311882 05/30/17 F 4+_u,G.I,ybR
,,; ;� CITY OF CARMEL, INDIANA VENDOR: 358405
ONE CIVIC SQUARE SOLENIS CHECK AMOUNT: $****10,992.00*
4 CARMEL, INDIANA 46032 P 0 BOX 116232 CHECK NUMBER: 311882
+,y- �' ATLANTA GA 30368-6232 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 131159944 10,992.00 OTHER EXPENSES
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a soLe1 1i5 INVOICE ORIGINAL
Page 1(1)
Invoice Number Invoice Date JDue Date
ov 131159944 09 May 2017 108 Jun 2017
Solenis LLC P.O.Number Payment Terms Payer Number
3 Beaver Valley Road 117200 Net 30 Days 11441113
Suite 500
Wilmington DE 19803 Shipped From Sales Order Num Bill-To Number
USA US GREENSBORO DOYLE ST PL PK 7539051 441113
Remittance instructions below Bill of LadingNumber Incoterms:DDP Dest Frt Prepaid Shi To Number
11000195884 �� 11442287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
00007 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 1704544 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
Fnc
ese items are controlled by the U.S.Govemment and authorized for export only to the country of ultimate destination for use by the ultimate consignee orand-user(s)herein identified.They may not
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
orporated 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 Co L.L Citibank NA
Bank-ID:021052053 Bank-113:021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment. ��CJQLe1/�1i5
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 conditions only. Print date 10 May 2017
visit us at www.solenis.com