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HomeMy WebLinkAbout300035 07/12/16 d.��q ;`. CITY OF CARMEL, INDIANA VENDOR: 35 584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $***"4,858.07• rye �+ CARMEL, INDIANA 46032 3790 RELIABLE PARKWAY CHECK NUMBER: 300035 .y,�TON�°. CHI AGO IL 60686 CHECK DATE: ' 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 BMS394020 928.50 OTHER EXPENSES 601 5023990 BMS39402� 293.00 OTHER EXPENSES 601 5023990 BMS39514 735.00 OTHER EXPENSES 1206 4350900 BMS39725 1,914.60 OTHER CONT SERVICES 1206 4350900 BMS398380 986.97 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) BRENNTAG MID SOUTH INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3796 RELIABLE PARKWAY IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60686 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,901.57 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BMS397259 43-509.00 $1,914.60 1 hereby certify that the attached invoice(s),or 6/22/16 BMS397259 $1,914.60 1206 101 1206 101 BMS398380 43-509.00 $986.97 bill(s)is(are)true and correct and that the 6/23/16 BMS398380 $986.97 1206 101 materials or services itemized thereon for 1206 101 hick charge made-were-ordered and received except Friday,July 01,2016 Dave Huffman Director 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 , 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Brenntag Mid-South, Inc. B R E N NTAG 1405 Highway 136 W•P.O.BOX 20 Henderson,Kentucky 42419-0020 INVOICE#: BMS398380 INV DATE: 6/23/16 PAGE 1 OF 1 *** DUE DATE: 7/23/1 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST STREET REFLECTING POOL CARMEL IN 46074 THIRD AVE. & 126TH STREET CARMEL IN 46032 FEDERAL ID # : 610504545 . DATE SHIPPED: 6/23/16 TERMS NET 30 DAYS A_4 7 A 1A _O-rl--- _ _ Cy]T 7�-r iZic --- —7_0---Q �l e_ 1 n_TT_.,-2-99 9 i SZLi1 S V V - UH1S� -Y� _�. GJ.-I.JALI.:IU P1\U lV �' GJJ CUSTOMER # . : 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : 241REF FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 0031201550-020 PRO NUMBER . : 641457429 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 329 . 9803 365998 10 . 14000 329 . 9803G 2 . 9910 986 . 97 1 . 0000 G BULK SODIUM HYPOCHLORITE 12 . 50-o DRUM OFF-330 G POLY TOTE>A BLK -PO #17572 FOR 2008 -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 ************************************** REMIT TO ^ADDRESS:r�_ - - -- -- - - -- -- -- -- -- * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-GO37 ********************************* **** MERCHANDISE 986 . 97 ----------------- PAID ON OR PRIOR TO 7,'23/1 INVOICE TOTAL USD 986.97 PAID AFTER 7;23/1INVOICE TOTAL USD' 1, 006.71 Original Document ***ALL SALES SUBJECT TO AND GOVERNED BY THE TE S AND CONDITIONS SET FORTH ON THE REVERSE SIDE*** Brenntag Mid-South, Inc. BRENNTAGAW 1405 Highway 136 W•EO.BOX 20 Henderson,Kentucky 42419-0020 INVOICE#: BMS397259 INV DATE: 6/22/16 *** PAGE 1 OF 1. *** DUE DATE: 7/22/16 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST STREET REFLECTING POOL CARMEL IN 46074 THIRD AVE. & 126TH STREET CARMEL IN 46032 FEDERAL ID # : 610504545 DATE SHIPPED: 6/22/16 TERMS NET 30 DAYS 14423-$5=00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : 241REF FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX$# : 0031201550-020 PRO NUMBER . : 641074356 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 621 . 1180 723584 9 . 66000 . 621 . 1180G 3 . 0825' 1, 914 . 60 1 . 0000 G BULK MURIATIC ACID 20 DEG DRUM OFF-330 G POLY TOTE9A BLK PO #17572 FOR 2008 . --------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 ************************************** * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 ************************************** MERCHANDISE 1, 914 . 60 ----------------- PAID ON OR PRIOR TO 7/22/1E INVOICE TOTAL USD 1, 914 .60 PAID AFTER 7/22/lE INVOICE TOTAL USD 1, 952.89 Original Document ***ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE *** 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 6/26/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/2016 394020 $928.50 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 BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS394020 INV DATE: 6/17/16 *** PAGE 1 OF .1 DUE DATE: 7/17/16 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• 6/17/16 TERMS NET 30 DAYS B/L #. . . : 1437375-00 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 . : 639293729 -UNITS-SHIPPED-PROD-#--WGT/GAL--------TOTAL-QTY UNIT PRICE --------EXTENDED-- 1 .0000 253418 11 .87000 2400.0000# .3500 700.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------- ------------------------------J ---------------------------------------- 3 .0000 873311 11 -87000 450.0000# .4300 193 .50 150.0000 # CYL CHLORI E, 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 893 .50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 7/17/16 INVOICE TOTAL USD 928.50 PAID AFTER 7/17/16 INVOICE TOTAL USD 947 .07 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS394021 INV DATE: 6/17/16 PAGE 1 OF 1 DUE DATE: 7/17/16 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: 6/17/16 TERMS NET 30 DAYS B/L #. . . : 1437399-00 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 . : 639293562 UNITS SHIPPED PROD # WGT/GAL TQTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 60 .0000# 4300 258.00 150.0000 ## 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 258.00 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 7/17/16 INVOICE TOTAL USD 293 .00 PAID AFTER 7/17/16 INVOICE TOTAL USD 298.86 Original Document r BRENNTAGARME BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS395144 INV DATE: 6/20/161 PAGE 1 OF 1 * * DUE DATE: 7/20/16 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: 6/20/16 TERMS NET 30 DAYS B/L #. . 1440022-00 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 . : 640140422 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 7/20/16 INVOICE TOTAL USD 735.00 PAID AFTER 7/20/16 INVOICE TOTAL USD 749 .70 Original Document N'H d rt a Q �, o J• J�a a �� � a m`a ago Q'a4`Q3 �m o' a aF •---- •O g 4yy - $ic •'Si,.%� G/' J ro Jm,o S; C'V' y y Q c z aJ�a0•�eJ y !'� JQab"'°��a g �e ..y„ - - m{ 'V• sP f...° 4 v �z`0 4 � a `' J F a S'9�0 g .. •T# � s �Y ...j ° 'S 41 J c mF at a aa 'J �V Ja' o,Jo mea yo 5 cm rou'%o ro�o ro�6ma�i a S ya'`�Jm v• g ._ ik �k � ,_� .dam � a d °a mF J aJ a y QJ aS m aF C c-_ r8 C(3 4l3 �y OyJ� of.s'.,°ama °fie a`�J 'a 'DoQ a y y Q .� C{ aC . ©3 J�\ v, z",�FJLay mC� ras CD -a - 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Sls Per . : 299 Ship Via: OUR TRUCK - PKG Placed By: JOHN MASCARI Recv Mrs: 7:00 AM-- 4:00 Phi Phone#. . : 317-571-2443 Terms. . : NET 30 DAYS Cust PO# : VERBAL M QUANTITY PRODUCT CONTAINER GROSS ORDERED BACKORDERED CODE DEPOSIT WEIGHT EMTREC -TOLL FREE AT 1Ms300mk2 -930 WEIGHT IN LDS R teived : D to : AC CT Use: >A RPK 1.0000 253113 3360 Qty: 1.0000 2000.000 CYL 'd on next Page f Loaded By: ....... ..............................M. ...w.., ChecRed By: .......... Vehicle: w.......,..,.�. :.�._...�., ,_.�. Driver: �,.,. w�.�. � ............. Miles: �..�.......... «�... Time In/Time Ouy.... .�,_..,....�.w..., Wood Pallets ... Dlvd.......... , .... �..�.,. Wood Pallets Rtn: _�...... ....�....._,..�. ..._..,.....,, .... Plastic Pallets Dlvd,., .. �..,. .....,, Plastic Palle is f�t:n:�. ,......�,.....�..........�..��.�. COPY Bill of Lady ng/Shipmen t Receipt BRENNTAG MID-SOUTH PHONE: 31,7-898-8632 31.1.1 N POST RD FAX: DEA REG NO. 006601DNY INDIANAPOLIS,. IN 46226 Ship CARMEL WATER, PLANT 3 Shcd CARMEL WATER To: 4425 E. .126TH STREET Tto: 3450 WEST 231ST STREET CARMEL, IN 46032 CARMEL, IN 4.60741 Phone: 31.7-847-8834 CSF Ext: Phone: 317--571--21143 E�, : QUANTITY . SHIPPED PACKAGING HM DESCRIPTION IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN31.70 EMERGENCY CONTACT: CALL 24 HOURS J 7 DAYS . * IMS ME #: 639293562 * Pro #: Equip: DRY JAN Rh! UN.1017, RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B :ERG #: 1.24 CHLORINE 4.0000 150.0000 LD CYL 'CHLORINE, LIQUID .(BMS ONLY) Loc: A2R2A Qty: 50.0000 Product picked from: Lot: 2 Loc. A2R; Freight t:lass. . . . 200 'Weight Por Gallon: 11.87000 Net Weigh- JJ�RCHASERIS s to certify that the above named materials-are propeFly classified,described,packaged,marked,and labeled,and are in proper tion for transportation according o-tha ap�cable remdations of the Department of Transportation. ature of Shipper: r'`=� ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE HE PURCHASER OF ALL TERMS AND CONDITIONS OI+SALE STATED ON THE REVERSE SIDHE EOF. EOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S . eived by: � '� �.�;_` i. .,, _ Date• �.i CUS1 Bill of Ladinq/3hipmtrit Receipt Conti DRENNTAG MID-SOUTH PHONE: 317-898-8632 3111 N POST RD FAX: DEA REG NO. 006601ENY INDIANAPOLIS, IN 46226 Ship CARMEL ,UTILITIES PLT I Sold CARMIEL WATER To: 4915 E 106 ST To: 3450 WEST 121ST STREET C.ARNEL, IN 460-1113 CARMEL, IN 46074; Phone: ?17-571-2443 Ex Phone: 217--571--2443 Ext: QUANTITY PACKAGING HM DESCRIPTION SHIPPED IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL 24 HOURS / 7 DAYS TMS ME 6401404222 Pro: Equip: DRY VAN RQ UN1017, CHLORINE, :2.3,(5.1), RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B 'ERG ,r. CHLORINE 1.0000 2000.0000 LD - CYL CHLORINE, LIQUID (119 ONLY) 1oc, OSEOS ;Qty. 21.0000 Product pic*kod from" Lot: 2 Loc; O3E( Freight Class. . . . 200 Weight Per Gallon-: 11.B7000 Not Weight --------------------------- ------ jThis his is to certify that the above named materials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportation accordinrv�the applicable regulations of the Department of Transportation. Signature of Shippen-5� URCHASERIS ACCEPTANCE OF THE GOODS COVERED BY TINS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Ul HEREOF. Y THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE,, Y 1 1, OREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). Ic 71 Date: eceived by: CUE