HomeMy WebLinkAbout327856 07/20/18 +uj.C�qM
CITY OF CARMEL, INDIANA VENDOR: 359584
® sir ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****3,745.93*
s. _� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 327856
'Mtroa�` CHICAGO IL 60686 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 BMS029102 3,745.93 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 359584 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRENNTAG MID SOUTH INC IN SUM OF$ 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
$3,745.93
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# E7/2/18
INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members # FUND# (or note attached invoice(s)or bill(s)) AMOUNT
BMS029102 43-509.00 $3,745.93 1 hereby certify that the attached invoice(s),or BMS029102 $3,745.93
1206 101 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,July 18, 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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Brenntag Mid-South, Inc. BRENNTAGANNE
1405 Highway 136 W•P.O. BOX 20
Henderson, Kentucky 42419-0020
INVOICE#: BMS029102 INV DATE: 7/02/18 *** PAGE 1 OF 1 ***
DUE DATE: 8/01/18
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: 7/02/18 TERMS NET 30 DAYS
--- - - - -
—
---B/L-`#: -:--".- c-2-1:8 2-52-00 - SHIP -WHS-:--- --"-2-9�"SLSPRSN: 2.93
CUSTOMER # 897255 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO# : REFLECTING FOB . . : DELIVERED
FREIGHT TERM: PREPAID TAX EX# : 0031201550-020
PRO NUMBER . .
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
989 . 9408 365998 10 . 14000 989 . 9408G 3 . 6855 3 , 648 .43
1 . 0000 G BULK SODIUM HYPOCHLORITE 12 . 5%
DRUM OFF-330 G POLY TOTE>A BLK
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QUESTIONS, CALL 317-898-8632
***************************************
* REMIT TO ADDRESS:
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-3007 * MERCHANDISE 3 , 648 .43
*************************************** FUEL SURCHARGE 97 . 50
-----------------
PAID ON OR PRIOR TO 8/01/18 INVOICE TOTAL USD 3, 745.93
PAID AFTER 8/01/18 INVOICE TOTAL USD 3, 820.85
Original Document
***ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE***