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Home My WebLink About329556 08/30/18 CITY OF CARMEL, INDIANA VENDOR: 359584 ® z; ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****2,237.00* s• �; CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 329556 9M�TON.-�p•� CHICAGO IL 60686 CHECK DATE: 08/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 069117 385.40 OTHER EXPENSES 601 5023990 069118 385.40 OTHER EXPENSES 601 5023990 069119 469.70 OTHER EXPENSES 601 5023990 069120 996.50 OTHER EXPENSES VOUCHER NO. 182549 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 $2,237.00 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 069117 01-6180-03 $385.40 and received except 8/22/2018 069117 $385.40 069118 01-6180-03 $385.40 8/22/2018 069118 $385.40 069119 01-6180-03 $469.70 8/22/2018 069119 $469.70 069120 01-6180-03 $996.50 8/22/2018 069120 $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#: BMS069120 INV DATE: 8/20/18 * * PAGE 1 OF 1 DUE DATE: 9/19/18 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: 8/20/18 TERMS NET 30 DAYS B/L #. . . : 2231273-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC081518 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 777577126 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 9/19/18 INVOICE TOTAL USD 996.50 PAID AFTER 9/19/18 INVOICE TOTAL USD 1,016.43 Original Document BRENNTAGANU BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS069119 INV DATE: 8/20/18 PAGE 1 OF 1 * DUE DATE: 9/19/18 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 FEDERAL ID #: 610504545 DATE SHIPPED: 8/20/18 TERMS NET 30 DAYS B/L #. . . : 2231291-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC081518 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 777577119 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 -------------------------------------------------------------------------------- 1 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 9/19/18 INVOICE TOTAL USD 469.70 PAID AFTER 9/19/18 INVOICE TOTAL USD 479.09 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS069118 INV DATE: 8/20/18 * * PAGE 1 OF 1 * * DUE DATE: 9/19/18 SOLD 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: 8/20/18 TERMS NET 30 DAYS B/L #. . . : 2231284-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC081518 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 777577121 UNITS 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 -------------------------------------------------------------------------------- e QUESTIONS, CALL 317-898-8632 * 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 OR PRIOR TO 9/19/18 INVOICE TOTAL USD 385.40 PAID AFTER 9/19/18 INVOICE TOTAL USD 393.11 Original Document SRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS069117 INV DATE: 8/20/18 * * PAGE 1 OF -1 ** DUE DATE: 9/19/18 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: 8/20/18 TERMS NET 30 DAYS B/L #. . . : 2231277-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC081518 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 35600972-001-9 PRO NUMBER . : 777577128 UNITS 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 -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * 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 OR PRIOR TO 9/19/18 INVOICE TOTAL USD 385.40 PAID AFTER 9/19/18 INVOICE TOTAL USD 393 .11 Original Document Bill of Lading/Shipment Receipt Page 1 of 2 VRENNTAG MID-SOUTH PHONE: 317.898--8632 8/19/18 17:21:24 g R E N N T ,3111 N POST RB FAX. . . x.: :;•, DEA REG NO. 00660IBNY # INDIANAPOLIS, IN 46226 BOL# . » 2231273° 00 Daly Date: 8/20/18 Ship CARMEL UTILITIES PLT 1 Sold . CITY OF CARMEL UTILITIES - Customer: 407542 Ship To: 11 Shap Date: 8/20/18 0 Shit To: 4915 E 106 ST To': 3450 WEST 1.31ST STREET Attn- Frt Terms: PREPAID Fr•t CARMEL, IN. 46033 CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : BM29SLD, Sts Ship Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4:00 PM Phone#. , » 317-571-2443 Phone: 317--571-2443 Ext: Phone: 31-7-°°571-2443 Ext: Terms. .» NET 30 DAYS Cust PO# : AC081518 QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CON SHIPPED ORDERED BACK ORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT .-800-424-9300 24 HOURS / 7 DAYS FREIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. :JEFF 317-571-2639 SANDY 317-750--1479 _ RQ --1017, . _ ..,....,.•.�.�.�.�.__...__..,__._...__--- - __--- _ CHLORINE, RQ,MARINE POLLUTANT 'POISON-INHALATION HAZARD, ZONE B „ERG #: 124 .CHLORINE 1.0000 2000.0000 LB CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253418 Loc: OSE05 OSE04 Qty: 8,0000 6.0000 `Product picked from: Lot: 2 Loc: OSE04 Qty: 1.0000 ;Freight Class. . .: 200 Weight Per Gallon: 11"87000 Net Weight: 2000.000 CYL _ Total Net Weight: 2,000 Total Cross Wei )ht: This is to certify that the above named materials are properly classified,'desci' pa ;mar d,and e ed,and are jT� oper condition for transportation according to the applicable regulations of the i ati�� ti Loaded By: ,,.,.,..." , Checked By: , Si Shipper: Signature of " '"" "'"`""' g PP Vehicle: Driver; �-• PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY HIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE ,-,,, BY THE PURCHASE R OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Miles" Time In/Time Out„°"'""°°'„„•• MOREOVER,PURL SER,HFAN� Y A'KNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S�? /� Wood Pallets D�Vd,„„,„, „ d®� Pallets t S R tn»,„•, ,",,,,„„ Receives by:, � -� r � Date: Plastic Pallets Dlvd� .„„„.... Plastic Pallets Rtn: ",...,, L CUSTOMER COPY Bill of Lading/Shipment Receipt * * Continued from Previous Page Page. 2 of 3 BRENNTAG MID-SOUTH PHONE: 317-898-8632 8/19/18 17:21:04 B R E h!N T 3711 N POST RD FAX: , DEA REG NO. 0066DIBNY . INDIANAPOLIS, IN 46226 BOL# . : 2231291-00 Delv Date: 8/20/18 Ship CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 4 Ship Date: 8/20/18 0 Ship To: 5484 E. 126TH STREET To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB, . : DELIVERED Taken By : BM29SL.D Sls F Ship Via: OUR TRUCK -- PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4:00 PM Phone#. . : 317-577.--2443 Phone: 317.571-2634 Ext: Phone: 317-571-2443 Ext: Terms. . : NET 30 DAYS Cust PO#k : AC081518 QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT CONT/ SHIPPED ORDERED BACK ORDERED CODE DEP( 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, ' 2.39f5-1)y(8) RQ,MARINE POLLUTANT 'POISON-INHALATION HAZARD, ZONE B -ERG ##: 124 ;CHLORINE 4.00010 150.0000 LB CYL E CHLORINE, LIQUID (BMS ONLY) >A RPK 4.0000 873311 Loc: A2R2A Q : 32.0000 Product picked 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 rocs Weight: " This is to certify that the above named materials are properly classified,descri pa ed,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of par n of Tr, s ortZa}t' . Signature of Shipper: Loaded ByA . .............. ��.,,....,.., Checked ' .,. ......,... ,_, . .. _. Vehicle: ... Driver .:.:.._.^...., PURCHASER'S ACCEPTANCE OF THE GOODS COVERED THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE miles" _„ Time In/Time Out„•,.....,^„ BY THE PURCHASE OF ALL !BYA __ S AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEOF. "" Wood Pallets Dl.vd ... Wood Pallets Rtn:_..,.: MOREOVER,PURCjf , ER,HISKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S)�``��(�( „ .....................^,,,, Received by: (( Gt Date: '!J" plastic Pallets Dlvd, ,• , Plastic Pallets Rtn: ........, CUSTOMER COPY Bill of Lading/Shipment Receipt Continued from Previous Page Page 2 of 3 BRENNTAG MID-SOUTH PHONE: 317-898-8632 8/19/18 17:20:43 BRENN7 3111 N POST RD FAX: DEA REG NO. 00660IBNY .INDIANAPOLIS, IN.46226 BOL# 2231284-00 Defy Date: 8/20/18 Ship CARMEL WATER, PLANT 4 Sold CITY OF CARMEL UTILITIES Customer: .40754.2 Ship To: 6 Ship Date: 8/20/18 0 Ship To: 10675 N. GRAY ROAD To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB-. DELIVERED Taken By : BM29SLD SIS Ship Via: OUR TRUCK - PKG Placed. By: ANDY - Recv Hi-s- 7,30 AM- 4:00 PM Phone#. 