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Home My WebLink About327360 07/10/18 (9, CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****2,799.90* CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 327360 CHICAGO IL 60686 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 017797 469.70 OTHER EXPENSES 601 5023990 019051 996.50 OTHER EXPENSES 601 5023990 019052 1,333.70 OTHER EXPENSES VOUCHER NO. 181942 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) - ALLOWED 20 Vendor # 359584 IN SUM OF$ 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 $2,799.90 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 017797 01-6180-03 $469.70 and received except 6/26/2018 017797 $469.70 019051 01-6180-03 $996.50 6/26/2018 019051 $996.50 019052 01-6180-03 $1,333.70 6/26/2018 019052 $1,333.70 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#: BMS017797 INV DATE: 6/20/18 * * PAGE 1 OF .1 DUE DATE: 7/20/18 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: 6/20/18 TERMS NET 30 DAYS B/L #. . . : 2169194-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC061818 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 775324952 . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .5620 337 .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 337 .20 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 7/20/18 INVOICE TOTAL USD 469.70 PAID AFTER 7/20/18 INVOICE TOTAL USD 479.09 Original Document BRENNTAG ARM BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS019052 INV DATE: 6/21/18 * * PAGE 1 OF 1 ** DUE DATE: 7/21/18 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: 6/21/18 TERMS NET 30 DAYS B/L #. . . : 2169205-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC061818 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 ' PRO NUMBER . : 775324934 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .4320 864.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- 4.0000 873311 11 .87.000 600.0000# .5620 337.20 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 1,201 .20 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 7/21/18 INVOICE TOTAL USD 1,333.70 PAID AFTER 7/21/18 INVOICE TOTAL USD 1,360.37 Original Document BRENNTAG 1 BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS019051 INV DATE: 6/21/18 PAGE 1 OF 1 * DUE DATE: 7/21/18 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: 6/21/18 TERMS NET 30 DAYS B/L #. . . : 2169186-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC061818 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 775324928 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .4320 864.00 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 864.00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 *************************************** INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 7/21/18 INVOICE TOTAL USD 996.50 PAID AFTER 7/21/18 INVOICE TOTAL USD 1,016.43 Original Document Bill of Lading/Ship bent Receipt Continued from Previous Page Page 2 of 3: DiRENNTAG MID-SOUTH,, PHONE: 3i7-898-8632 6/20/18, 14:43:59 B R E N N 1 3111 N POST. PSD . FAX: ; DEA REG NO. 00660IBNY INDIANAPOLIS, IN 46226 DOL# , : 21691., 4-00 Dely Date: 6/20/18 Shap CARIMEL WATER,, PLANT Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 6 Shap Date: 6/20/18 O;.Shir To: 10675 N. GRAY ROAD, To: 3450 WEST 131ST STREET Attn- Frt Terris: PREPAID 4>rt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . : DELIVERED . Taken By -: BM29SLD SIS Ship Via: OUR TRUCK - PKG Placed BY: ANDY Recv Hrs: 7:80 AM- 4:00 PM. Phone. , : 317-571-2443 Phone: -317m-716- 3917 Ext: Phone: 317-571:--2443, Ext: Terms, .: NET .30. DAYS Cust PO# : AC061818 QUANTITYQUANTITY PRODUCT COf SHIPPED PACKAGING f1M, DESCRIPTION M ORDERED BACKORDERED CODE DI IF LEAK', OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE 'AT 1-800-424-9300 24 HOURS / 7 DAYS Q' UN1017, i ?CHLORINE, RQ,MARINE POLLUTANT , POISON-INHALATION HAZARD, ZONE B ERG #: 124 CHLORINE 4.0000 150.0000 LB CYLCHLORINE, LIQUID (DMS ONLY) >A RPK 4.0000 €373311 1 L.oc: A2P2A Qty: 80.0000 r product picked from: Lot: 2 Loc: A2R2A' Qty: ►.0000 - reight Class. . . 200 `Weight Per Gallon: 11.87000 Net Weight: 600.000 CYL ------------- --------- --------------------- -------------------- _-_--_._T----W --- Weight: -600Tota1-G-----Wel,ch- oss let hq r This is to certify that the aboye'nau Materials aze properly classified,described,packaged,marked;and labeled,and are in proper condition for transportation ac o ud the applicable regulations of the Department of Transportation. Loaded BY." ,,,,,,,,,»„», Checked By- 01 y: Signature of Shipper: _-- Vehicle: Driver: PURCHASER'S ACCEPTANCETHE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Males:, , „» Time In/Time Out,„,,,»„»,,,,, BY THE PURCHASER OF ALL/6FTERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Wood Pallets Dl V tl w . Wood Pallets Rn:,..,,,,,,,,, , MOREOVER,PURCHASER,HEREBYACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). ( / J / r Plastic PalletS Dlvd,,,,»,,,,,,,,,,,,,».,, Plastic Pallets Rtn: Received by: Date: ? CUSTOMER®MER C®Pl( B111 _ot Ladlilg/Shipment Receipt * Continued from Previous Page Page 2 of 5 BRENNTAG MID- SOUTH PHONE: 317498-8682 6/20/18 22:07:23 g R`'E N N 1 3111. N POST RD FAX: �*� RtPRINT- 01 �*� DEA REG NO.- 006601ESNY INDIANAPOLIS,. IN 46226 .` BOLT# .: 4 : 2169205-00 Delo Date: 6/20/18 Ship CARMEL MATER; PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Shap Tei: 4 Ship Date: 6/20/18 0. Shir To: 5484 E. 126TH STREET To: .3450 WEST 131ST STREET A'ttn- Frt Terms: PREPAID Frt CARMEL, IN 46032 ...CARMEL, IN 46074 FOB. DELIVERED Taken By : 'BM29SL'D SIS Shap Via: OUR TRUCK - PKO Placed By: ANDY R.ecv Hrs: 7:30 AM- 4:00 PM Phone#, .e 3`17-571-2443 Phone: 317-•571-2634 .. Ext: Phone: 317 .571-'2443 'Ext: Terms. � : NET 30 DAYS Cust PO# : AC061818 QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY ACKORDERED PRODUCT CODE C DI IF LEAK OR, SPILL OCCURS DURING TRANSPORTATION: CCN3170 - EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 f 24 HOURS / 7 DAYS RQ UNIO17, CHLORINE, } RQ,MARINE POLLUTANT i POISON-INHALATION HAZARD, ZONE B ERG #: 124 CHLORINE 1_0000 200040000 LB CYL 4 CHLORINE, LIQUID (BMS ONLY) >A RPK 1x0000, 25341 j . ° Loc: OSE04 OSE05 Qty: 8,0000 8.0000 `Product packed from: ' Lot: 2 Loc: OSE05 Qty: 1.0000 Freight Class.. . : 200 Weight Per Gallon: 11.87000 Net Weightu 2000.000 GYL Continued on Next Page This is to certify that the above named-nate�ials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportation____�_ '�' to th e a placable regulations of the Department of Transportation. Loaded y. Checked y: ,, s 61 Signature of shp��` . a'. _ — Vehicle: ..... ...... .......... .. . ._r.... Dry vef�, ......., PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE M ... BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Miles:" Time in/ L Out"""'„"" ................. . .... ......... ..... ................ Received R, d R, 1 RECEIPT OF ALL REQUIRED SDS(S). Wood Pallets Dlvd„ ......................... . Wood Pallets Rtn:,,,_. MOREOVER PURCHASER HEREBY ACKNOWLEDGES RECE / Plastic. Pallets Dlvcf , Plastic Pallets Rtn y; Date: . °( T CUSTOMER COPY Bill of Lading/.Shipment Receipt Continued from Previous Page Page 3 of 5 ENNTAG MID--SOUTH PHONE: 317-898-8632 ', 6/20/18 -22.-07:23 B R E N NT 31 .1 N POST RD FAX: �� REPkI�NT-01 �*� DEA REG NO. 006601ENY �s INDIANAPOLIS, IN 46226 DOL# , : 2169205'-00 Dely Date: 6/20/18 Ship CARMEL WATER, PLANT- 5 Sold CITY OF CARMEL.'UTILITIES Customer: 407542 Ship To: 4 Ship Date: 6/20/18 0-8hi,p 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 SIS Ship Via: OUR TRUCK - PKG Placed By: ANDY Recv firs: 7:30 AM- 4:00 PM Phone#. . : 317--571-2443 Phone: 317-"5.71-2634 Ext: Phone: 3175.71-'2443 Ext: Terms. . : NET 30 DAYS Cust PQ# : AC661818 QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY ACK ORDERED PRODUCT CON DEI IF LEAK OR SPILL.00CURS DURING TRANSPORTATION: ti CCN3170 EMERGENCY -CONTACT: CALL CHEMTREC TOLL FREE AT _800-424-9300 24 HOURS / 7 DAYS €2Q UN9.017, 'CHLORINE, 2.3,(5.1)s(8Jp RQ',,MARINE POLLUTANT POISON--INHALATION HAZARD, ZONE B • . '7,... _::. lERG #: 1,24 e (CHLORINE "'4.0000 150.0000 LB CYL t6IL0RINE, LIQUID (BMS ONLY) >A RPK 4.0000, 873311 Loc: A2R2A F Qty: 98.0000 Product picked from: . Lot: 2 Loc: A2R2A Qty: 4.0000 -Freight Class" . . " 200 Weight Per Gallon: 11.87000 Net Weight: 600,000 CYL __._._,..__,.__w_._------- _.,----------------------------------------------------- ---------------------- Total ,_.______- _,_-_.Total Net Weight: 2,600 Total Cross Wei. ht: • • TY , I This is to certify that the above namedamaten''als are properly classified,described,packaged,marked,and labeled,and are in proper / condition for transportationacco� to the to licable regulations of the Department of Transportation._ P g P P i � Leaded By: ,„,,,,,,,,,,,,,, Checked By: Signature of Shippef 1f''�.-. _ Vehicle: Driver: J PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE ” """"'"""" "•'-" ",.,"""'"" BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE,SIDE R OF. M� �S" "'."' Time Tn T3 me OUB"""""""'"""""""""" MOREOVER,PURCHASER,HEREBYACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). Wood Pallets Divd Wood Pallets Rtn^ "••••.. ", . r� _y -✓ J % Plastic Pallets D2:vd ,: � . .,...... Plastic Pallets Received by: / .%� ��-'� Date: CUS I OMER COPY Bill of Lading/Shipment, Receipt Page 1 of 2 '. BRENNTAG MID-SOUTH PHONE: 317-898-8632 6/20/16 22:07:03 g REN N Ti 3111 N POST RD FAX: * REPRINT-01 DEA REG NO. 006601BNY SJ, r:- INDIANAPOLIS, IN 46226 BOL# . : 2169 .86-'00 Dely Date: 6/20/18 Ship CARMEL UTILITIES PLT I Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 11 Ship Date: 6/20/18 O�Ship To: 4915 E '106 ST To: 34,50'WEST 131ST STREET Attn•- Frt' Terms: PREPAID Frt c CARMEL, IN 46033 CARMEL, IN 46074 , FOB. DELIVERED Taken By : BM29SLD Sus F Ship Via: OUR TRUCK _. PKG Placed By: ANDY Recv Hrs: " r:30 All 4:00 PM Phone#. 317f 571--2443 Phone: 317-571-2A43 Ext: Phone: 317'-'571-•244.3 Ext: Terms. .: NET 30 'DAYS Cust PO# : AC061818 QUANTITY QUANTITY PRODUCT CANT SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACKORDERED CODE DEP IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-9300 - 24 HOURS / 7 DAYS FREIGHT CARRIER: INVOICE TMS VIA' EDI OR CARRIER PORTAL. RQ UN1017, CHLORINE, �. RQ,MARTNE POLLUTANT _ POISON -INHALATION HAZARD, ZONE B i ERG #: 124 CHLORINE 1.0000 2000.0000 LB CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253418 hoc- OSE04 OSE05 ' " .. Qty: 8.0000 9.0000 P1-oduct picked from: Lot: 2 Loc: OSE05 Qty: 1.0000' Freight Class. . . : 200 Weight Per Gallon: 11.87000 Net Weight: 2000.000 CYL .._..,._..._,...... ...__ ..._._._._.a_._._,_._._. ..._..,. _' ... _._.,,_....._,_._.......__. ..._. ._,_w_, _...._.�'��._.,._._._.___....._w_.__._•Tntalw Met ...Weight: ...._�.__.. 2,000 Total~Gross Weight: This is to certify that the above namedateq�'als are properly classified,described,packaged,marked,and labeled,and are in proper \� 4 condition for transportation a cor-djng to the/applicable regulations of the Department of Transportation. " Lnaded B Checked r �" i Signature of Shipper== Vehicle: ......,.,.,....,....... Driver: y: ............ ....�..,Cr' ;. .... -.. NT ALL CONSTITUTE ACCEPTANCE ,"......."............. e PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SH " hliues Time In/Time qut BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. " lvd___._____... """" """"" MOREOVER,PURCH;ASEER�HHE'REBYACKNO EDGES RECEIPT OF ALL REQUIRED SDS(S: Wnnd Paulets Dl.yd Waad Pallets Rtn` "•••�•• L,'/�� 11 Plastic Pallets Dl,vd...,..........�....... Plastic Pallets Rtn,: ................... Received by: Date: CUSTOMER COPY