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Home My WebLink About321651 02/13/18 >`' "Mt• . CITY OF CARMEL, INDIANA VENDOR: 359584 r 6 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*******948.90* �4 CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 321651 9MiroN"�°` CHICAGO IL 60686 CHECK DATE: 02/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 900050 316.30 OTHER EXPENSES 601 5023990 900051 239.20 OTHER EXPENSES 601 5023990 900052 393.40 OTHER EXPENSES VOUCHER NO. 174052 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 359584 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRENNTAG MID-SOUTH INC CITY OF CARMEL 3796 RELIABLE PARKWAY An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60686-0037 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 948.90 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG MID-SOUTH INC Terms Carmel Water Utilitv 3796 RELIABLE PARKWAY Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), CHICAGO,IL 60686-0037 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 900050 01-6180-03 $316.30 and received except 1/31/2018 900050 $316.30 900051 01-6180-03 $ , 1/31/2018 900051 _ 23920 $239.20 900052 01-6180-03 $393.40 1/31/2018 900052 $393.40 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS900050 INV DATE: 1/29/18 * * PAGE 1 OF 1 * DUE DATE: 2/28/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/29/18 TERMS NET 30 DAYS B/L #. . : 2018675-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY CLOUD FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 35600972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 3 .0000 873311 11 .87000 450 .0000# .5140 231 .30 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 231 .30 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 50 .00 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 2/28/18 INVOICE TOTAL USD 316 . 30 PAID AFTER 2/28/18 INVOICE TOTAL USD 322 .63 Original Document SRENNTAG J~ BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS900052 INV DATE: 1/29/18 * * PAGE 1 OF 1 ** DUE DATE: 2/28/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/29/18 TERMS NET 30 DAYS B/L #. . . . : 2018709-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY CLOUD FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .5140 308.40 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 308.40 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 50 .00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 2/28/18 INVOICE TOTAL USD 393 .40 PAID AFTER 2/28/18 INVOICE TOTAL USD 401 .27 Original Document BRENNTAG ,.1 BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERS09 KY 42419-0020 INVOICE#: BMS900051 INV DATE: 1/29/18 PAGE 1 OF 1 *** DUE DATE: 2/28/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/29/18 TERMS NET 30 DAYS B/L #. . : 2018683-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY CLOUD FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300.0000# .5140 154.20 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 154.20 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 50 .00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 2/28/18 INVOICE TOTAL USD 239 .20 PAID AFTER 2/28/18 INVOICE TOTAL USD 243 .98 Original Document Bill of Lading/Shipment Receipt Continued from Previous Page Page 2 of 3 " BRENNTAG MID-SOUTH PHONE: 317-898-8632 1/29/18 8:39:16 B R E N N T 3111 N POST RD FAX: �,, DEA REG NO. 00660IBNY INDIANAPOLIS, IN 46226 BOL# . : 2010675-00. 'Delo Date,. "1/30/18 Ship CARMEL WATER, PLANT 3 Sold .CITY OF CARMEL UTILITIES Customer: 407542 -Ship. To: 5 Ship Date: 1/30/18 0 Shi To: 4425 E. 126TH STREET To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOD. . .: DELIVERED Taken By : BM29SLD Sls Ship Via: OUR TRUCK - PKG Placed By: JERRY CLOUD- RecV Hrs: '7:30 AMS' 4:00 PM- Phone#. ,. : 317-571.-2443 Phone: 317-847-8834 C# Ext: Phone; 317-571-2443 Ext: Terms. . : NET 30 DAYS Cust PO# JERRY• CLOUD QUANTITY QUANTITY PRODUCT CON SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACKORDERED CODE DEI IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 I_ .l 24 HOURS j 7DAYS RQ UN1017, ' !'CHLORINE'., y' �RQ,MARINE POLLUTANT r `, POISON-INHALATION HAZARD, ZONE ,B ERG #: 124 I I CHLORINE 3:0000 150.0000. LB CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 3.0000 873311 ; Loc: A2R2A OSE06 jQty- 71.0000 13.00001 ;.Product picked From: j Lot: 2 Loc: A2R2A Qty: 3.0000 ' Freight Class. . . : 200 Weight Per Gallon: 11.87000 Net Weight:- ,,450.000 ` CYL ,_-__________ ___________________ ___--__---------------------------------- ___ ___ -___ _ ___________ ________-----------_---- Total _ ______ - _ __iTotal Net Weight: 450 'Total_ rocs, We.,ght: 1 This is to certify that the above,named materialVlereeg assifie cribed,packaged,marked,and labeled,•and are in proper condition for�transportation according to the apions of the epartment of Transportation. y Loaded-By: _m...w "...:.. .".,.... ".."."..,. Checked B SignatureofShipper: Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS C ERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE "" "" "" BY THE PORCHASER OF ALL TERMS AND CO�ITIONS OF SALE STATED ON THE REVERSE_ SIDE HEREOF. Miles: " " '" " Time In/Time Out—,____ '" ""'"'" MOREOVER,PU CHASE REB4AC10wLE:_P"GE5,RECEIPT OF ALL REQUIRED SDS(S). Wood Palleta«�DlVd ", , Wood Pallets Rtn:��G � J/, �� Plastic Pallets Dlvd Plastic Pallets Rtn: ..._,"Received bys` Y�� / Date: CUSTOMER COPY Bill of Lading/Shipment ReceiptContiOued from Previous Page Page 2 of 3 BRENNTAG MID-SOUTH PHONE: 31.7-898-8632 " 1/9/18 8:39:4 „ B R E IV N'T, 3111 N POST RD FAX: y y DEA REG NO. 006601BNY r . INDIANAPOLIS, IN 46226 "BOL# . : 201.870.9-.00 Dely Date:. 1./30/18 Ship CARMEL WATER, PLANT 5 Sold CITY O2 F CARMEL UTILITIES � � Customer: 40754Ship To: 4 Ship Date: 1./30/18 0 Shig To: 5484 E. 126TH STREET - To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . :. DELIVERED Taken By ,: BM29SLD , Sls Ship Via:, OUR TRUCK - PKG Placed By: FERRY CLOUD Recv Hrs: 7:30 AM- 4:00 PM ' Phone#. .317-5,71-2443 Phone: 317-571.-2634 Ext: Phone: 31.7-571-2443 Ext: Terms. . : NET 3O. DAYS Gust PO#� : JERRY CLOUD QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CONI SHIPPED ORDERED BACK ORDERED CODE DEP IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: , CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800?-424-9300. t I 24 HOURS / 7 DAYS i RQ!UN1.017, ;CHLORINE, RQ,MARINE POLLUTANT "} iPOISON-INHALATION HAZARD, ZONE B . . jERG #: 124 � . 'CHLORINE. =.0000150.0000 LB CYL !CHLORINE, LIQUID (BMS ONLY) iA RPK 4:0000 873311 iLoc: A2R2A OSE06 'Qty: 71.0000 13.0000 j Product picked from: 11 Lot: 2 .Loc: A2R2A., Qty: 4.0000 " iFreight Class. . , : 200 Weight Per Gallon: 11.87000 Net Weight:,_} 600•.000 : ,CYL -___-___ ___-_____. -_---____-3__`_. -- --------------------------------------------------------- -Weight; ____ ---- ----- r ------ Tot Ne 600 ght: This is to certify that the above named materials are op y las' ted-'described,packaged,marked,and labeled,and are in proper condition to-'transportation according to the applicable r gulati rtment of Transportation. Loaded heCKed( By'.� Signaturci4 Shipper: "' Vehicle.�a ."...�."." �,"...», ."w."...","slyer: PURCHASER'S ACCEPTANCE OF THE GOODS COVE D BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles.-. Time In/Time "Out BY THE PURCHAS R OF ALL TERMS AND COrNDITI NS OF SALE STATED ON THE REVERSE SIDE HEREOF. " """'"'"" "'"'"""'"'""""'" """"'""'" r MOREOVER,PURCHAS R, REBYACKN WLED S IPT OF ALL REQUIRED SDS(S). Wood Pallets DIWd,»"„ »"•,• "••" WOOd Pallets Rtn:";»„ "•"".•.•"""'• Plastic Pallets Dlvd .,"." Plasta,c Pallets Rtn: Received by: h i,�--'`��ter. �l c� Date: ".�»,"� . ('/� CUSTOMER COPY Bill of Lading/Shipment Receipt ** Continued' from P-eevious Page �*� : � Page 2-of BRENNTAG-MID°-SOUTH PHONE: 317-895-8632 : 1/"29/18 8:41:02 B R E N N 1 3111 N POST RD FAX:. ,,,• DEA REG NO.- 006601BNY t TNDIANAPOLIS, IN 46226 BOL# 20.18683-00, Delv. Date: 1/30/18 Ship CARMEL WATER, PLANT4 Sold CITY OF. CARMEL. UTILITIES ! Customer: 407542 Ship To: 6 . ' Ship Date: 1/30/18- .0 Shi To: 10.675 N. GRAY ROAD To,: 3450" WEST 131ST STREET Attn- Frt Terms: PREPAID Fri CARMEL, IN 46032 CARMEL, , IN 46074 ` FOB. , : DELIVERED Taken By : BM29SLD SlE ; .Ship Via: OUR TRUCK - PKG Placed By: JERRY CLOUD {. Recv Hrs: 7:30 �M- 4:00 PM . Phone#. .,: '317-511-2443 Phone: 317-716-3917 Ext: Phone: 317-571-2443. Exp: ' Terms. - .: NET 30 DAYS Cust PH : JERRY.'CLOUD QUANTITY QUANTITY PRODUCT, COQ SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 '. EMERGENCY CONTACT: ,CALL CHEMTREC 'TOLL, FREE, AT '1-800-424-9300 i 24:HOURS /-7 DAYS RQ UN1017:, . ;CHLORINE, I` 3 �RQ,MARINE POLLUTANT :POISON-INHALATION HAZARD, ZONE B ;ERG #: 124 a CHLORINE ` 2.000 : .: 150.0000 LB CYL `CHLORINE, LIQUID. (BMS ONLY) M RPK 2.0000 ;Loc: A2R2A OSE06 . !Qty: 71.0000 13.0000 i Product picked from: Lot: 2 Loc: A2R2A `. Qty: 2.0000 Freight .Class... . : 200. i Weight Per Gal-on 11.87000 Net Weht:-�, 300.000 CYL ___ _____.�___ • ______ _____ --------------- l___a__A --------- ------------------- Ne-, Weight;____ _-300TTotal�Gross Weight: I , This is.to certify that the above named materi sp op y classified"-' escribed,packaged,marked,and labeled,and are in proper condition',for transportation according to the appl' able r n5 of t Department of Transportation. i Loaded By: Checked Tay Y Signature of Shi er: r 4. ."......".» �...�...",. ...."».", w "." " ,".. ".... ,....• pP Vehicle: »..»"..»"..»", w».."�."».� Driver: PURCHASER'S ACCEPTANCE OF THE GOODS VERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles- Time In/Time Ou�'"w„ BY THE-PURCHASER OF 4k^ ERMS AND CO D IONS OF SALE ST ED.ON THE REVERSE SIDEMEREOF. Miles:- » / » »» MOREOVER,PURCHAS /R",HE ACKNOW E GES R CEIPT O ALL REQUIRED SDS(S). ; Wood Pallets Dlvd_» ,",",»__ Wood Pallets Rt11:_7 i 1»» ",»," Receivedby•?; ( �?,!� ��i� �� /1 "ate: i Plastic. Pallets Dlvd,,,,,,,,",-„»w. Plastic Pallets Rtn .__.„».".." CUSTOMER COPY