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Home My WebLink About184163 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1 ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS CARMEL, INDIANA 46032 P O BOX 116735 CHECK AMOUNT: $807.88 ATLANTA GA 3036 &6735 o CHECK NUMBER: 184163 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 21863 93265326 807.88 OIL ��HLL�►Nd,® INVOICE ORIGINAL Page 1(1) Invoice Number Invoice Date Due Date 0 93265326 29 Mar 2010 28 Apr 2010 M Ashland Inc. P.O.Number Payment Terms Payer Number N Corporate Headquarters 03/25/2010 Net 30 Days 344796 -4 N 50 East RiverCenter Blvd Covington KY 41011 Shipped From Carrier Bill -To Number USA NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DDP Dest, Fri Prepaid Ship Number 2389427 344796 Billing address Shipping address CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SO 3 CIVIC SO CARMEL IN 46032 -2584 CARMEL IN 46032 -2584 Qty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount Number USD 2 DR UM741 ULTRAMAX 5W30 DR 55 GA 2 DR 401.1 150 802.23 Fuel /EnergySurcharge 5.65 Should you have any questions regarding this Invoice Total invoice, please contact. USD 807.88 ROBIN GOOLMAN at 859 -357 -2318 Remit to ACH Credit Wire transfer P.O. Box 116735 Ashland Inc. Ashland Inc. ATLANTA GA 30368 -6735 Account Number;0968468 Account Number:40502427 Mellon Bk NA Citibank NA Bank 11):043000261 Bank -ID: 021000089 Please refer to the invoice number on the remittance. Please return remittance advice with your payment. Comments: Valvoline® 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 30 Mar 2010 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE C ity f C armel CERTIFICATE NO.003120155 002 0 1 4t 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21853 10-E- CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Mare, 31, 2010 oil i SHIP VENDOR Ashland TO City of Carmel Police Department P.O. Box 11.6735 3 Civic Square Atlanta, GA 30368 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 gall &n drums of oil 401.11 802.22 r a fi 4 VIC Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 315 oil. PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. f l THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A COPY SIGN AND RETURN TO CLERK O FFICE VOUCHER NO._ WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEFT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except__ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ashland, Inc. Purchase Order No. 21863F P.O. Box 116735 Terms Atlanta, GA 30368 -6735 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/29/10 93265326 payment for oil 807.88 Total 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. 20 Clerk- Treasurer VOQCHER NO. WARRANT NO. ALLOWED 20 A shland, Inc. IN SUM OF P.O. Box 116735 Atlanta, GA 30368 --6735 807.88 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 21863F 93265326 315 807.88 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except April 1 20 =10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund