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Home My WebLink About329227 08/27/18 �'._�,q+, CITY OF CARMEL, INDIANA VENDOR: 359584 t�f 4Fi j; ® 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****7,843.43* x, ,?�; CARMEL, INDIANA 46032 '3796 RELIABLE PARKWAY CHECK NUMBER: 329227 9M;�TON-�. CHICAGO IL 60686 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 048818 469.70 OTHER EXPENSES 601 5023990 048819 385.40 OTHER EXPENSES 601 5023990 048820 996.50 OTHER EXPENSES 601 5023990 048821 1,249.40 OTHER EXPENSES 601 5023990 059886 996.50 OTHER EXPENSES 1206 4350900 BMS061801 3,745.93 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359584 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BRENNTAG MID SOUTH INC IN SUM OF$ 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# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BMS061801 43-509.00 $3,745.93 1 hereby certify that the attached invoice(s),or 6/10/18 BMS061801 $3,745.93 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 22,2018 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. BRENNTAGAME- 1405 Highway 136 W•P.O.BOX 20 Henderson,Kentucky 42419-0020 INVOICE#: BMS061801 INV DATE: 8/10/18 *** PAGE 1 OF 1 *** DUE DATE: 9/09/18 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: 8/10/18 TERMS NET 30 DAYS . .-J2-2 4132=1G0 - - -- - - _ 'SHIP- WHA: -- 29 -SLSPRSiv: -253-- CUSTOMER 3-CUSTOMER # . : 897255 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO# : REFLECTING FOB : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 0031201550-020 PRO NUMBER . :. 777271479 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 . 50 DRUM OFF-330 G POLY TOTE>A BLK ----------------------------------------------------------7--------------------- 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 9/09/18 INVOICE TOTAL USD 3,745.93 PAID AFTER 9/09/18 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*'`* Bill of'Lading/Shipment Receipt; � Continued from Previous' Page �*� Page 2 of 3 ' DRENNT"AG MID-SOUTH PRONE: 317.-898-8632 8/09/18 21:29:11 B R E N N T 3111. N POST RD FAX: DEA-REG NO. 006601ENV ?'NDIANAPOl.ZS, IN 46226 BOL# . . : 2224132-00 De1v Date: 8/10/18 Ship CARMEL STREET DEPART 'NT Sold CARMEL. STREET DEPARTMENT Customer: 897255 Ship To: 2Ship Date: 8/10/18 0 Shi To: REFLECTING POOL To: 3400 W. 131ST STREET Attn- Frt Terms: PREPAID Frt THIRD AVE; & 126TH 0TR V '. CARMEL, .IN 46074. FOD. . . : DELIVERED , Taken By .: B1129SLD Sls CARMEL,, IN 46032 "' Ship Via:, OUR TRUCK - PKG Placed By: MIKE Recv Hrs: 8:00 AM- 1:00 PM Phone#. . : 317-44.3-0841 Phone: 317•-•443-0841 Ext: Phone: 317 -443.0841 Ext: Terms. NET 30 DAYS Cunt PO# : REFLECTING QUANTITY , PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON SHIPPED ORDERED BACK ORDERED CODE DE IF:LEAK OR SPILL: OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT-, C4CL CHEMTREC'TOLL FREE.AT 1-800- 424-9300• Y., -24 HOURS/ 1 DAYS eRQ}'UN1791, HYPOCHLORITE SOLUTIONS'p I MARINE POLLUTANT "(SODIUM HYPOCHLORITE) RQ ! DOT-SP 12412 ' ERG #- '154 ' , SODIUM_HYPQCHLORITEi12.5%.NSF DRUM OFF--330 G. POLY TOTE 100.38:00011 1.000.0 T/T a ( SODIUM HYPOCHLORITE:. '12.510- DRUM, OFF--330 G POLY TOTE>A BLK 10038.6000' ' "600 365998 , _;•, Loc: : E811 E815 E707 E705 Qty: .8000 460»0000 46.0000 10038.0000 s !Product pick6d ,fr'om" Lot: 365998298221 . Loc: E705 Qty: 10,038.0000 Freight "Class: . . . 55 Weight Per Gallon: 10.14000 Net Weight, 10038„000 BULK I 'ro be compSt� fore unloading,: ........._..----_w�.........._,- � __��__..___- Nose connect rest cotnpartmen (s). ; 1; 2: �� ,'Driver. r t t . ------------------------------ . j Hose conne�edt per storage.tank and quantity shipped w i.11 fit into tusk mer container. 