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HomeMy WebLinkAbout326894 06/29/18 (9, CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECKAMOUNT: $*****9,074.22* CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 326894 CHICAGO IL 60686 CHECK DATE: 06/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 004216 239.00 OTHER EXPENSES 1206 4350900 BMS005061 5,156.51 OTHER CONT SERVICES 1206 4350900 BMS007409 3,678.71 OTHER CONT SERVICES VOUCHER NO. 181824 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 239.00 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 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 004216 01-6180-03 $239.00 and received except 6/11/2018 004216 $239.00 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 BRENNTAGs' BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS004216 INV DATE: 6/05/18 * PAGE 1 OF 1 ** DUE DATE: 7/05/18 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: 6/05/18 TERMS NET 30 DAYS B/L #. . . : 2151984-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC052918 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 774776724 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 839284 1 .00000 100.0000# 2 . 3900 239.00 100.0000 # VDRM PRESTOCHLOR GRAN >A F/S -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * CHICAGO IL 60686-3007 MERCHANDISE 239.00 ----------------- PAID ON OR PRIOR TO 7/05/18 INVOICE TOTAL USD 239.00 PAID AFTER 7/05/18 INVOICE TOTAL USD 243 . 78 Original Document Bill of Lading/Shipment Rec6ip-t _ — * Continued from Previous Page Page 2 of 2 BRENNTAG MID-SOUTH PHONE: 317-890-8632 6/05/18 10:24:46 6 R E N N 1 3111 N POST RD FAD(: 4...DEA REG NO w 00660IBNY. A INDIANAPOLIS, IN 46226 BOL# , : 2151984-00 Dely Date: 6/05/18 _Snip CARMEL UTILITIES PLT .I Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 11 Ship Date: 6/05/18, 0 Shin .fid 4915 E 1.06 ST To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt ARMEL, IN 46033 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#w . : 317-571-2443 Phone: 317-'571-2443 Ext:,,. Phone: 317-571-2443 Ext: Teras, w ; NET 30 DAYS Cust PO# : AC052918 QUANTITY . U QUANTITY PRODUCT COQ SHIPPED , ' PACKAGING =:. HM DESCRIPTION M ORDERED BACKORDERED CODE DE 1Y IF LEAK OR SPILL OCCUR$"'DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-000-424-'9300 24 HOURS / 7 DAYS iAlRQ` UN2880, �. !CALCIUM HYPOCHLORITE, HYDRATED, 5w1,PG 11 ERG #: 1.40 CALCIUM HYPOCHLORITE GRANULAR PRESTOCHLOR 1wUUU0 100.0000 LB DRUM PRES70CHLOR GRAN >A F/S 1w0000 239:2:11+ Loc: E3R1A Qty: 1..0000 Product picked from: -y Lot: D01711 Loc: E3R1A Qty: 1.,0000 a Freight Class, . . : 65 Weight Per Gallon: 1..00000 Net Weight: 100.000 VDRM ONLY PRODUCTS MANUFACTURED AT A NSF AUTHORIZED PLANT LOCATION ARE CONSIDERED CERTIFIED. " ---------------- ------ "---------------- - _ - �� _ `55,- ------------------------------------------ Pallet -__-----_ ---�--__---- ------_ _-" pallet Count: 1 Total Fenlil� t :� t TTotal Net WF fight: 1O0 Total Cross Weight: 1 000 1 OCT 4 . AC This is to certify that thgabode'ritne atenals ar assified,described,packaged,marked,and labeled,and are in pro condition for transportation accordi o he a licable zpgul•tions of the Department of Transportation. Loaded By: „.,..,, hacked By Signature of Shipper: Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE BY THE PURCHASER OR ALL TERMS AND CgND�TirONS OF SALE STATED'ON THE REVERSE SIDE HEREOF. Miles:_ Time In/Tine MOREOVER,PUR HASER,HEREBY ACKN