HomeMy WebLinkAbout258535 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 358405
�)•. ONE CIVIC SQUARE SOLENIS CHECK AMOUNT: $••••21,984.00•
ii •'a CARMEL, INDIANA 46032 P 0 BOX 116232 CHECK NUMBER: 258535
9;ETON ATLANTA GA 30368-6232 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
65'1 5023990 131047480 21,984.00 OTHER EXPENSES
VOUCHER # 165248 WARRANT# ALLOWED
358405 IN SUM OF $
SOLENIS
PO BOX 116232
Atlanta, GA 30368-6232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
131047480 01-7182-05 $21,984.00
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 5/3/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/3/2016 131047480 $21,984.00
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
G%smenis INVOICE ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0
131047480' 27 Apr 2016 27 May 2016
�o
IV Solenis:LLC P.O.Number Payment Terms Payer Number
3 Beaver Valley Road S16044 Net 30 Days 1441113
c Suite 500
Wilmington DE 19803 Shipped From 'Sales Order Num JFBIII-To Number
USA US GREENSBORO DOYLE ST PL PK 7377428 441113
i
k
Remittance instructions below Bill of Lading Number Incoterms:DAP Dest Prepaid Ship-To Number
1000122426 11442287
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
Qty. UoM Material Number Material Description Batch Billing Oty. UoM Unit Price Amount
Number USD
8 IBC 657240 PRAESTOL K 274 FLX IBC 1000L 1604511 18,320 LB 1.2000 21,984.00
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 Cc 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.
/soLeNs
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 28 Apr 2016
visit us at www.solenis.com
nulftfilu 700 S.Waverly Rd.
HOLLAND,MICHIGAN 49423 SHIPPER BOL NO. PRO NUMBER
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! RECEIVED IN GOOD CONDITION EXCEPT AS NOTED. WHEREAPPLICABLE
/ - SHIPMENT DELIVEPEQ WITH WRAP INTACT UNLESS OTHERWISE NOTED.
OUT DRIVER
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