317-571-2443 Phone; 317-716-3917 Ext: Phone: 317-571-2443 Ext., Terms. NET 30 DAYS Cust PO# AC081518 QUANTITY QUANTITY PRODUCT CON SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT -800-424-9300. 24 HOURS 7 DAYS RQ bN1017, CHLORINE, RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B ERG #: 124 3..0000 150.0000 LE CYL 'CHLORINE, LIQUID (BMS ONLY) >A RPK 3.0000 873,3311 Loc- A2R2A 'Qty.- 32.0000 Product picked from: Lot. 2 Loc: A2R2A Qty: 3.0000 I 'Freight Class. . . : 200 Weight Per Gallon: 11.87000 Net Weight: 450.000 CYL ----------------------------------------------------------------------------------------------------------- -------------- ------------- ---------- ---- Total Net Weight: 450 Total Gross Wei4 ht-."' This is to certify that the above named materials are properly classified,describ ack mar ed n proper regulations of e condition for transportation according to the applicable re h t Loaded By: Checked . ...... Signature of Shipper: Vehicle: Driver.- PUR'CHASER'S ACCEPTANCE OF THE GOODS COVERED BY DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: T me Out__... IS ... ime Infl' ...... BY THE PURCHASE IS R OF ALL TERMS AND CONDITIONS OF STATED ON THE REVERSE SIDE HEngy. ....... MOREOVER,PUR SER,PERE ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). Wood Pallets Wood ,Pallets 1. �n . Plastic Pallet�._ Plvd Plastic Pallets Rtn Receivedby: Date:. CUSTOMER COPY Bill of Lading/Shipment Receipt Page', I Of 2 BRENNTAG MID-SOUTH PHONE: 317-898-8632 � "-�,._� � 8j19/18 17:20:23 B�E N N� 3111 N POST RD FAX: DEA REG NO. 006601BNY INDIANAPOLIS, IN 46226 BOL# . : 2231277--00 Rely Date: 8/20/18 Ship CARMEL WATER, PLANT3 Sold CITY OECARMEL UTILITIES Customer: 407542 Ship To: 5 Ship Date: 8/20/19 0 Shii To: 4425 E. 126TH STREET To: 3450 WEST 1813T STREET Attn-- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOD. . : DELIVERED Taken By : BM29SLD SIS Shap Via: OUR TRUCE; " PKG Placed By: ANDY , Recv Mrs: 7:30 AM°- 4:00 PM Phone#, . : 3.17.571--2443 Phone: 317-847-8834 C# Ext: Phone: 317--571-2443 Ext: Teras. . : NET 30 DAYS Cust PO# : AC081518 QUANTITY QUANTITY PRODUCT CON SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DE IF LEAK OR SPILL OCCURS DURING, TRANSPORTATION: • _ CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL T=REE AT 1°-800-424-9300 . 24 HOURS / 7 DAYS FREIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. , r- CALL ONE STOP AHEAD JEFF (317) 571-2639. ANDY 317-750 °1479 ;RQ :,UN1017, ',CHL�.ORINE, ;5 RQ,MARINE POLLUTANT ;POISON-INHALATION HAZARD, ZONE B ' ERG #: 124 CHLORINE 3.0000 150.0000 LD CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 3.0000 873311 Loc: A2R2A Qty: 32.0000 Product pic-ked from: Lot:. 2 Loc: A2R2A Qty: 3.0000 Fria ght Class. . . . 200 'Weight Per. Gallon: 11.81000 Net Weight: 450.000 CYL ------------------------------------ Total Net Weighty 450 Total rosy Wei jht This is to certify that the above named materials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of the Depart portation. Loaded By: ......, ."............................" Checked By: .......,........,,.......",��"" Signature of Shipper: /Ile? Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVERED B S TE ACCEPTANCE " " " "",..."" BY THE PURCHASE OF ALL TERMS AND CONDITIONS OF$ALE STATED ON THE ,.VERSE SIDE HEREOF. hixles" Time In/Time MOREOVER,PURC SER,,HEREB-YI KNOWLEDGES RECEIPT OF ALL REQUIRED SDS(SP Wood Pallets D1vd"..",.,, .... .. Wood Pallets �'tD' ••„.•••..,""",,.." Received by: l ��— /,� c -� Date: ` / Plastic Pallets Dlvd.".""..",...".".., Plastic Pallets Rtn "...."".,",.,." ' CUS I OMER COPY �