HomeMy WebLinkAbout255319 02/09/16 CITY OF CARMEL, INDIANA VENDOR: 358405
CHECK AMOUNT: $****21,984.00*
(9,
ONE CIVIC SQUARE SOLENISCARMEL, INDIANA 46032 PO sox 116232 CHECK NUMBER: 255319
ATLANTA GA 30368-6232 CHECK DATE: 02/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 131024913 21,984.00 OTHER EXPENSES
VOUCHER # 157108 WARRANT # ALLOWED
358405 IN SUM OF $
SOLENIS
PO BOX 116232
Atlanta, GA 30368-6232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
P
Board members
PO# INV# ACCT# AMOUNT ! Audit Trail Code
131024913 01-7182-05 $21,984.00
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it
Voucher Total $21,984.00
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
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
358405
SOLENIS Purchase Order No.
PO BOX 116232 Terms
Atlanta, GA 30368-6232 Due Date 1/28/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2016 131024913 $21,984.00
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
4AIrkSolenis REMITTANCE ADVICE ORIGINAL
Page 1(1)
co Invoice Number Invoice Date Due De
H
M 1131024913 1121 Jan 2016 1120 Feb at2016
ri
Solenis LLC P.O.Number Payment Terms Payer Number
C14 3 Beaver Valley Road S15755 Net 30 Days 11441113
Suite 500 -To Number
Wilmington DE 19803 Shipped From Sales Order Num Bill
US GREENSBORO DOYLE ST PL PK 7341316 441113
USA
Remittance instructions below Billof Lading Number Incoterms DAP Dest Prepaid IShip-To Number
11000103990 1442287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
City. UOM Material Number Material Description Batch UOM Amount
Number USD
8 IBC 657240 PRAESTOL K 274 FLX IBC I OOOL 1512559 18,320 LB 1.2000 21,984.00
1601508
Should you have any questions regarding this Invoice Total
invoice,please contact USD 21..984.00
NANCY SANDS
at 866-293-8897
Remit to ACH Credit Wire transfer
P.O.Box 116232 Solenis LLC Solenis LLC
ATLANTA GA 30368-6232 Account Number:71522253 Account Number:30960491
Clearing House Payments Co L.L Citibank NA
Bank-ID:021052053 Bank-ID:021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment. GAWFSOWNS
Comments:
Federal ID number 46-5612095 D-U-N-S number 07-943-6434
The terms and conditions of this sale are set forth at http://www.solenis.com/
Print date 22 Jan 2016
visit us at www.solenis.com