186217 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $3,008.54
i`, �`•ea' CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 186217
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 BMS713501 1106.43 MISCELLANEOUS SUPPLIE
1125 4239000 BMS777432 275.00 MISCELLANEOUS SUPPLIE
610 5023990 BMS834385 X11.00 OTHER EXPENSES
601 5023990 W09121 BMS834386 X 847.00 FLUORIDE
5 4350400 21432 BMS835645 --729.06 REFLECTING POOL CHEMI
1125 4239000 BMS836333 ---566.09 MISCELLANEOUS SUPPLIE
2201 4350400 21432 BMS837142 823.96 REFLECTING POOL CHEMI
Brenntag Mirk- South, Inc. B R E N NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS837142 INV DATE: 5/25/10 PAGE 1 OF 1
DUE DATE: 6/24/10
SOLD TO: SHIP TO:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
ONE CIVIC SQUARE REFLECTING POOL
CARMEL IN 46032 THIRD AVE_ 126TH STREET
CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 5/25/10 TERMS NET 30 DAYS
B/L 502522 -00 SHIP WHS: 29 SALESPRSN: 294
SHLP _VIA OUR TRUCK
CUSTOMER PO VEaB-A-L j_kwl FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
329.5847 365998 10.140 329.5847G 2.5000 823.96
1.0000 G BULK SOD HYPOCHLORITE 12.50
DRUM OFF -330 G POLY TOTE>A BLK
PO #17572 FOR 2008
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037
MERCHANDISE 823.96
PAID ON OR PRIOR TO 6/24/10 INVOICE TOTAL 823.96
PAID AFTER 6/24/10 INVOICE TOTAL 840.44
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, IL Georgetown, KY Kansas City, MO Nitro, WV Tampa, FL
Calvert City, KY Greeneville, TN Kennesaw, GA Orlando, FL Terre Haute, IN
Chattanooga, TN Henderson, KY Louisville, KY Springfield, MO Valdosta, GA
Clearwater, FL Huntsville, AL Memphis, TN St. Albans, WV
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
TERMS AND CONDITIONS
1. Conflicting Provisions
Seller's term; and conditions slated in Ibis Document Tu nu and Conditions Shall be deemed controlling notwithstanding any prior or subsequent purchase order or similar document
from Purchaser. Purchaser by taking delivery Of all or any portion of the items shown on the reverse side shall be conclusively deemed to have accepted and assented to Seller's Terms
and Conditions.
Purchase Price mid Payment
The purchase price for all items shown Lin the reausC side excludcS Soles, use- OCCpnrirnl. license, excise and other taxes and Ices in respect of manut.acture, sale, storage, consumption
or duli,elrv. al] of which shall he paid by Purchaser. The purchase price for all items is paytthie in lawful money of the United States. Acceptance by Seller of drafts, chocks or other
media of paynsnl will he provisional onhy and Subject Io immediate collection of the I111I l Lie amount thereof. Seller r'escrves the right to charge a hue fee mtdlor interest, if Purchaser
I'LIils lu make any payments to Scllcr when sumo beCUme due.
3. Dclivery /Forcc:l9ujcwr
Dclivery of goods w the Purchttscr'.1 Ioctaiort shall constitute dciivery to the Purchaser: and all risk of loss or damago shall Ihcreupon pass to and be assumed by the Purchaser_ Ally little
or date Slated for delivery is an estimutc onl and the SL-for shall not he liable. for failure to deliver at the Specified tints or on the specified dale. nor shall such fuillue on the part of the
Seller he cleented to he a breach of this Agreement or a11\1 Toms and conditions or part thereof. Purchaser shall not Ix entitled to cancel u1 rescind this sale nor Shall Seller be liable in
damages or othclivisc, in the case of dclav or inrpairnicnt or failure of performaruo by Scllcr by reason of causes hcygnd Seller's control, iricluding. without limitation, cluins of force
nrajc lle by SCllor S suppiicrs, smokes, labor c11111CUllie., shortages of labor. fuCI. power maleri;ds or supplies. inahilily to obtain shipping space. transportation dclays. fire, Hoods
acaidcros. riots. act, of God, war governmental intm Or enlhu"o- In any such Cvcnr, Seller reserves the right in its sole discretion, to allocate its irrvenRry between Purchaser
and Seller's 011101 CLIslomers. MA PLlrCIMSel wa'tvcS any righl to asSerl it claim against Scllcr therefor:
d. sus m nsion of Cl dit ur Shipment
Seller may al any limo Ater nr SUSpend 00dil to Purchaser, stop shipnrenl to Purchaser in transit. or delay or refuse to ship to Purchaser. or cancel any or Al unfilled ordCS when, in
Scllcr"s solo opinion:
a. the IiudnCinl condition OCPur¢hascr is un,aatisfaclory In Scllcr:
h. dCII Verv' is delaVCd iA' 1110 fault of Puuhuscl,
C. t'urchascr is dclinyucnt In payment of any ohliguion owed to Scllcr, or
d. SA of pIMIIICIs rr materials to Purchaser may I SUIT in environmenla S:lcty or health danger or hauled.
3. W;'Iraill
Scllcr warranls that Zhu products or stater iab delivered hereunder nuel rho slurnderd Spcci IICttiOI1S 01 the ntantdaclurct'(s) for the products or such other apecilications as pray have been
expressly a,rccd to in wraing by Purchaser Lind Scllcr: SELLER MAKES NO OTHER WARRANTIES, I XPRF..SS OR IMPLIED, INCLUDfNG, WITHOUT LIMITATION, ANY
WARRAN "TY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Dcicrntination of the suitability of the Produce supplied hereunder for the uses and appli-
cations arntemplaretl by Purchaser Lind others Shall be the Sole responsibility of Purchaser. I'll l'Chaxia' assumes all risk and liability resulting from Ihr handling, rise, storage or resale of
III,: products delivered hereunder, svhclhcr used. handled. stored or resold singly ur in Combination with outer produclS. and Purchaser agrees to indenmify and hold Seller harmless
ng:tilM :my and all IONS. d:unages. hilbility, cuss and cxpunsc (including reasonablc a I011ICyS' IUOS), alining 01l of Such use_ handling. Slot;tge or resale. Seller aSSURItS no obligation or
1whilily for the technical advice eiyC11 by Seller with relcronCC u) the use of the Produces or results obtained therefton, and all such adyicc is given and accepted at Purchaser's risk.
6. LIMITATIONS OF LIABILITY
;I. PURCHASER HERFRY WAIVI'iS ANY CLAIM AGAINST SHI.LER FOR CONSEQUENTIAL DAMAGES, LOSS OF OR DAMAGE TO GOODWILL OR ANY OTHER
SPECIAL. DIRECT. ]ND[RF( OR INCIDENTAL DAMAGES, EVh:N IF SELLER HAS BEEN ADVISED OF OR HAS NOTICE OFTHE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER'S I"XCLUS €VE REMEDY WITH RESPECT TO ANY CLAIM, WI 113; THE,R IN CONTRACT, TORT OR S fRICf LIABILITY OR OTHERWISE. IN RESPECT
OFTHE PRODUCT'S SOLD 1 -lhREI JNDER SHALL BE EXPRESSLY LIMITED TO 'hIII;AML)UNTOF TIIE PURCHASE PRICE OF SUChI PRODUCI'OR THE REPLACEMENT
OF SUCH PRODUCT_
b. FAILURE BY PURCHASE.,R TO OWE WRIT "1 13N NOTICIF OF SUCH CLAIM TO SELLER WITHIN 30 DAYS FROM THE DATE OF DI.LI VP.RY OF SUCH PRODUCT SHALL
CON S"I'fl'UCE A WAIVER BY PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HI- RFUNDER SHALL RE RETURNED TO
SEI_I -ER WITHOUT SELLER'S PERMISSION, NO CLAIM SHALL BE ALLOWABLE-' AFTER ANY SUCH f PRODUCT HAS BEEN PROCESSED IN ANY MANN'FR.
7. ContaincrslClinders
a. All returnable container's and cvImJcrs remain the property of the Seller and nrlSl he rc-mrncd to Scllcr.
b. Conminer and cylinder tlelmsns will he_kirivacd if coritmmci9 al within 90 [lays of shipment, unless Otherwise agreed to in writing by Seller. In addition to the
fUr(C[LUIC of nuv Such deposit, Purchaser shall remain liable fur an mltounl cyuai to IhC difPcrcncc helwecn the deposit and the cplacement cost of miv romrnablo container or
cylinder which is not rclmned to Scllcr,
C. PurchMSCr nurses to accept full responsibility unit liability Tor the di.qursal o1 11011- r0lurnahlc containers and cvlinderss in ,strict Compliance with all laws and rcgulwic n,s.
d. P111ClIdSCI Shall inde11rnliV and hold Scllcr harnlcss l -'ain't any claim. loss. damage or oxpensc arising flow I'll rc11aser's handling, use. Storage or thsposal ol` any container or
Cylinder.
c. Seller rescrvc, the right to illIC11:1101 with dcaarrraQc for any rcunnablc container or cylinder.
C. Returned iAr[atcrial
No crcdit will ht issued tin' WaICi'lal I CILAITCd unless SC11Cr has glom writtcu conscnl Ill Such return. All returned matCrial is subjccl to it mslocking charge.
9. Crcdils
Any crcdit Issued by Scllcr to PlIrchaser, may Only be applied itpinSl the lulu's pmchaSC ill' Products by Purchaser and will not he paid in cash. Any wch crcdit will cxpirC one year
ahcr the date of issuance, and Seller will have no obligation with respect thereto in the Cw1l that Purchaser does not apply the crcdit against the cost of PrOdllCl purchased by it prior 10
such expiry date.
I (1 General
a. This DoCUment Shall nut be aysigtrihle in whale or in parr by PuXIIL11cr Nyidroul ILO. prior ofillen consent uT Scllcr.
h. totes, stated lo the Contrary Clst +vhcre in this Document. no :ICtiun, regardless of forice. arising nut of the Salle ur delivery of product hereunder. nucy be commenced more than One
you nher the cause of action has accrued. exccpl that an action lit nonpavnlcnt or loo lailorc to return coviainer4 and cylinders may he brought Lit .Any tine.
C. SCIIcr' waiver of anv hrcacft. or Ihilure ill 0111OtCC 111\1 01'1110 terns and couditions of this Agmculcat. at :ulv time. shall not in any wav idlect, linil ur waive Seller's right there
after to enforce and compel strict conrpliatce with each and cvcry tern Lund condition hcrcul'.'I'hc acccptancc by the Scllcr of any payment after the spedticd due date shall nOl
COnslitt11C a waiver of IhC Purchaser's Obligation to make fm'111Ci' paynicnts on the specified dates.
d. This Aerecmenl shall he govCrned by amd enlMCCd In accardunce wish this klWN of tits state in which the Scllcr's corporate office is located without reference to its conflict of lacy
rules. I'mchnscr by laking dclJVCry of all or any ilCnts Shall bC CouClusively dCCllled to hays wilscnled to personal jurisdiction in the ❑hays- nicaliorneci slate.
C. The leans turd conditionS herein Cunatilutc the entire agrccncnt hclwecn Scllcr and Purchaser and Inay nut he Modified OF amcodCd cxCCpt by it waling executed by mr authorized
ollkcr of Seller and no modification shali he effected by the panics' coilrse of dealing or the Lick nowledgtncnl or acccptance of porcharse order forms containing terms or condi-
tions in addition to or Lit variance with (hose scI forth herein.
f.
