HomeMy WebLinkAbout252236 1 2/08/1 5 >i ��`'� CITY OF CARMEL, INDIANA VENDOR: 359584
® ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $""*"'793.00'
�. r' CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 252236
oy,,oN,�, CHICAGO IL 60686 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BMS176980 793.00 OTHER EXPENSES
BRENNTAG W 41%
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS176980 INV DATE : 9/04/15 *** PAGE 1 OF 1 ***
DUE DATE : 10/04/15
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: 9/04/15 TERMS NET 30 DAYS
B/L #. : 1159360-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: 515421 FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
PRO NUMBER . : 531730018
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
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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
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 12/3/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/2015 BMS176980 $793.00
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 # 156777 WARRANT # ALLOWED
359584 ,I IN SUM OF $
B R E N N TAG-(USI ) f"�C>i• �ti� �-
3796 Reliable Parkway
CHICAGO, IL 60686
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR.
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
BMS176980 01-7182-05 $793.00
Voucher Total $793.00
Cost distribution ledger classification if
claim paid under vehicle highway fund