HomeMy WebLinkAbout255702 03/01/16 o'_��A,,f CITY OF CARMEL, INDIANA VENDOR: 359584
® i ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,794.80*
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 255702
°'��r`oN�O' CHICAGO IL 60686 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 291478 793.00 OTHER EXPENSES
601 5023990 291479 1,001.80 OTHER EXPENSES
BRENNTAGAME:
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS291479 INV DATE: 2/09/16 PAGE 1 OF 1 *
DUE DATE: 3/10/16
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: 2/09/16 TERMS : NET 30 DAYS
B/L #. . : 1306745-00 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 . : 590350690 -
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
--------------------------------------------------------------------------------
3 .0000 873311 11 .87000 450.0000# .4640 208.80
150.0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
--------------------------------------------------------------------------------
QUESTIONS, CALL 317-898-8632
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* REMIT TO ADDRESS:
BRENNTAG MID-SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686-0037 MERCHANDISE 966 .80
* INS & SEC SURCHARGE 35.00
-----------------
PAID ON OR PRIOR TO 3/10/16 INVOICE TOTAL USD 1,001 .80
PAID AFTER 3/10/16 INVOICE TOTAL USD 1,021 .84
Original Document
BRENNTAG -
T
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS291478 INV DATE: 2/09/16 * PAGE 1 OF 1 *
DUE DATE: 3/10/16
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: 2/09/16 TERMS NET 30 DAYS
B/L #. . . 1306737-00 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 . : 590350534.
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 3/10/16 INVOICE TOTAL USD 793 .00
PAID AFTER 3/10/16 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 MID-SOUTH INC Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686-0037 Due Date 2/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/15/2016 291479 $1,001.80
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# 154322 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 r Audit Trail Code
291479 01-6180-03 $1,001.80
c.
fi
Voucher Total 80
Cost distribution ledger classification if
claim paid under vehicle highway fund