EDate:RECEIPT OF ALL REQUIRED SDS(S). Wood Pallets Dlvd,,,„,„,„„„,„„„„....... Wood Pallets Rtn; i Plastic Pallets DlvdPlastic Pallets Rtn; Received by: 1 // ra ( CUSTOMER COPY VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 359584 BRENNTAG MID SOUTH INC IN SUM OF$ CITY OF CARMEL 3796 RELIABLE PARKWAY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60686 Payee $8,835.22 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BMS005061 43-509.00 $5,156.51 1 hereby certify that the attached invoice(s),or 6/6/18 BMS005061 $5,156.51 1206 101 bill(s) 1206 101 BMS007409 43-509.00 $3,678.71 is(are)true and correct and that the 6/8/18 BMS007409 $3,678.71 1206 101 1 materials or services itemized thereon for 1206 101 which charge is made were ordered and received except Tuesday,June 19,2018 Huffman, Dave Director 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Brenntag Mid-South, Inc. BRENNTAGAWE 1405 Highway 136 W•P.O.BOX 20 Henderson, Kentucky 42419-0020 INVOICE#: BMS005061 INV DATE: 6/06/18 *** PAGE 1 OF 1 *** . DUE DATE: 7/06/18 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST STREET REFLECTING POOL CARMEL IN 46074 THIRD AVE. & 126TH STREET CARMEL IN 46032 FEDERAL ID ## : 610504545 DATE SHIPPED: 6/06/18 TERMS NET 30 DAYS -B-/L- .:-21 99 8 vv__ --- - - - - - -- - -- - --- --- SH-1-P-TATHS:- - - .29- S.LSPRSN: 2-9:3- CUSTOMER # . : 897255 - SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : REFLECTING FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# 0031201550-020 PRO NUMBER . : 774807435 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 931 . 6770 723584 9 . 66000 931 . 6770G 5 .4300 5, 059 . 01 1 . 0000 G BULK HYDROCHLORIC ACID 20 DEG DRUM OFF-330 G POLY TOTE7A BLK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 *************************************** * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-3007 * MERCHANDISE 5, 059 . 01 *************************************** FUEL SURCHARGE . 97 . 50 ----------------- PAID ON OR PRIOR TO 7/06/18 INVOICE TOTAL USD 5,156.51 PAID AFTER 7/06/18 INVOICE TOTAL USD 5,259.64 Original Document **ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE*** Brenntag Mid-South, Inc. BRENNTAGAEU 1405 Highway 136 W•P.O. BOX 20 Henderson, Kentucky 42419-0020 INVOICE#: BMS007409 INV DATE: 6/08/18 *** PAGE 1 OF 1 *** DUE DATE: 7/08/18 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST STREET REFLECTING POOL CARMEL IN 46074 THIRD AVE. & 126TH STREET CARMEL IN 4.6032 FEDERAL ID #: 610504545 DATE SHIPPED: 6/08/18 TERMS NET 30 DAYS ---- B/L }F . 21551U1=00 __ - - - SHIP Will : 27 pLSPi«1J: G7S CUSTOMER # . : 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : 241 REFLECTION FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 0031201550-020 PRO NUMBER . : 774915185 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 989 . 9408 365998 10 . 14000 989 . 9408G 3 . 6176 3, 581.21 1 . 0000 G BULK SODIUM HYPOCHLORITE 12 . 5% DRUM OFF-330 G POLY TOTE>A BLK -------------------------------------------------------------------------------- QUESTIONS, CALL 3177898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-3007 * MERCHANDISE 3 , 581 . 21 *************************************** FUEL SURCHARGE 97 . 50 ----------------- PAID ON OR PRIOR TO 7/08/18 INVOICE TOTAL USD 3, 678.71 PAID AFTER 7/08/18 INVOICE TOTAL USD 3,752.28 Original Document * ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE"** Bill of Lading/Shipment Receipt Continued from Previous Page Page 2 of . 3 BRENNTAG MID-SOUTH PHONE:. al7-898-8632 6/07/18 20:53:23• BRENN1 3111"' N` PCBST RD FAX: ILEA REG NO. 006601BNY «< INDIANAPOLIS, IN 46226 BOL# . . , 21551.01;-00 Dely Date. 6/08/16 Ship CARMEL STREET DEPARTMENT Sold CARMEL STREET DEPARTMENT Customer. 897255 Ship. To: 2 Ship' Date. 6/08/18 0`'Shif To REFLECTING POOL To: 3400 W. 181ST STREET Attn- Frt Tei-ms: PREPAID . F.rt THIRD AVE. & 126TH STREET CARMEL, IN 46074 FOD.: . . . DELIVERED Taken By . BM29SLD Sls CARMEL, IN •46032 Ship Via: OUR TRUCK - PKG Placed By: MIKE Recv Hrs. 8:00 AM- 1..00• PM Phone#. . . 317-443-0841 Phone: 317-443-0841 Ext: Phone: 317-443-0841 . Exti Terms. . . NET 30 DAYS Oust PQ# : 241: REFLECTION QUANTITYQUANTITY PRODUCT COP 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--600-424-9300 24 HOURS / 7 DAYS 'RQ ;UN1791, v Y 'HYPOCNL ORITE SOLUTI ?NS, .8,PG III MARINE POLLUTANT (SODIUM HYPOCHLORITE) RQ DOT"-SP 12412 ERG #: 1.54 SODIUM_.HYPOCHLORITE 1.2.5% NSF. DRUM OFF-330 G POLY TOTE 1003 3.0000 1.,0000 T/I" ! ,' ''SODIUM HYPOCHLORITE ,12.5% DRUM OFF-33O G POLY TOTE>A BLK 1008.0000 365998 I �Loc. E811 Qty: .8000 " Product picked from.- Lot: rom.Lot: UWAOWN 5' `<<.;Vit?�,n Loc: ZZZ. Qiy:' 10, 338.0000 Freight glass. . . : 55 ' {Weight Per Gallon: 10.14000 Net Weight: 1.0038.000 BULK B Cts be completed be �r unloading: --- -__.__."..- - A .�__...__.",---- . iso se connected I ; ect compartments) i j,_11 211 , a: 4; 5 r giver' Hose' connect o pro er storage tank and quantity shipped Will Fit in-to GUStoileI" container. gus'tomer. E Cont4nued on Next Page This is to certifythat'the above named.ma_nalpspare properly classified,described,packaged,marked,and labeled,and are in roper condition.for transportation acc rdi to t e a licable regulations of the Department of Transportation. P P Y P gp ,, Loaded. y" ,»,..,.,..,.".,.....,....",".....°.,»,..,.....,°. Checked .8y: r Signature of Shipp i 1:-,e,e"_'. �.. Vehicle-_- ...,.»."................°„"...,,.,...,,..,°.,° �Jh� Per: PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE �"im Out. "� Y BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Miles: "" ”""""°"•" Time In/T]me 011t „"„"`"'»"°"."••...°' MOREOVER,PURL SER HE REB A OWLEDGES RECEIPT OF ALL REQUIRED SDS(S). i �.,'/- Wood Pallets �lyd;� " ••-"•• ••••°•• Wood Pallets R tn: •„ .....,«, •••,, �� � '�� G% t Plastic Pallets Dlvd . Plastic Pallets Rtn:."»„",.... Received by: Date: �) CUSTOMER COPY 10 11111 OT Laaing/�nipment Receipt. "Page 8 of 3 BRENNTAG - DwSOUTH P -898-8632 6/07/10 29:53::23HONE317 B R E N N1311rNAPOS Rb FAX DEA REG NO. 00660IBNY INDIANAPOLIS, IN .46226 DOL#, . 21551,01-00 " De1v Date: 6/0$/18 Ship CARMEL STREET DEPARTMENT Sold CARMEL STREET DEPARTMENT . . Customer.: 8972.55 Ship To: 2 Ship Date: 6/08/18 O' Shij Ta: . REFLECTING POOL To: 3400 W. 131ST STREET Attn-- Frt Terms".- PREPAID Frt THIRD AVE., & '126TH STREET CARMEL, IN' 46074 FOD. . : DELIVERED Taken By : DM29SLD $Is CARMEL, IN 46032 Ship Via: OUR TRUCK - PKG . ' Placed Dy: MIKE Reov Hrs: 8:00 AMa 1:00 PM Phone#. 317-443-084.1 Phone: 317-443--0841. Ext: Phone: 317--443-0841 Ext: Terms- .: NET 30 'DAYS Cust' P0# 241. REFLECTION QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT COI SHIPPED ORDERED BACKORDERED CODE DI IF LEAK-OR SPILL OCCURS DURING TRANSPORTATION: CCN3 7O EMERGENCY CONTACT: CALL CHEM iREC"TOLL FREE AT 1-800--424-9300. 24 HOURS / 7 DAYS 3,346.2 LB TOTE 330 GAL FULL _ ,,,.,.».a, ,,.,— ..,... ------------------------------------------------------. 