HomeMy WebLinkAbout258107 04/29/16 CITY OF CARMEL, INDIANA VENDOR: 359584
j ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: S"""`"912.30•
=a CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 258107
M,��oN�, CHICAGO IL 60686 CHECK DATE: 04/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 344202 912.30 OTHER EXPENSES
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VOUCHER # 161295 WARRANT# ALLOWED Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCF
359584 IN SUM OF $ CITY OF CARMEL
BRENNTAG MID-SOUTH INC
3796 RELIABLE PARKWAY An invoice or bill to be properly itemized must show, kind of servic(
CHICAGO, IL 60686-0037 performed, dates of service rendered, by whom, rates per day, nur
price per unit, etc.
Carmel Water Utility Payee
359584
ON ACCOUNT OF APPROPRIATION FOR BRENNTAG MID-SOUTH INC Purchase Oi
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686-0037 Due Date
Board members
i
Invoice Invoice Description
PO* INV# ACCT* AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or I
i'
4/25/2016 344202
344202 01-6180-03 $912.30
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Voucher Total $912.30 1 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
Cost distribution ledger classification if
claim paid under vehicle highway fund
Date
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BRENNTAGANDR:
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS344202 INV DATE: 4/18/16 PAGE 1 OF I
DUE DATE: 5/18/16
SOLD TO: SHIP TO:
CARMEL WATER CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID #: 610504545 DATE SHIPPED: 4/18/16 TERMS NET 30 DAYS
B/L #• . • ; 1373269-00 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 . : 618343107
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 873311 11 .87000 300.0000# .4510 135.30
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 877 .30
INS & SEC SURCHARGE 35.00
.................
PAID ON OR PRIOR TO 5/18/16 INVOICE TOTAL USD 912.30
PAID AFTER 5/18/16 INVOICE TOTAL USD 930.55
Original Document