184202 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351986 Page 1 of 1
ONE CIVIC SQUARE CARGILL INC SALT DIVISION
CARMEL, INDIANA 46032 PO BOX 640283 CHECK AMOUNT: $4,433.28
i `ra PITTSBURG PA 15264 -0283
CHECK NUMBER: 184202
CHECK DATE: 4/1412410
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
2201 4236500 2775521 4,433.28 SALT CALCIUM
INVOICE
TERMS- Net 30 Days NO, 2775521
INV DATE: D3/04/2010 LIST INVOICE NUMBERS
DUE DATE: 04/03/2010 ON CHECK STUB.
Mail CARGILL, INCORPORATED
Checks P 0 BOX 640283 Page: 1 of 1
Only TO: PITTSBURGH PA 15264 -0283
SWP TO: CARMEL CITY OF BILL TO: CARMEL CITY OF
3400 WEST 131ST 3406 WEST 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
CUSTOMER SERVICE: 200- 600 -7252 Cargill Deicing Technology 41
OUST PO NO. 18799 (09 -10) SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLSE NO, So 2481582 062 60033071 50344431 3/4/2010
SHIPPED FROM CARRIER FREIGHT TERM TICKET NUMBER
Indianpolis IN 4090 BROOKFIELD TRANSPORT INC Freight Prepaid 1148603
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
1148603 Indianpolis IN 4090 41,640.0000 20.8200 70.6500
1148604 Indianpolis IN 4090 41,300.0000 20.6500 70.6500
1148605 Indianpolis IN 4090 42,560.0000 21.2800 70.6500
8545 BULK CLEARLANE ENHANCED DEICER TN 62.7500
This sale of goods is subject to the terms and conditions cf sale found at
http://www.cargill5alt.com/cargiiisalt/clause.html-
A written copy of the terms and conditions of sale may he obtained by contacting
customer service at 800- 377 -1017 or at the above referenced website.
Seller represents that with respect to the production of the goods covered UOM NET 125, 500.00 INVOICE 4,433.28
by this invoice, it has fully compiled with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
regulations and orders of the United States Department of Labor issued
under Section 14 thereof_
VOUCHER NO. WARRAN NO.
ALLOWED 20
Cargill, Inc.
p IN SUM OF
P. O. BQx rp�Ov�O 3
$4,433.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 2775521 42- 365.00 $4,433.28 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
,F
which charge is made were ordered and
received except
MoPay /April 05, 2010
Street Commission
Street Cpfremissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/04/10 2775521 $4,433.28
1 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
2a
Clerk- Treasurer