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Home My WebLink About305507 11/28/16 0CITY OF CARMEL, INDIANA VENDOR: 359584 / ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,991.50*. �_� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 305507 '',�TaN_�O, CHICAGO IL 60686 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 508065 735.00 OTHER EXPENSES 601 5023990 518930 228.50 OTHER EXPENSES 601 5023990 518931 293.00 OTHER EXPENSES 601 5023990 518932 735.00 OTHER EXPENSES VOUCHER# 163269 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 508065 01-6180-03 735.00 Voucher Total 735.00 Cost distribution ledger classification if claim paid under vehicle highway fund BRENNTAG c, BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS508065 INV DATE: 11/03/16 * PAGE 1 OF 1 DUE DATE: 12/03/16 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 11/03/16 TERMS NET 30 DAYS B/L #. . . : 1574332-00 SHIP WHS: 29 SALESPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: WILLIAM BELL FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 692382641 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 12/03/16 INVOICE TOTAL USD 735.00 PAID AFTER 12/03/16 INVOICE TOTAL USD 749.70 Original Document lnt Receipt Page . .I of 2 PHONE: 317-893-•5632 11/03/16 7:46:03 FAX: rB R E N N TAG '_� ' ,. BOL# . : 1574332-00 Delv Date: 11/03/16 PLT ;, Sold CITY OF CARMEL UTILITIES ; Customer: 407542 Ship To: 11 Shap Date: 11/03/16 O Ship Frau: 29 To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt _Code 3 CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : BM29MLA Sls Per .: 293 Shap Via: OUR TRUCK - PKG Placed By: WILLIAM BELL Recv Hr-s: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443 >.443 Ext: Phone: 317-571-2443 Ext: Terms. . : NET 30 DAYS Cust PO# : WILLIAM BELL PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CONTAINER GROSS 1 ORDERED BACK ORDERED CODE DEPOSIT WEIGHT CURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-500--424-9300 WEIGHT 24 HOURS / 7 DAYS IN LBS FREIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. t !CHLORINE, Q AMARINE POLLUTANT ►� i 1 POISON'-INHALATION HAZARD„ ZONE B C T IERG #: 124 CHLORINE Use : }- ( �.. .... )000 LB.. CYL CHLORINE, LIQUID (BMS ONLY) FA Reit::- r .00Oo 253418- 3360 ILoc: OSE05 i Qty: 13.0000 a�w_ ,Product packed from: � Y Lot: 2 Loc: OSE05 Qty: 1.0OQ jFreight Class. . .: 200 ; .. j iWeight Per Gallon: 11,87000 Net Weight: 2000,000 CYL d______________ _ _______..______..__________________________ _________ _.._ _ _______rte. _ .._______..__ _______ _________ _____ jy i lryTotal Net Weight- � A2,000 TotalrGross Weight: �+3,360 I J,materials are properly classified,described,packaged,marked,and labeled,and are in proper /=� >/Io the applicable regulations of the Department of Transportation wS � ,.,._._.,...�-1 Loaded By: ......... Checked Checked By: Vehicle• Driver «....«.ww."«.w....««:».».w«.w".«. •.w.. �w".«,...".ww.»»•..• IF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCEm .`"«.w".«'""..•. 'ERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. WoodMiles:alle »...".....«».».." Time In/Tete Outw"•"•" '""""'"" Wood Pallet;HW .»».ww..."..».«...". tEB1 A�� L REGa) IPT OF ALL REQUIRED SDS(S)• .. Wood Pallets Rtn:., Plastic Pallets Plastic Pallets Rtn: Date: CUSTOMER COPi' VOUCHER # 163403 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 518930 01-6180-03 228.50 5 I'WIG,31 V zc .S.00' ;.�1 z f�, Com' 51 g g�1 ,t Voucher Total (�� ez""o 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 [NVOICE#: BMS518930 INV DATE: 11/17/16 * * PAGE 1 OF 1 ** DUE DATE: 12/17/16 SOLD T0: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 ?EDERAL ID #: 610504545 DATE SHIPPED: 11/17/16 TERMS NET 30 DAYS 3/L #. . . : 1590863-00 SHIP WHS : 29 SALESPRSN: 293 :USTOMER ## . : 407542 SHIP VIA: OUR TRUCK - PKG 'USTOMER PO#: VERBAL FOB . . : DELIVERED ?RGT COMMENT: PREPAID TAX EX# : 356000972-001-9 ?RO NUMBER . : 697885358 JNITS SHIPPED PROD # WGT/GAL TOTALQ TY UNIT PRICE EXTENDED --------------------------------------------------- ------------------------------------ 3 .0000 873311 11 .87000 450 . 0000# .4300 193 .50 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------- JESTIONS, CALL 3.17-898-8632 k�frFFF'F�eF�ek�ek�e�'kk��e��ekk�e�eFk%k�eF�e�eFkkkk REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686-0037 * MERCHANDISE 193 . 50 INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 12/17/16 INVOICE TOTAL USD 228.50 PAID AFTER 12/17/16 INVOICE TOTAL USD 233 .07 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS518931 INV DATE: 11/17/16 *** PAGE 1 OF 1 DUE DATE : 12/17/16 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 ?EDERAL ID #: 610504545 DATE SHIPPED: 11/17/16 TERMS NET 30 DAYS 3/L #. . . : 1590857-00 SHIP WHS : 29 SALESPRSN: 293 :USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG '.USTOMER PO#: VERBAL FOB . . : DELIVERED ?RGT COMMENT: PREPAID TAX EX# : 35600972-001-9 ?RO NUMBER . : 697885283 JNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ------------------------------------------------------------------=------ 4.0000 873311 11 .87000 600 . 0000# .4300 258.00 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ----------------------------------------------------------------------------- JESTIONS, CALL 317-898-8632 FF�eFF� F� Te� Te� TeF�e�e� F��e�e�oFF9eF�ek�c:F�ekF��e9e9e REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686-0037 MERCHANDISE 258.00 INS & SEC SURCHARGE 35.00 PAID ON ON OR PRIOR TO 12/17/16 INVOICE TOTAL USD 293 .00 PAID AFTER 12/17/16 INVOICE TOTAL USD 298.86 Original Document BRENNTAG :111.1 . BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS518932 INV DATE: 11/17/16 * PAGE 1 OF 1 DUE DATE: 12/17/16 SOLD T0: SHIP T0: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 ?EDERAL ID #: 610504545 DATE SHIPPED: 11/17/16 TERMS NET 30 DAYS 3/L #. . . . : 1590851-00 SHIP WHS : 29 SALESPRSN: 293 :USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG :USTOMER PO#: VERBAL FOB . . : DELIVERED ?RGT COMMENT: PREPAID TAX EX# : 356000972-001-9 ?RO NUMBER . : 697885192 JNITS 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 ------------------------------------------------------------------ JESTIONS, CALL 317-898-8632 FFF 'e��9e� Y�eF� FFk��rkk��e� F�rkF��ek� F��s�e�ek 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 12/17/16 INVOICE TOTAL USD 735.00 PAID AFTER 12/17/16 INVOICE TOTAL USD 749. 