 9/13/14 INVOICE TOTAL USD 307 .28 Original Document ✓,c:F a BRENNTAG ..%"`. BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS810804 INV DATE: 8/14/14 *** PAGE 1 OF 1 *** DUE DATE: 9/13/14 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 8/14/14 TERMS NET 30 DAYS B/L #. . 766299-00 SHIP WHS : 29 SALESPRSN: 299 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 1 .0000 253418 11 . 87000 2000 .0000# 2700 540 .00 2000.0000 # 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 540 .00 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 9/13/14 INVOICE TOTAL USD 575 .00 PAID AFTER 9/13/14 INVOICE TOTAL USD 586.50 Original Document ✓,n,F a BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS810805 INV DATE: 8/14/14 *** PAGE 1 OF 2 *** DUE DATE: 9/13/14 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 8/14/14 TERMS NET 30 DAYS B/L #. • 766353-00 SHIP WHS : 29 SALESPRSN: 299 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 -------------------------------------------------------------------------------- 1 .0000 253418 11 . 87000 2000 .0000# . 2700 540.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- 1 .0000 805002 1 . 00000 50 .0000# 1 . 3570 67 .85 50.0000 # BAG SODIUM FLUORIDE GRAN >A F/S -------------------------------------------------------------------------------- 3 .0000 873311 11 .87000 450 . 0000# . 3550 159 . 75 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- Original Document rk:F a BRENNTAG r....... BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS810805 INV DATE: 8/14/14 *** PAGE 2 OF 2 *** DUE DATE: 9/13/14 SOLD TO: SHIP TO: Attach to Invoice# BMS810805 CARMEL WATER, PLANT 5 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ------------------------------------------------------------------------ *** CONTINUED FROM PREVIOUS PAGE *** QUESTIONS, CALL 317-898-8632 *************************************** * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 767 .60 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 9/13/14 INVOICE TOTAL USD 802.60 PAID AFTER 9/13/14 INVOICE TOTAL USD 818.65 Original Document i W 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 8/18/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/18/2014 810803 $301.25 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 # 141476 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 810803 01-6180-03 $301.25 'Zf O'�bq r 57t.'CU S 1 cvgc $ba-6(3 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund