308057 02/13/17 %''4Ap'�'•- CITY OF CARMEL, INDIANA VENDOR: 359584
i. ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CHECK AMOUNT: $*****1,485.00'
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 308057
vM moo;= CHICAGO IL 60686 CHECK DATE: 02/13/17
l ypN G
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 566074 228.50 OTHER EXPENSES
601 5023990 566075 228.50 OTHER EXPENSES
601 5023990 566076 293.00 OTHER EXPENSES
601 5023990 566077 735.00 OTHER EXPENSES
VOUCHER # 163911 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
566076 01-6180-03 293.00 ,
5 I,1,t)-7L{
5(at.e b79�, 1L
5 Ce[e D'T'1 t �3J`
Voucher Total
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#: BMS566076 INV DATE: 1/24/17 * PAGE 1 OF 1 ***
DUE DATE: 2/23/17
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID #: 610504545 DATE SHIPPED: 1/24/17 TERMS NET 30 DAYS
B/L #. . . : 1649169-00 SHIP WHS : 29 SALESPRSN: 293
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
PRO NUMBER . : 722986155
UNITS 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
--------------------------------------------------------------------------------
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 2/23/17 INVOICE TOTAL USD 293 .00
PAID AFTER 2/23/17 INVOICE TOTAL USD 298.86
Original Document
BRENNTAG AME
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS566074 INV DATE: 1/24/17 * * PAGE 1 OF 1
DUE DATE: 2/23/17
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5
3450 WEST 131ST STREET 5484 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID #: 610504545 DATE SHIPPED: 1/24/17 TERMS NET 30 DAYS
B/L #. . . . : 1649083-00 SHIP WHS : 29 SALESPRSN: 293
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB : DELIVERED
FRGT COMMENT: PREPAID TAX EX# 356000972-001-9
PRO NUMBER . : 722986684
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
3 .0000 873311 11 .87000 450.0000# .4300 193 .50
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 193 .50
INS & SEC SURCHARGE 35.00
-----------------
PAID ON OR PRIOR TO 2/23/17 INVOICE TOTAL USD 228.50
PAID AFTER 2/23/17 INVOICE TOTAL USD 233 .07
Original Document
BRENNTAG M
Air '
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS566075 INV DATE: 1/24/17 PAGE 1 OF 1 *
DUE DATE: 2/23/17
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
FEDERAL ID #: 610504545 DATE SHIPPED: 1/24/17 TERMS NET 30 DAYS
B/L #. . . : 1649097-00 SHIP WHS : 29 SALESPRSN: 293
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 35600972-001-9
PRO NUMBER . : 722986130
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
-------------------------------------------------p
873311 11 .87000 450.0000# .4300 193 .50
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 193 .50
* ** ***** *** * ************* ** INS & SEC SURCHARGE 35.00
-----------------
PAID ON OR PRIOR TO 2/23/17 INVOICE TOTAL USD 228.50
PAID AFTER 2/23/17 INVOICE TOTAL USD 233 .07
Original Document
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS566077 INV DATE: 1/24/17 * PAGE 1 OF 1 **
DUE DATE: 2/23/17
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: 1/24/17 TERMS NET 30 DAYS - -
B/L #. . . : 1649173-00 SHIP WHS : 29 SALESPRSN: 293
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: VERBAL FOB . . : DELIVERED
FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9
PRO NUMBER . : 722986189
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 2/23/17 INVOICE TOTAL USD 735.00
PAID AFTER 2/23/17 INVOICE TOTAL USD 749. 70
Original Document
A Receipt Page 1 of 2
PHONE: 317°-893-3632 ' 1/24/x.7 7:21:54
FAX: 4. BREIV,NTAG
BOL# .: 1649173-00 Delv Date: 1/24/17
PLT I Sold ..CITY OF CARMEL UTILITIES Customer: 4.07542 Ship To: 11 Ship Date: 1/24/17 0 Shap From,: 2
To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt Code
CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : BM29RAG Sls Per . : 293
Ship Via: OUR TRUCK - PKG Placed By:, JERRY CLOUD
Recv Mrs: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443
"43 Ext:' Phone: 317-571-2443 Ext: Terms. . : NET 30 DAYS Cust PO# : VERBAL
PACKAGING NM DESCRIPTION M QUANTITY PRODUCT CONTAINER GROSS
ORDERED BACK ORDERED CODE 'DEPOSIT WEIGHT
:CURS DURING TRANSPORTATION:
CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 WEIGHT
24 HOURS / 7 DAYS IN LBS
r f FREIGHT CARRIER:, INVOICE TMS VIA EDI OR CARRIER PORTAL.
CHLORINE, �..
