183190 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
s ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS
CARMEL, INDIANA 46032 P 0 BOX 116735 CHECK AMOUNT: $20,884.80
ATLANTA GA 30368 -6735
CHECK NUMBER: 183190
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11985 93175007 20,884.80 PRAESTOL
C _r INVOICE
AS�1L�ID® ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0 93175007 23 Feb 2010 25 Mar 2010
°o P.O.Number Payment Terms Payer Number
L0 S11985 Net 30 Days [441113
n
Shipped From Carrier Bill -To Number
AHWT GREENSBORO DYLE ST PL PKG R AND L CARRIERS 441113
Bill of Lading Number Incoterms DDP Dest, Fri Prepaid Ship Number
2324025 1442287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
WATER- WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS IN 46280
Qty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount
Number USD
e IBC 657240 PRAESTOL K 274 FLX IBC 1000L 1002537 18,320 LB 1.1400 20,884.80
Should you have any questions regarding this Invoice Total
Invoice, please contact USD 20,884.80
MARSHA WAYMAN
at 866- 280 -9028
Remit to ACH Credit Wire transfer
P.O. Box 116735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368.6735 AccountNumbec0968468 Account NUmber:40502427
Mellon Bk NA Citibank NA
Bank -ID: 043006261 Bank -ID: 021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment.
Comments:
Federal ID number 20- 0865835 D -U -N -S number 00 -500 -3264
The terms and conditions of this sale are set forth at http /www.ashland.com /salesterms.
Print date 24 Feb 2010
visit us at www.ashiand.com
VOUCHER 105024 WARRANT ALLOWED
0.
358405 IN SUM OF
ASHLAND SPECIALITY CHEMICALS
PO BOX 116735
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
93175007 01- 7182 -05 $20,884.80
r
Voucher Total $20,884.80
Cost distribution ledger classification if
claim paid under vehicle highway fund e
Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358405
ASHLAND SPECIALITY CHEMICALS Purchase Order No.
PO BOX 116735 Terms
.Atlanta, GA 30368 Due Date 3/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2010 93175007 $20,884.80
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer