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Home My WebLink About333030 12/11/18 "p" CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****3,369.60* 9: � CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 333030 .y4TON�° CHICAGO IL 60686 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 146139 318.60 OTHER EXPENSES 601 5023990 146140 318.60 OTHER EXPENSES 601 5023990 146141 318.60 OTHER EXPENSES 601 5023990 148564 999.00 OTHER EXPENSES 601 5023990 150021 183.60 OTHER EXPENSES 601 5023990 150022 183.60 OTHER EXPENSES 601 5023990 150023 1,047.60 OTHER EXPENSES VOUCHER NO. 183489 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ 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 $3,369.60 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG MID-SOUTH INC Terms Carmel Water Utilitv 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 146139 01-6180-03 $318.60 and received except 11/30/2018 146139 $318.60 146140 01-6180-03 $318.60 11/30/2018 146140 $318.60 146141 01-6180-03 $318.60 11/30/2018 146141 $318.60 148564 01-6180-03 $999,00 11/30/2018 148564 $999.00 150021 01-6180-03 $183.60 11/30/2018 150021 $183.60 150022 01-6180-03 $183.60 11/30/2018 150022 $183.60 150023 01-6180-03 $1,047.60 11/30/2018 150023 $1,047.60 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 i BRENNTAG ' BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS150021 INV DATE: 11/28/18 * * PAGE 1 OF 1 * * DUE DATE: 12/28/18 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: 11/28/18 TERMS NET 30 DAYS B/L #. . . : 2332468-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 781052281 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300.0000# .6120 183 .60 150.0000 # 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 183 .60 ----------------- PAID ON OR PRIOR TO 12/28/18 INVOICE TOTAL USD 183 .60 PAID AFTER 12/28/18 INVOICE TOTAL USD 187 .27 Original Document BRENNTAGAIR BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS150022 INV DATE: 11/28/18 * * PAGE 1 OF .1 DUE DATE: 12/28/18 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: 11/28/18 TERMS NET 30 DAYS B/L #. . . : 2332472-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 35600972-001-9 PRO NUMBER . : 781052255 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300.0000# .6120 183 .60 150.0000 # 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 183 .60 ----------------- PAID ON OR PRIOR TO 12/28/18 INVOICE TOTAL USD 183 .60 PAID AFTER 12/28/18 INVOICE TOTAL USD 187 .27 Original Document BRFNNTAG ali F BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS150023 INV DATE: 11/28/18 * * PAGE 1 OF 1 * * DUE DATE: 12/28/18 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: 11/28/18 TERMS NET 30 DAYS B/L #. . . . : 2332463-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB DELIVERED FREIGHT TERM: PREPAID TAX EX# 356000972-001-9 PRO NUMBER . : 781052254 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 -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300 .0000# .6120 183 .60 150.0000 # 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 1,047 .60 ----------------- PAID ON OR PRIOR TO 12/28/18 INVOICE TOTAL USD 1,047 .60 PAID AFTER 12/28/18 INVOICE TOTAL USD 1,068.55 Original Document BRENNTAG F_ BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS148564 INV DATE: 11/27/18 * * PAGE 1 OF 1 DUE DATE: 12/27/18 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: 11/27/18 TERMS NET 30 DAYS B/L #. . . : 2333000-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 781068380 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 100.00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 12/27/18 INVOICE TOTAL USD 999.00 PAID AFTER 12/27/18 INVOICE TOTAL USD '1,018.98 Original Document BRENNTAG 31' BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS146141 INV DATE: 11/21/18 * PAGE 1 OF 1 *** DUE DATE: 12/21/18 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: 11/21/18 TERMS NET 30 DAYS B/L #. . 2327237-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 35600972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300 .0000# .6120 183 .60 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 183 .60 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 100.00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 12/21/18 INVOICE TOTAL USD 318.60 PAID AFTER 12/21/18 INVOICE TOTAL USD 324.97 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS146140 INV DATE: 11/21/18 * PAGE 1 OF 1 *** DUE DATE: 12/21/18 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: 11/21/18 TERMS NET 30 DAYS B/L #. . . : 2327240-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 780908888 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300.0000# .6120 183 .60 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 183 .60 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 100.00 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 12/21/18 INVOICE TOTAL USD 318.60 PAID AFTER 12/21/18 INVOICE TOTAL USD 324.97 Original Document BRENNTAGAWN. BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS146139 INV DATE: 11/21/18 * PAGE 1 OF 1 * DUE DATE: 12/21/18 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: 11/21/18 TERMS NET 30 DAYS B/L #. . . . : 2327248-00 SHIP WHS : 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 780908877 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 2.0000 873311 11 .87000 300.0000# .6120 183 .60 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * MERCHANDISE 183 .60 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 100.00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 12/21/18 INVOICE TOTAL USD 318.60 PAID AFTER 12/21/18 INVOICE TOTAL USD 324.97 Original Document BiI of Lading/Shipment Receipt Continued from Previous'Page *i * Page :? of 3 Bf ENNTAG MID--SOUTH PHONE: 317-898-8632 11 27/18 20:00:00 g R E N N 1 31.11 N POST RB FA){: *�� REPRINT-01 �*� DEA REG Nth.- 00660-IBNY INDIANAPOLIS, =IN .46226 BOL: . 