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Home My WebLink About327578 07/18/18 c; f�p"• CITY OF CARMEL, INDIANA VENDOR: 359584 it ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,466.20* =a; CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 327578 CHICAGO IL 60686 CHECK DATE: 07/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 030490 469.70 OTHER EXPENSES 601 5023990 030491 996.50 OTHER EXPENSES VOUCHER NO. 182070 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRENNTAG MID-SOUTH INC 4 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 $1,466.20 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# or bill(s)is(are)true and correct and that 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 030490 01-6180-03 $469.70 and received except 7/10/2018 030490 $469.70 030491 01-6180-03 $996.50 7/10/2018 030491 $996.50 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#: BMS030490 INV DATE: 7/05/18 * PAGE 1 OF 1 ** DUE DATE: 8/04/18 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: 7/05/18 TERMS NET 30 DAYS B/L #. . . : 2184100-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC070218 FOB DELIVERED FREIGHT TERM: PREPAID TAX EX# 35600972-001-9 PRO NUMBER . : 775925092 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 8/04/18 INVOICE TOTAL USD 469.70 PAID AFTER 8/04/18 INVOICE TOTAL USD 479.09 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS030491 INV DATE: .7/05/18 *** PAGE 1 OF 1 ** DUE DATE: 8/04/18 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: 7/05/18. TERMS NET 30 DAYS B/L #. . . : 2184088-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC070218 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 775925077 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 ON OR PRIOR TO 8/04/18 INVOICE TOTAL USD 996.50 PAID AFTER 8/04/18 INVOICE TOTAL USD 1,016.43 Original Document b111 OT Laaing75nipment Kecelpt 'gas* Continued from- Pf'PVIOUS Page Page 2 of 3 BRENNTAG MID-SOUTH PHONE: .317-398-8632 7/0.x/18 11:47:56 B.R E N N T 3111 N POST RD FAX; DEA REG NO. 006601BNY INDIANAPOLIS, IN 46226 BOL# . ; 2184100--00 Dely Date 7/05/x.8 Ship CARMEL WATER, PLANT �" Sold CITY OF CARMEL UTILITIES ' Customer: 407542 Ship To: 5 Ship Date: 7/05/18 O .Ship To: 4425 E. 126TH STREET To: 3450 WEST 131ST STREET Attn- Frt Teras; 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: 317-847788341, C# Ext: Phone: 317-571-2 'a3 Ext: Terns. . : NET 30 DAYS Cust PO#' : AC070218 QUANTITY SHIPPED PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON' ORDERED BACK ORDERED 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 RQ UN1017, CHLORINE, RQ,MARINE POLLUTANT POISON--INHALATION HAZARD, ZONE B ERG #-. 124 _. CHLORINE 4.'0000_' 150.OdOO LB 'CYL CHLORINE, LIQUID (BMS. ONLY) )A RPK 4.0000 873311 -✓7 L. oc: A2R2A 'Product packed from: Lot: 2 Loc: A2R2A Qty: 4.0000 Freight Class. . . : 200 Weight Per Gallon: 11.87000 Net Weight: 600.000 CYL Total Net Weight: 600_ Total. Gross Weie ht; This is to certify that the Above named mat rial ar pr erly classified,described,packaged,marked,and labeled,and are in proper condition for transportation according to the licabl the Department of Transportation. -- Loaded B Checkeq,-�By"r, Signature of Shipper: �— Vehicle; Drayer; 1 ,,, PURCHASER'S ACCEPTANCE OF THE GOOD COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: „ „ ,•, Time In/Tim-'e Ou't,,,,,•,.,,,,,,,„„ BY THE PURCHASER OF ALL,TERMS"AND ND TIONS OF SALE STATED ON THE REVERSE BIDE HEREOF. Pallets „ "y” pe' q y . Q� r Wood Palle lits Dlvd Wood Pallets Rtn. MOREOVER,PURCHASER;-HERtBY ACKN LEDGES RECEIPT OF ALL REQUIRED SDS(S). „'• ,-••^„.„••„„•„ ” "”' „ „....... '! � � Plastic Pallets Dlvd,,,•„,,,,, „...,,,... Plastic Pallets Received by: % Date: CUSTOMER COPY B111 Ot LaOjng/Sh :pMeht Receipt - Fags 1 of 2 RENNTAG MID-SOUTH, PHONE: 31"T-393 -8632 7/t�_5/1�. 2 :48:36 3111 N POST RD FAX: B RE•N NT IAEA REG NO, 00660IBNY;, INDIANAPOLIS, IN 462i� :. x BOL# . . : 2184088-00 Dely Date: ..7/05/18 Ship CARMEL UTILITIES PLT 1 Sold- CITY OF '"CARMEL UTILITIES Customer: 407542 Ship To: 11 'Ship :Date: 7/05/18 0 Ship To: 493.5. E 106 ST To: 3450 WEST '13'IST STREET . A"ttn- Frt Terms; PREPAID , Fr°t -CARMEL, IN 46033 CARMEL, IN 1,6074 FOB., . .: DELIVERED Ta1;en By : 3M295LD Sls Ship Via: OUR' - PKG Placed By: ANDY Recv Hrs: 7:30 Aid- .4:00 PM Phone#. : : .317-571-2443 Phoma: 317-571-244 , _.Ext. Phond: 317- 571-2443 Ext: Terms. , : NET 30 DAYS Gast PO# : AC070218 QUANTITY QUANTITY PRODUCT CON SHIPPED PACKAGING HM ,bESCRIPTION M 'ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CC0170: EMERGENCY CONTACT:' CALL`CHEMTkEC. TOLL: FREE AT A-80&-424-9300 V 24 HOURSJ ,7. DAYS \� 6-REIGHT. CARRIER: INVOICE TMS VIA..ED1 OR CARRIER PORTAL. ANDY 317"750 RQ qN1017', .CHLORINE, OQ,MARINE' .POLLUTANT . -POISON INHALATION HAZARD, ZONE B, ' ERG #: 124 ` t CHLORINE 1.0000 2000.0000 LB 'CYL . CHLORINE, LIQUID (BMS ONLY) >A RPK 341 OSE64 OSE05,. Qty: 5,0000 6.0000 .: Product, picked ,-from: , Lot: 2 ..L 3('...• . ,L.oc• :. OSE04 Qt' y: Freight Class. . . 200 gh + Per Gallon:' 87000 Net. iei,ght. 0,0.60 .0 C YL .6000 5 . --- -------- «-__ . __.---...-_ ---_.- -_-- Total Net Net 4�e�.ght ,2,Otl0Y Total•-dross wb�ei.c�h�,: This is to certify that the above named materia rly classified,described,packaged,marked,and labeled,and are in proper condition for transportation,according to a i ble gulations.of the Department of Transportation. Loaded �3jr: Checked kyr Signature of Shipper.' VF?h1C��:: , :»..,, Dr Lv+er: PURCHASER'S ACCEPTANCE OF „ SfCRE BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE M:i,les: »,, TimE .Ire �� lie OtJ�. ,,,,,„, BY;THE PURCHASER OF ALL TERMS,AND ONllITL N .OF SALE STATED ON THE REVERSE SIDE HEREOF. .... MOREOVER,PURGfIASER-HEREBY ACKN WLEDOES CEIPT^OF ALL REQUIRED SDS(S). O Pallets �Wd°” "' O®� Pallets t - a Plastic Pallets Dlvd,,,, Plastic Pallets�Rtn: Received by: r�" r Oy��`"" > �` ° Date: CUSTOMER COPY