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Home My WebLink About249616 09/23/15 ,+u,Cqq*` CITY OF CARMEL, INDIANA VENDOR: 359584 ® ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $****"4,822.20" �. _� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 249616 ,,�,_oN�, CHICAGO IL 60686 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 176977 313.40 OTHER EXPENSES 601 5023990 176978 3,715.80 OTHER EXPENSES 601 5023990 176979 793.00 OTHER EXPENSES B R E T'AG , . BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS176977 INV DATE: 9/04/15 *** PAGE 1 OF 1 *** DUE DATE: 10/04/15 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: 9/04/15 TERMS NET 30 DAYS B/L #. . : 1157255-00 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# .4640 278.40 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 278.40 *************** ********************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 10/04/15 INVOICE TOTAL USD 313 .40 PAID AFTER 10/04/15 INVOICE TOTAL USD 319.67 Original Document BRENNTAG '& BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS176979 INV DATE: 9/04/15 PAGE 1 OF 1 * * DUE DATE: 10/04/15 SOLD TO: SHIP TO: CARMEL WATER CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 9/04/15 TERMS NET 30 DAYS B/L #. . . . : 1157247-00 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 . : 531542736 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 . 87000 2000.0000# . 3790 758.00 2000 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 758.00 *************************************** INS & SEC SURCHARGE 35 . 00 ----------------- PAID ON OR PRIOR TO 10/04/15 INVOICE TOTAL USD 793 .00 PAID AFTER 10/04/15 INVOICE TOTAL USD 808.86 Original Document BRENNTAG _ 110 Ow BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS176978 INV DATE: 9/04/15 ** PAGE 1 OF 2 *** DUE DATE: 10/04/15 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: 9/04/15 TERMS NET 30 DAYS B/L #. . 1157240-00 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 -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000 .0000# . 3790 758. 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 COARSE >A F/S -------------------------------------------------------------------------------- 3 .0000 873311 11 . 87000 450 .0000# .4640 208.80 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- Original Document BRENNTAG .f :. , M BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS176978 INV DATE: 9/04/15 *** PAGE 2 OF 2 *** DUE DATE: 10/04/15 SOLD TO: SHIP TO: Attach to Invoice# BMS176978 CARMEL WATER, PLANT 5 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- *** CONTINUED FROM PREVIOUS PAGE *** QUESTIONS, CALL 317-898-8632 *************************************** * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 3,680.80 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 10/04/15 INVOICE TOTAL USD 3, 715 .80 PAID AFTER 10/04/15 INVOICE TOTAL USD 3,790 . 12 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 9/15/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/15/2015 176977 $313.40 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 9X2//s �P Date Officer r' VOUCHER # 153022 WARRANT # ALLOWED 359584 IN SUM OF $ BRENNTAG MID-SOUTH INC 3796 RELIABLE PARKWAY CHICAGO, IL 60686-0037 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 176977 01-6180-03 $313.40 ( 7 to q 3-715,W Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund