HomeMy WebLinkAbout247767 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 359584
® °l ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: S'""'"'97.00'
�`•, � CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 247767
•,,_oN CHICAGO IL 60666 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BMS135200 97.00 OTHER EXPENSES
BRENNTAG j-
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS135200 INV DATE: 7/16/15 *** PAGE 1 OF 1 ***
DUE DATE: 8/15/15
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: 7/16/15 TERMS NET 30 DAYS
B/L tt. . . 1106036-00 SHIP WHS : - 29 SALESPRSN:- 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK- PKG
CUSTOMER PO#: S15302 FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
PRO NUMBER . .
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
4. 0000 313439 1 .00000 200 .0000# . 3100 62 . 00
50 .0000 # BAG LIME HYDRATED MISSISSIPPI
(R-200) >A F/S
--------------------------------------------------------------------------------
QUESTIONS, CALL 317-898-8632
REMIT TO ADDRESS :
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 62. 00
INS & SEC SURCHARGE 35 .00
-----------------
PAID ON OR PRIOR TO 8/15/15 INVOICE TOTAL USD 97 . 00
PAID AFTER 8/15/15 INVOICE TOTAL USD 98.94
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 (ULRICH) Purchase Order No.
3796 Reliable Parkway Terms
CHICAGO, IL 60686 Due Date 7/21/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21/2015 BMS135200 $97.00
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
Date Officer
VOUCHER # 155939 WARRANT # ALLOWED
i
359584 IN SUM OF $
BRENNTAG (ULRICH)
3796 Reliable Parkway
CHICAGO, IL 60686
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR y
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
BMS135200 01-7182-05 $97.00
i
Voucher Total $97.00
Cost distribution ledger classification if
claim paid under vehicle highway fund