70 Original .Document ?nt Receipt * Continued from Previous Page Page 2 -of 3 PHONE: 317-398-'5632 11/17/16 2:50:4� B R E N N TAG ® • FAX: X26 BOL# . : 1590863-00 Delv Date: 11/17/16 _ANT 5 Sold CITY OF CARMEL UTILITIES ( Customer: 407542 Ship To: 4 Ship Date: 1 ./17/16 0 Ship From: 29 TREET To: 3450 WEST 131ST STREET ' At'tn- Fri Terms: PREPAID Fri Code 2 CARMEL, IN 46074 f 'FOB. . . : DELIVERED Taken By : EM29CLF Sls Per , : 293 c Ship Via: OUR TRUCK '- PKG Placed By: JERRY CLOUD Recv Hrs: 7:30 AM- 4:00 PM Phone#. , : 317-571-2443 2634 Ext: . Phone:. 317-•5.71-2443 Ext: ; Terms. . : NET 30 DAYS Cust PO# : VERBAL PACKAGING HM DESCRIPTION ! M QUANTITY j PRODUCT CONTAINER GROSS I ORDERED BACK ORDERED CODE DEPOSIT WEIGHT CCURS DURING TRANSPORTATION: _ CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-500•-424-9300 WEIGHT 24 HOURS / 7 DAYS IN LBS _RQ UN1017, s ; CHLORINE, I RQ,MARINE POLLUTANT iPOISON-"INHALATION HAZARD; ZONE B I ' ERG #: 124 i ? CHLORINE .0000 LB CYL iCHLORINE, LIQUID (BMS ONLY) >A 'RPK 3.0000 873311 720 jLoc: A2R2A I ! Qty: • 113.0000 1Product picked from: Lot: 2 Loc: A2R2A ! Qty: 3,0000 i ;Freight Class. . . : 200 lWeight Per Gallon: 11.87000 Net Weight: 450.000 CYL .� ___ ______.._____.i~__� --------- w - - MM - _~N- -- ws R e c e 1 V e d : � � oial Ne� Weight: Total 3r®ss-Wei g�,i>____ _720 I ; Date : j PO #: (� ACCT #: Use : 21 -� - ie�rials are properl clas ified,described,packaged,marked,and S �j ing'to"t a applicable re ations of the Department of Transportation. ; Loaded By: ".".".,,.»,,,,,",.,,.,,,,." ."».»,. _ Checked By. Vehicle: Veri . » OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE `"•»»•» Dr TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE H EOR I Miles. _ _» " ^»»»» »»» Time In/Time"Out_._,,,.» EREBYCA`,,KNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S. rWood Pall t » v ...".Dl " ", ,,,,,,,,,,,,,",,,, l Wood Pallets n R Plast " Pallets "..",...",.. PlasticPalle'tsRtn ».,".,." ,.�"...." .....»,,..... Date• is P i CUSTOMER COPY Bill of Lading/Shipment Receipt Continued from Previous Page '*** Page 2 of 3 - BRENNTAG MTD-SOUTH PHONE: 317-898-8632 11/17/16 2:50:27 6 R E N N T 3111 'N POST RD FAX: :,a' DEA REG NO. 00660IBNY "V INDIANAPOLIS, IN 46226 BOL# . : 1590857-00 Delv Date: 11/17/16 Shap CARMEL WATER, PLANT 3 Sold CITY OF CARMEL UTILITIES ( Customer: 407542 Ship To: 5 Ship.Date: 11/17/16 0 Shil To: 4.42.5 E. 126TH STREET To: 3450 WEST 131,ST STREET � Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . : DELIVERED , Taken By : BM29CLF Sls Ship Via: OUR TRUCK - PKG Placed By: JERRY CLOUD Recv Hrs: 7:30 AM- 4:00 PM Phone#k. . : 317-571-2443 Phone: 317-847- 8834 C# Ext: Phone: 317-°571-2443 Ext: I Terms. .: NET 30 DAYS Cust PO# : VERBAL QUANTITY SHIPPED PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON ORDERED BACK ORDERED CODE DEI IF LEAK OR SPILL OCCURS .DURING TRANSPORTATION: CCN3170 , EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 24 HOURS J 7 DAYS !RQIUN1017, ICHLORINE, �- �RQ,MARINE POLLUTANT .,POISON-INHALATION HAZARD, .ZONE B ERG #: 1.24 7 ICHLORINE 4.0000 ,150"0000 LB CYL ICHLORINE, LIQUID (BMS ONLY) >A RPK 4.0000 873311 I Loc" A2R2A { Qty: 11.3.0000 Product picked from: I' I Lot: 2 Loc: A2R2A; Qty: 4,0000 lFreight Class. . " : 200 lWeight Per Gallon: 