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HomeMy WebLinkAbout306110 12/12/16 9"'` CITY OF CARMEL, INDIANA VENDOR: 367949 c;; E ONE CIVIC SQUARE MILLER INDUSTRIAL FLUIDS LLC CHECK AMOUNT: $�'....*958.85• �; ?� CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 306110 ��'�TON.�°. INDIANAPOLIS IN 46221 CHECK DATE: 12/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 41005 958.85 OTHER EXPENSES N N E 72 cc 0 00 LL O v LU D Q a LO CR co co LO C6 z CD LL rn O +' O < Q a LLL C%4 13- O it Cl) n s CMO Q � a U N M HOZ Q U c0 F- Z LL Q o H v> (A O (n Z O > J E L. � Z } O > LO c LU CL O Z a > _ Zr-) ILLJ* T V U � J � 'a Q CL O co � tiZ O O o 'm Page 1 of 1 M MILLER 41005 11/30/16 MILLER INDUSTRIAL FLUIDS,LLC " 44223 12/30/16 1751 W. Raymond St. Phone: (317) 634-7300 Fax: (317) 636-6761 Indianapolis, IN 46221 USA INVOICE Sold To: Ship To: City of Carmel Utilities City of Carmel/Water Treatment 3450 W 131st St Plant Carmel, IN 46074 4915 E 106th St USA Carmel, IN 46033 USA 11/18/16 Sales will Deliver-Herb Net 30 7M11716-B Herb Simpson 11/8/16 CITYCARMEL ymF h YI1c 15. 5 GAL PAIL 15. GAL Summit Svnqear SH-7150 60.090/ GAL 901.35 13050XX0005 Summit Syngear SH-7150 5. 5 GAL PL-R 5. GAL Supro R&0 32 11.500/ GAL 57.50 15057MI0005 Supro R&0 32 Merchandise SubTotal 958.85 Total Invoice 958.85 �If t ih . Miller Industrial Fluids, LLC • 1751 W. Raymond St. • Indianapolis,IN • 46221 USA 3 STRAIGHT 'LADING M MILLER 001"', /0 From: Miller Industrial Fluids,Inc. At: 1751 W. Raymond St. MILLER INDUSTRIAL FLUIDS,LLC Indianapolis,IN 46221 44223 PHONE:(317)634-7300 FAX:(317)636-6761 Page 1 of 1 B City of Carmel Utilities H City of Carmel/Water Treatment Plant FOR CHEMICAL I 3450 W 131st St I 4915 E 106th St EMERGENCY L Carmel, IN 46074 Carmel IN 46033 SPILL,LEAK, L USA P � FIRE,EXPOSURE, USA OR ACCIDENT T 317-716-6624 T 317-716-6624 CALL:CHEMTREC 0 0 DAY OR NIGHT - � 0*.� � SHIPMENTS VIA D.O.T.HAZARDOUS MATERIALS PLACARDS FURNISHED BY: 800-424-9300 CITYCARMEL Lodnel Sales will Deliver-Herb MOTOR CARRIER ❑ SHIPPER El CARRIER JM11716-B 11 18 2016 Yes QUANTITY QUANTITY PACKAGING HM DESCRIPTION NET WEIGHT GROSS FRT ORDERED SHIPPED WEIGHT CLS 3 3 5GALPAIL Summit Syngear SH-7150 107 107 1305OXX0005 Summit Syngear SH-7150 3 PAIL 1 1 5GALPL-R Supro R&O 32 37 40 15057MI0005 Supro R&O 32 1 PL-R Total Weights: 143 146 Rceived : D te . ��_z�— �� P # : I [ -7 1 to d3 A CT # : 2-0 `3 U e . © sI 4r tvlo SHIPPER'S CERTIFICATION This is to certify that the above named materials are properly classified,described, COQ packaged,marked and labeled and are in proper condition for transportation according to the applicable regulations of DOT. SHIPPER'S CHECKLIST Amt: $ 0.00 (Signature/Title) If the shipment moves between two ports by a carrier by water,the law requires t at the bill of-- DOT LABELS DOT DELIVERED BY: lading shall state whether it is"carrier's or shipper's weight"NOTE where the rate Is dependent pppLIED AND AUTHORIZED on value,shippers are required to state specifically in writing the agreed or declared value of SECURE CONTAINERS the property. The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding per PROPER DOT CHECKED FOR RECEIVED BY: FREIGHT CHARGES NAME ON ALL PROPER Subject to Section 7 of the conditions,if this shipment is PACKAGES SEALING to be delivered to the consignee without recourse on the If charges are to be consignor,the consignor shall sign the following prepaid,write or statement: stamp here,'TO BE PREPAID" AIR CARGO PELIGRO DATE: ONLY LABEL APPLIED The carrier shall not make delivery of this shipment without payment of freight and all other lay.qui charges. r SIGNATURE HEREBY CONFIRMS /SHIPPING THAT QUANTITY SPECIFIED IS (Signature of Consignor) PLANT CORRECT AND RECEIVED IN GOOD CONDITION