HomeMy WebLinkAbout250599 10/21/15 L�q*
CITY OF CARMEL, INDIANA VENDOR: 359584
d ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****4,822.20*
? CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 250599
vyt bw�o, CHICAGO IL 60686 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS198741 793.00 OTHER EXPENSES
601 5023990 BMS198742 3,715.80 OTHER EXPENSES
601 5023990 BMS198743 313.40 OTHER EXPENSES
BRENNTAGA�
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS198742 INV DATE: 10/02/15 ***PAGE 1 OF 2 ***
DUE DATE: 11/01/15
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: 10/02/15 TERMS NET 30 DAYS
B/L #. . : 1183719-00 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 . : 540066685
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
I
BRENNTAG = ..,
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS198742 INV DATE: 10/02/15 *** PAGE 2 OF 2 ***
DUE DATE: 11/01/15
SOLD TO: SHIP TO:
Attach to Invoice# BMS198742 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 11/01/15 INVOICE TOTAL USD 3,715 .80
PAID AFTER 11/01/15 INVOICE TOTAL USD 3,790.12
Original Document
BRENTAGAZU.
BMW
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS198741 INV DATE: 10/02/15 *** PAGE 1 OF 1 **
DUE DATE: 11/01/15
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: 10/02/15 TERMS NET 30 DAYS
B/L #. . : 1183715-00 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
--------------------------------------------------------------------------------
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 11/01/15 INVOICE TOTAL USD 793 .00
PAID AFTER 11/01/15 INVOICE TOTAL USD 808.86
Original Document
I
BRENNTAG a. :
17"
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS198743 INV DATE: 10/02/15 *** PAGE 1 OF 1 ***
DUE DATE: 11/01/15
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: 10/02/15 TERMS NET 30 DAYS
B/L #. . . 1183699-00 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 . : 540066735
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 11/01/15 INVOICE TOTAL USD 313 .40
PAID AFTER 11/01/15 INVOICE TOTAL USD 319 .67
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 10/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! 198742 $3,715.80
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 # 153280 WARRANT# ALLOWED
I
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
198742 01-6180-03 $3,715.80
Voucher Total L f�._)QZ&Z1 o
Cost distribution ledger classification if ( _
claim paid under vehicle highway fund