HomeMy WebLinkAbout329146 08/22/18 Coq
�! CITY OF CARMEL, INDIANA VENDOR: 371008
s® ONE CIVIC SQUARE WATERCHEM INC CHECK AMOUNT: $****20,470.00*
s. ��� CARMEL, INDIANA 46032 1609 OLD FARM LANE CHECK NUMBER: 329146
9.y`,�TON�` CHESTERTON IN 352047080 CHECK DATE: 08/22/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN7118C 20,470.00 OTHER EXPENSES
VOUCHER NO. 186203 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 371008 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
WATERCHEM, INC CITY OF CARMEL
1609 OLD FARM LN. An invoice or bill to be properly itemized must show: kind of service,where performed,
CHESTERTON;IN 46304 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
20,470.00 371008 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR WATERCHEM,INC Terms
Carmel Wasterwater Utility 1609 OLD FARM LN. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice CHESTERTON, IN 46304
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which'charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
IN7118C 01-7182-05 $20,470.00 and received except 8/9/2018 IN7118C $20,470.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
1 a W
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Waterchem, Inc
1609 Old Farm Lane
Chesterton, IN 46304
Phone 317-201-6105 Fax 317-858-0657
DATE: August 5, 2018
INVOICE# IN 7118C
Bill To: Carmel WWTP Ship To: Carmel WWTP
ATTN: Paul Arnone 9609 Hazel Dell Par
9609 Hazel Dell Parkway Indianapolis, IN 462
Indianapolis, IN 46280
Comments or Special Instructions:
SALESPERSON P O NUMBER• SHIP DATE SHIP VIA F:O:B:"POINT TERMS
:.. . .,
Denise Carter S`18626_.)!. , 7/31/2018 Best Way Riceboro, GA Net 30 Days
U n
"y ANTITY DESCRIPTION #„ a UNIT PRICE ;' AMOUNT 4
",Q ��
23000"lbs WC 854 Polymer .$.89/lb $20;470:00
r
SUBTOTAL $24,,470.00
TAX RATE
SALES TAX w°
SHIPPING & HANDLING
TOTAL $20,4,7.0 00
Make all checks payyable to Waterchem, Inc.
If you'have any questions concerning this invoice, contact N;Denise Carter, 317-201-6105,waterchem@indy.rr.com
THANK YOU FOR YOUR BUSINESS!
STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE B/L NO SHIP DATE
/31/2018
CARMEL WWTP SHIPPER ����
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
UNITED STATES WATERCHEM, INC.
1609 OLD FARM LANE
CHESTERTON IN 46304
SHIP VIA
RB7W CH ROBINSON
CDST PO NO WHSE FREIGHT INCOTERM
IN 7/1/18C 10 PPD/DP CPT INDIANAPOLIS
QUANTITY QUANTITY PACKAGING H DESCRIPTION NET GROSS FRT
O RE S PED M WT(LBS) . WT(LBS) CLASS
10 1D 2300#IBC,(1-03) RESIN COMPOUND NMFC:46030 23000 24210 55
OA: 1194697-1 -1 WC 854
LOT NO:RC12/3727M
TOTAL WEIGHTS: 23000 24210
VERIFIED GROSS MASS : 24210
FOR FREE PICKUP IN NORTH AMERICA OF 8 OR MORE SCHUTZ BINS
YOU MUST REFERENC USTOMER CODE CTP01 ON RETURN PAPERWORK
1
Seal#:SW147490
BILL FREIGHT TO:WAI-44
WILLIAMS&ASSOCIATES-40
405 EAST 78TH STREET
BLOOMINGTON,MN 55420
DEL HOURS:8AM-12PM AND 1 PM-4PM
MONDAY-FRIDAY
ENTER VIA GATE#2
( c
Note:Where the rate is dependent on value,shippers are required to state specifically in writing the Subject to section 7 of the canditioas,if this shipment is tube delivered to the Do without recourse Daft wndgnoT.the
agreed or declared value of property. consignor shall sign the following alatemem:
The agreed ordwlamd vale of the property is hereby specifically stated by the shipper to be ml The carrier shall ml make delivery of this shipment without payment of freight and allother Istv1W charges. .