3 ,....,,... ,,.---d...e.v,.,.. ...`.,. ,s..,..w,....---------w'------ Total — «,,.,.,..,Tota. Net Weight: 0,038 Total Gross Weis hi. 3, This is to certify that the above named'materials are properly classified,described,packaged,marked,and labeled,and are in proper ' condition for transportation according to the applicable'regulations of the Department of Transportation. Ucda �, Checked Byw Signature of Shipper: n Vehicle: `,;.,, ,,,,, Dr r: ,. , ... , PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTHACCEPTANCE Niles" T�.�le InTile 0u� "` ,,.. BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF.. ; MOREOVER,PURCHASER,HEREBYAC OWLEDGES,RECEIPT OF ALL REQUIRED SDS(S). W1�0t �Pallets' ��5�p »,y, rH,...w, g�y, '� y ` SyS „ Received by: ti ,h ', �^ Date:. T • .,- -�, ,�.c. '1'�� ._'� .,_ . ..�, . � CUA ®�!l �8 C®l�� Ball of Lading/Shipment Receipt Wage 1 of 3 BRENN,I,OG.MID-SOUTH PHONE: 317-898--8632 6/07/18 20:53:.23 B R E IV N 1 311 N POST RD FAX: DEA REG NO. 00660IBNY 40. INDIANAPOLIS, .TN 46226 BOL# ..: 2155101-00 Dely Date: 6/08/18 Ship CARMEL STREET DEPARTMENT Sold CARMEL STREET DEPARTMENT Customer: 897255 Shap To: 2 Ship Date: 6/08/18 0 Ship To: REFLECTING POOL To: 3400 W. 131ST STREET Attn- Frt Teras: PREPAID Frt THIRD AVE. & 126TH STREET CARMEL, IN 46074 FOB. DELIVERED TaRen By : BM29SLD SIS CARMEL, IN 46032 -- Shap Via: OUR TRUCK - PKG Placed By: MIKE Recv. Hrs: 8:00 AM'- 1:00 PM Phone#. . : 317-443-0841 Phone: 317-443-0841 Ext: Phone: 317-443-4841 Ext: Terms. . : NET 30 DAYS Cust PO# : 241. REFLECTION QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON SHIPPED ORDERED BACK ORDERED CODE DE IF LEAK,.,OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLD. FREE AT 1-800-424-9300 , 24 HOURS / 7 DAYS j FREIGHT CARRIER: INVOICE TMS VILA EDI OR CARRIER PORTAL. 4 DRIVER: j. CONTACT MIME: 317-443-0841 CUSTOMER REQUESTING DELIVERY BY 1 PM 2. i STRAIGHT TRUCK ONLY ` - CHEMICALS NEED TO BE .DELIVERED AND APPLIED DIRECTLY TO THE REFLECTING POOL. CITY EMPLOYEE IS TO BE PRESENT DURING ALL I DELIVERIES AND APPLICATIONS- NO EXCEPTIONS! ! _..,.._--_- ---_-_.-__- - -L--------------------------,-----------_---_--- E f t SIS:ti{ Con-ltl nued on Nlex t, Page This is to certify that the above named materials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. Loaded 13.Y'^ .,,.»,..,»,,,,,,,,,,,,,,,, C#;leckec9 By: Signature of Shipper: Vehicle: .,.. Driver- PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE- �:�1,a.G+:, ,,,,,,,,.,•„ '..,.... `.` Time In/Tame Out.,,,, BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. I,l OO d Pallets D!V C�,,,,,,,,,,,,,,,,,,,,, I9CJ0� P�lle$S MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). »• t i, a.,t: P�,i-.',w'C".+C Pallet's l .l_L°c....... Plastic4i Palle �'tS R to Received by: Date• ti , ; - GUTOi1AEFi COPY i t"L Kvut:1p:v- \1 {'Ull'L.,t,MA W TFU111 t-ri�jW L VT .1. �B LLI EBt� F•OWE u 317_..093,...86;32 6/05/8 21.-45:37 R E�V N TG � cin g a QY ..i s:.z•+. Win,. #,���� ] BOL# w 2149938-00 Delta Date„ 6/06/18 ;JI" , CARMEL E�Af�Ti�iE�ET ,Sclrl (�€MCw'i" I�EI;'�1F;l�8k:hf'!" Customer", 09725 Ship TO: 2 Ship Date: 6/ab/"�� q Ship F�"a1F1� 29 To: 34-00 W,. 131ST STREET Attn- Frt Terms;: PREPAID Frt Code .. TH! STREET CARMEL, TIN .46074 FoPn DELIVEkSiD, Taken By : BM298LD Sl.s Per W 293 ,Wp Vi.a". OUR TRUCK - PKG Placer ,.$y.,. MIKE E et.�t Mrs-. 00 AM- :!��a0 P�! Phone#. 