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334531 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 037000 - ONE CIVIC SQUARE CARGILL INC-SALT DIVISION CHECK AMOUNT: $*****2,689.97* CARMEL, INDIANA 46032 PO Box 415927 CHECK NUMBER: 334531 BOSTON MA 02241-5927 CHECK DATE: 01/18/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2904513555 2,689.97 OTHER EXPENSES VOUCHER NO. 183812 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 37000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CARGILL INC-SALT DIVISION CITY OF CARMEL P 0 BOX 415927 An invoice or bill to be properly itemized must show: kind of service,where performed, BOSTON, MA 02241-5927 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 2-,689.97 _337000 Purchase Order No, ON ACCOUNT OF APPROPRATION FOR CARGILL INC-SALT DIVISION Terms Carmel Water Utility P O BOX 415927 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), BOSTON, MA 02241-5927 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 2904513555 01-6180-03 $2,689.97 and received except 1/10/2019 2904513555 $2,689.97 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 cA/1 ® INV ICE rfill 2904513555 Cargill Salt Remit To: Cargill,Incorporated A business of CARGILL,INCORPORATED PO Box 415927 15407 MCGINTY ROAD WEST Boston MA 02241-592 7 WAYZATA MN 55391 USA USA Bill-To: CARMEL WATER UTILITIES Ship-To: CARMEL WATER UT LITIES CARMEL CITY OF CARMEL WATER OPERATIONS 4425 3450 W 131ST ST 4425 E 126TH ST CARMEL IN 46074-8267 CARMEL IN 46033-2401 USA USA Sold-To: CARMEL WATER UTILITIES CARMEL CITY OF Billing Date: 01/02/2019 Sales Order: 4159739 Inco Terms: DLD DESTINATION Reference Date: 01/02/2019 Shipment Date: 01/02/2019 Your Purchase Order: AW0 Gross Weight: 50,440.000 LB Currency: USD Payment Terms: NET 30 DAYS FROM DATE OF INVOICE Cargill Delivery No.: 806877846 Due Amt: 2,689.97 Due Date: 02/01/2019 (All date format in MM/DD/YYYY) Line Product Sales Product Priced Quantity UoM Price Extended No: Code Contract Description Shipped Quantity Amount 1 100011920 100035056 ROCK INDUST BULK NSF@60 25.220 ST 10 .66000 USD/ST 2,689.97 Net Weight:50,440.000 LB 50,440.000 LB Bill of Lading:2006980282 Place of Loading 5204 RIVER RD Subtotal 2,689.97 CINCINNATI OH 45233-1643 USA Sales Tax 0.00 INVOICE TOTA _USD___ _2.689.5 _ _ This sale may be subject to applicable discounts,allowances or rebates which are not reflected in th price shown. All invoices must be paid within the terms quoted. We reserve the right to charge interest on overd�e accounts. For ACH(non CTX)and wire transfers,remittance advice should be emailed to remitdetail@cargill.com or faxed to 952-3 7-1672 in order to ensure accurate&timely allocation of funds. Billing Enquiries Commercial: Email: Food: 800-553-7879 1 nternet: Page 1 of 1 PACKING LIST c4rdill Ship From: 1ADF Ship To: 25 001.7292 CINCINNATI US CS CARMEL WATER OPERATIONS 4425 5204 RIVER RD 4425 E 126TH ST CINCINNATI OH 45233-1643 CARMEL, IN,US,46033-2401 Delivery Number 806877846 Master BOL Number: 20 6980282 Shipment Date: JAN.02,2019 Stop BOL Number: 20 69802820020 Delivery Date: JAN.02,2019 Load Sequence: 00 0 Carrier SCAC: RVBD Shipping Conditions: Fu I Truck Load Carrier Name: RIVER BEND Container/Trailer Id: 178 Incoterms: DL ,DESTINATION Seal Numbers: Item Material Material Description Customer- Batch Qty Net Gross Volume Sales Order Customer PO Number Material UPC Weight/ Weight/ COO Item Level notes UoM UoM UoM UoM 10 100011920 ROCK INDUST BULK 50,440.000 50,44 .000 50,440.000 655.720 0004159739 NSF®60 LB LB LB FT3 W019003 - CUSTOMER REQUESTS REED WALKER AT RIVERBEND TO MAKE DELIVERIES NEEDS TO BE A SE I DUMP AND NOT A FULL DUMP Packaging Materials: GRAND TOTAL: 50,440.000 LB 50,4 0.000 50,440.000 655.720 LB LB FT3 Shipping Instructions: JERRY CLOUD 317-571-2669 JCLOUD@CARMEL.IN.GOV 2ND CONTACT KEN RHODES 317-571-2669 Customer Unloading Instructions: CUSTOMER REQUESTS REED WALKER AT RIVERBEND TO MAKE DEL IVERIES NEEDS TO BE A SEMI DUMP AND NOT A FULL DUMP w Received : 13 qtk P)4— Date P® # : ACCT # : I 3 Use : ['la 1}- JAN.02,2019 09:01 EST