HomeMy WebLinkAbout243461 03/24/15 u .4�_q
J`' � ''°� CITY OF CARMEL, INDIANA VENDOR: 359584
p ® ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: S"""`•753.78`
: .?� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 243461
9M`,�TON- CHICAGO IL 60686 CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BMS963211 753.78 OTHER EXPENSES
BREN,NTAGARM
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS963211 INV DATE: 3/06/15 ** PAGE 1 OF 1 *
DUE DATE: 4/05/15
SOLD TO: SHIP TO:
CARMEL WASTE WATER HAZEL DELL
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL
INDIANAPOLIS IN 46280 CARMEL IN 46280
FEDERAL ID #: 610504545 DATE SHIPPED: 3/06/15 TERMS . NET 30 DAYS
-- B/L-4 w --. . . . -965870-00 . SHIP WHS: 29' SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: S14880
FOB DELIVERED
TAX EX# : 356000972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
-------------------------------------------------------------------=----
1 .0000 253418 11 .87000 2000 .0000# .3520 704.00
2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
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QUESTIONS, CALL 317-898-8632
REMIT TO ADDRESS:
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 704.00
INS & SEC SURCHARGE 35 .00
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PAID ON OR PRIOR TO 4/05/15 INVOICE TOTAL USD 739.00
PAID AFTER 4/05/15 INVOICE TOTAL USD 753 .78
Original Document
VOUCHER # 155181 WARRANT # ) ALLOWED
359584 i IN SUM OF $
BRENNTAG (ULRICH)
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3796 Reliable Parkway
CHICAGO, IL 60686
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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BMS963211 01-7182-05 $753.78
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Voucher Total $753.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 3/19/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2015 BMS963211 $753.78
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