217-443-084,1 841 Ex;t Phone:~ 3117-443-084.1 084.1, E.x t; Term. MET 30 DAYS CUS-F Pa's REFLECTING PACKAGING �' HM DESCRIPTION M QUANTITY PRODUCT CONTAINER GROSS Y ORDERED BACK ORDERED CODE DEPOSIT WEIGHT Cr-URS DURING TRANSPORTATION: CCld3 7C3 EE 'RGENCY CONTACT„ CALL CHI'NTREC TOLL FREE AT .-800-42��-93®0 4EIGHT 24 110UR3 / 7 DAYS MI LBS W-I1N1789, DROC€'rLORI ACTIJ.).)7 F IOrT.,,SF, 12.4..1.x? L Est; -t. 37 h !'ttJE?aCitE_ FltC ACID 20 ? DRUM OFF-3-330 G POLY wo T/T . i •7Y.11ROC..,1L.ORIC. ACID 20 .SEG 3)E U11 OFF-330 G POLY TO ErA BLit 9000.0000 723531' 9000 102.0000 2034.0000 w'roduct Picked from" Y LotWH��� � %� I..r�C. ; "r� Qty. 9,()Ott.a00a re:lght. Class. .. . , a`? 1;, Iyer Gall on" 9,.66000 E�€e", Sde:1..�71'l'1 - 9000.000 BULK l u be completed l;etedI�;.�cl e unloading, ------------------------------------ � I G e cornet teed 1.�GClq rcK�;t Ci?112E tf`t11C?Ci'i;( ;), i 1.l 21 Pry 5 1 �J '' ... . ....... ".. 1. '`i:G .,........ I I ► s ::pri.ver.. .,J1 `tom ............ ......,. I I I. , --------------- llclw i � � ~ 'it into customer containerCtnle� dace - arc { i t�" e:,I}4J Irkf�.C�`WILGRD; T , ip€::E ;{ r. Continued on Next Pane -*A RIF d materials are properly classified,described,packaged,marked,and labeled,and are in proper l j to the applicable regulations of the Department of Transportation : K Checked d.> Loaded 3 y� yz .� V !'lic .eprtser: .. )F THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE " "" " GERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. miles"le �.... 6 I f31e_.In 1 iMe Ou�. REBYACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S): f _ ' 4i�Q0d Pca.I�.�'GS' D).vd .. E41d3od Peal CtS. Rtn n blast?c Pallets 'Dlvd........................ Plastic Pallets Rtn Date:( .. « �, J (Dur w G camzC"00)V'y r >nt Receipt _ --- -- �— Page 3 of 3 PHONE., 317-S9S�S�32 x BREumlf` ., . ' ���..� . ;. � 2149938-00. Dei� Da-��� 6/06/18PAl TM iVT Solid CARMEL STREET DEPARTMENT Customer: 897255 hip T©. 2 Ship Date: 6/06/18 0 Ship F r om 1. 29 Tei: 3400 W. 131ST STREET Attn- )=rt Teams.- PREPAID �. Frt Code : ;TH STREET CARMEL, IN 46074 FOB.. . . .,. DELIVERED Taken By : BM29SLD Sl,s Per a : 293 Ship Via: OUR TRUCK - P€ G Placed By: MIKE > Recv Hrs: 3:00 AM- 1.:00 PM Phone#., 317 -443-0841 )841. Ex.t Phone: 31.7-443-•0€341 Ext., Terms., e : NET '30 DAYS CLISt PO* : REFLECTING PACKAGING HM DESCRIPTION ! M QUANTITY PRODUCT "� CONTAINER GROSS ORDERED BACK ORDERED CODE DEPOSIT WEIGHT CURS DURING TRANSPORTATION: _ 2 '`CCM3"17O EMERGE MCY CONTACT:, CALL CHENTREC TOLL FREE AT 1-800-424-9300 WEIGHT 2/, HOURS / 7 DAYS IN G,BS 3,000 LB TOTE 310.56 FULL -------------- ---- ._..._.W..,-- _,.,w.-- -- ---- Total. Net Weight: 9,,000 Total Cross Weight: Rm9,000 Ff S I materials are properly classified,described,packaged,marked,and labeled,and are in proper to the applicable regulations of the Department of Transportation. Lot-ded By: �.,,,,.,,,,,. . Checked By: T THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE.ACCEPTANCE Vehicle: ,,,,,,,,,,,,,,,,,, Driver-. N•N••,,,,,,,,,,,,,,,,„ „„',,,,„, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, , �r': „ 'ERMS AND.CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Miles.,,,,,,,,,,,,,„, ,,,,.,,,,,,,,,,,,,,,.,,, Time Irl/TiMe C)Ut........ ,EBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). -G�30Cicd Pallets e e S Dl�eCa, ,f good Pallets Rtn:._,.,,,,.,..,,..,�,,,,,,,,.,,,,,, Date: Plastic Pallets ➢�dd,....,,,,..�,,.,..,.., Plastic Pallets R'�n: ,. ,..,.,,,. ......................... CUS T OoMER COPY