1-customer: .. Continued on Next Page. * This is to certify that the above named materials are properly classified,described,packaged,,marked,and labeled,and"are in proper conditio`n'for,transportation according to the applicable regulations of the DepartTfrn—spolation. . " Loaded By: �w _ „ Checked By: �, ,,,•,,,; Signature of Shipper: 'l Vehicle: ...._ � ,..., Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY SHA L TITUTE ACCEPTANCE ; BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF S E STATED ON THE REVERSE DE HEREOF + M�lev” ........ ,„,,.•,.,,„„.. ., Time ,,,,,,,,,,,,,,,,. �. MOREOVER,PUR HASER,HE B(�// CKNOWLEDGES.REC P`T OAF.ALL R,rEQUIRED SDS(S). Wood Pallets Dlvd _ blood Pallets R-tn:_ Received by: �l Date: P1ia5tiC Pallets Dldd,......�, ..r... Plastic Pallets R'tn �� o CUSTOMER COPY Bill, of Lading/'Shipment Receipt Page I Of 3 DRENNTAG MIUTH PHONE,-, 3'17-898� "632 09 : �: B R E N N 1 3111 N, POST''RD . FAX.., DEA RSG NO. ,006,601�3Nv - . INDIA106L:IS; �iN• 46226 Ship. CARMEL STREET DEPARTMENT Sold CARMEL STREET DEPARTMENj dust' " 'rustcmer: 222413 -Sh ' Delp Date. Sf10/1S � 897255 hip Tv. 2 'Ship Date." ,3r�10/13 O•'Sha To_". . REFL;E�. TTNG 'POOL Tc: ' 3.400 W." 131ST' STREET Attn- Frt Terms: PREPAID Fri THIRD''A E. & 126TH STREET CARMEL''.: TN. 46074' , FOD. DELIVERED Taken Dy ': BM29SLD 51* CAMEL, IN 46032 Ship Via. OUR TRUCK - PKG Placed By: MIKE Fmecv, Hrs. E:00 All- 1:00 PM` Phone#. . : 3,17-443-0841 Phone`-_ 217-448"0841 Ext. Phone:,-317--443-05 •1 Ext:1 ; Terms. :: `4ET 30 :DAYS Cust PO# : REFLECTING QUANTITY M QUANTITY PRODUCT Col SHIPPED PACKAGfNG HM DESCRIPTION ORDERED BACKORDERED CODE DI F LEAK A0R SPILL OCCURS DURING TRANSPORTATION: CC 170 E GENE O C 0L1-800-424 '9300 N3 EM Y C h�TACT L C14EMTRE TOLL FREE.. AT 24 'HOURS 7 ,SAS' '.`~ ,, •.. � . '. �I IFREIGHT CARRIER: INVOICE T.M:S VIA. EDI OR CARRIER PORTAL, DRIVER A CONTACT -MIKE".- 317-4,43-0841 ` CUSTOMER-REQUES T,I:NG 'DEL'IVERY DY' 1 PM STRAIGHT'>,TRUCK ONLY , CHEMICALS NEED TO BE DELIVERED ARID APPLIED b, ' ,- IRECTLY TO THE REFLECTING'POOL. CITY .EMPLOYEt IS TO DE PRE-SENT` DUR NG ALL DELIVERIES AND APPLICATIONS~- NO EXCEPTIONS° ! I -, ,��, . � • Kit Can't�nud or7 f�ie.�t Page; y materials are properly,classified,described,packaged,marked,and labeled,and are in proper ove'narned m p ding to the applicable regulatians of the.Department of Transportation. . - This is to certify that the ab condition for trans ortation according Signature of Shipper " " L.;t�aded Diy: .Checked Dy: ` rI Veh�dle" Driver: PURCHASER'S ACCEPTANCE OF THE-GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE` M les"", " „ Time In/Time 04(L,,, , , BY THE PURCHASER OF ALL,TERMS AND CONDITIONS.OF SALE STATED ON THE REVERSE SIDE HEREOF. """ "'"""" 1VIOREOVElt,PURCHASER,.HEREBY ACKNOWLEDGES.RECEIPT OF ALL REQUIRED SDS( ).. 1 " " 5 Wood Pal:..ets D7.�d '�sapd Pallets Rtn:' Plastic D1vd Plastic Pallets Rin."' Reeeived by :, Date: r d CLlSTdfim COPY Bi11' of,,Lading/Shipment Receipt Page 3 0� 3 �RENNTAG M UwS0U7H' PHgN 317 8988632 8/09/18. 21:29.11 3111 N POST RD •F:AX�. BRENNI DEA .,RE SID p 0066PIB.NY INDIANAPO`LTS, IN, -46226 . 0L# 22241.3:2--00 e, ' 8/10/18 'Ship CARMEL STREET `'DEPARTMENT "Sold CARMEL STREET DEPARTMENT C Sas tcmr p 597255Shap To: 2 Ship Date: 8/10/18 0 Sha Td.- REP4ECTING POOL : To: .5400 'W- 131ST STREET ' ra F rt Terms: PREPAID Fj-1 THIRb AVE.,, & 1.26TH STREET , . CARMEI , IN 1aGq? O 3» DELIVERED EIS l taken By : BM29SLD 81v CARMEL, IN 46032 . . 5#,-.p 'Via., OUR TRUCK '-- PKC Placed By: MIKE ' FIeov Hi 8"00 AMI ';00 PM Phone_ -Phone. -317-443-0841''• . Ext: Phare 317-443-0841 Ext: Terms» a NET 30 DAYS Ctas`� {�rl�r-.----REFLECTING QUANTITY „°PACKAGING ` HM DESCRIPTION M Q ANTITY PRODUCT CO' U SHIPPED' ORDERED BACK ORDERED CODE D IF, LEAK ,OR SPILL OCCURS DURING''TRANSPORTATION: CO 31.70EMERGENCY CANTACT CALF CHEM'FREC TOLL FREE AT —800-424-»930 ? , ` ;24 HOURS / 7 DAYS r i 3,34'6.2 °LD T01 E 330 GAL. FULL Total Net Weight: 10,038 Total- �-oss Wei ght } x.4 This'is to certify that the above nammaterials materials are'properly classified,described,packaged,marked;and.labeled,and are in proper k' g to theapplicable 'regulations of the Department of Transportation condition for transporfahon nccordm , ' Signature,of Shipper` 1% ade ! Dom'" ,,,,,,,,,,,,,,,,,, ,,,„,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Checked By” l" „ llC ' » Driver,: ...............� PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Time :fin/Tame OU t`µ„y'0 M„a r BY THE.PURCHASER OF ALL'TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. MOREOVER,'PURCHASER,HEREBYACKNOWLEDGES 'RFCEIPT OF ALL REQUIRED.SDS(S). I�L�0� 'Pallet' Dlkid , �IO�d Pallets Plastic Pallets ,., Plastic Pa11et> R th Ree'evedby: Date: CUSTO ER COPY VOUCHER NO. 182381 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 996.50 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# ACCT# or bill(s)is(are)true and correct and that 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 059886 01-6180-03 $996.50 and received except 8/11/2018 059886 $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 BRENNTAGAIM BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS059866 INV DATE: 8/08/18 * PAGE 1 OF 1 * DUE DATE: 9/07/18 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: 8/08/18 TERMS NET 30 DAYS B/L #. . . : 2222174-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC080718 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . 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 9/07/18 INVOICE TOTAL USD 996.50 PAID AFTER 9/07/18 INVOICE TOTAL USD 1,016.43 Original Document Bill 'of Lading/Shipment Receipt Page 1 of 2 BRENN AG MID-SOUTH PHONE: 317-898-8632 8/09/18 3: 6:10 B R E N N 1; ,3111 N POST RD ,- FAX. lu. DEA REG NO. 006601BNY t INDIANAPOLIS, IN 46226 BOL# _ . : 2222174-'00 Delv Date: 8/08/18 Ship CARMEL UTILITIES. PLT 1 Sold CIV' OF CARMEL UTILITIES Customer., -407542 Ship To: 11 Ship Date: 8/08/18 -0.' Shap To: 4915 E 106 ST - To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt. CARMEL, IN"46Q33 CARMEL, IN 46074. FOB. . : DELIVERED' Taken By : BM29SLD alS Shap Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4:00 PM Phone#. .-: 317-571-2443 Phd,nq: 317-'571-2443 Ext: Phone: 317-571--2443 Ext: Terms. . : NET 30 DAYS runt POS : AC080718 QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY R ACK ORDERED CODE PRODUCT C DEF IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CALL CHEMTREC.TOLL FREE AT -800-424-9300 24 HOURS ,/ 7'.DAYS FREIGHT CARRIER: INVOICE TMS VIA EDI .QR ,,CARRIER PORTAL. JEFF 317-'571-2639 ANDY 317-750'1479 ------------ RQ UN1017, CHLORINE, 41 RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE b ERG #: 124 CHLORINE r 1,0.000 2000.0000 LB CYL CHLORINE, LIQUID (BM NLY' ' >A RPh 1.•:0000 253418 - Loc: OSE05 -�- OS Qty: 7.0000 5.0� t- -Product picked from: 00 Lot: 2 -f ----Loc"�_a~- OSt05 Q=ty: - r;. 1.0000' Freight Class. . . : 200 �. Weight Per Gallon: ` .'7000 NeiE.W_.,caght: 2000.000 CYL II' _,3_. To'talY Net Weight: 2,000 Total Cross Wei ht. This is.to certify that the above named materials are properly classAi- ,de bed,p ckaged, ked,and labeled,and are in proper _ condition-for transportation according to the applicable regulaEfir 'o of a °ns r -Z Signature of Shipper: / � °-f/uG Loaded By: Check By: Vehicle: "."."......... I. Driver: :,.,..,"........:..../� ..,,. PURCHASER'S ACCEPTANCE OF THE GOODS CO RED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE """""""" """"""` Males: Time in/Time Qur BI',THE PURCHASER OF ALL TERMS AND CO IONS OF SALE STATED ON THE REVERSE SIDE HEREOF. '' �•-•^ MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S)C-� Wood Pallets Dlvd _ _ Wood Pallets Rtn:' ,", Received by: f i1 ��,' 5�/ Date: j� Pl� sti c Pal lets D3 Vdw . ..... Plastic Pallets J CUSTOMER COPY.. VOUCHER NO. 182315 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 $3,101.00 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 048818 01-6180-03 $469.70 and received except 8/7/2018 048818 $469.70 048814_ 01-6180-03 $385.40 8/7/2018 048819 $385.40 048820 01-6180-03 $996.50 8/7/2018 048820 $996.50 048821 01-6180-03 $1,249.40 8/7/2018 048821 $1,249.40 J 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#: EMSO48820 INV DATE: 7/26/18 *** PAGE 1 OF 1 ** DUE DATE: 8/25/18 "OLD 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: 7/26/18 TERMS NET 30 DAYS 3/L #. . . : 2207618-00 SHIP WHS : - 29 SLSPRSN: 29: '.USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG .USTOMER PO#: AC072418 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 ?RO NUMBER . : 776694076 JNITS 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 ------------------------------------------------------------------------------- JESTIONS, CALL 317-898-8632 F��k:Fk [k�� Fk�eF�9ekFFFieoFF9e�� k�ekkFTekFk FBF 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 8/25/18 INVOICE TOTAL USD 996 .50 PAID AFTER 8/25/18 INVOICE TOTAL USD 1,016 .43 Original Document BRENNTAG AM BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 [NVOICE#: BMSO48818 INV DATE: 7/26/18 *** PAGE 1 OF 1 * DUE DATE: 8/25/18 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 ?EDERAL ID #: 610504545 DATE SHIPPED: 7/26/18 TERMS NET 30 DAYS 3/L #. . . . : 2207641-00 SHIP WHS : 29 SLSPRSN: 29: :USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG '.USTOMER PO#: AC072618 FOB . . : DELIVERED ?REIGHT TERM: PREPAID TAX EX# : 35600972-001-9 ?RO NUMBER . : 776694085 :iNITS 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 ------------------------------------------------------------------------------- JESTIONS, CALL 317-898-8632 k�FF9e��9eF� TeFFFk�9ekTeF�e�eFF��r�9ekTeFkF�9F� FkF 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 8/25/18 INVOICE TOTAL USD 469. 70 PAID AFTER 8/25/18 INVOICE TOTAL USD 479 .09 Original Document BREN TA Q1'; BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 [NVOICE#: BMS048819 INV DATE: 7/26/18 *** PAGE 1 OF 1 ** DUE DATE: 8/25/18 30LD 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: 7/26/18 TERMS NET 30 DAYS 3/L #. . 2207628-00 SHIP WHS : 29 SLSPRSN: 29.� 'USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG "USTOMER PO#: AC072418 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 ?RO NUMBER . : 776694093 JNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ------------------------------------------------------------------------------- 3 .0000 873311 11 .87000 450.0000# .5620 252 . 90 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ------------------------------------------------------------------------------- JESTIONS, CALL 317-898-8632 k* F* TeTedek�e***9r* kF�ekk�e* TedeTeF**�e�e* FkkFk*cede REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 252 .90 CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35 .00 PAID ON ON OR PRIOR TO 8/25/18 INVOICE TOTAL USD 385 .40 PAID AFTER 8/25/18 INVOICE TOTAL USD 393 . 11 Original Document BRENNTAGAM111.11 BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 ' [NVOICE#: BMS048821 INV DATE: 7/26/18 * PAGE 1 OF 1 DUE DATE: 8/25/18 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 ?EDERAL ID #: 610504545 DATE SHIPPED: 7/26/18 TERMS NET 30 DAYS 3/L #. . . : 2207622-00 SHIP WHS: 29 SLSPRSN: 292 'USTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG ".USTOMER PO#: AC072418 FOB . . : DELIVERED ?REIGHT TERM: PREPAID TAX EX# : 356000972-001-9 ?RO NUMBER . : 776694092 JNITS 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 ------------------------------------------------------------------------------- 3 .0000 873311 11 .87000 450 .0000# .5620 252 .90 150 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ------------------------------------------------------------------------------- IESTIONS, CALL 317-898-8632 F CFh************** FFTeateF*9e*�eF�eFk9e�eFFF** REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 1,116 .90 CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 8/25/18 INVOICE TOTAL USD 1,249.40 PAID AFTER 8/25/18 INVOICE TOTAL USD 1,274.39 Original Document