HomeMy WebLinkAbout242206 02/17/15 r G4gM
CITY OF CARMEL, INDIANA VENDOR: 359584
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $****12,233.30*
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 242206
CHICAGO IL 60686 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS097973 -57.90 OTHER EXPENSES
601 5023990 BMS942806 12,291.20 OTHER EXPENSES
1
DKEN Thi . : 1k
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS942806 INV DATE: 2/05/15 *** PAGE 1 OF 1 *
DUE DATE : 3/07/15
SOLD TO: SHIP TO:
CARMEL WATER CARMEL UTILITIES PLT 1
3450 WEST 131ST STREET 4915 E 106 ST
CARMEL IN 46074 CARMEL IN 46033
FEDERAL ID #: 610504545 DATE SHIPPED: 2/05/15 TERMS NET 30 DAYS
8/L #. 933328-00 SHIP WHS : '29 SALESPRSN: 29
-USTOMER # 407542 SHIP VIA: OUR TRUCK BULK
-USTOMER PO#: VERBAL FOB . . : DELIVERED
TAX EX# : 356000972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDEE
-----------------------------------------------------------------------------
37140 .0000 437426 10 . 28000 37140 . 0000# . 3300 12 , 256 . 20
1 .0000 # BULK HYDROFLUOSILICIC ACID 23%
>A BLK
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UESTIONS, CALL 317-898-8632
REMIT TO ADDRESS :
BRENNTAG MID-SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686-0037 MERCHANDISE 12, 256 .20
INS & SEC SURCHARGE 35 . 00
-----------------
PAID ON OR PRIOR TO 3/07/15 INVOICE TOTAL USD 12, 291 . 20
PAID AFTER 3/07/15 INVOICE TOTAL USD 12, 537 .02
Original Document
BRENNTAGAMW
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
CREDIT #: BMS097973 DATE: 1/27/15 *** PAGE 1 OF 1 *** * CREDIT MEMO
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 TERMS NET 30 DAYS
INVOICE. . . : BMS918470 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
-------------------------------------------------------------------------------
RETURN FOR FULL CREDIT
-------------------------------------------------------------------------------
1 .0000-873311 11 . 87000 150 .0000-# . 3860 57 . 90
150 . 0000 # CYL CHLORINE, LIQUID (BMS ONLY) ITEM CREDIT
>A RPK
WELL HEAD QUANTITY UOM METER TICKET
0 150 .0000- #
-------------------------------------------------------------------------------
PROD # PKG DRUM # ORG BOL# INV # QUANTITY DEPOSIT
873311 CYL 249173 905535-00 918470 1 .0000-
MERCHANDISE 57 . 90
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QUESTIONS, CALL 317-898-8632 CREDIT TOTAL USD 57 .90
Original Document
I
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 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 942806 $12,233.30
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 # 143015 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
942806 01-6180-03 $12,233.30
CC
Voucher Total $12,233.30
Cost distribution ledger classification if
claim paid under vehicle highway fund