HomeMy WebLinkAbout246225 06/17/15 yu���"p"F CITY OF CARMEL, INDIANA VENDOR: 359584
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ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CHECK AMOUNT: $""*"'3,046.20"
�. �a CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 246225
v,�.. �:'� CHICAGO IL 60686 CHECK DATE: 06/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 37911 2,749.00 37910
601 5023990 37911 297.20 OTHER EXPENSES
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BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS037910 INV DATE: 6/08/15 * PAGE 1 OF 1 ***
DUE DATE: 7/08/15
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: 6/08/15 TERMS NET 30 DAYS
B/L #. . - . : 1061907-00 SHIP WHS: 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB DELIVERED
FRGT COMMENT: PREPAID TAX EX# 356000972-001-9
PRO NUMBER . .
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
-------------------------------------------------------------------------------
40.0000 805002 1 .00000 2000.0000# 1 .3570 2,714.00
50.0000 # BAG SODIUM FLUORIDE GRAN
>A F/S
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QUESTIONS, CALL 317-898-8632
* REMIT TO ADDRESS:
* BRENNTAG- MID-SOUTH, INC
3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 2,714.00
*** ** ** ** * *** * *** ** ** INS & SEC SURCHARGE 35.00
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PAID ON OR PRIOR TO 7/08/15 INVOICE TOTAL USD 2,749.00
PAID AFTER 7/08/15 INVOICE TOTAL USD 2,803 .98
Original Document
BRENNTAG -
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
,INVOICE#: BMS037911 INV DATE: 6/08/15 * PAGE 1 OF 1
DUE DATE: 7/08/15
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: 6/08/15 TERMS NET 30 DAYS -
B/L #. 1061931-00 SHIP WHS: 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 35600972-001-9
PRO NUMBER
UNITS SHIPPED -PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
-------------------------------------------------------------------------------
4.0000 873311 11 .87000 600.0000# .4370 262.20
150.0000 # 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 262.20
INS & SEC SURCHARGE 35.00
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PAID ON OR PRIOR TO 7/08/15 INVOICE TOTAL USD 297 .20
PAID AFTER 7/08/15 INVOICE TOTAL USD 303 .14
Original Document
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VOUCHER # 152108 WARRANT# ' ALLOWED
359584 ? IN SUM OF $
BRENNTAG MID-SOUTH INC
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3796 RELIABLE PARKWAY
CHICAGO, IL 60686-0037
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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y Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
037911 01-6180-03 $297.20
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11
j Voucher Total 3 bq7-D $
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
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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 6/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2015 037911 $297.20
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