11 provision or pro, 'inns of this Docunorl shall he held u0 he iIICg,rl ur unC11101 CCable the Icc,Ihly .Lid utrofCCahi lily Of the rellmining provisions shall not in any way he affect-
ed or iinpuircd.
PrOdmCLc sh;dl he tltlkCred w PurCha >Cr :rs nldretned t Iht Iaec hrrcrd. and Links, '[1w1 wisc indicncd_ I'mill;l Or .shall hC responsihle Ihr the haymcnt of all and
Irmr]porlatiorl charge, from Scllcr s point 01 Io llie delisct} nddrrSS SpCCilicJ nn the Ltec Itercol. IX li, cry dates m'c: approxilimti• ;aid :Ire predicated on 1110 prompt receipt
by So[lcr of all nccessury infnrnrnlion tnlli ill ,cmnematlot] fro111 Purchaser.
Il UIlC- PllrehaSer is amhorfxcd to distrilAnc the pndluCts dCIIVCrCd IICrCllllder pursuant 10 ;1 evrfltcn ug.ree111(:nl wilh Scllcr. Seller agrus that the flOdIlcl is suppiicd to Purchaser for
Purchaser s' internal use nnty. and P111'CIM10 11111,v not repackage, reach ,I rahcrwfs0 tlfslrihutC the product to third particn without Ilse express wrillcn conscnl of Sollcr.
1, In the CVont that PUICIMSCr and Sellcl engage in ;try okctrO111e (Ill nsltCtio11s. including. bill Hot Trollied lo. elactroniC data inlcrcha11g0 or facsimile exch:mges. suds electronic
exchanges Skull he considered cis Valid and Icgnlly binding and shall he suh to the terms :std conditions of thiS Agreememt.
Brenntag Mid South, Inc. BRENNTAGANIM
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS835645 INV DATE: 5/18/10 PAGE 1 OF 1
DUE DATE: 6117110
SOLD TO: SHIP TO:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
ONE CIVIC SQUARE REFLECTING POOL
CARMEL IN 46032 THIRD AVE. 126TH STREET
CARME IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 5/18/10 TERMS NET 30 DAYS
B/L 497 __SHIP_..WHS: 29- SALESP -RSN: -294
CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO V L a14s FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
310.2390 723584 9.670 310.2390G 2.3500 729.06
1.0000 G BULK MURIATIC ACID 20 DEG
DRUM OFF -330 G POLY TOTE >A BLK
PO #17572 FOR 2008.'
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037
MERCHANDISE 729.06
PAID ON OR PRIOR TO 6/17/10 INVOICE TOTAL 729.06
PAID AFTER 6/17/10 INVOICE TOTAL 743.64
Original. Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, IL Georgetown, KY Kansas City, MO Nitro, WV Tampa, FL
Calvert City, KY Greeneville, TN Kennesaw, GA Orlando, FL Terre Haute, IN
Chattanooga, TN Henderson, KY Louisville, KY Springfield, MO Valdosta, GA
Clearwater, FL Huntsville, AL Memphis, TN St. Albans, WV
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
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))
05/18/10 BMS835645 $729.06
05/25!10 BMS837142 $823.96
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brenntag Mid -South Inc
IN SUM OF
3796 Reliable Parkway
Chicago, IL 60686 -0037
$1,553.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member;
21432 BMS835645 43- 504.00 $729.06 i hereby certify that the attached invoice(s), or
21432 BMS837142 43- 504.00 $823.96
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, JunE703, 2010
Street Commissione
Street missioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Brennta, g Mid- .South,, Inc. B RE N NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICEW. BMS713501 INV DATE: %9/04/09 PAGE 1 OF 1
DUE DATE: 10/04/09
SOLD TO: SHIP TO:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS REC
1411 EAST 116TH STREET DO NOT SHIP WILL CALL
CARMEL IN 46032 -3455 INDIANAPOLIS IN 46226
FEDERAL ID 610504545 DATE SHIPPED: 9/04/09 TERMS NET 30 DAYS
B/L 343188 -00 SHIP WHS: 29 SALESPRSN: 296
CUSTOMER 787843 SHIP VIA: CUSTOMER P/U
CUSTOMER PO4: -6 FOB DELIVERED
TAX EX# 002423120 001 3
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
1.0000 76827 9.700 14.9485G 3.4406 51.43
14.9485 G -PDRM MURIATIC ACID 20 DEG
>A RPK
DEPOSIT: 25.00
Purchase
DescriMlon
P.O. Z 3, P om ro
Q.L.! If
Budget
Line Descr ly
Purchaser Date
Approval Date
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG;MID- SOUTH, INC MERCHANDISE 51.43
3796 PARKWAY CONTAINER DEPOSIT 25.00
CHICAGO IL 60686 -0037 CLEANING CHARGE 5.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 10/04/09 INVOICE TOTAL 106.43
PAID AFTER 10/04/09 INVOICE TOTAL ,,Alr 56
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV
Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO
Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL
Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN
Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
Br ,enwa- 9 Mid .South,. Inc. B R E N NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
S E P 1 4 2009
ZT
CREDIT BMS777432 DATE: 9/08/09 PAGE 1 OF 1 CREDIT MEMO
SOLD TO: SHIP TO:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS REC
1411 EAST 116TH STREET DO NOT SHIP WILL CALL
CARMEL IN 46032 -3455 INDIANAPOLIS IN 46226
FEDERAL ID 610504545 TERMS NET 30 DAYS
SHIP :^]HS 29 SALESPRSN: 296
CUSTOMER 787843 SHIP VIA:
FOB
TAX EX# 002423120 001 3
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
DRUM RETURN
343188
PROD PKG DRUM ORG BOL# QUANTITY DEPOSIT
76827 -PDRM 617606 868656 -00 2.0000- 25.00
76827 -PDRM 617606 76762 -00 6.0000- 25.00
76827 -PDRM 617606 96804 -00 1.0000- 25.00
305769 -PDRM 617606 870829 -00 2.0000- 25.00
Purchase
Description C e-ri
P.O. r- a 5 1 a P ok)
G.L Ll a 3°1 0 (DM
e� eeetw SC_
Purchaser Date
Approval Date
CONTAINER DEPOSIT 275.00
QUESTIONS, CALL- 317 -898 -8632. CREDIT'TOTAL 275.001
Original Document i17
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV
Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO
Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL
Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN
Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
Brenntag Mid-South, Inc B R E N NTAG All a;.
1405 Highway 136 W P.O. BOX 20 Tim
Henderson, Kentucky 42419 -0020
INVOICE BMS836333 INV DATE: 5/24/10 PAGE 1 OF 1
DUE DATE: 6/23/10
SOLD TO: SHIP TO:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS MAINT
1411 EAST 116TH STREET 1427 E_ 116TH STREET
CARMEL IN 46032 -3455 CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 5/24/10 TERMS NET 30 DAYS
B/L 5 01993 -00 SHIP _WHS_ __29_SALESPRSN_:__2.96._.___
CUSTUVVIER .-787843 T SHIP VIA: OUR TRUCK PKG
CUSTOMER PO 23566 FOB DELIVERED
TAX EX# 002423120 001 3
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
6.0000 76827 9.700 89.6910G 3.4406 308.59
14.9485 G -PDRM MURIATIC ACID 20 DEG
>A RPK
DEPOSIT: 25.00
Purchase
Description MUR t 4rlC�.f G fZ.
P.O. P
G.L.# lia5- �(�3g000
Bud
Line Descr Q- C�1-_V- MISC JUN 0 1 2010
Purchaser Date
Approval Date 1� ...a..
