HomeMy WebLinkAbout301346 07/28/16 i
CITY OF CARMEL, INDIANA VENDOR: 359584
i Fb 'iJ ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******963.50*
CARMEL, INDIANA 46032 37961RELIABLE PARKWAY CHECK NUMBER: 301346
MUTON�. CHICAGO IL 60686 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS423662I 228.50 OTHER EXPENSES
601 5023990 BMS423663 735.00 OTHER EXPENSES
VOUCHER# 162147 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
423663 01-=6180-03-
Voucher Total 3,tD
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 7/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2016 423663 735.00
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
Date Officer
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BRENNTAG - .
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
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INVOICE#: BMS423662 INV DATE: 7/21/16 * PAGE 1 OF 1 *
DUE DATE: 8/20/16
SOLD TO: SHIP TO:
CARMEL WATER CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
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FEDERAL ID #: 610504545 DATE SHIPPED. 7/21/16 TERMS NET 30 DAYS
B/L #. . : 1470761-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 1 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: JERRY CLOUD FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 35600972-001-9
PRO NUMBER . : 652061458
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
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3 .0000 873311 11 .87000 450.0000# .4300 193 .50
150.0000 # CYL CHLORINE., LIQUID (BMS ONLY)
j >A RPK
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QUESTIONS, CALL 317-898-8632
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* REMIT TO ADDRESS:
BRENNTAG MID-SOUTH, INC
3796 RELIABLE PARKWAY
* CHICAGO IL 60686-00371* MERCHANDISE 193 .50
*************************************** INS & SEC SURCHARGE 35.00
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PAID ON OR PRIOR TO 8/20/16 INVOICE TOTAL USD 228.50
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PAID AFTER 8/20/16 INVOICE TOTAL USD 233 .07
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Original Document
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BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS423663 INV DATE: 7/21/16 * PAGE 1 OF 1 ***
DUE DATE: 8/20/16
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES' i CARMEL UTILITIES PLT 1
3450 WEST 131ST STREET 4915 E 106 ST
CARMEL IN 46074 CARMEL IN 46033
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FEDERAL ID #: 610504545 DATE SHIPPED: 7/21/16 TERMS NET 30 DAYS
B/L #. . : 1470756-00 SHIP WHS: 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: JERRY CLOUD FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
PRO NUMBER . : 652061383
UNITS SHIPPED ,PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------i-----------------------------------------
1 .0000 253418 11 .87000 2000.0000# .3500 700.00
2000 .0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
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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 8/20/16 INVOICE TOTAL USD 735.00
PAID AFTER 8/20/1,6 INVOICE TOTAL USD 749.70
Originil Document
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