HomeMy WebLinkAbout257099 04/05/16 ® \ CITY OF CARMEL, INDIANA VENDOR: 359584
; ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******735.00*
x. Via: CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 257099
•y�TON�. CHICAGO IL 60686 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS312965 735.00 OTHER EXPENSES
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 3/14/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/14/2016 312965 $735.00
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 # 154592 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
�i
1 Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
.I
312965 01-6180-03 $735.00
1
I
i
Voucher Total $735.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS312965 INV DATE: 3/08/16 ** PAGE 1 OF 1
DUE DATE: 4/07/16
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: 3/08/16 TERMS NET 30 DAYS -
B/L #. . . : 1333689-00 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 . : 600904916
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
1 .0000 253418 11 .87000 2000.0000## .3500 700 .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 700.00
INS & SEC SURCHARGE 35 .00
-----------------
PAID ON OR PRIOR TO 4/07/16 INVOICE TOTAL USD 735.00
PAID AFTER 4/07/16 INVOICE TOTAL USD 749.70
Original Document