HomeMy WebLinkAbout244665 04/29/15 w.k�A
q% * CITY OF CARMEL, INDIANA VENDOR: 359584
® it ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $"""4,077.95'
s. ,Q; CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 244665
+M,�TON�. CHICAGO IL 60686 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 984813 297.20 OTHER EXPENSES
601 5023990 984814 3,780.75 OTHER EXPENSES
BRENNTAG KIl
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
t
INVOICE#: BMS984813 INV DATE: 4/02/15 * PAGE 1 OF 1
DUE DATE: 5/02/15
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: 4/02/15 TERMS ' .. : NET 30 DAYS
B/L #. . . 994063-010SHIP WHS : 29, SALESPRSN: 29.
2USTOMER # . : 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
-----------------------------------------------------------------------------
4.0000 873311 11 .87000 600 .0000# .4370 262 .20
150.0000 # 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 262 .20
INS & SEC SURCHARGE 35 .00
-----------------
PAID ON OR PRIOR TO 5/02/15 INVOICE TOTAL USD 297 .20
PAID AFTER 5/02/15 INVOICE TOTAL USD 303 . 14
Original Document
BRENNTAG1
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS984814 INV DATE: 4/02/15 *** PAGE 1 OF 2 *
DUE DATE: 5/02/15
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: 4/02/15 TERMS NET 30 DAYS
B/L #. . . . . 994051-00 SHIP WHS : 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# . 3520 704.00
2000 .0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
-------------------------------------------------------------------
40.0000 805002 1 .00000 2000 .0000# 1 . 3570 2,714 00
50.0000 # BAG SODIUM FLUORIDE GRAN
>A FIS
-----------------------------------------------------------------------------
5.0000 .873311 11 .87000 750 .0000# .4370 327 . 75
150.0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
-----------------------------------------------------------------------------
Original Document
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS984814 INV DATE: 4/02/15 * PAGE 2 OF 2 **
DUE DATE: 5/02/15
SOLD TO: SHIP TO:
Attach to Invoice# BMS984814 CARMEL WATER, PLANT 5
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDEP
-----------------------------------------------------------------------------
CONTINUED FROM PREVIOUS PAGE
UESTIONS; --CALL -317-898-8632
REMIT TO ADDRESS :
BRENNTAG MID-SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686-0037 * MERCHANDISE 3,745 .75
INS & SEC SURCHARGE 35 .00
-----------------
PAID ON OR PRIOR TO 5/02/15 INVOICE TOTAL USD 3, 780 . 75
PAID AFTER 5/02/15 INVOICE TOTAL USD 3,856 .37
Original Document
VOUCHER # 151636 WARRANT#
ALLOWED
i'
359584 ; IN SUM OF $
'I BRENNTAG MID-SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686-0037
4
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'i
PO# INV# ACCT# AMOUNT Audit Trail Code
I
jI
984814 01-6180-03 $3,780.75 +
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Voucher Total4o-77 'I
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 MID-SOUTH INC Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686-0037 Due Date 4/22/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/22/2015 984814 $3,780.75
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