RQ,MARINE POLLUTANT
POISON-INHALATION HAZARD, ZONE B
;ERG #: 124
€ CHLORINS
700 LB CYL ` ` CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253418 sA3360
10c: OSE05
na. . 9.0000
�Q z l.0/4/ r duct picked from:
Lot: 2 Loc: USE05 . Qty: 1.0000
-A fight Class. . . : 200
`� 11•� Weight Per- Gallon: 11.87000 Net
4R �es�'�m yeea a ne�E®si'�ine i� Weight" 2000.000 CYL
e« . . e. ..-- -- . . .+ .. .—
— , —mw, .e----el --- ---------------
Total
— .-- V. .. --
Total Net Weight: 2,000 TotalrossW 3ht: , 3,360
aterials are properly classified,described,packaged,marked,and labeled,and are in proper
�t he ap cable regulations of he Department of Transportation.
Loaded By: ` . ».... ..,�... .��",,,. Checked By:
Vehicle: Driver:
F THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles:» „»»» »»»»"»»»» »N»»»»� Time In/Tame out,,-- »
ERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HE EOF Wood Pallets D1 vd "" ' " ""
EBY AGICq(OWL GES RECEIPT OF ALL REQUIRED SDS(S). " Wood Pallets t
W l R n• ;,
Plastic Pallets UlvdPlastic Pallets Rtn• "�
,/e" Date: --------
r% CUS'TOMI R COPY
nt Receipt rt.. * Continued from Previous Page * Page 2 of - 3
PHONE: :317-898-8632 1/24/17 7-:20:,;21
FAX B R E N N TAG
BOL# .. . : 1649169-00 Delv Date: 1/24/17
ANT 4 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 6 Ship Date: 1/24/17 0 Ship From: 29 ,1:� ,c
AD To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt Code
CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : BM29RAG Sls Per .: '293
. Ship Via: OUR TRUCK - PKG Placed By: JERRY CLOUD
Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443
917 Ext: Phone: 317-571°-2443 Ext: „ Terms. .: NET 30 DAYS Cust PO# : VERBAL
PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CONTAINER GROSS
ORDERED BACK ORDERED CODE DEPOSIT WEIGHT
:CURS ,DURING TRANSPORTATION:
CCN3170 EMERGENCY CONTACT: CALL .CHEMTREC TOLL FREE AT 1-800-424-9300 WEIGHT
24 HOURS / 7 DAYS IN LBS,
RQ. UN1017, u.,
-, CHLORINE,
I �RQ,MARINE POLLUTANT ;
POISON-INHALATION HAZARD, ZONE B
i ERG #: 124
CHLORINE
000 LB CYL CHLORINE,' LIQUID (BMS ONLY) >A RPK 4.0000 873311 960
I Loc: A2R2A
j
- Pty: 88.0000
Product picked from:
Lot: 2 Loc: QR24�' Qty: 4.0000
Freight Class. . 200
Weight Per Gallon: 1 ..87000 Net Weight:r..r 600.000 CYL
.----._..--.. ._ ,.°w ---,,----....,,--....--------...o--- ---.......v....�— ,—a-------- ,........— — — -----_ ---------- ------ ----_.--
Total Net Weight: 600 Total Cross Wei ht: 960
l w
Pr°ixrF�eF�e��3�crt ed,packaged,marked,and labeled,and are in proper..
t ,the app i le regulations 01 Ine tment of Transportation. Loaded By: Checked By:
Vehicle: _...._. a...,..� ._. Driver:
T THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles:-.....».............„......,,..„......»............w--- Time In/Time Out
'FRMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Wood Pallets Dlvd -r.�,..
;EBY CKNO G-}S EDRECEIPT OF ALL REQUIRED SDS(S „. M ..... . Wood Pallets Rtn:. . , .„.,....„. .. .......... ...„ .
/� Plastic Pallets Dlvd� Plastic Pallets Rtn;
_, ....
Date: �r 1' _ �. . . ..
CUSTOMER COPY
It ROceipt Continued from Previous .Page 'Page 2
PHONE: `317-898-86`317-898-8632 , . 1/24/17 7:18 74( B R E IV N TAG
FAX .w
BOL# . : 1649083-00, Delv Date: 1/24/17
ANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship TO: 4 Ship Date: 1/24/17 Q Ship From: 2
BEET To: 3450 WEST 131ST STREET' Attn- Frt Terms: PREPAID Frt Code
CARMEL, IN 46074 FOB. . .:' DELIVERED Taken By : B09CSD Sts Per . : 293
,;:,:Ship Via: OUR TRUCK - PKG Placed By: TERRY CLOUD
Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443
634 Ext: Phone: 317--571-2443 Ext: Terns. . : NET 30 DAYS Cunt PO# VERBAL
PACKAGING HM DESCRIPTION M. QUANTITY PRODUCT CONTAINER GROSS .
ORDERED BACK ORDERED CODE DEPOSIT WEIGHT
:CURS DURING TRANSPORTATION:
CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL,FREE AT 1-800-424.9300 WEIGHT;..
24 HOURS / 7 DAYS IN IDBS
E
RQ UN1017,
.,
CHLORINE,
-\ 4RQ,MARINE POLLUTANT
:,POTSON-INHAL.ATIO�I HAZARD, ZONE B
"ERG #• 124
E
''CHLORINE
000 LB CVL .,CHLORINE, LIQUID ((BMS ONLY) }A RPK 3.OQOO 873311 720
j `r`l,oc: A2R2A t
-''Oty: 88.0000
€ iroduct•=picked from:
!.
Lot: 2 Loc: A2R2Afr Qty:
3.0000
..,'Freight Class. . . : 200
Weight Per` Gallon: 11.87000 Net Weight: : 450.000 CYL
Total Net Weight 450 Total Cross Wei ht 720
N s r Jd,packaged,marked,and labeled,and are in proper
o the applicgi a regulations of he Department of Transportation. l Loaded By; » "�" "» » » Checked By:
9Y/ ` Vehicle: Driver:
T THE FOODSCOVERED BY THIS DOCUMENT SHALL CONSTITTjTE ACCEPTANCE ) M�les: Time In/Time Out_.,,
EBYffl
S AND
°EDGES SA STATED ON THE REVERSE SIDE HEREOF.
ERMS AND CONDITIONS OF SALES � Wood Pallets Dlvd _ _ Wood Pallets
ALL REQUIRED SDS(S). ,,... » .» . Pallets
: --. »,»",.»
�� Plastid Pallets DlvdPlastid Pallets Rtn:
/ Date: -
f� CUST'OMtR COPY
it Receipt ** Continued from Previous"Page * * Page 2 of 3,.
PHONE: 317_898-8632 ., 1/24/17 7:19e.a5'�
FAX:. BRE N N TAG
,'.BOL# . : 1649097-00 Delv Date: 1/24/17
INT 3 Sold CITY OF CARMEL UTILITIES `;Customer: 407542 Ship To: 5 Ship Date: 1/24/17 0 Ship From:
BEET To: 3450 WEST 131ST STREET P-Attn- Frt Terms: PREPAID Frt Code :
CARMEL, IN 46074 'FOB. . : DELIVERED Taken By : BM29CSD Sls Per . : 293
' 'Ship Via: OUR TRUCK - PKG Placed By.: JERRY CLOUD
-4r:.
i,Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443
334 C# Ext: Phone: 317-571-2443 Ext: "'Terms. . : NET 30 DAYS Cust PO# : VERBAL
PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CONTAINER GROSS
ORDERED BACK ORDERED CODE DEPOSIT WEIGHT
CURS DURING TRANSPORTATION: 1
CCN3170 EMERGENCY -CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 WEIGHT
-�; 24 HOURS / 7 DAYS IN LBS
kQ UN1017,
CHLORINE,
kQ,MARINE POLLUTANT
I. `0-0-ISON-INHALATION HAZARD, ZONE B
j ERG #: 124
CHLORINE
000 LB CYL ,, HLORINE,' LIQUID (BMS,ONLY) ' i >A RPK 3.0000 873311 720
Loc: A2R2A
Qty: 88.0000
Oroduct picked from: ,
Lot: 2 Loc: A2R2A . ;. Qty: 3.0000
Class. . . : 200
I �reight
eight Per Gallon: 11.87000 Net Weight: ' 450:000 CYL
C
_E�T:--_lo�G� -----
__ ______________________________________ ________________ ___ ___-------------------------------- ____-_-_ __-_-
Total Net Weight: 450 Total Gross Weight: 720
7 '
P4a. , CGS z
1
terials ar properly classified,described,packaged,marked,and labeled,and are in proper 5
o the applic regulations of the Department of Transportation. Loaded B
y• ....„»..„.»».»..»�„....�.„�.„„.... Checked By:
Vehicle: Driver:
�F THE dOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE ! Miles:„ „ Time In/Time Out „» »»„» „»„»„
ERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. ;j »„ „ »»»
EBYACKN EDG SRECEH%i OF ALL REQUIREDSDS(S). Wood Pallets DlvdWood Pallets Rtn: »»
��� (/l Plastic Pallets Dlvd „» „» Plastic Pallets
ryr .```L-_'” Date• �'”I�
/r
CUSTOMER COPY