HomeMy WebLinkAbout318453 11/07/17 ♦us CgFgl
'� CITY OF CARMEL, INDIANA VENDOR: 367949
® ONE CIVIC SQUARE MILLER INDUSTRIAL FLUIDS LLC
CHECK AMOUNT: S*"**1,437.60'
?� CARMEL, INDIANA 46032 751 NA OL SRAYMOND
ST CHECK NUMBER: 318453
_,,roN CHECK DATE: 11/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 47783 1,437.60 OTHER EXPENSES
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ElMILLER Invoice Number Invoice Date
47783 10/26/2017
MILLER INDUSTRIAL FLUIDS,LLC Order Number Due Date
51455 11/25/2017
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
10/17/2017 Sales will Deliver-Herb Net 30
Purchase Order Number Sales Agent Order Date Customer Number
JM100617 Herb Simpson 10/9/2017 CITYCARMEL
Qty Shipped Packaging Total Product Unit Price Amount
Quantity
15. 5 GAL PAIL 15. GAL Summit Svnqear SH-7068 55.780/ GAL 836.70
13047XX0005
Summit Syngear SH-7068
10. 5 GAL PAIL 10. GAL Summit Svnqear SH-7150 60.090/ GAL 600.90
1305OXX0005
Summit Syngear SH-7150
Merchandise SubTotal 1,437.60
Total Invoice 1,437.60
--- - --- -- - - ------ - -- - I I---- ---
Please Remit Payment To: Miller Industrial Fluids, LLC - 1751 W. Raymond St. - Indianapolis, IN - 46221 USA
STRAIGHT BILL OF LADING
M MILLER /9/2E
From: Miller Ftsdustrial Fluids,Inc. 1 17
MILLER INDUSTRIAL FLUIDS,LLC
At: 1751 W. Raymond St. BIL NO.
Indianapolis,IN 46221 51455
PHONE:(317)634-7300 FAX:(317)636-6761 Page 1 of 1
B City of Carmel Utilities H City of Carmel/Water Treatment Plant FOR CHEMICAL
I 3450 W 131st St I 4915 E 106th St EMERGENCY
L Carmel, IN 46074 Carmel IN 46033 SPILL,LEAK,
P
L USA USA r FIOR ACCIDENT
T 317-716-6624 T 317-716-6624 CALL:CHEMTREC
Q 0 DAY OR NIGHT
CUST NO, OPERATOR SHIP VIA SHIPMENTS VIA D.O.T.HAZARDOUS MATERIALS PLACARDS FURNISHED BY: 800-424-9300
CITYCARMEL one Sa es wi Deliver-Herb MOTOR CARRIER
'. SHIPPER CARRIER
CUSr.ORDER NO. SHIP DATEr FREIGHT TAX FOB REMARK DELIVERY DATE CHECKED BY
IM100617 1 17 017 1Yes
QUANTITY QUANTITY PACKAGING HM DESCRIPTION NET WEIGHT GROSS FRT
ORDERED SHIPPED WEIGHT CLS
3 3 5GALPAIL Summit Syngear SH-7068 107 107
13047XX0005 Summit Syngear SH-7068 3 PAIL
2 2 5GALPAIL Summit Syngear SH-7150 71 71
1305OXX0005 Summit Syngear SH-7150 2 PAIL
Total Weights: 178 178
R o ivied :
D t ., /0 2-0 7
P /o 06, /7
A CT #: &Z® r
r DELIVERE NOV 0 6 p17
SHIPPER'S CERTIFICATION This is to certify that the above named materials are properly classified,described, COD packaged,marked and labeled and are in proper condition for transportation according to the applicable
regulations of DOT. SHIPPER'S CHECKLIST Amt: $ 0.00
(Signaturerritle)
If the shipment moves between two ports by a carrier by water,the law requires that the bill of DELIVERED BY:
lading shall state whether it is"carrier's or shipper's weight"NOTE-where the rate is dependent DoT LABELS DoT
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 D
FREIGHT CHARGES NAME ON ALL PROPER AQ
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
consignor,the consignor shall sign the following prepaid,write or
g g g g stamp here,'TO BE 10
statement: PREPAID" AIR CARGO PELIGRO DATE:
ONLY LABEL
The carrier shall not make delivery of this shipment APPLIED
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