HomeMy WebLinkAbout259485 06/14/16 y ur.4�qy
CITY OF CARMEL, INDIANA VENDOR: 359584
tl ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******735.00*
+. ?� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 259485
CHICAGO IL 60686 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS378282 735.00 OTHER EXPENSES
VOUCHER # 161666 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
378282 01-6180-03 $735.00
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#: BMS378282 INV DATE: 5/25/16 * PAGE 1 OF 1 *
DUE DATE: 6/24/16
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: 5/25/16 TERMS NET 30 DAYS
B/L #. . . : 1411629-00 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 . .
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 6/24/16 INVOICE TOTAL USD 735.00
PAID AFTER 6/24/16 INVOICE TOTAL USD 749. 70
Original Document
y 1yf, A Ads
R ; �i�al���r�� ,Re't��
NNTA r xr�—Sal�i'�I
311 1 N POST_.Rb PHONE
DEA REQ ec„
Na, tla��O t+lY FAX:
TNPIANAPOLTS.
TN 46 . .
tz a:
I Ship * us
c.ARM I- Ur3:I..TTI S, pi T'
l fits.. 49 � � {I.ra6 �;;: scl2cl
CAR
CARMEL TIV CARMEL WA TER
: 450 WEST
131ST
ARh1Cl_ T ST.RT
Tib,46074 _
QUANTITY I�I11�Plt _ 117-571-24.41
SHIPPED }€. :
PACKAGING
IF LEAK OR SPILL HM' ,
OCCURS DURINGTRANSPORTATION; DESCRIPTION
. �CN��.7C? EhdEF��EN�Y CONfiA�_
�-, 24 LOURS 7 DAYS CA; L
dJh1 .iZ97;
1M.MA NE POLI'Ur al r-
axSanNla�KATTIN NAZARI;I; zaN
"ERG :14.
000 ?OOCI_ ICHL ORINg "
,.
Loc:l
° o _ OSE05
.,.- 17_0000
..• �raiiuc t -M ckod fI`om.:
Lot- 2
.` jri� ZS - COQ LDS= OSE05
11hf Per G-11
on,- S t O[l
eI V @ -- 9, ' Net
d:. Weih
pa=ted
01
tE
Ac .r #:
zap—
This IS to certify that the above named. e L
condition.for transportation act r� rtrx ens s ,ire properly class fled,described,_
ln9tto.the app tc ble re packaged,marked
Sign4ttire Of S --_ gulatton_of the De k and labeled,and are m'pcoper
hipper; partment of Transportation,
PURCHASER'S ACCE TANCE OF THE
BY THE PURCHASER OF ALL GOODS COVERED By THI3 DOC I
MOREOVER,PURCIIA R, TERMS BY
OF SALE STATED ON.THE Vf
REBY AC DOCUMENT SHALL CONSTITUTE ACCE
Received.b c f �HLEDGES REVERSE SIDE HE PTANCE
y �; RECEH'T OF ALL REQUIRED SDS(S).. SOF ='IJ
a We
Date: �,/t PZ
licab e a 4J /
the carrier.ApP j /� �e
e'tbrts to deliver Product and shallb e0 PdP'ducts have�6'er*:'�— .h�,.�`,:,. ? VUSI.OAIICp CC
vo ume,c,ncentratlon levels,and type
}.�,- - r �V�GrI
of the Product by Buyer.Seller shall not be res onsib!e mr an claim fer s es m respec"�^`�"Y,
er to vary or cancel this AgrcemeM,or to rlaim damag uost,Bellar'7y,at a
shall govern absent manifest error.9.A buyer shall provide adequate access to on Buyer's tanks,
r asonable req•
failure to supply shall in no event entitle Buy _
and e!1 risk of loss or damage shall thereupon be assumed by Buyer.9.6 Up