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Home My WebLink About257835 04/26/16 y u!_�Agy CITY OF CARMEL, INDIANA VENDOR: 359584 ® ei ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: S"'•"2,389.60• r. CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 257835 CHICAGO IL 60686 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 'AMOUNT DESCRIPTION 601 5023990 BMS333245 305.60 OTHER EXPENSES 601 5023990 BMS333246 777.00 OTHER EXPENSES 601 5023990 BMS333247 1,307.00 OTHER EXPENSES VOUCHER # 161194 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 Audit Trail Code 333247 01-6180-03 $1,307.00 `7 Z_?, Voucher Total Z57a 6 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 359584 BRENNTAG MID-SOUTH INC Purchase Order No. 3796 RELIABLE PARKWAY Terms CHICAGO, IL 60686-0037 Due Date 4/11/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/11/2016 333247 $1,307.00 I hereby certify that the attached invoice(s), or bill(s) is(are)true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333247 INV DATE: 4/04/16 * PAGE 1 OF 2 DUE DATE: 5/04/16 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: 4/04/16 TERMS NET 30 DAYS B/L #. . 1358982-00 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 . : 612988113 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1.0000 253418 11 .87000 2000.0000# .3710 742.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- 2.0000 839284 1 .00000 200.0000# 2.3900 478.00 100.0000 # VDRM PRESTOCHLOR GRAN >A F/S -----------=-------------------------------------------------------------------- 2.0000 856389 1 .00000 100.0000# .5200 52.00 50.0000 # BAG SODIUM METABISULFITE TECH ESSECO MTL >A F/S -------------------------------------------------------------------------------- Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333247 INV DATE: 4/04/16 * PAGE 2 OF 2 DUE DATE: 5/04/16 SOLD TO: SHIP TO: Attach to Invoice# BMS333247 CARMEL UTILITIES PLT 1 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 1,272.00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/04/16 INVOICE TOTAL USD 1,307 .00 PAID AFTER 5/04/16 INVOICE TOTAL USD 1,333 .14 Original Document BRENNTAGMU BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333246 INV DATE: 4/04/16 ** PAGE 1 OF 1 * DUE DATE: 5/04/16 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: 4/04/16 TERMS NET 30 DAYS B/L #. . . : 1357366-00 . 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 . : 612988154 UNITS SHIPPED PROD # 'WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .3710 742.00 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 742.00 * **** * * ****** * * * ** ** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/04/16 INVOICE TOTAL USD 777 .00 PAID AFTER 5/04/16 INVOICE TOTAL USD 792.54 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333245 INV DATE: 4/04/16 PAGE 1 OF 1 DUE DATE: 5/04/16 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: 4/04/16 TERMS NET 30 DAYS . B/L #. . . : 1357385-00 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 . : 612988055 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .4510 270.60 150.0000 # 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 270.60 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/04/16 INVOICE TOTAL USD 305 .60 PAID AFTER 5/04/16 INVOICE TOTAL USD 311 . 71 Original Document