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HomeMy WebLinkAbout187219 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 358445 Page 1 of 1 ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS y,o CARMEL, INDIANA 46032 P o sox 116735 CHECK AMOUNT: $807.88 ATLANTA GA 30368 -6735 CHECK NUMBER: 187219 CHECK DATE: 7/7/2010 DE PARTMENT ACC PO NUM INVOICE NUM AMOUNT DESC 1110 4231500 26934 93491059 807.88 OIL `L REMITTANCE ADVICE ORIGINAL Page 1(1 Invoice Number Invoice Date Due Date 17 Jun 2010 17 Jul 2010 LO Ashland Inc. P.O.Number Payment Terms Payer Number ­1 Corporate Headquarters stock Net 30 Days 344796 O1 50 East RiverCenter Blvd w Covington KY 41011 Shipped From Carrier Bill -To Number USA NOBLESVILLE HERRIMAN BLVD PKG ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DDP Dest, Frt Prepaid Ship -To Number 2581666 1344799 Billing address Shipping address t CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SO 3400 W 131 ST ST CARMEL IN 46032 -2584 CARMEL IN 46032 City. UOM Material Number Material Description Batch Billing Oty UOM Unit Price Amount Number I USD 2 DR UM741 ULTRAMAX 5W30 DR 55 GA 2 DR 401.1150 802.23 Fuel /EnergySurcharge 5.65 Should you have any questions regarding this Invoice Total invoice, please contact USD 807.88 DANA HAMMONDS at 859 357 -2696 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 10:043000261 Bank -ID: 021000089 Please refer to the invoice number on the remittance. Please return remittance advice with your payment. Alf. Comments: Vafvaline® 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,ashiand.com/salesterms- Print date 18 Jun 2010 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE C1 rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3= CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 voucHl =R, DELIVERY MEMO, PACKING SLIPS, SHIPPING FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Jur�e 1 5, 7 010 oil SHIP VENDOR Ashland City of Carmel Maintenance Facility P.O. Box 116735 To 3400 W. 131st Street. Atlanta, GA 30368 Westfield, IN 46074 OONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT N QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 gallon drums of oil 401°12 802024 11\ R• v", Send Invoice To: City of Carmel Poiic epa, e]Wj ATTN z Teresa Anderso' 3 Civic Square Carmel, IN 46032 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. ,l C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY S'Cii t' f I t 4y,, 4 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 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. 2 6 e�J 3 4 A.RV. COPY SIGN AND RETURN TO CLERK'S OFFICE VOU,CHFR NO. .WARRANT NO.__ 'J. ALLOWED 20 i IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT [DEPT. 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 rnotor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) r, 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 Purchase Order No. 26934' P.O. Box 116735 Terms Atlanta, GA 3036846735 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/17/10 93491059 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 VOUCHER NO. WARQANT NO. F ALLOWED 20 Ashland IN SUM OF P.O. Box 116735 Atlanta, GA 30368 -6735 807.88 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 26934F 93491059 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 June 22 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund