311216 5/9/2017 CITY OF CARMEL, INDIANA VENDOR: 358405 CHECK AMOUNT: S"""10,992.00`
ONE CIVIC SQUARE SOLENIS
CARMEL, INDIANA 46032 P 0 BOX 116232 CHECK NUMBER: 311216
ATLANTA GA 30368-6232 CHECK DATE: 05/09/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 131152018 10,992.00 OTHER EXPENSES
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a SoLe1 1�S INVOICE ORIGINAL
Page 1(1)
in Invoice Number Invoice Date Due Date
0 131152018 19 Apr 2017 19 May 2017
o Solenis LLC P.O.Number Payment Terms Payer Number
N 3 Beaver Valley Road 517124 Net 30 Das 441113
,2 Suite 500
Wilmington DE 19803 Shipped From Sales Order Num Bill-To Number
USA US GREENSBORO DOYLE ST PL PK 7529356 441113
Remittance instructions below Bill of Lading Number Incoterms:DDP Dest Frt Prepaid Ship-To Number
1000191989 —71442287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
0000s WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
Qty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount
Number USD
4 IBC 657240 PRAESTOL K 274 FLX IBC 1000L 1704506 9,160 LB 1.2000 10,992.00
Should you have any questions regarding this Invoice Total
invoice,please contact USD 10,992.00
STEPHEN CONGO
nt ASR-N3-118W
hese items are controlled by the U.S.Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s)herein identified.They may not
e resold,transferred,or otherwise disposed of,to any other country or to any person other than the authorized ultimate consignee or end-user(s),either in their original form or after being
ncorporated into other items,without first obtaining approval from the U.S.government or as otherwise authorized by U.S.law and regulations.
Remit to ACH Credit Wire transfer
P.O.Box 116232 Solenis LLC Solenis LLC
ATLANTA GA 30368-6232 Account Number:71522253 Account Number:30960491
Clearing House Payments Go L.L Citibank NA
Bank-ID:021052053 Bank-ID:021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment. �� �L
Se1 1^
i5
Comments:
Federal ID number 46-5612095 D-U-N-S number 07-943-6434
This invoice and the underlying sale is expressly made conditional on your assent to the terms and conditions stated
bove and set forth at http://www.solenis.com/salesterms and we agree to furnish goods and services to you upon these
erms and cond'it.'U�s Only. Print date 20 Apr 2017
visit us at www.solenis.com