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Home My WebLink About332106 11/13/18, i W.C.IAb CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $***"*3,356.70' CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 332106 9�'it>oN_ CHICAGO IL 60686 CHECK DATE: 11/13/18, DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 124441 499.70 OTHER EXPENSES . 601 5023990 124442 996.50 OTHER EXPENSES 651 5023990 BMS127042 1,860.50 OTHER EXPENSES VOUCHER NO. 186763 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 359584 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRENNTAG (ULRICH) CITY OF CARMEL 3796 Reliable Parkway An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60686 dates service rendered, by whom, rates per day, number of hours,rate per hour, numbers of units, price per unit,etc. Payee $1,860.50 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG(ULRICH) Terms Carmel Wasterwater Utility 3796 Reliable Parkway Due Date BOARD MEMBERS I hereby certify that that attached invoice CHICAGO, IL 60686 (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 BMS127042 01-7182-05 $1,860.50 and received except 11/1/2018 BMS127042 $1,860.50 J �/L I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer BRENNTAGA 'ff BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS127042 INV DATE: 10/29/18 ** PAGE 1 OF 1 * * DUE DATE: 11/28/18 SOLD TO: SHIP TO: CARMEL WASTE WATER HAZEL DELL 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL INDIANAPOLIS IN 46280 CARMEL IN 46280 FEDERAL ID #: 610504545 DATE SHIPPED: 10/29/18 TERMS NET 30 DAYS B/L #. . 2306538-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: S19043 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 780121817 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 253418 11 .87000 4000 .0000# .4320 1 ,728.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- Received by Date: b pp #: s 190g3 Acct C. 6� .-► `%�.Os Use: Dior: , QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 1,728.00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 11/28/18 INVOICE TOTAL USD 1,860 .50 PAID AFTER 11/28/18 INVOICE TOTAL USD 1,897 . 71 Original Document VOUCHER NO. 183207 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 359584 IN SUM OF$ 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 1496.20 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 124441 01-6180-03 $499,70 and received except 10/30/2018 124441 $499.70 124442 01-6180-03 $996.50 10/30/2018 124442 $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#: BMS124442 INV DATE: 10/25/18 PAGE 1 OF 1 *** DUE DATE: 11/24/18 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 4603.3 FEDERAL ID #: 610504545 DATE SHIPPED: 10/25/18 TERMS NET 30 DAYS B/L #. . 2302589-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY C FOB . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 779970315 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 11/24/18 INVOICE TOTAL USD 996 .50 PAID AFTER 11/24/18 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#: BMS124441 INV DATE: 10/25/18 * PAGE 1 OF 1 *** DUE DATE: 11/24/18 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: 10/25/18 TERMS NET 30 DAYS B/L #. . 2302595-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY C FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 779970316 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .6120 367 .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 367 .20 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 11/24/18 INVOICE TOTAL USD 499.70 PAID AFTER 11/24/18 INVOICE TOTAL USD 509.69 Original Document ,611.E of t.aaing/�snipmen't 1�ece:l,pt. Page 1 of 2 BRENNTAG MID-SOUTH PHONE: 317-898-8622 10/24/18 23:53:30 ��E N NT� 3111 N POST RD FAX: DEA REG NO.. 006601BNY INDIANAPOLIS, ,IN 46226 BOL# 2302,589-00 Dela Da'Le: 10/25/18 Ship CARMEL- UTILITIES PLT 1 Sold CITY OF CARMEL. UTILITIES Customer: 407542 Ship To: 11, Ship Date: 10/2`5/18 0 Ship To: 4915 E 106 ST To: 3450 WEST 131ST STREET Attn-- Frt Terms: PREPAID Frt t CARMEL, . IN• 46033 CARMEL, IN 46074 FOB. . : DELIVERED Taker By : BM29SLD SIS F Ship Via: OUR TRUCK - PKG Placed By: JERRY C Recv Hrs: 7:30 All- 4:00 PM Phone#. 317--571-244.3 Phone: 317-571w2443 Ext: Phone: 317-571-2443 Ext: Terms. . : NET 30 DAYS Cunt" PD# .; JERRY C QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY ACK ORDERED PRODUCT D E� CONT/ ODEP( IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL, CHEMTREC TOLL FREE AT 1.800-424-9300 {. 24 HOURS / 7 DAYS > i FREIGHT CARRIER: INVOICE TMS VIA EDT OR CARRIER PORTAL. 3 JEFF 317-571-2639 ;ANDY 31.7-•750-1479 Rel i.UN1017, :CHLORINE,, rQ RQ,MARINE POLLUTANT 90.11,3014-INHALATION HAZARD, ZONE I3 :ERG 4: 124 CHLORINE .1..0000 2000.0000 LB CYL "CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253413 ;Lac: OSE05 OSE04 Qty: 6.0000 1 .0000 ;Product picked from: Lot: 2 Loc: OSEO4 , Qty: 1.0000 � .. '!Freight Class.. . . : - 200 :Weight Per Gallon: 11..37000 Net Weight: 2000,000 CYL _.,.: _... , �...:�,. _._, a ..._...._,..,..,..._.w..__........,_.��M�. _,�...,..._._,.._. _. .,._..,_..._...._..w,..,_...,_....__..._........._..._ ......,_,_,_,_,_W„w.._,..._. Total, Net�Wea.�ht:.w.�._.:._. A.2._OOOMTotal Y%'�Oss�We3,g,h't: 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 a Tr sportation. - Loaded By: Chl G G Et d Signature of Shipper: ,r/t to Vehicle" N. '".........:........ Dry Ver: v,..,,.,.,.,.,.'.: .. PURCHASER'S ACCEPTANCE OF THE GOODS COVERED NT ONSTITUTE ACCEPTANCE Miles: . Time in/Time Out � BY THE PURCHASER OF ALL TERMS AND CONDITIONSPC, SALE STATED ON THE REVERSE SIDE HEREOF. " "" """"""""" """'""""""" "'""` ,,,,_"`"'"'"""`"`"'.. "" MOREOVER,PURCHASER,HEREBYACKPIOWLEDGES IPT OF ALL REQUHtED SDS(S) Wood Pallets Dl d„,__ , , ��,; Wood Pallets R .1_111_,,, Wo 1 v 1 tn� Plastic ��ilets DlVd Plastic Pallets Rtn Received by: Date: / I CUSTOMER COPY xs111 OT LaQ1I19/ZDr1:LPffleI1t- KeMRIP'r * r-ontinUer Trom Previous Page �� Page 2o-,F 3 ' - - BRENNTAG MITI-SOUTH PHONE: 317-898-8632 10/24/18 23:58:09 N NTi 3111 N POST RD FAX: B R E .DEA REG NO". 00660IBNY INDIANAPOLIS, IN 46226 BOL# . „ 2302595--00 Delv,Date: 10/25/18 Ship CARMEL WATER, PLANT 4 Sold CITY OF CARMEL UTILITIES Customer: 407512 Ship To: 6 Shap Date: 10/25/18 0 Ship To: 10675 N. GRAY ROAD To: 3450 WEST 131ST STREET AttnW- F:rt Terms: PREPAID F'r�t CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . : DELIVERED Taken .By : BM29SLD Sls Ship Via: OUR TRUCK _. PKG- Placed By: JERRY C Recv Hrs: 7:30, AM- A.:00 PM Phone-#. . : 317.571-•2443 Phone: 317-716-9917 Ext- Phone: 317-571--24-43 Ext: Term�� : ET JaO DAYS Cust PO# : JERRY C QUANTITYOUONI SHIPPED PACKAGING HM DESCRIPTION « �` �` M C� .;.ORDERED QUANTIT BACKORDERED PR ODDER CDEP IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: � CCN3170 EMERGENCY CONTACT: CALL CHEMTREC 3,0Li`'FREE AT "i�40' -424-9300. 24 HOURS / 7 DAYS I IRC IUN1017, j 'CHLORINE, 1 RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B 'ERG -: 124 CHLORINE 4.0000 150.0000 LB CYL . .CHLORINE, LIQUID (BMS ONLY) >A RPK 4,0000 873311 Loc: A2R2A OSOELOT ; ;Qty: 32.0000 :18.0000 ; ;Product picked from: Lot: 2 Lac: A2R2A Qty: 4.0000 ' ''Freight Class. , , : - 200 ;Weight Per Callon: 11.87000 Net Weight: 600.000 CYL Total Net Weight: 600 -Total Gross neigh t: This is to certify that the above named materials are properly classified,de ed, aged, arked,ana labeled,and are in proper condition for transportation according to the applicable regulations of-th "f r o Loaded By: Checked By" ' Signature of Shipper: 1. r Cc.Z Vehicle: Driver: ,....... _......J,., r" ...�. PURCHASER'S ACCEPTANCE OF THE GOODS COVERED�Y THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: ,, Time In/Time 0Ut_ BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. �. MOREOVER,PURCHASER,HEREBY-ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). f',r Wood Pallets Ev, ...... Wood Pa.),�.ets R wn: r(,[� Plastic Pallets blvd ..�.,.,.,..,�,.., . Plastic Pallets Rtn. Received by: wl f: . --% r Date: CUSTOMER COPY