23 `1 :.68-00 I3e v Date: 1J27/18 ,.Shio 'CA MEL'WA-t.ER, PLANT- A Sold CITY OF CARMELUTILITIES Customer: 407542` Ship To: 6 Ship Date: 11J27J'18 0 Shy To: 1.0675 N. GRAY ROAD To: 3450 TEST 131ST STREET Attn- Frt Terms: PREPAID Fri CAPMEL, IN 46032 CARMEL, IN 46074 FOB. . . : .DELIVERED Taken By : BM29SLD Sls Ship Via: OUR TRUCK PKG Placed By: JERRY Recv Hrs: 7:30 AM-- '4-00 PM Phone:. . : 3:17--.571.-2443 Ph �7 -3917 : Ext: Phone: 317-571-24A.? Ext: Terms. . : NET 30 DAYS gust Pq# : BERRY QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY ACK ORDERED PRODCODUCT Col DI IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALF. CHEMTREC TOLL FREE AT 1-800-424--9300 24 HOURS J 7 DAYS DRQ 'UN1017, ;CHLORINE, } iRQ,MARINE POLLUTANT JPOISON-INHALATION HAZARD, ZONE B :ERG #:: 124 ( ;CHLORINE 1.50.0000 LB CYL j `CHLORINE, LIQUID (BMS ONLY) >A RPK 2.0000 873311. Loc: OSOELOT. Qty- 3.0000 !Product picked •from: Lot: 2 Lac: OSOELOT Qty: 2.0000 Freight Class. . . : 200 Weight -Per Gallon: 11.87000 Net Weight: 300,000 CYL --------------------------------------- I _ --------------------------------------------------------------- ------------------------- �.�.__ __- { Total Net Weight: 300 'fatal~Irons Weight: . - L- This is to'certify that the above named materials are properly classified,described,pac d,m 'edl. nd beled, a in proper condition for transportation according to the applicable regulations of the Departure tea ` � LOc>dErd B�= ,,,,,,,, Checked By: Signature of Shipper: .._ Vehicle: Driver: it ,,,,,,,,,, APURCHASER'S ACCEPTANCE OF THE"GOODS COVERED BY THIS D CUMENT SHALL CONSTITUTE ACCEPTANCE Miles:,.. ,,,,,,,,,,,,,,,,,,,,;, Time In/Time OQJt,,, By THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. .....'•""`,,,""""'""'"'."' """""" MOREOVER,PURCHASER,HEREBY—ACKNOWLEDGES RECEIPT OFALL'REQUIRED SDS(S). Wood Pallets Dl d, •-,e„ Waad Pa lets �"� v n Plastic Pallets Dlvd Plastic Pallfets Rtn: Received by: ��. �� J�, f,-�� Date: J�' �` �/ CUSTOMER COPY Bill- of Lading/Shipment. Receipt *** 'Continued from Previous Page '*** Page 2 of 3 BRENNTA MID.-SOUTH PHONE: 317-898-8632 11/27/18 20:00:2A. 6 R E N N 1 311.1+ N POST RD FAX: REPRINT-01 ��. DEA . EG €O. ` 00660.1.BMY ; 1ND NAPOLT8 IN •46226 BOLI# .-., 233247 -00 Delv Date: 11/27/18 Snip 'Cr'4 i 1,.•W TER, ,PLAIT .3 ' ' Sold CIT' OF 'CARMEL UTILITIES,' Customer: 407542 Shap To: 5 Shap Date: 11/27/18 0 Sha; .TQ: 4425 E. 126TH STREET To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Fr"t CI�m�i#ELR I ! 46032 CARMEL, IN 46074 FOD. ' . . » DELIVERED Tamen By : DM29SLD SIS Ship Via: OUR TRUCK, - PKG Placed By: JERKY Recv Hrs: 7:-30 AM- 4:00 PM Phone#. . : 317-571r-24A3 curl .,` �7-547 834 C# Cx 1e Phone: 317-571.-2443 fix`,` Terms. MET' 30=DAYS Cus t PO# : JERRY QUANTITY QUANTITY PRODUCT . COP SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DE IF'.,LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE 'AT 1-800-424-9300 1 24 HOURS / 7 DAYS 1RQ UN101.7, CHLORTNEy , RQ,MARINE POLLUTANT j . . POISON-INH AL�TION HAZARD, ZONE: B 1 ERS it. 124 'CHLORINE 2 �J.00 .1.50.0000 LIS . CVL: CHLORINE- LIQUID ( �i5 ONLY >A fPK 2,0000 373311 'Loc: OSOE:LOT ;Qty: 3,0000' ;Product packed from- Lot- 2 Loc: OSOELOT Qty: 2.0000 Freight Cl.ess. . . . 200 Weight Per Gallon: 11..57000 Net Weight: 300.000 CYL ,__._--,w.- _.---- ----_____-.....,,.,.-,..-_-_.-___ -- To hlet�We�Weight. _._.w.. w.3O0�'�o ta].�i�ross�Weight: This is to,certify that the above named inaterials are properly classified,described,pac d arked,•and labeled,and are in proper condition for transportation accoiding to the applicable regulations of the De ent ransp rtation. y �. Loaded :By: Checked B Signature of Shipper: '�� vehicle: ",",,.,,.,, Driver. ,,,,,,e,,,,,,,,,,,,,,,,,, ,,,,,,,,;,,,,,,,,,, , ..,,, ,,.,. . " PURCHASER'S•ACCEPTANCE OF THE GOODS COVERED BY I oCUMENT sw CONSTITUTE ACCEPTANCE •;.BY THE PURCHASE"F ALL TERMS AND CONDITIONS OF'SALE STATED ON THE REVERSE SIDE HEREOF. Miles,. "`" "' T1flie in/Time Out.,_,. ff Wood PaHe`ts.'D1vd Wand Pallets R to MOREOVER,,PURCHASER,HEREBY ACKNOWLEDGES RECEH'T OF ALL REQUH2ED SDS(S). • . �r /I r� 't Pl ui tic Pallets Dl v�...,..."."..,,�.,.", Plastic Pallets Rin .�.:............... Received by: r 4^r; _: -�_---- Date: CUSTOMER COPY j. of L�d1n3/Shipment Receipt �� COntanued`from Pr�.evious Page �� Page' 2 of 5 D-SOUTH PWp�9E. 317-898-8632 11/27/18. 20.00.45 R E N N1 "3 POST RD FAX. '***, REPRINT-01 Ina", OLIy;, IN 4622 BOL e 2332463-bO Delv Pate. 11/28/18 p CARMEL! WA"SER, ".PL.ANT 5 Sold CITY OF CARMEL UTILITIES Custpmer: 407542. Ship Tt�. 4 Shap ate11/28/.18 q Shy .To,: a2484 E. 126TH STREET To: 34.50 WEST 131ST STREET Attn- Frt Terms; PREPAID _F rt �.A ME'L, "l ° 460,32 *607J.9 IN �'*607J' Eqs. DELIVERED Taken By BM29aLD Sls Shap Via. OUR TRUCK - PKG Placed By: ' JERRY Recv Nrse 7.3p AM� 4.qq Ptd Ph�ane 3" 7�-571 .2443 F n 3 7 571-2634 Ext; PhoLie. 317 -571-24A.0 Ext i' rms. .. NET 30 SAYS Cost PO#* : JERRY QUANTITY ` PACKAGING HM DESCRIPTION M QUANTITY PRODUCT COI SHIPPED ORDERED BACKORDERED CODE DI ' IF,.LEAK' OR SPILI; OCCURS DURING'TRANSPORTATION CCN8170 EMERGENCY CONTACT: CALL CHEMTREC TOLL- FREE -AT 1-•800--424-9300 24 HOURS / 7 DAYS IRP'°UN10'1.7, � .e CHLgRINE, , „ RQ,MARINE POLLUTANT POISON--:INHALATION HAZARD, ZONE B " )ERG #: 124 :CHLORINE ;'00.00 200th 0000 LB CYL . c HLq�2INE, LIQUID �;pMS ONLY) . ,>A RPK 1.0000 253418 iLoc.: OSE05 OSE04 Qty. 2.OgDO ' 8.0000 :Product packed from.- Lot: rom.Lot: 2 Loc: OSEO4, Qty: 1.0000 Freagt Class. . . 200 w Weight Per Gallon: 11.87000 Net Weight: 2000.000 CYL z Continued on Next Page This is to certify that the above named materials are properly classified,des be� ick�111d,and e d areroper cbnchrion.fo;transportaiion.according to the applicable regulations of the D i � ,vim LLtladdV. h@Q�{ (� yw 'Signature of Shipper: r du Vehicle: .� , Dr vei PURCHASER'S ACCEPTANCE OF.THE GOODS COVERED BY.T S DOCUMENT SHALL CONSTITUTE ACCEPTANCE Males.• Ti,Me In/Tame Out,,,,,,,,,•"„,,,, Py-,THE PURCHASE OF ALL TERMS-AND CONDITIONS OF LLE STATED ON THE REVERSE SIDE HEREOF. ”" "`""" "" MOREOVER,PURCSER,HER&BY ACKNOWLEDGES RECEH'T OF ALL REQUIRED SDS(S). �' r•" f Wood Pallets � vd Wood pallets Rtn:,,., Rec _xved by. ` �/ r / " ) Plastic Pallets Dlvd Plastic Pallett Rtn........ ..,,,,. e 1 _, Date: CUSTOMER COPY Bill of Lading/Shipment Receipt Continued from Previous Page Page 3 of 5 BRE.NNTAG MTD--SOUTH PHONE: 317-898--8632 11/27/18 20:00:45 6 R E N N1 3111 ,N PAST •,RD FAX: ** REPRINT-01 DEA REG NO. .-00660IBNY INDIANAPOLIa�, IN 46226 DOL# . : 2332463-•00 Dely Date: 11/28/18 Shi. _CARMEL WATER, PLANT. 5 Sold CITY OF CARMEL UTILITIES Customer: 4075.42 Ship Tia: A. Ship Date: 1.1/28/18 0 Shi T"o: _5484. E:. 126TH STREET To: 3450 WEST 131ST STREET Attn-- Frt Terms: PREPAID Flrt C1RMIL,. Iii 4603,:. CARMEL, IN 46074• FOB. . . : .DELIVERED TaKen By : BM29SLD Sls Shap Via: OUR TRUCE P€tG Placed By: JERRY Recv Hrs: 7:30 AM4:00 PM Phone#. . : 317-571--2443 Phu .ik� • .317 -571.-2634 Ext: Phone: 317-571-24.43 Ext: Terms. . : NET 30 DAYS Cust PO# : JERRY QUANTITY QUANTITY PRODUCT Cor SHIPPED' PACKAGING , HM DESCRIPTION M ORDERED BACK ORDERED CODE DI IF- LEAK OR:"SPILL OCCURS DURING .TRANSPORTATION: CCN3170 ' EMERGENCY CONTACT. CALL CHEMTREC TOLL FREE AT -1-800-424-930o 24 HOURS ,7 7 DAYS 'RQ UN1017, ;CHLORINE, RQ,MARTNE POLLUTANT 'POISON--INHALATION HAZARD, ZONE B _ 'ERG Vit: 124 ]CHLORINE _D.00 15q.Og00 LB CYL CHLCII� Ni«, LIQUID (Bi'i�i' ONLY) >A RF'tt 2.0000 87331.1 ,Loc: OSOELOT „. 0-Ey: 3.0000 Prokjuct picked from: Lot: 2 - -Loc: OSOELOT Qty: 2.0000 ;F-refight Class. . . . 200 i Weight Per Gallon: 11.87000 Net Weight: 300:000 CYL --------------- - -- ----------- .._ _ - .-------.--------------._ ,.-_.___._.__. _� _ w_.__.__---_._._ _----..._.--W._ Total Net Weight: 2,300 TotalY(,ross Weight: t conditionto certify if y that the above named materials are properly classified,described',packaged marked,and labeled,and are in proper y M M y Y This is to certify that theabove n according to the applicable regulations of the Departm Tr portati n. . Si nature of Shipper;:' Loaded B �..................... Checked .B g PP �f.( Vehicle. �............. Driver: ...,,;,,..,..,........,,.....,,...��,-. PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THI ENT SHALL O UTE ACCTANCE M i e 5; T 1 me In/Time q U t,,„,,,,,,,,,,,,,,,,,,,,,,,,,,,,• BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF S STATED ON THE REVERSE SIDE HEREOF. ”""""" """"""""""""""'""..... ' MOREOVER,PURCHASER,HEREBY'CKNOWLEDGES RECEI OF ALL REQUIRED SDS(S). a d__ �.••.•..,.•»...,.. Pallets - / •,(� p� �-� l� --- � / /'`.,�'�� pWood Pallets Dlv ....................,.. Wood ..,... ..._,...... Reeeived.by• , , �/�� CUSTOiER COPPv1�eta d Plastic Pallets Rtn: Date: �3.i.1 1 o"i' Lading/S�,ipmcsnt Rece-ip t Page 1 of 2 -.. 1 F EldlEi i�,C `NID7SOUTH PHONE: 317-898-3632 :1.1/26/1:3 20;4.1:48 .6 R E N N 1 3171,1, ,°,i Pt?S.i. RD FAX.- DEA AXa!JI:.F'i fkC:G N0. 00660.[..CYly7 - ,11419DZD�f��APOLIS,• IN 4622.6 BOL# 2333000Ou Del+ Date: 11/2-1/18 ShipCAP=leiEL UTILITIES, PL's 1 Sold ��7Y OF ' CA�zi�LL t1T�LxTTES Cus�om�r ,407542 Shzp 7a: 11 Ship Date: 1.1./27/18 0 aha. Ta: 1x915 E 106 ST To.- 3450 WEST1,31ST STREET Attn- Frt Terms: PREPAID Frt �(,il;,1E''.,,. CARMEL, IN 4607 + FOB. , e DELIVERED Taken by : DM295LD 51s Ship Via: OUR TRUCK -- PKG Placed By: JERRY RecY Firs: 7:30 All- 4:00 PM .Phage#. . : 31.7-571-•2443 cel~+ r1 ,.::1t X5 1-2 3 Ext,: Phone: 317571-24-43 Ext: Terms. .: 'tJE1 30 DAYS Cuat POS 7kRR1' QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED QUANTITY ACK ORDERED PRODUCT CO COD IF'LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMEkGENCY:{�ONTACT: CALL CHEMTREC TOIL FREE:-AT 1-800-424-9300 — 24 HOURS /'-,7 .DAYS FREIGHT CARRIER: INVOICE 1'K VSA EDT. OR CARRIER PORTAL. ;JEF=F 317-571-'2639 On I 'ANDY 317-750-1479 IROUN 1017, — ------� CIALORINE, r �, , �� RQ,F�ARINE POLLUTANT "' ` � � � � � �\2 'POISON-,INHALATION HAZARD, ZONE D � A C ia T. # : '.ERG if: 1,24 1` ` U CHLORINE 1..0000 2000.0000 LB. CYL _ CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253418 E Lac: OSEOS i. �O-ty: 2.0000 B 0060 ;. F�roductpicked From: Lot: 2 Loc: OSE04 O:ty, 1..0000 'Freight Class. . . : 2 O rWeight Per Gallon: 1.1.87000 Net WeigO t: 2000.000 CYL -------------------- Total Net Weight: 2,0.00 fatal Cil`a55..W'eight: This is to certify that the above named materials are properly classified,described,packa e a d;and labeled,and are in proper condition for transportation according to the applicable regulations of the Departm of T sportat• n. Loaded By, CrteGFCet� By: Signature of Shipper: lt.�'v�� -Vehicle: , Driver: lac .,, r R' .�c1..:�' PURCHASER'S ACCEPTANCE OF THE GOODS COVERED BY THIS 6MWNiSHALL STITUTE ACCEPTANCE Males: Time In/Time Out,•,,,,•, 'BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE,HERE """""" """""' """""' MOREOVER,PURCHASER,HEREBY.ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S). l ••••,••• »• »•,•••,•••••••, . Woad Pallets D �dcJ .. Wood Pallets Rtn: ; Plastic Pallets Dlvd Plastic PalletS R•t:n: Received by: f t lr�-a�`-I� Date: �� CUSTOMER COPY Bill of Lading/Shipment Receipt Page 1 of 2 BRENNTAG MID-SOUTH PHONE: 317-898-8632 11/21./18 3:52:50 6 R E N N1 31:1,1 N POST RD FAX: �� REPRINT-01 �*� DEIN REG NO. 006601BNY INDIANAPOLIS, IN 46226 BOL� . : 232 7237-`00 ;hely Date: '1 /21/18 Shiga„CARNEL WATER,: PLANT 3 Sold CITY OF CARMEL U"t.TLITIE.S Customer-: 407542 Ship To: 5 Shap Date: 11/21/18 0 Shi To: 4425, E. 126TH STREE To: 3450 WEST 131ST STREET A't•tn-- Frt Terms: PREPAID T:rt CARMEL, IN 46032 '� � CARMEL; IN 4607A FOB. . : DLC-LIVERED Taken 13y : T3M?9SLD SIS 'Ship Via: OUR TRUCK. --• PKG Placed By: , .TERRY Recv H- is: 7:30 AM- 4:00 PM Phone#. 317-571-`2'x48 Phone:. :.31.7-••847'8834 C4 Ext, Phone: :317--571-�24A.3 'wx't: Terms. . : NET 80.DAY5 Cust POk : JERRY QUANTITY PACKAGING HM DESCRIPTION M QUANTITY PRODUCT COP SHIPPED ORDERED BACK ORDERED CODE bE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: ,`+\ CCN3170 'EMERGENCY CONTACT:, tf LL CHEMTREC TOLL.:-FREE AT 1-800--424--9300 24 HOURS / 7 DAYS FREIGHT CARRIER: 114VOICE TMS VIA EDI OR CARRIER-:.PORTAL.` % 5'11T -263�. i ANDY 317-750--1.479 ; CHLORINE, E 1R0,MARINE POLLUTANT , °;POISON--INHALATION HAZARD, ZONE :8 !ERG :II: 1.24 r � -- 'CHLORINE ' .2. 'C 00 ,' 150_0000 LD CYL � CHLORINE, L?:OUID (Tai9S ONLY >A RPK 4.0000 2,OOOtI 8731.1 'Loc- 2R2A 11 ty: 23.0000 Product picked- from-, Lot: 2 Loc. A2R2A Qty, . 2.0000 F -eight Class .. 200 McIgh''t Per Gallon: 11.87000 Net Weight:: 300.000 CYL -- _..,._. To`tal Net Weight:' 300'Total 6Gross�Wui ht: This is to certify thaftlie above named materials are properly classified,described,packaged,marked,and labeled,and are in proper r condition foc transportation according to tt' applicable regulations of the Department of Transportation. Loaded c7 d 2 C� b z 4� .Y: Checked 13y` Signature of Shipper `;,r,' �._� S-� ,, ,� Vehic1t?: " :;�.."�7,,,,,,,,,,,,,,,,,,,,,, .` f .,.. ', " ................. Driver: r .....,.. .'PURCHASER'S ACCEPTANCE OF THE GOODS.COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles: " Time In/Time Out— •, " BY THE -URCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. """"""`""""""" MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIREDSDS(S). Wood Pallets 1lvd " " Wood Pallets Rtn: .•........ . t-. P astazc Pallets Divd Plastic Pallets R'tn: Received by: 1 OLAO 2 5� Date: / 1 CUSTOMER COPY Bill of-Lading/Shipment Receipt Continued from Previous Page .*** ' Page 2 of 3 BRENNTAG MID-SOUTH PHONE: 31.7-898-8632 11/21/18 3:52:30 6 R E N N T 31.11 N POST RD FAX.- . *,K�. .REPRINT--0 PEA REG N0, 00660IBNY " ,,INDIANAPOLIS, IN 46226 b0L## ; : 2327240-'00 Delv Date.`:'^11/21/18 Ship.'CARM-EL WATER- ,PLANT. 4 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 6 Ship Da�e ' 11/21/18 0 Shill To: 1.0675 N. GRAY ROAD To: 3450 WEST 1.31ST STREET Attn- Frt Terms:- PREPAID Frt CARMEL, . IN 4.6032 4, CARMEL, IN 4.6074 FOB. . . : DELIVERED Taken Dy` :'BM29SLD Sls Shap Via: OUR TRUCK - PKG Placed.:By: JERRY : 00 PM : -571-214.3 ecv #rs: 7 n P'h6n 377-71.6-391:7 Ext: Phone: 317-571-2443 Ext: Terms. • . : NET 30 TRAYS CUs't PO-4 `:, JERRY QUANTITY SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK BACK ORDERED PRODUCT CO ECON IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1-800-424-930024• HOURS / 7 DAYS. RUN1:017, . ' CHLORINE, `x.3,(5.1),(8), RQ,MARINE POLLUTANT ' 1POISOdd-INHALATION HAZARD, SONE T3 ERG #: 12.4. i ICHLORINE 2 OEIi)0� 1;50.fl003?. LB CYL i CHLORINE, LIQUID {EMS ONLY'} J +A RPK 4.0000 2,0000 873313 -- =Loc: A2R2A Qty. -23.0000 'Product picked from: t tT Lot• 2 Loc: A2R2A Qty: 2.0000 'Freight Class. . . : 200 = `y`;Weight Per Gallon: 11.87000 Net Weight: 300.000 CYL •' ,. -"_ . �._.w... .�-�...._�.. _ -----------------------------------.-.,...�._To'tal. ,Ne��+a�agh�t._"._....._ --300-Total-gross-adeight: This is to certify.that the"above named'materials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportationmg iaccordto,ihe applicable regulations of the Department of Transportation. Loaded by d� d t t l t CheC e B' Signature of Shipper:\4 .d�� .� ,� :�, � ;,.� .,,,.,",,., ,,.. r'= �,., Vehicle: �-- 4 Drive :,.% ,,.,... �r PURCHASER'S'ACCEPTANCE OF THE GOODS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCEIn/Time"'""' '"' BY THE PURCHASER OF ALL TERMS AND CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. Miles-`"'"" Time OUt"""""""""""_"'""" MOREOVER,'PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OF ALL REQUIREDSDS(S). Wood Pallet) Dlvd„,,,,, ” " Wood Pallets R`tn:...... ................... Received by: _ Date: r I 7 /- f`' � CUSTOMEFtCOPPAYLle tS Dlvd,,,,,,".............. Plastic Pallets �rtn Qf Lading/Sh:i.pmeni Receipt Conti.hied from Previous'Page Page �� Page 2 0f 3 13RF-NNTAG MID-SOUTH PHONE: 31.7-898"8632 ., 11/21./1.8 3:52:00 B R E N N I 31:1,1 N P '8,T RD FAX: *!**;:REPRINT-01 �� A.`R NO� 00660 1BNY . k ,,IN I,ANAPOLI .r .IN. 4.6226- ' SOL# ,: 2327249-00 Rely Date: 1.1./21./18 hiEL. WATER .PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 Ship To: 4 Ship Date: 1:1./21/18 0 Shy, Tom :5484, E. 1 ' Th# i'REET,, `Co: 34-50 WEST 131ST STREET Attn- Frt Terms: PREPAID Fri a��,RME1., IN. X60-3? '. CARMEI , IN 46074 FOB. . DELIVEfrED Taken �y SM295LD SIC, Shap. Via: OUR TRUCK - PKG Placed By: JERRY Recv 'Hrs: 7:30 AM- 4:00 PM Phone.. _ : .317"571-244,q- .'Ext: 31.7 -577,-2443'Ext::. 'hone: 31-7-571-2443 Ext: _ Terms. NET .30 DAYS tats[ PO# : JERRY QUANTITY PACKAGING' HM DESCRIPTION M QUANTITY PRODUCT CO SHIPPED ORDERED BACK ORDERED CODE D :.IF -LEAK, OR ;SPILL OCCURS DURING TRANSPORTATION: CCN31.70 EMERGENCY CONTACT: .CALL CHEMTREC "BOLL FREE''AT 1-800-424-9300 24 HOURS / 7 DAYS : iRO:1UN101,7, ,CHLORINE,' IRG1,MARINE 'POLLUTANT POISON--INHALATION HAZARD, ZONE, B CHLORINE . t€ 150 0000 'LB CYL .. EC.HLOR NE', CQUID (BMS ONLY} >A RPK � 4.00002__Qflpt 873311 A2R2A' ;Qty: 23.0000 Product picked prom: Lot. 2 Loc: A2R2A Qty. 2�0000 { F r gh t Class. . . : 2.00 w eight, Per Gallon- . 11.£37000 Net Weight: 3i�O.000 CYL ' Total Net Weight: 300 Total( rosy Weilht: This s'to certify that the above.named.materials are properly classified+descnbed;'1526kaged,marked,and labeled,and are in proer., condition for transportation according to the applcablexe ulation of.tfie`De artment of Transportation. � � g z,,,..�• p p Loaded By. , - checked :�y Si nature of Shipper: �� a .,. ,. g PP ry.y c t e h i c 1,e: Driver : PURCHASER'S ACCEPTANCE OF THE GOOkiS COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE Miles TimS lt1JT�.me Ou't 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). QQt' Pallets Dlvd _ good Pallets Rtes: n , Plastic Pallets Dlvd Plastic Pallets R•tn: Received by: �_�,la,} ,.-��...J�y- ,�' ,-; r-,, t7 ! Date: CUSTOMER COPY