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Home My WebLink About241662 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 359584 ® ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $'"""6,308.70' s a° CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 241662 CHICAGO IL 60686 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 920686 637.00 OTHER EXPENSES 601 5023990 930334 5,463.00 OTHER EXPENSES 601 5023990 930335 208.70 OTHER EXPENSES BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS920686 INV DATE: 1/08/15 *** PAGE 1 OF 1 *** _ 2/07/15 OLD T0: SHIP TO: CARMEL WASTE ER HAZEL DELL 9609 HAZEL D LL PARKWAY 9609 HAZEL DELL INDIANAPOLIS 46280 CARMEL IN 46280 FEDERAL ID #: 610504545 DATE SHIPPED: 1/08/15 TERMS . : .NET 30 DAYS B/L #. 910569-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: 514688 FOB . . : DELIVERED TAX EX# : 356000972-001-9 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ------------------------------------------------------------------------------- 1 .0000 253418 11 . 87000 2000 .0000# . 3010 602 .00 2000 . 0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 I * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 602 .00 INS & SEC SURCHARGE 35 . 00 ----------------- PAID ON OR PRIOR TO 2/07/15 INVOICE TOTAL USD 637 .00 PAID AFTER 2/07/15 INVOICE TOTAL USD 649. 74 Original Document 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 (ULRICH) Purchase Order No. 3796 Reliable Parkway Terms CHICAGO, IL 60686 Due Date 1/28/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/28/2015 BMS920686 $649.74 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 # 146569 WARRANT # ALLOWED 359584 IN SUM OF $ BRENNTAG (ULRICH) 3796 Reliable Parkway CHICAGO, IL 60686 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code BMS920686 01-7182-05 $6494 7 U% Voucher Total 49.7/4 Cost distribution ledger classification if claim paid under vehicle highway fund BRENNTAGAMZv BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS930334 INV DATE: 1/21/15 *** PAGE 1 OF 1 *** DUE DATE: 2/20/15 SOLD TO: SHIP TO: CARMEL WATER CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/21/15 TERMS NET 30 DAYS B/L #. . 920717-00 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 ------------------------------------------------------------------------------- 80.0000 805002 1 .00000 4000 .0000# 1 . 3570 5,428. 00 50 . 0000 # BAG SODIUM FLUORIDE GRAN >A F/S ------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 5,428 . 00 INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 2/20/15 INVOICE TOTAL USD 5,463 .00 PAID AFTER 2/20/15 INVOICE TOTAL USD 5,572 . 26 Original Document BRENTAG ,'': IM BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS930335 INV DATE: 1/21/15 *** PAGE 1 OF 1 *** DUE DATE: 2/20/15 SOLD TO: SHIP TO: CARMEL WATER CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E . 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/21/15 TERMS NET 30 DAYS B/L #. . 920709-00 / 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 ------------------------------------------------------------------------------- 3 .0000 873311 11 . 87000 450 .0000# . 3860 173 . 70 150 . 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 173 . 70 '� � �********************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 2/20/15 INVOICE TOTAL USD 208. 70 PAID AFTER 2/20/15 INVOICE TOTAL USD 212.87 Original Document 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 1/26/2015 Invoice Invoice Description Date Number - (or note attached invoice(s) or bill(s)) Amount 1/26/2015 930335 $208.70 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 # 142842 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 930335 01-6180-03 $208.70 '�T 30 33q ,5+C_p 3 00 Voucher Total 5 -71 7b $"o- Cost zz@ o Cost distribution ledger classification if claim paid under vehicle highway fund