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Home My WebLink About325727 05/30/18 CITY OF CARMEL, INDIANA VENDOR: 359584 =_ k� ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****2,504.25* 4 CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 325727 CHICAGO IL 60686 CHECK DATE: 05/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 991378 348.25 OTHER EXPENSES 601 5023990 991379 1,238.50 OTHER EXPENSES 601 5023990 991380 917.50 OTHER EXPENSES VOUCHER NO. 181662 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 $2,504.25 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG MID-SOUTH INC Terms Carmel Water Utility 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 991378 01-6180-03 $348.25 and received except 5/23/2018 991378 $348.25 991379 01-6180-03 $1,238.50 5/23/2018 991379 $1,238.50 991380 01-6180-03 $917.50 5/23/2018 991380 $917.50 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 BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS991380 INV DATE: 5/21/18 * * PAGE 1 OF 1 ** DUE DATE: 6/20/18 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: 5/21/18 TERMS NET 30 DAYS B/L #. . . : 2133901-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC051618 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 774277944 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 6/20/18 INVOICE TOTAL USD 917 .50 PAID AFTER 6/20/18 INVOICE TOTAL USD 935.85 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS991378 INV DATE: 5/21/18 PAGE 1 OF 1 * DUE DATE: 6/20/18 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: 5/21/18 TERMS NET 30 DAYS B/L #. . . . : 2133914-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC051618 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 774277954 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 3.0000 873311 11 .87000 . 450.0000# .5350 240.75 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 240.75 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 72.50 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 6/20/18 INVOICE TOTAL USD 348.25 PAID AFTER 6/20/18 INVOICE TOTAL USD 355.22 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS991379 INV DATE: 5/21/18 PAGE 1 OF 1 * DUE DATE: 6/20/18 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: 5/21/18 TERMS NET 30 DAYS B/L #. . . : 2133909-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC051618 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 774277948 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 -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .5350 321 .00 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- r QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 1,131 .00- CHICAGO ,131 .00CHICAGO IL 60686-3007 * FUEL SURCHARGE 72.50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 6/20/18 INVOICE TOTAL USD 1,238.50 PAID AFTER 6/20/18 INVOICE TOTAL USD 1,263 .27 Original Document Bill of Lading/Shipment Receipt Page 1 of 2 BRENNTAG MID-SOUTH PHONE: 317-598-8632 5/20/18 15:57:24 B REN N T 3111 N POST RD FAX: DCA REG N0: 006601BNY INDIANAPOLIS, IN 46226 BOL# . : 2133901-00 Delv Date: 5/21/18 Ship CARMEL. UTILITIES PLT 1 Sold CITY OF CARMEL. UTILITIES Customer: .'407542 ' Ship To: 11 Ship Date: 5/21/18 0 Shap To: 4915 E 106 ST To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, 46033 CARMEL, IN, 460 4 FOB. . . : DELIVERED Taken By : BM29SLD SIS Ship Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4.00 PM Phone#. . : 317-571-2443 Phone: 33.7-571-2443 Ext- Phone: 317-571-2443 Ext: Terms. 4 NET 30 DAYS Oust PO# AC051618 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 24 HOURS / 7 DAYS Rec'eiv d : 004— 'REIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. Date ' PO # !KW ON 1.017, ACCT J' l�, cWI.ORINE, w CG ;, 2.:1,(5.1),(8), Use : ��'' T --�-� MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B ERG #: 124 ,CHLORINE 1.0000 2000,0000 LB CYL CHLORINE, LIQUID (BMS. ONLY) >A RPK 1.0000 253418 Loc: OSE04 OSEOS Qty: 7,0000 5.0000 Product picked from: Lot: 2 Loc: OSE04 Qty: 1.0000 Freight Class, 200 pight .Per Gallon: 11.87000 Net Weight: 2000.000 CVL ------------„ -- ---------------- -_-------_-.--------------------------------------------------------- ------------ --_.--- Total Net; Weight: 2,000 Total Gross 'Wea..lht: This is to certify that the above named materials are properly classified described,packaged,marked,and labeled,and are in,proper condition for transportation acco.din to the applicable regulations of the Departmenfof Transportation. LoadedChecked Signature of Shi e .r ,� .Y ._. ..................., BY= .......,,,„„ ;, Vehicle: Driver: PURCHASER'S A C�PTANCE OF TtIIE GOODS COVERED'BY TfIIS'DOCUMENT SHALL CONSTITUTE ACCEPTANCE ”"""'„„ N, BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Males. µ^' ' Time in/Time m� MOREOVER,PURCHASER,HERE�BYXNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). Wood Pallets Dlvd Wood Pallets / ..� Plastic Pallets Dlvd Plastic Pallets Rtn Received by: C��_,._- ;4 _.•_'-_ .'- r'f�/� Date: �; �� -„.„,..,.,.„,,. .. �� CUSTOMER COPY Bill of Lading/Shipment Receipt Continued from Previous Page Page 2 of 3 BRENNTAG MID--SOUTH PHONE: 317--898'8632, 5/20/1.8 1;5 56!r43 B R E N N T 3111, N POST RD FAX: DFA REG NO. 00660IBNY - INDIANAPOLIS, IN 46226 DOL# .: 213391.4-00 Dely Date: 5/21/18 Ship CARMEL WATER, PLANT 4 Sold . CITY OF CARMEL UTILITIES Customer; 407542 Ship To: 6 Ship Date: 5/21/1.8 0 Shir To: 10475 N. GRAY ROAD To:' 3450 WEST 131ST STREET At'tn- F'rt Terms: PREPAID . Frt CARMEL, IN 46032 CARMEL:, IN 46074 FOB. " . : DELIVERED Taken By : BM29SLD SIS Ship Via: OUR TRUCK -- PKG Placed By: ANDY Recv Hrs: 7:30 AM-- 4:00 PM Phone#. .: 317-571-2443 Phone: 31.7-71.6-39,417 Ext: 'hone: 31.7-571.-2443 Ext: Terms. " : NET 30 DAYS Cust PO# : AC051.618 QUANTITY G QUANTITY PRODUCT CON SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DEI IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN31.70 - EMERGENCY CONTACT: .-CALL CHEMTREC TOLL FREE '`AT 1.-8€70-424--9300 24 HOURS / 7 DAYS 3 ?RQ UN1017, :CHLORINE, . RQ,MARINE POLLUTANT ;POISON'-INHALATION HAZARD, ZONE -B -.- ERG #: 1.24 ;CHLORINE " m,0o0O 150.0000 LB CVL CHLORINE, LIQUID (BMS ONLY) >A RPK 3"0000 - 873311 �. ;Loc: A2R2A Qty: 1.1.7.0000 a 'Product packed from: Lot: 2 Loc:. A2R2A Qty: 3,000b „ Freight Class. . . 200 -`;Weight Per Gallon:_ 1.1..87000 . Net Weight: 450.000 CYL Total. Net Weight: 450 Total' Cross Wei ht: Reca1v,e : ; a.t'- Jo -4= Date , IT --9—! -i PO V. ACCTL the above'-5 ria t a s are,properly• I This is to certify that n�j properly clasCh6,described, ac ed marked an labeled,and are in proper condition for transnorta accord'Oto the a� lie er , Loaded By,: .. Checked By: "„"..,".,. a Signature of Shipp �' " / Vehicle: Driver: PURC ISER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE in/Time"" " , ' BY THE�URCHAS6R OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREO . M11�S T�me Out.,,_.,-,-.,-_--, PURCHASER, < b LEIJGESRECEH'TOFALLREQUIREDSDS(S). Wood Pallets, l d ,," ",","•,,, Wood Pallets Rtn: / (�) DV „” D 1 n MOREOVER PURC ( Pl aSta c Pallets Dlvd, Pl3St�.0 Pallets Rtn ",..... Received by: r ?� fS.,; .J - "_- '/'/� /� Date: "..,.,,.,.."." " -- CUSTOMER COPY Bill of Lading/Shipment Receipt Continued from Previous Page Page 3 of 5 BRENNTAG, MID-SOUTH PHONE: 317-898--8632 5/20/18 15:5.7:04 6 R E N N T 3111 N POST RD FAX: DEA REG NO. 00660IBNY " INDIANAPOLIS, IN 46226 .. t DOL# . . : 2133909-00 Delv Date: 5/21/'18 Shap CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship'To: 4 Ship Date: 5/21/18 0 Ship To: 5484 E. -126TH STREET To: 3450 WEST 131ST STREET Attn- Frt Terms PREPAID Frt CARMEL.,s IN 46032 CARMEL, IN 46074 FOB. . < : DELIVERED Taken By : BM299LD SIS Ship Via: OUR TRUCK - PKG Placed By: ANDY , Recv Hrs: 7:30 AM- 4:00 PM Phone#. .: 317`571-"2443 Phone: 317"571-2634 Ext: - Phone: 317-571-2443 Ext:, Terms. . : NET 30 DAYS Cust PO# : AC051618 QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON' SHIPPED ORDERED BACK ORDERED CODE DEF IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 24 HOURS / 7 DAYS • JR4 �UN10�.7, " . CHLORINE, 2.3,(5.1),(8) RQ,MARINE POLLUTANT _ -POISON -INHALATION HAZARD, ZONE B ERG #: 124 CHLORINE 4.0000 150.0000 LB CYL CHLORINE, LIQUID (DMS ONLY) 'A RPK 4.0000 873311 ;Loc: A2R2A ;Qty: 117.0000 ;Product packed from: Lot: 2 Lac: A2R2A Qty: 4.0000 'Freight Class. . , : 200 welgn'rF-car laal.L)n: 11.87000 Net Weight: 600.000 CYL M Dates—` =/ f Total Net-Weight: 2,600 Total Gross Weight: ACCT # : U S..e : This is to certify that the above named•mate4s are properly classified,described,packaged,marked',and labeled,and are in proper condition for transporiatioa a_cc�i�n to th /applicable regulations of the Department of Transportation. Signature of S�ii��'�''.�'o-r</.� - Loaded 'B.Y= Checked By: g P Vehicle: Driver: PURCHASI S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: Time In/Time BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. „ „•••'•`•'• 1 m�! OUt,• „„ „ „""'" MOREOVER,PURCHASER,HEREBY AC OWL15DGS RECEIPT OF ALL REQUIRED SDS(S). lPallets n .,„,.,".,„.,,,„.•••••” Plastic PlasticPalletsRtn: Received by: ( '�e- �j /' ?ir� i � 's / Date: J ! P r_ ,, y, CUSTOMER CORY Bill of Lading/Shipment Receipt * * Continued from Previous Page Page 2 of BRENMTAG MID-SOUTH PHONE: °31.7-898-8632 5/20/18 15:57:04, . . B R E N N T 3111 N POST RD FAX: DEA REG-.NA. 006601BNY INDIANAPOLIS; 1N' 46226 BOL# 2133909-00 Dely, Date: 5/21/18 Ship CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 4 Ship Date: 5/21/18 0 Ship 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: ANDY Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317-571-2443' Phone: 317-571-'2634 Ext: Phone: 317-571.-2443 Ext: Teras. . : NET 30, DAYS Cust PO# : AC051618 QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON SHIPPED ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 f 24 HOURS / 7 DAYS jRQ �UN101.7, ? CHLORINE, RQ,MARINE POLLUTANT ter' POISON-INHALATION HAZARD, ZONE -B 'ERG #: 124 ;CHLORINE .1.00.00 ' 20.00.0000 LB CYL ¢ ;CHLORINE, LIQUID (BMS ONLY) >A RPh 1.0000 253418 Loc: OSE04 OSE05 ;Qty: 7.0000 5.0000 .Product picked from: Lot: 2 Loc: OSE04 Qty: 1.0000 Freight Class. .. . 200 .Weight Per Gallon: 11.87000 Net Weight: .2000.000 CYL ______ _ _.- _________ ________ i _ ________-_-_-_-_________-_-_ -------------------------------------_--__-_________-__ _ -_-___-_ ____ -__ _ __---_ --_Received : - • Date : - PO # : a . a ACCT # : p/ .ti�� cG� ° Continued on Next Page. * , This is to certify that the abov na �ed�`ia�rials are propefly�lassi€ed-described-paelcaged ararkefl,and labeled,and are in proper . condition for transportation e ng to' re applicable'regulationg'of tKe-Depaitment of`Transportation. Loaded By: ,",,,,,,,,,,,, Checked By: Signature c Shi err Vehicle: Driver: PURCHASER'SQ&1 ANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: Time In/Time Out BY THE PURCHASER OF ALL TERMS AND-CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. """""'" """""""""" MOREOVER,PURCHA R,HEREBY AC OWI EDG S RECEIPT OF ALL REQUIRED SDS(S). 1 " " " Plastic Pallets f �y Wood Pallets Dlvd_ _ Wood Pallets Rtn: Received by: J��' 'J<^ ��/ `1 `- ---,�J- In Plastic Pallets D1Vd� antic ,ter` �` •' 7�/G/ Date: Com. r - • _ -- CUS I OMER COPY