QUESTIONS, CALL 317 -898 -8632
REMIT TO ADDRESS: MERCHANDISE 308.59
BRENNTAG MID SOUTH, INC CONTAINER DEPOSIT 150.00
3796 RELIABLE PARKWAY CLEANING CHARGE 30.00
CHICAGO IL 60686 -0037 FUEL SURCHARGE 52.50
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 6/23/10 INVOICE TOTAL 566.09
PAID AFTER 6/23/10 INVOICE TOTAL 577.41
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, IL Georgetown, KY Kansas City, MO Nitro, WV Tampa, FL
Calvert. City, KY Greeneville, TN Kennesaw, GA Orlando, FL Terre Haute, IN
Chattanooga, TN Henderson, KY Louisville, KY Springfield, MO Valdosta, GA
Clearwater, FL Huntsville, AL Memphis, TN St. Albans, WV
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
359661 Brenntag Mid South, Inc. Terms
3796 Reliable Parkway
Chicago, IL 60686 -0037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/4/09 BMS713501 Muriatic acid 22536 106.43
9/8/09 BMS777432 Drum credit (275.00
5/24/10 BMS836333 Muriatic acid 23566 566.09
Total 397.52
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
359661 Brenntag Mid South, Inc. Allowed 20
3796 Reliable Parkway
Chicago, IL 60686 -0037
In Sum of
�6q 589
397.52
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 BMS713501 4239000 106.43 1 hereby certify that the attached invoice(s), or
1125 BMS777432 4239000 275.00 bill(s) is (are) true and correct and that the
1125 BMS836333 4239000 566.09 materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Jun 2010
Signature
397.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Bi-'ennt- g Mid- South, Inc. BRENNTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020 t�
INVOICE BMS834386 INV DATE: 5/20/10 PAGE 1 OF 1
DUE DATE: 6/19/10
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5
3450 WEST 131ST STREET 5484 E. 126TH STREET
WESTFIELD IN 46074 CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 5/20/10 TERMS NET 30 DAYS
__.:__4.976 -19-00 _SHIP _WHS _____29 SAL 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO JERRY FOB DELIVERED
TAX EX# 356000972 -001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
1.0000 253418 11.870 2000.00004 .2250 450.00
2000.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
8.0000 873311 11.870 1200.0000# .3100 372.00
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
QUESTIONS, CALL 317 -898 -8632
I UT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 822.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 6/19/10 INVOICE TOTAL 847.00
PAID AFTER 6/19/10 INVOICE TOTAL 863.94
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St, Albans, WV
Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO
Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL
Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN
Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
B7enritag Mid- South, Inc. B R E N N TAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS834385 INV DATE: 5/20/10 PAGE I OF 1
DUE DATE: 6/19/10
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E. 126TH STREET
WESTFIELD IN 46074 CARTEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 5/20/10 TERMS NET 30 DAYS
B/L 497622 -00 SHIP WHS: 29_SALES_PRSN_: 2_94_
CUSTOMER SHIP VIA: OUR TRUCK PKG
CUSTOMER PO JERRY FOB DELIVERED
TAX EX# 35600972- 001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
4.0000 873311 11.870 600.0000# .3100 186.00
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
r
QUESTIONS, CALL 317 --898 -8632
REMIT TO ADDRESS:
BRENATTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 186.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 6/19/10 INVOICE TOTAL 211.00
PAID AFTER 6/19/10 INVOICE TOTAL 215.22
.,Original-Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, IL Georgetown, KY Kansas City, MO Nitro, WV Tampa, FL
Calvert City, KY Greeneville, TN Kennesaw, GA Orlando, FL Terre Haute, IN
Chattanooga, TN Henderson, KY Louisville, KY Springfield, MO Valdosta, GA
Clearwater, FL Huntsville, AL Memphis, TN St. Albans, WV
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
VOUCHER 10174 WARRANT ALLOWED
359584 IN SUM OF
BkENNTAG MID -SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686 -0037 X
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
834386 01- 6180 -03 $847.00
a k1 a Co
Voucher Total $fl
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r
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
359584
BRENNTAG MID -SOUTH INC Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686 -0037 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 834386 $847.00
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
Date l' Officer