1.1.87000 Net Weight: 600.000 CYL -------------- _ ----- ---- I -� _________ R�C e i v e df._ �� r� ��I __--------------------------------- ------------------- Weight - _____ a _ _- - W Total. Ne Weight: 600 Total ``rass�Wea ght: I Date : PO # : 1 r, J ; ACCT # : cu s �, k Use : This is to certify that the ab c^nmed maw terials are properly classified,described,packaged, condition for transporlano/n according t the applicable e��alahons of the Department of Transportation. G Loaded »»» » ------ "/p '' P Y� Checked By: Signature of Sht per r, Y Vehicle: » river" PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE f BY THE PURCHASER"OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF M�lPS"------"„^ „•"•„»-m•”»•„••."•.••...». ..„.„ T�me In/Time Qut,„„„ MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIREDSDS(S). I d Pallets Dl d ,„»„ Wood Pallets R'tn: _ Woo l v y: _, Plastic Pallets D1vd„ Plastic Pallets Rtn: Received b i_ C� i i Date: CUSTOMER COPY Bill of Lading/Shipment Receipt Page 1 of 2 BRENNTAG MID-SOUTH PHONE: 317--598-°8652 1,1/17/16 2:51:11 B R E N N1 3111 N POST RD FAX: DEA REG NO. 00660IBNY INDIANAPOLIS, IN 46226 3 BOL# 159Q,851-UO Dely Date: 11/1.7/1.6 Ship CARMEL UTILITIES PLT 1 Sold CITY OF CARMEL UTILITIES Customer: 401-042 Ship To: 11 Ship Date: 11/17/16 A 'Shi To: 491.5 E 1.06 ST To: 3450 WEST 131ST STREET ' Attn- Frt Terms: PREPAID . ' Frt CARMEL, IN 46033 CARMEL, IN 46074 FOB. . . : DELIVERED , - Taken By : BM29CLF Sts Ship Via: OUR TRUCK - PKG Placed By: JERRY CLOUD i Recv Hrs: 7:30 AM- 4:00 PM Phone#. .: 317-571--2443 Phone: 317 -571-2443 Ext: Phone: 31.7-571-2443 Ext: Terms. . : NET 30 DAYS Cust PO# : VERBAL QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CO(` SHIPPED ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: V CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-500-424-9300 24 HOURS / 7 DAYS FREIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. R!e-t-e I V a d Ccc I 1 Date : t RQ' UN1.01.7, PO # CHLORINE, ACCT #: l� •3 IRQ,MARINE POLLUTANT Use : 1POISON-INHALATION HAZARD, .ZONE B I !ERG #: 124 !CHLORINE I 1.0000 2000.0000 LB CYL ; ' ` CHLORINE, LIQUID (BMS ONLY) I. >A RPK 1.0000 253418' Loc: OSE05 ! Qty: 15.0000 . ! Product packed from: Lot: 2 Loc: OSEO5 Qty: 1.0000 ;Freight Class. . . . 200 ____.._____,�..__ ______�.____________ r _ Weight-Per-Gallon:^-+M11w87000� Net Weight: ; ^2000YOOU--CY-p _ _______a_ ___________ ___ _-- w! _ _ }_ Total N0 Weight: 2,000 TotalM:Sross Weight: I I " f E I. This is to certify that the above��n�a �med ma s are properly�classified,described,packaged,marked,and labeled,and are in proper ! condition for transportatio a cl ording-t ie applicable reg atipn3of the Department of Transportation. Loaded " Signature of Shipp r: y- ",,,,,,, .,, Checked By: Vehicle: Driver: PURCHASER'S ACCEP NCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE �' Miles:.,,"„",:.:: "..",..,..M.,..,,,"",".w Time in/Time Out,,.,.,,...... .......... BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Wood Pallets• Dlvd," " ,",,,,,.,"", ", Wood Pallets MOREOVER,PURCHASER, REBS ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). 4/_. 'Plastic Pallet$ Dlvd" Plastic Pallets R�tn: Received by: ir- f Date: / CUSTOMER COPY