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HomeMy WebLinkAbout309592 03/27/17 Q CITY OF CARMEL, INDIANA VENDOR: 367949 ONE CIVIC SQUARE MILLER INDUSTRIAL FLUIDS LLC CHECK AMOUNT: S'""'"'297.50 CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 309592 INDIANAPOLIS IN 46221 CHECK DATE: 03/27/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 42794 297.50 OTHER EXPENSES L E MO W CO � L ° V a Q LO N N � O +" O Q v — F- .2 co c LLr04O o U) C1 J CO CO +� d F- o _ m t oZ Z ¢ c 75 LL ° Z v cz 4k 0 13 L Z (. O > > = o) � � a V U v cp U W •MaA � Q ¢Jr- - D tiJLp z �* N E M � � z O a U m Page 1 of 1 Invoice Number Invoice Date MMILLER 42794 2/27/17 MILLER INDUSTRIAL FLUIDS,LLC Order Number Due Date 46221 3/29/17 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 Ship Date Shipped Via Freight Terms Payment Terms 2/16/17 Sales will Deliver-Herb Net 30 Purchase Order Number Sales Agent Order Date Customer Number 3M021017 Herb Simpson 2/10/17 CITYCARMEL Qty Shipped Packaging Total Product Unit Price Amount Ouantitv 5. 5 GAL PAIL 5. GAL Summit Svnqear FG 220 59.500 / GAL 297.50 13608S00005 Summit Syngear Food Grade 220 Merchandise SubTotal 297.50 Total Invoice 297.50 Please Remit Payment To: Miller Industrial Fluids, LLC • 1751 W. Raymond St. • Indianapolis, IN • 46221 USA STRAIGHT BILL OF LADING MILLER , 1111,DA-W 1 From: Miller,Industrial Fluids,Inc. 2 10 0/2 2017 MILLER INDUSTRIAL FLUIDS,LLC At: 1751 W. Raymond St. 1�N ? Indianapolis,IN 46221 4 221 PHONE:(317)634-7300 FAX: (317)636-6761 Page 1 of 1 S B City of Carmel Utilities H City of Carmel/Water Treatment Plant FOR CHE NIC L EMERG 13450 W 131st St I 4915 E 106th St L Carmel, IN 46074 P Carmel, IN 46033 FIRE,EXPO URE, L USA USA OR ACCIDENT T 317-716-6624 T 317-716-6624 CALL:CHEMTREC U 0 DAY OR NIGHT SHIPMENTS VIA D.O.T.HAZARDOUS MATERIALS PLACARDS FURNISHED BY: 800-424-9300 CITYCARMEL �yodnel Sales will Deliver-Herb MOTOR CARRIER ❑ SHIPPER Ll CARRIER SHV IM021017 2/16/2017 Yes QUANTITY QUANTITY PACKAGING HM DESCRIPTION NET WEIGHT GROSS FRT ORDERED SHIPPED WEIGHT CLS 1 1 5GALPAIL Summit Syngear FG 220 35 36 13608S00005 Summit Syngear Food Grade 220 1 PAIL Total Weights: 35 36 i Ceiv0d : 2© ate : Z-21- -7 -7 CT # : 0.2o .� SHIPPER'S CERTIFICATION This is to certify that the above named materials are properly classified,described, packaged,marked and labeled and are in proper condition for transportation according to the applicable COD Amt: $ 0,00 regulations of DOT. SHIPPER'S CHECKLIST (Signature[Title) if the shipment moves between two ports by a carrier by water,the law requires that Me bill of DELIVERED BY: ladingshall state whether it is"carrier's or shipper's weight"NOTE-where the rate is dependent DOT LABELS DoT PP 9 P APPLIED 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 nor,the consignor shall sign the following prepaid,write or consignor, 9 9 9 stamp here,'TO BE statement: PREPAID" AIR CARGO PELIGRO DATE: ONLY LABEL APPLIED The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. SIGNATURE HEREBY CONFIRMS PLANT SHIPPING THAT QUANTITY SPECIFIED IS (Signature of Consignor) / CORRECT AND RECEIVED IN GOOD CONDITION