HomeMy WebLinkAbout323172 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 372296
ONE CIVIC SQUARE JACKSON OIL&SOLVENTS, INC. CHECK AMOUNT: $*****8,433.09'
?� CARMEL, INDIANA 46032 75 REMITTANCE DRIVE,DEPT 6988 CHECK NUMBER: 323172
vM_TON CHICAGO IL 60675-6988 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 001083758 97.80 OTHER EXPENSES
651 5023990 001084409 1,500.00 OTHER EXPENSES
651 5023990 001085360 6,835.29 OTHER EXPENSES
VOUCHER NO. 185060 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 372296 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
JACKSON OIL&SOLVENTS INC CITY OF CARMEL
75 REMITTANCE DRIVE An invoice or bill to be properly itemized must show: kind of service,where performed,
DEPT 6988 dates service rendered, by whom, rates per day, number of hours, rate per hour,
CHICAGO, IL 60675-6988 numbers of units, price per unit,etc.
Payee
$8,433.09 372296 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR JACKSON OIL&SOLVENTS INC Terms
Carmel Wasterwater Utility 75 REMITTANCE DRIVE Due Date
BOARD MEMBERS DEPT 6988
I hereby certify that that attached invoice CHICAGO, IL 60675-6988
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
001083758 01-7163-05 $97,80 and received except 3/14/2018 001083758 $97.80
001084409 01-7362-06 $1,500.00 3/14/2018 001084409 $1,500.00
001085360 01-7203-06 $5,085.00 3/14/2018 001085360 $5,085.00
001085360 01-73,V-06 $1,500.29 3/14/2018 001085360 $1,500.29
001085360 1-7163-05 $250.00 3/14/2018 001085360 $250.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I 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
JACKSON OIL & SOLVENTS, INC. Original Invoice
75 REMITTANCE DRIVE DEPT 6988 Page 1
CHICAGO,IL 60675-6988
(317)636-4421 * (800)221-4603
Invoice No: 001085360 Invoice Date: 02/27/2018
Order No: 126734500 Load Date: 02/12/2018
Purchase Order No: S 18120 Reference No: 0
Bill of Lading No: 0 Shipped Via: JACKSON OIL GEN DEL.
1BIOCIDE&FILTER 250OG GEN TANK
Bill To: 742600 Ship To: 742600
CARMEL WASTEWATER-SEWER CARMEL WWTP
9609 HAZEL DELL PARKWAY 10601 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 462800000
Product Description Price Order Qty Ship Qty Extended Price
98FFS EA FUEL FILTERING SERVICE 1,500.000 1.00 1.00 $1,500.00
05ETI 140 00 KATHON FP 1.5 BIOCIDE[BULK] 0.000' ; i.00 1.00 $0.00
98FFS EA METHANOL/DIESEL PUMPOUT(WAST 1.500 1,390.00 1,390.00 $2,085.00
02M 00 METHANOL CUST PICKUP 3.000 1,000.00 1,000.00 $3,000.00
UN1230,METHYL ALCOHOL,3,PGII
02PD 00 DYED#2 ULS PREM DIESEL OFF-ROAD 2.500 100.00 100.00 $250.00
NA 1993,FUEL OIL,3,PGIII COMBUSTIBLE LIQUID,THIS PRODUCT IS DYED DIESEL FUEL,
NON-TAXABLE USE ONLY,PENALTY FOR TAXABLE OFF HIGHWAY USE, 15 PPM SULFUR
INSX IN SALES TAX EXEMPT 0.000% 6,585.00 $0.00
LUST L.U.S.T.TAX 0.001. 100.00 $0.10
SFD FEDERAL OIL SPILL DISTIL.FEE 0.0019 100.00 $0.19
Date Due: 03/29/2018 Invoice Total: $6,835.29
Please pay from invoice and remit to address above.
JACKSON OIL & SOLVENTS, INC. Original Invoice
75 REMITTANCE DRIVE DEPT 6988 Page 1
(CHICAGO,IL 60675-6988
(317)636-4421 * (800)221-4603
Invoice No: 001084409 Invoice Date: 02/21/2018
Order No: 126854100 Load Date: 02/21/2018
Purchase Order No: S18152 Reference No: 0
Bill of Lading No: 0 Shipped Via: JACKSON OIL GEN DEL.
1 GEN TANK
Bill To: 742600 Ship To: 742600
CARMEL WASTEWATER-SEWER CARMEL WASTEWATER-SEWE
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280
Product Description Price Order Qty Ship Qty Extended Price
98FFS EA FUEL FILTERING SERVICE 1,500.000 1.00 1.00 $1,500.00
05ET1140 00 KATHON FP 1.5 BIOCIDE[BULK] 0.000 1.00 1.00 $0.00
INSX IN SALES TAX EXEMPT 0.000% 1,500.00 $0.00
Date Due: 03/23/2018 Invoice Total: $1,500.00
Please pay from invoice and remit to address above.
JACKSON OIC, & SOLVENTS, INC. Original Invoice
75 REMITTANCE DRIVE DEPT 6988 Page 1
CHICAGO,IL 60675-6988
(317)636-4421 * (800)221-4603
Invoice No: 001083758 Invoice Date: 02/16/2018
Order No: 126764900 Load Date: 02/16/2018
Purchase Order No: S 18120 Reference No: 0
Bill of Lading No: Q Shipped Via: JACKSON OIL CUST P/U
1 J1 WILL TAKE
Bill To: 742600 Ship To: 742600
CARMEL WASTEWATER-SEWER CARMEL WWTP
9609 HAZEL DELL PARKWAY 10601 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 462800000
Product Description Price Order Qty Ship Qty Extended Price
05103067 12 HOWES MEANER POWER KLEAN[12/32OZ] 8.150 1.00 12.00 $97.80
INSX IN SALES TAX EXEMPT 0.000% 97.80 $0.00
Date Due: 03/18/2018 Invoice Total: $97.80
Please pay from invoice and remit to address above.