HomeMy WebLinkAbout242691 03/03/15 .r CA9,y
tCITY OF CARMEL, INDIANA VENDOR: 359584
® I ' ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******845.70*
CARMEL, INDIANA 46032 3796 RFI IA13Lf PARKWAY CHECK NUMBER: 2.42691
tMiraN'�o•;,✓' CHICAGO IL 60686 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 948847 637.00 OTHER EXPENSES
601 5023990 948848 208.70 OTHER EXPENSES
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS948847 INV DATE: 2/16/15 *** PAGE 1 OF 1 **
DUE DATE: 3/18/15
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: 2/16/15 TERMS NET 30 DAYS
B/L #- . . 946213-00 SHIPyWHS : 29 -SALESPRSN. 29
-_USTOMER # 407542 SHIP VIA: OUR TRUCK - PKG
"_USTOMER PO#:VERBAL FOB . . : DELIVERED
TAX EX# : 356000972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDEP
-----------------------------------------------------------------------------
1 .0000 253418 11 .87000 2000 . 0000# . 3010 602 . 00
2000 .0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
-----------------------------------------------------------------------------
__ -'UESTIONS; CALL 317=898-8632
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 3/18/15 INVOICE TOTAL USD 637 .00
PAID AFTER 3/18/15 INVOICE TOTAL USD 649 . 74
Original Document
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS948848 INV DATE: 2/16/15 * PAGE 1 OF 1 *
DUE DATE: 3/18/15
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: 2/16/15 TERMS NET. 30 DAYS
B/L --# . . 946217-00 SHIP -WHS : -29 SALESPRSN; 29
-USTOMER # 407542 SHIP VIA: OUR TRUCK - PKG
:�USTOMER PO#: VERBAL FOB . . : DELIVERED
TAX EX# : 35600972-001-9
UNITS .SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDEL
-----------------------------------------------------------------------------
3 .0000 873311 11 . 87000 450 .0000# . 3860 173 . 70
150.0000 # CYL CHLORINE, .LIQUID (BMS -ONLY)
>A RPK
---------------------------=-------------------------------------------------
UESTIONS, -CAL-L- 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 3/18/15 INVOICE TOTAL USD 208 . 70
PAID AFTER 3/18/15 INVOICE TOTAL USD 212 .87
Original Document
VOUCHER # 151063 WARRANT# a ALLOWED
359584 IN SUM OF $
BRENNTAG MID-SOUTH INC
3796 RELIABLE PARKWAY {,
CHICAGO, IL 60686-0037
, I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR jl
`I
� I
I Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
948847 01-6180-03 $637.00 11
i
ti
1
I,
i
Voucher Total 99 5 ,b I
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
i
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.
I'
Payee
359584
BRENNTAG MID-SOUTH INC i Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686-0037 i Due Date 2/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/2015 948847 $637.00
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
;
i°
Date g7fficer