HomeMy WebLinkAbout258939 05/31/16 ,_CSA
,,,,� CITY OF CARMEL, INDIANA VENDOR: 359584
® ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******543.55*
9 =q; CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 258939
a„�ieN�. CHICAGO IL 60686 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS364465 237.95 OTHER EXPENSES
601 5023990 BMS364466 305.60 OTHER EXPENSES
VOUCHER # 161497 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
364466 01-6180-03 $305.60
Voucher Total sq3 ,5
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 5/16/2016
Invoice Invoice Description
Date. Number (or note attached invoice(s) or bill(s)) Amount
5/16/2016 364466 $305.60
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
BRENNTAG ;-s
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS364465 INV DATE: 5/12/16 * PAGE 1 OF 1
DUE DATE: 6/11/16
SOLD T0: SHIP T0:
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: 5/12/16 TERMS NET 30 DAYS
B/L #. . 1401031-00 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 . : 627357908
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
3 .0000 873311 11 .87000 450 .0000# .4510 202.95
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 202.95
INS & SEC SURCHARGE 35.00
-----------------
PAID ON OR PRIOR TO 6/11/16 INVOICE TOTAL USD 237 .95
PAID AFTER 6/11/16 INVOICE TOTAL USD 242 . 71
Original Document
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS364466 INV DATE: 5/12/16 * PAGE 1 OF 1 ***
DUE DATE: 6/11/16
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: 5/12/16 TERMS NET 30 DAYS
B/L #. . . : 1401025-00 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 . : 627357957
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 6/11/16 INVOICE TOTAL USD 305.60
PAID AFTER 6/11/16 INVOICE TOTAL USD 311 . 71
Original Document '