HomeMy WebLinkAbout245435 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 359584
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****3,453.00*
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 245435
CHICAGO IL 60686 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 013825 3,453.00 OTHER EXPENSES
i
BREN TAG E
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS013825 INV DATE : 5/08/15 *** PAGE 1 OF 1 ***
DUE DATE : 6/07/15
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: 5/08/15 TERMS NET 30 DAYS
B/L #. : 1030116-00 SHIP WHS : 29 SALESPRSN: 29
-USTOMER # . . 407542 SHIP VIA: OUR TRUCK - PKG
-_USTOMER PO#: VERBAL FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDEL
-----------------------------------------------------------------------------
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 F/S
-----------------------------------------------------------------------------
UESTIONS, CALL 317-898-8632
REMIT TO ADDRESS :
BRENNTAG MID-SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686-0037 * MERCHANDISE 3 ,418 . 00
INS & SEC SURCHARGE 35 .00
-----------------
PAID ON OR PRIOR TO 6/07/15 INVOICE TOTAL USD 3,453 . 00
PAID AFTER 6/07/15 INVOICE TOTAL USD 3 , 522 . 0E
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 5/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2015 013825 $3,453.00
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
Date Officer
VOUCHER # 151937 WARRANT# ALLOWED
359584 IN SUM OF $
BRENNTAG MID-SOUTH INC l
3796 RELIABLE PARKWAY
CHICAGO, IL 60686-0037
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code .
013825 01-6180-03 $3,453.00 i
i
1
Voucher Total $3,453.00
Cost distribution ledger classification if
claim paid under vehicle highway fund