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HomeMy WebLinkAbout324962 05/09/18 -f CITY OF CARMEL, INDIANA VENDOR: 359584' ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,774.50* CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 324962 CHICAGO IL 60686 CHECK DATE: 05/09/18 ('9� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 974008 428.50 OTHER EXPENSES 601 5023990 974009 917.50 OTHER EXPENSES 601 5023990 974010 428.50 OTHER EXPENSES VOUCHER NO. 181417 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 1 774.50 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 or bill(s)is(are)true and correct and that PO# ACCT# 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 974008 01-6180-03 $428.50 and received except 5/1/2018 974008 $428.50 974009 01-6180-03 $917.50 5/1/2018 974009 $917.50 974010 01-6180-03 $428.50 5/1/2018 974010 $428.50 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 BRENNTAGAWIF BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS974008 INV DATE: 4/30/18 * * PAGE 1 OF .1 *** DUE DATE: 5/30/18 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: 4/30/18 TERMS NET 30 DAYS B/L #. . . : 2109922-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC042418 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 35600972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .5350 321 .00 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ------------------------------------------------- ------------------------------ QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 321 .00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 72.50 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/30/18 INVOICE TOTAL USD 428.50 PAID AFTER 5/30/18 INVOICE TOTAL USD 437.07 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS974009 INV DATE: 4/30/18 PAGE 1 OF 1 DUE DATE: 5/30/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 4/30/18 TERMS NET 30 DAYS B/L #. . . 2109929-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC042418 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .4050 810.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 810.00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 72.50 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/30/18 INVOICE TOTAL USD 917 .50 PAID AFTER 5/30/18 INVOICE TOTAL USD 935.85 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS974010 INV DATE: 4/30/18 * * PAGE 1 OF 1 * DUE DATE: 5/30/18 SOLD TO: SHIP TO: CARMEL WATER CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 4/30/18 TERMS NET 30 DAYS B/L #. 2109911-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC042418 FOB . . : DELIVERED FREIGHT TERM: 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# .5350 321 .00 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 321 .00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 72.50 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 5/30/18 INVOICE TOTAL USD 428.50 PAID AFTER 5/30/18 INVOICE TOTAL USD 437.07 Original Document 73111 of Lading/Shipment Receipt . Continued from Prevj.ous „Page -*** Page 2 of 3 BkENNTAG MID-SOUTH PHONE: 317-898-8632 4/30/18 11:08:43 p 3111 N POST •RD FAX: B.R E N N 1 DEA REG NO. 0066dlBNY n INDIANAPOLIS; IN 46226 , BOL# . : 2109922-00Dely Date: -4/30/18 Ship CARMEL WATER, PLANT '3 Sold CITY OF,-CARMEL UTILITIES Customer: 407542 Ship T©: 5 Ship Date: 4/30/18 0 Sh: Ta: . ,,4425 E.'`1261'H STREET To; 3450 •WEST. 131ST STREET Attn- Frt Terms: PREPAID ; Fr' CARMEL:,,, -IN 46032 CARMEL, IN :.4£074 FM . : DELIVERED Taken By : BM29LAL Sl: Shap Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317--571.-2443 Phone: ,317-847-=8834 C# ' Ext: Phone.". 317-.571- 2443 Ex,:: Terms. . .a NET 30 DAYS CtiSt P0# : AC042418 QUANTITY' SHIPPED'': PACKAGING HM.. DESCRIPTION M QUANTITY PRODUCT COI ORDERED BACK ORDERED CODE DI ' IF LEAKOR. SPILL OCCURS •DURING TRANSPORTATION: CCN31�0: EMERGENCY CONTACT:' CALL, CHEMTREC TOLL. FREE. AT 1-8004-724- µ . 24 HOURS / 7 DAYS e C e I v Q d : 3' o !' ®ate : LL.- � RCS UN1017, e CHLORIDE, IPO # 2.3,(5;1),(8)7 ' #: (p�83 RQ,MARINE POLLUTANTCCT POISON--INHALATION HAZARD, ZONE B LA Se : C I ERG #: 124 CHLORINE 000.0 1:50.0000 LB CYL .x,( CHLORINE,,'LIQUID (SMS ONLY) ' >A RPK 4.0000 87331.1 vLoc: A2R2A Qty: 6 ..0000 ;I . Produdt picked from: Lot: 2 Loc: A2R2A , Qty:. 4.0000 ""'I Freight Class'. . . 200 Weight Per. Gallon: 11..87000 Net Weight: _ 600.000• CYL Tota Net c�eight: 600 Total, Gross Weight This is to certify that the above named materials are op ly la fied,describ d,packaged,marked,and labeled,and are in proper ~condition for transportation according to the applicable•r ulatioi s e ep ment of Transportation. Loaded By Checked By. Signature"of Shipper: ' Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVE DBY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: Time In/T].mE?""Ki BY'THE PURCHASER OF ALL TERMS AND CONDITI NS OF SALE STATED ON THE REVERSE S D E70"rl MOREOVER,PUR ASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIREDSDS(S). R od Paled D1Vd .. .,,,».,. PodtPalPalletsetnR ,� aSt G Pallets S 1Vd Plastic tn: Received by. r "`�. ..� Date: (} CUSTOMER COPY b�. ...cl . La(12:ng/�rla PMer) ; 'Receipt Pate I Of 2 ; BRENN•TAG MID--SOUTH "PHONE: 317-848"8632 4/3O/13 11:09:57 311 , N POST RD FAX. a B.RENIV1 ,.: DEA REG NO. .0066O1BNY IN:DIANAPOLiS, .1N 46 26 BOL# ,e 2109929--00 Delv Date: 4/ 0/18 Ship CARMEL. UTILITIES PLI I 'Sold CITY OF CARMEL UTILITIES Customer: 407542 Shap. To: 11 Ship Date: 4/30/18 0 Sh9 To,:, . 49151E 106 ST To: `•:345Q WEST 131ST STREET Attn- Frt Terms: PREPAID Frd CARMEL, IN 46033 CARMEL, IN 46074 FOB. . : DELIVERED Taken By : BM29LAL SII, Ship Via: OUR TRUCK - PKG Placed By« ANDY . Recv Hrs« «3O AM- 4:00 PM Phone. . : 7-� 71— 43- .,Phone-.-,317-571-2443 Est: Phone: 317-571-2443 Exp: Terns. . « NET 30 DAYS Cult POS « AC0424f8 QUANTITY QUANTITY Y PRODUCT COP PACKAGING HM DESCRIPTION M SHIPP, E D ORDERED BACK ORDERED CODE DE , IF„LEAK'OR.,SPILL.00CURS DURING: TRANSPORTATION: C03170. EMERGENCY ;CONTACT: CALL CHEMTREC TOLL,FREE AT 1-800-424-9300 24 HOURS / 7 DAYS Received : FREIGHT CARRIER INVOICE TMS VIA EDI OR CARRIER PORTAL. t 1 t Date : y So UfV017, ACCT #: (�i8.3 CHLORINE, . 2.3,x(5.1),(8), TL ! 1 RQ,MARINE POLLUTANT U S.0 I POISON-INHAL ION HAZARD, ZONE. B ' ERG « 124l”, ', .. I CHLORI tri (BMS ONLY), >A RPK 1.0000 2534 ,8 .00 2000 0000" LB . CYL i .,' CHLO NE,� LpIJ, ' Lo \\Q 0,,4 ° �`0S"O I t •';= 40 1 Prckd F`r�a �' ' OSS 45� ; Q,ty: , 1.0000 Fre ` 5 1 r : I'Wealg e" IG 1l0 } TO 0�`N ' alt: 2000.000 CYL -------------------------------------- r.»...,.,.„.,.,,,.,» ...R,......,.,,..Total Net Weight: 2,000 Total Grass Weight: This is to certify that the above named materials aZ11e ly es ribed,packaged,marked,and labeled,and are in proper p g e applgu tions'Hof epartment of Transportation. Loaded By: Checked By: fig, condition for transportation according to tli Signatum of Shipper: Vehicle: Driver.. L TER : ACCEPTANCE THE GOODS C ERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: ,,,,,,, Time In/Time Out,,,,,,,,,,,,,,,,, , BY THEURCHASER OMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HERE Wood Pallets D1.vd Wood Pallets MOREOVER,.PUR ASER; CKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S) /1,,7 / Plastic Pallets Dlvd Plastic Pallets 'Rtn: Received by: eww } L. Date: CUSTOMER COPY B11.1 ar, LaaL�ng/bnipment Keceip't ** Continuea from Previous Page Page 2 of 3 . pp BRENNTAG MID-SOUTH, 11.1. PHONE: 317w89S-£3632 4/30/18 1.1:09:11 B R E N NI 3N POST RD FAX: DEA. REG NO. 00660IBNY INDIANAPOLIS; IN 46226 BOL# . . : 21099111-00 Dely Date.: 4/30/18 Ship .CARMEL WATER, PLANT 4 Sold ..CARMEL WATER Customer". -407542 Ship To: 6 Ship Date: 4/30/18 0 Sh: To: 10675 N. GRAY 'ROAD To: x.3450 WEST 131ST STREET Attn� Frt Terms: PREPAID Fr' CARMEL, IN 46032 CARMEL, IN 4607.4. FOB. ',;`: . : DELIVERED Taken By : BM29LAL S1, Ship V, 0UR TRUCK - PKG Placed By: ANDY Recv yrs: 8:00 AM-- 4:00 PM Phone#. . : 317. 571--2443 Phone: 317-71.6-3917 Ext: Phone: 317-571„-2443 Exfi:: Termsa, .A : NET 30 DAYS Cust PO# : AC042,4i8 QUANTITY SHIPPED . PACKAGING HM DESCRIPTION M QUANTITY PRODUCT COI ORDERED BACK ORDERED CODE DI IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY -CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 �T 24 HOURS / 7 DAYS RQ UN-1017 Received : 33q C) CHLORINE, yy Date . r8 RQ,MARINE POLLUTANT P 0 # : POISON-INHALATION HAZARD, ZONE B A C C T ; ERG #: 124 CHLORINE Use : i?L7# 4,0000 150.0000 LB CYL ' CHLORINE, LIQUID DBMS OPdC_Y >A RPK _ . ! Loc.- A Qty: 1.01 0 .1 � P ro t 1 d� am. L 2R A Qty: 4.0000 I I I F �etW a o17 0 Wei 600000CYL _- _- ..,__ _____.�________- � � � �G . � - - -- _ _ --------- --------------------------- ___ ______. ___ _. m_ Total Net Weight: 600 Total Gross We, ght This is to certify that the above named materials are.pr ified,described,packaged,marked,and labeled,and are in proper condition for transportation according to the appl' ula' ns of the Department of Transportation. Loaded By: Checked By Signature of Shipper: - Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GO DS RED BY T IS DOCUMENT SHALL CONSTITUTE ACCEPTANCE i Miles: Time In/Time BY THE PURCHASER OF ALL TERMS AN, NDI TONS OF S LE STATED ON THE REVERSE SDE HE OF l MOREOVER,PURC SER,HERE YACKNOWLE GES RECEIPT OF ALL REQUIRED SDS(S) � Wood Palle ts D�y� "' Wood' Pallets Pallets �tn�' """' ' """"" t ((( Plastic a e s . 1vdantic a, e s tn: Received. �> L_�— Date: �E 4' CUSTOMER CORY