S per (Signature of Consignor)
RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the date of the issue of this Bill of of,said property over all or any portion of said route to destination and as to each party at any time
Lading,the property described above in apparent good order,'except as noted(contents and condition of contents interested in all or any said property,that every service to be performed hereunder shall be subject
ofpackages unknown),merkcd,consigned,and destined as indicated abovo which said carrier(the word carrier to all the bill of lading terms and conditions in the governing classification on tha date of shipment.
being understood throughout this contract as meaning any person or corporation in possession of the property Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions in the
under the contact)agrees to carry to its usual place of delivery at said destination,if on its route,otherwise to governing classifications and the said terms and conditions are hereby agreed to by the shipper and
deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any accepted for himself and his assigns.
SHIPPER- CARRIER COD AMT$:
This Is to certify that the above-named materials are pmpely classified,described, PLACARDS OFFERED PLACARDED
packaged,marked and labeled and are In proper condition for transportation
according to the applicable regulations of the Department otTronsponation. DRIVER PLEASE INTIAL. NAME OF PLACARD
SHIPPER AGENT
PERPER
DATE �f�/� TOTAL NO.OF PACKAGE 'D PAGE: 1/1
STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE B/L No sHtpDATE .
/31/2018
SHIP TO III .....__.
CARMEL WWTP
9609 HAZEL DELL PARKWAY SHIPPER
INDIANAPOLIS IN 46280
UNITED STATES WATERCHEM, INC.
1609 OLD FARM LANE
CHESTERTON IN 46304
SHIP VIA
RBTW CH ROBINSON
COST PO NO WHSE FREIGHT INCOTF"
IN 7/1/18C 10 PPD/DP CPT INDIANAPOLIS
QUANTITY QUANTITY PACKAGING H DESCRIPTION NET GROSS FRT
ORDERED SHIPPED M WT(LBS) WT(LBS) CLASS
10 10 2300#IBC(1-03) RESIN COMPOUND NMFC:46030 23000 24210 55
OA: 1194697-1 -1 WC 854
LOT NO:RC12/3727M
TOTAL WEIGHTS: 23000 24210
VERIFIED GROSS MASS: 24210
FOR FREE PICKUP IN NORTH AMERICA OF 8 OR MORE SCHUTZ BINS
YOU MUST REFERENCf USTOMER CODE CTP01 ON RETURN PAPERWORK
Seal#:SW147490
BILL FREIGHT TO:WAI-44
WILLIAMS&ASSOCIATES-40
'405 EAST 78TH STREET
BLOOMINGTON,MN 55420
DEL HOURS:8AM-12PM AND 1 PM-4PM
MONDAY-FRIDAY
ENTER VIA GATE#2
ti
Note:Where the rate is dependent on value,chippers are required to state specifically in writing the Subject to section 7 of the conditiom if this shipment is to be delivered to the consigoee without recomae on the 00115i9mr,the .
agm ed or declared value of property. consignor shall sign the following statement:
The agiced or declared value of the property is bereby specifically stated by the shipper to be rat The carder shall not make delivery of this shipment without payment of freight and all other lawful charges.
esroecding:
S per (Signature of Consiguor)
RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the date of the issue of this Bill of of,said property over all or any portion of said route to destination and as to each party at any time
Lading,the property described above in apparent good order,'except as noted(contents and condition of contents interested in all or any said property,that every service to be performed hereunder.shall be subject
of packages unknown),marked,consigned,and destined as indicated above which said carrier(the word carrier to all the bill of lading terms and conditions in the governing classification an the date of shipment
being understood throughout this contract as meaning any person or corporation in possession of the property Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions in the
under the contract)agrees to carry to its usual place of delivery at said destination,if on its route,otherwise to governing classifications and the said terms and conditions are hereby agreed to by the shipper and
deliver to another carrier on the route to said destination. It is mutually agreed as to each tamer of all or any accepted for himself and his assigns.
SHIPPER CARRIER COD AMT S:
This is to certify that the above-named materials are propely classified,described, PLACARDS OFFERED PLACARDED
packeged,marked and labeled and are in proper condition for transportation
accomina to the applicable regulations of the Department ofTransportation. DRIVER PLEASE INTIAL. NAME OF PLACARD
SHIPPER AGENT zz
PER PER u <,,: <:,:•,
DATE ��/ TOTAL NO.OF PACKAGE 'D PAGE: 1/1