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Home My WebLink About330763 10/09/18 4�'r C�p`yF CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****1,719.10* CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 330763 9a ETON: ` CHICAGO IL 60686 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 095729 996.50 OTHER EXPENSES 601 5023990 098293 252.90 OTHER EXPENSES 601 5023990 098294 469.70 OTHER EXPENSES VOUCHER NO. 182857 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 $1,719.10 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 095729 01-6180-03 $996.50 and received except 9/25/2018 095729 $996.50 098293 01-6180-03 $252,90 9/26/2018 098293 $252.90 098294 01-6180-03 $469.70 9/26/2018 098294 $469.70 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 .kms BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS095729 INV DATE: 9/20/18 PAGE 1 OF 1 DUE DATE: 10/20/18 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: 9/20/18 TERMS NET 30 DAYS B/L #. . 2262956-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER V . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC091718 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 778699484 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 10/20/18 INVOICE TOTAL USD 996.50 PAID AFTER 10/20/18 INVOICE TOTAL USD 1,016.43 Original Document BRENNTAG� BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS098293 INV DATE: 9/24/18 * PAGE 1 OF 1 *** DUE DATE: 10/24/18 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: 9/24/18 TERMS NET 30 DAYS B/L #• . : 2262959-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER# . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC091718 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 778795358 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 * CHICAGO IL 60686-3007 MERCHANDISE 252.90 ----------------- PAID ON OR PRIOR TO 10/24/18 INVOICE TOTAL USD 252.90 PAID AFTER 10/24/18 INVOICE TOTAL USD 257 .96 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS098294 INV DATE: 9/24/18 * PAGE 1 OF 1 *** DUE DATE: 10/24/18 SOLD TO: SHIP TO: CARMEL WATER CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 9/24/18 TERMS NET 30 DAYS B/L #• 2262932-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC091718 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 778795350 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 -------------------------------------------------------------------------------- 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 10/24/18 INVOICE TOTAL USD 469.70 PAID AFTER 10/24/18 INVOICE TOTAL USD 479.09 Original Document Bill of Lading/Shipmerlt,.Receipt ***, Continued from Previous- Page Page 2 of 3 BRENNTAG MID-SOUTH PHONE: 317'898-8632 9/19/18 18:31:29 3111 N POST R FAX: BRENNT DEA REG NO. 0.0660IBNY INDIANAPOLIS, IN 46226 BOL# 226295600 Delv Date: 9/20/18 Ship CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 4 Ship Date: 9/20/18 0 Ship To.: 5484 L 126TH STREET 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 Hrs: 7:30 AM- 4:00 PM Phone#. 317-571-2443 Phone: 417-571-2634 Ext: Phone: 317-571-2443 Ext: Terms. . : NET 30DAYSCust PO# AC09171,2 - QUANTITY 4 QUANTITY PRODUCT CON' SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DEF IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT -800-424-9300, 24 HOURS 7� DAYS iRQ �UN1017, CHLORINE, -.RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B :ERG #.- 124 CHLORINE 1.0000 2000.0000 LB - CYL CHLQRINE, LIQUID (BMS,. ONLY) >A RPK 1.0000 253418 i Loc: OSE05 OSE04. Qty: 6.0000 6.0000 �Product picked from: Lot: 2 Loc,. OSE04 Qty: 1.0000 "Freight Class. . . 200 '� iWeight Per Gallon: 11.87000 Net Weight." 2 00.000 CYL ------------------------------------------------------------------------------------------------ -------------------------- Total Net Weight: 2,000 Total 'Cross Wei 3ht." J 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 De��ans ortation. Loaded By. Checked By: Signature of Shipper: �v - ........... ....... ......... PURCHASER'S ACCEPTANCE OF THE, GOODS COVERED Y'14KdA6VNT S Vehicle. Driver-. UTE ACCEPTANCE ..... BY THE PURCHASER OF ALL TERMS AND CONDITIONS 0 ALE STATED ON TH VERSE SIDE HEREOF Miles: .......... Out Time In/ ........... »............. MOREOVER,-PURCHASER,HEREPXACOWLEDGES RE6EIPT OF ALL REQUIRED SIDSOf" ,A Wood Pallets ....... Wood Pallets N Plastic Pallets Plastic Pallets Rtn: Received by: Date: /V CUSTOMER COPY Bill. of Lading/Shipment Receipt **,r Continued from Previous Page Page 2 of � BRENNTAG MID-SOUTH PHONE: 317-898-.8632 9/20/18 25:00:15 B R E NN 1 3111 N POST RD FAX: ., .: DEA REG NO. 006601BNY INDIANAPOLIS, IN 46226 BOL11: . . : 22.2959-"00 Db1V', Date: 9/24/18 Ship CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 4 Ship Date: 9/24/18 Cl Shit To: 5484 E. 126TH STREET To: 3450 WEST 131ST STREET Attn- F'r'y Terms: PREPAID f=rt CARREL, IN 46032 CARMEL, IN . 46074 FOB. . : DELIVERED Taken By : BM29SLD Sls Ship Via- OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 7:30 AM- 4x00 PIS Phone#. . : 317571-24 3 Phone: 317-571-2634 Ext: Phone: 317-571-24.43 Ext: Terms. . : NET 30 DAYS C'ust POI); : AC091718 QUANTITY SHIPPED PACKAGING HM DESCRIPTION M QUANTITY PRODUCT COQ 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 ! .CHLORINE}, RQ,MARINE POLLUTANT �;• w POISON-INHALATION HAZARD, ZONE B ERG .#: 124 CHLORINE 3.0000 1,50,0000 LB CYL 'CHLORINE, LIQUID (BMS ONLY) >A RPK 3.0000 573311 •,Loc. A2R2A Qty: 40.0000 iProduct picked from: 1., Lot: 2 Loc: A2112A Qty: 3.0000 k ! 'Freight Class. . . . 200 Weight ----------------------------- -Per- .-µ_ Gallon 11,-5700D eIglit, 450.000 CYL_ a�w 1l pt„Weight: ~450 TotalµC,r oss Wei �ht; Received : f D ale; > P 0 .#�: ., ACCT # � A3� This is to certify that the above named materials are properly classified,de • e , aged marked,and labeled,and i;pe*r condition for transportation according to the applicable regulations e t of sport ” Signature of Shipper: i � Lbad�(Z--,,By: ,,,",,,,,,,,,,,,,,,,, , ,,,,,,,,,.",.., Checked BY _.....,_ ..._�___4.� . ,� ',yL i cue: , Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVE BY THIS DOCUMENT LL CONSTITUTE ACCEPTANCE -�� "" """"""""""""""""' """'••'• Mz c's: -- „,,,,,,,, ,,,, ;,,,,,,,, Time In Time Out,,,. BY BY THE PURCHASER OF ALL TERMS AND CONDITIO SOF SALE STATED ON THE REVERSE SIDE H REO . >•••.;..,,......• In/ Time PURCHASER,HEREBY ACKKNO�W/L�ED�GES RECEIPT OF ALL REQUIRED SDS(S)G.� C. / Wood Pallets D�'JCI ,,,,,,,,,,,, Wdod Palle ts Received by: '� /'1 V� �fi� � 1�� Date: T' j CUST�OW(6OP lets D3 vd,,, ,":...... ....... Plastic G Pal l�tS fZ'Un:.,,, . _ Bill of Lading/Shipment Receipt Continued' •from Previous Page Page ` 2 of 3 BRENNTAG MID-SOUTH PHONE: 317-898-8682 9,+'23/18 '�3:02:53 , B R E N N T 3111 N POST RD- FAX: ,.� DEA REG NO. 00660IBNY ` INDIANAPOLIS, IN 46226 BOL# : 2262982-00 beiv Date: 9/24/18 Ship CARMEL WATER, PLANT A. Sold -CARMEL WATER Customer: 407542 Ship To: 6 Ship Date: 9/24/18 0 Ship To: 10675 N. GRAY ROAD To: 3450 WEST 131ST STREET Attn- i--rt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : Bk9SLD Sls Ship Via: OUR TRUCK - PKG Placed By: ANDY Recd Hrs: 8:00 AM- 4:00 PM Phone#. . : 317`571'2443' Phone: ?17-71,6-3917 Ext: Phone: 217-571-24-43 Ext: Terms, . : NET 20 DAYS Cust PO4� : AC091718 QUANTITY QUANTITY PRODUCT CON" SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DEF IF LEAK OR SPILL OCCURS DURING. TRANSPORTATION: CCN3170 EMERGENCY CONTACT" CALL CHEMTRE;C TOLL FREE 'AT -800-424-9300 x 24 HOURS / 7 DAYS !RQ UN1017 - !CHLORINE, RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B ;ERG ii: 124 CHLORINE x .4.0000 150.0000 LB CYL ;CHLORINE, LIQUID (BMS ONLY) >A RPK 4.0000 873311 'LOc: A2R2A t Pty.: 40,0000 .Product picked from: Lo-t: 2 Lac: A2R2A Qty: 4.0000 Freight Class. 200 Weight Per gallon: 11.8700.0' N@t &��j�l t� 600.000 CVL .__._,.._.,_._,__. � I !� Received E 2C�� Total Net Weight" 600 Total Gross Wei 3ht: I Date : ;2q cc ACCT #: z. ,�� rj r Use . This is to certify that the above named materials are properly classified,described,packaged,mar t , condition for transportation according to the!pplicable regulations of the De e Tr nsportation. iro p d@d By: C�1G�Ck@d �3j! `„ � Signature of Shipper �•(/t�2 ' fah l c1@: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVERE ENT 'H OhSTITUTE ACCEPTANCE `„"•„ Out,-,,”'" BY THE PURCHASER OF ALL TERMS AND CONDITIONS SALE STATED ON r REVERSE SIDE HEREOF. �'@ S" "•`. T m @ 1 n/T Ih u MOREOVER,PURCHASER,HERE YACKNOWLED�G�ES CEIPTrO�FALLREQUIREDSDS(S). �y� l�loOd Pallets DIVd ,,,,,,,„ „,.,,.,, Wood Pallets Received by: Date: ”' cUST10'�W�.bOP�Y`!lets Illvd...... ................ Plastic Pallets R`tn