HomeMy WebLinkAbout328485 08/09/18 y u�.C�H'M
E CITY OF CARMEL, INDIANA VENDOR: 359584
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****5,100.07*
:9� ?� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 328485
�"�TON�° CHICAGO IL 60686 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 13MSO40880 5,100.07 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 359584
BRENNTAG MID SOUTH INC IN SUM OF$ 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
$5,100.07
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
BMSO40880 43-509.00 $5,100.07 1 hereby certify that the attached invoice(s),or 7/18/18 BMSO40880 $5,100.07
1206 101 1206 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,August 01,2018
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. B R E N N TAG
ANNFE-
1405 Highway 136 W•P.O.BOX 20
Henderson,Kentucky 42419-0020
INVOICE#: BMSO40880 INV DATE: 7/18/18 *** PAGE 1 OF 1 ***
DUE DATE: 8/17/18
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: 7/18/18 TERMS NET 30 DAYS
- :-2_1-9-7-4-3 2—0 n-- — -- — —— - - ezT_zn—r:ru-n
T
CUSTOMER # . : 897255 SHIP VIA: OUR 'TRUCK BULK
CUSTOMER PO# : REFLECTING FOB DELIVERED
FREIGHT TERM: PREPAID TAX EX# 0031201550-020
PRO NUMBER . .
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
1319 . 9211 365998 10 . 14000 1319 . 9211E 3 . 6855 4, 864 . 57
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 4, 864 . 57
*************************************** FUEL SURCHARGE 235 . 50
-----------------
PAID ON OR PRIOR TO 8/17/18 INVOICE TOTAL USD 5,100.07
PAID AFTER 8/17/18 INVOICE TOTAL USD 5,202.07
Original Document
***ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE***