HomeMy WebLinkAbout313166 06/28/17 s Coq*
CITY OF CARMEL, INDIANA VENDOR: 367211
O ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $— "2,411.00"
r4 CARMEL, INDIANA 46032 Po Box 347 CHECK NUMBER: 313166
FRANKLIN IN 46131 CHECK DATE: 06/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 41670 2,411.00 OTHER EXPENSES
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WATER
SOLUTIONS � a O
UNLIMITED
P. O. Box 347 Invoice Number: 41670
295 Industrial Drive Invoice Date: Jun 9,2017
Franklin, IN 46131 Page: 1
Voice: (317)736-6868
Fax: (317)736-4322
Bill To. Ship to.
CARMEL UTILITIES CARMEL UTILITIES
3450W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 PLANT 1
USA CARMEL, IN 46033
USA
Customer ID WSU Delivery Receipt No. Payment Tears;
CARMEL S016102044 Net 30 Days
Sales.Rep ID Shipping Method Ship Date Due Date
DH DAVID HARVEY WSU-FR 6/8/17 7/9/17
"Quantity, Item Description Unit Price Amount
2,200.00 FLUORIDE LBS, SODIUM FLUORIDE 50# BAG 1.08 2,376.00
1.00 DELIVERY CHG 35.00 35.00
Subtotal 2,411.00
Sales Tax
Subtotal Invoice Amount 2,411.00
Check/Credit Memo No: Freight Amount
TOTAL 2,411.00
Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited, Inc.
P.O. Box 347
Franklin, IN 46131
_ WATER
SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE
UNLIMITED
FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL
FRANKLIN,IN USA CARMEL UTILITIES
317-736-6868
www.getersu.com
SHIP TO: CARMEL UTILITIES
US DOT HAZMAT REG NO.:0610816 551 020Y ATTN: JERRY CLOUD
4915 E.106TH ST.
CARMEL,IN 46033
317-716-3909
CUSTID DELIVERY RECEIPT NO SALESID SHIP VIA PO NUMBER SHIP DATE DELIVERY DATE
CARMEL 16102044 DH SU-FRANKLIN AM 59 6/812017 6/8/2017
QTY SHIPPED PACKAGING HM I DESCRIPTION NET WT(LB) GROSS WT(LB) CLASS
44 50 LB BAG X UN1690,SODIUM FLUORIDE SOLID,6.1,III 2200 2200
G-- Y—/
61 Fa 3
PZQ
DELIVERY INSTRUCTIONS: DELIVER TO PLANT 5-TAKE ALL EMPTIES&UNUSED
CHEMICAL BACK
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within USA
and Canada: 1-800424-9300
S—tal(Weight subject to canactionY: 2200 2200
This is k certify that Me above named materials are"early classified.packaged,marked and labeled,and are in proper condition for transportation according to Me applicable mgulaflons of the DOT.
NOTE:Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding $
par
COD REMIT TO ADDRESS: COD Amt: $ TOTAL CHARGES:$ FREIGHT CHARGES:
COD FEE: Collect q Collect q Prepaid q
Prepaid
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CUSTOMER'S AGENT SHIPPER'S AGENT
PRINTED NAME. PRINTED NAME:
SIGNATURE: SIGNATURE:
DELIVERED JUN 2 6 W