188739 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
0 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $6,310.95
CHICAGO IL 60686
CHECK NUMBER: 188739
CHECK DATE: 8/18/2010
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS822437 450.00 OTHER EXPENSES
2201 4350400 21432 BMS869624 712.03 REFLECTING POOL CHEMI
601 5023990 BMS870957 211.00 OTHER EXPENSES
601 5023990 BMS870958 164.50 OTHER EXPENSES
601 5023990 BMS870959 475.00 OTHER EXPENSES
601 5023990 W09121 BMS874294 3,825.00 FLUORIDE
2201 4350400 21432 BMS874863 898.42 REFLECTING POOL CHEMI
601 5023990 W09121 BMS879607 475.00 FLUORIDE
Brenntag, Mid- South, Inc B REN NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS874863 INV DATE: 7/28/10 PAGE 1 OF 1
DUE DATE: 8/27/10
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: 7/28/10 TERMS NET 30 DAYS
B/L 549011 -00 SHIP WHS: 29 SALESPR
CUSTOMER` T7255_ SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
359.3676 365998 10.140 359.3676G 2.5000 898.42
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:
B RENN'T AG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037
MERCHANDISE 898.42
PAID ON OR PRIOR TO 8/27/10 INVOICE TOTAL 898.42
PAID AFTER 8/27/10 INVOICE TOTAL 916.39
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
I. Conflicting Provisions
Seller's terms and conditions staled in this llocumcnt Terms and Conditions sharll he deemed coniro €ling notwithstanding any prior or subSCqucnt purchase order or similar document
from Purchaser. Purchaser by taking delivery of all or any portion (,['the heats Shown On the reverse side shall he conclusively deemed to have accepted and assented to Seller's dorms
and Conditions.
1 Purchase Price and Payment
The purchase price for all items shown rn the tevcrse Side excludes saleS, use, occupation, license, excise and other utxes mid lees in respect 01' nuuurlaclure, Sale. storage, consumption
or delivery. all 0l which Shall be paid by Purchaser. The purchase price lot all 'gems is payable in lawl ul money of the United States. Acceptance by Seller of dial'ts, checks or other
media orpaymew will be provisional only and Subject to immediate Collection of the full I'hce amount Ihcreof. Seller reserves the right to charge a Tale fee andloi interest, if Purchaser
tails to make any payments to Scllcr when same become due.
3_ Dcliverv/Force Mtljcurc
Deliveq of goods to the Pm'CIMSUCS location shall constitute delivery to the Purchaser; and Lill risk of loss or damage shall 111crcup011 Pass 10 and be assumed by the Purchaser. Any time
or dale stated for delivery is Lilt estinlate only and the Seller shall not he liable for failure to deliver at the srvcilicd time or on the specit'ied data nor shall such Iailure on the part of the
Seller be deemed to he if broach of this Agreement or any terms sad conditions or pan thercoL Purchaser shall tint be entitled to cancel or rescind this Sale nor shall Seller be liable in
damages or otherwise, in the case of delay or iinpairancnl 01 failure of pel lorntance by Seller by reason Of causes hcynnd .SCIICI'S Corrlroi, including, WlthOat limitation claims of torte
majeure by Seller's Suppliers, Slrikes- labor difficulties. shortages of labor, fuel, powcI, nwlcrials it supplies, inability In obtain shipping space, transportation delays, fire, floods,
accidents, riots, acts of God, war, govatnnenl.rl imerlerellcr or cmfxtrgo. In ally Such weal. Scllcr rescrveS [Ire right. in its sole discretion, to allocate its inventory between Purchaser
and ScIICI'S other Customers, and Purchaser waives any right to assert ;I claim against Scllcr therefor.
4. SHIp cnsiorn of Cretlil nr Shipment
$idler nmty at any tittle alter nr Susperul CICdil To Purchaser, stop shipmci t to Purchaser in Iranso, or delay of refuse to Ship to Purchaser, or c nccl any or all unfilled orders when. in
Scllcl'S Sole Opinion:
a. tam financial condition of Purchaser is unsali1f1i00ry to Scllcr:
b. dClivery is deluved by tltC Lldll 01 Purchaser:
c. I'urchi scr is dclingtmnt in payment of any obligation owccl to Scllcr or
d. sale of products or materials to I'mcliaser may result in environmental. safety or health danger or hazard.
li'urrant
SCller WMI lS that the prOdUcts or materials delivered hereunder meet the smndard specifications of rho manufacturcr(s) for the produce or Such other specifications is may have been
expressly agrccd to in writing by Purchaser and Scllcr. SCI "LER MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION. ANY
WARRAN'T'Y OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE._ Dem minaliom of the suilahility of the Product Supplied hereunder for the uses and appli-
cations coutcngilaled by purchaser and others shall be the sole responsihility of I'll rch ascr: Pnr'CIMSCI assumes all risk :end liability resulting From the handling, use. storage or resale of
the ProductS dclirorM licreundcr. whether used, handled. Stored or resold singly 01 in combination with other prochmls, and P11rchasci agrees to indemnify and hold Seller harmless
against ally and all loss, damagcN. liabilim cost and expense (including reasuuable ;tourneys' fees). arising out of Such use. handling. storage or resale. Seiler aswnies no obligation nr
Iiahikiy for the technical athicc giccn by Seller with reference to the use of dIC Products or icsLIhS obtained Iherefroru. a11d Lill Such advice is riven and accepted Lit Purchaser's risk.
6. LIMITATIONS OF LIABILI
u. PURCHASER HEREBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSFQUFNTIAL DAMAGES. LOSS OF OR DAMAGE f0 GOODWILL OR ANY OTHER
,SPECIAL. DIRECT. INDIRECT OR 1NC1DI3NTAL DAMAGI',5. FVEN IF SELLER HAS link ADVISE]) OF OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER'S EXCLUSIVE REMEDY WITH RESPECT TO ANY CI -AIM, WI IE' MILK IN CONTRACT. TORT OR STRICT LIABILITY OR OTHERWISE. IN RESPECT
OFTHE PRODUCTS SOLD IIEREUtNDER SHALL BF EXPRESSLY LIMITED TOTI IE AMOUNT OFT IE PURCHASE PRICE OFSIJCFI PRODUCTOR THE REPLACEMENT
OF SUCH PRODUCT.
b. FAILURE BY PURCHASER TO GIVE WRITTEN NOTICE OF SUCH CLAIM TO SFI -LER WITI IIN 30 DAYS FROM I'111- DACE OF DELIVERY OF SUCH PRODUCT SHALL
CONSTITUTE A WAIVER BY PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED TO
Sil WI'T'HOUT SELLER'S PhRMISSION. NO CLAIM SHALL BF. AI: LOWABLI AF I'ER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER.
7, Coniainccs /Cvlindcrs
u. All returnable containcrS and cvlinders remain the properly of the SeBci and must he returned to Seller,
b. Container and cylinder deposits will be hnrfclwd if containers arc not returned wallin'90 days Of shipnrenl, unless otherwise agreed to in writing by Seller i11 addition to the
forlcilur0 of any Such dcposir, Purchaser shall t'emain liable foi an amount equal to the difference hum-cell Ihr depoNit acid the mplu —irem cost of any felt iihlc container' or
cvllncicr which IS not rcttrrnetl to Scllcr.
c Purchaser agrees to accept full responsibility and liability for the disposal of non returnable conuincrs and cylinders in Strict complimtco with all laws and regulations.
Lt. I'mcltaser shall indemaily and hold Seller harmless against any claim. loss, damage or expanse arising Irom PLIFCbaSCI S handling, use, storage of disposal of any container or
cvlinda:
C. Sella rescivcs !hc righl to charge Purchaser with de.nmrra, c for any retumahie conhrinei or cylindch:
8. Rc_ ulmAl MaICHMl
No credit will be issued her 11aucrial 1ctulnCd lmless Scllcr ha., given written consent 10 Such lC lln. All returned material is suhjcct to a restocking char; e.
9. Credits
Any credit issued by Scllcr to I'mvhaser, may only he applied a_n111.a the ltllllre purchase of Products by I'w and will not he paid in cash_ Any such credit will expire one year
after the date of iSsuaucC, and Scllcr will have uo obligation with respect Ihelcto in the event That Purchaser does not apply the credit against the cost of PmJuct pw'chased by it prior to
such expiry date.
10. General
a. This Document sh ;nil nul be :esSisnabIc in whole or in pall by Purchaser withnut the prior written consent of Seller
b. Unless stated to the co n(rai v clsuwltcrc in this Doaune i, no action regardless nl loan- arising out of the Sale or delivery o1' product hereunder, may lie commenced more than one
year after the cauac of ;Wtion IeaS accmed_ except that all action I'or nonpayment or for JailnrC to rctm'n containers and cylinders stay be brought at any time.
C. Seller's waiver of any brcacii, of failure. To entirrce any of the terlllS and conditions oI this A fgicenant. al any time, shall not in any way affect. limit or wuhe Seller's right there-
after to elliorce and compel strict annpli:ucc with each and every lean and condition hereon. The acceptance by the Seller of any payment after the specified due date shall not
constitute a waiver of the Purchaser's obligation to make further paymenis nn the 'pecilied &OCS.
d. 'I his Agtuuinem ,hall be governed by ;md enlaced in accordance with the laws of the state ill which the Scllcr'S c0rpomte office is located without reference to its conflicl of law
Hiles. Purchaser' by taking deliver of :dl or any Items sh;tll he conciusividy dcenrecl Lin have oonscatictl to peiSOnal juriscliclion in the abovcancnlioncd shtic.
C. The tehills Mid conditlnn, herein constitute the conic agreement between Scllcr and Pnl'ClIZISCI Zind may not he modified or amended except by a writing C.vMlled by an authorized
officer of Seller and no niodil ication shall he eftccled by file panics' course of dealing or the aaknowledgmenl or acceptance o1' purchase order forms containing terms <x condi-
tions in addition to or at viii iance with those Set foilh herein,
I. Ifanv p1mision of provisions of IhiS DUCanlClll Shall he held to be ills_ :d or unetlirrceahle the legality and enforceability olthc rcanaining ProvisionS Sha41 not in any way he affccl-
ctl 0r impaired.
Products Shall hr. 1ICI1VCtC1l to PUFLILIsel' a' indicucd nn the face hereof_ and unless otherwise in lie ;Lied. Purcutscr slc6l be iesponsihic for the payment of all freight and
transportation ch ;lingo, trout SCIICr's point of Ioadin_ to he dclivrry aldress Specified on the Dace hcr'cof. Delivcry dates ;uc approximate and ;uc predicated on the lmompt receipt
by Scllcr of ah nccc-s Iry infonualinu and docu,oculatiom 110111 1'urchuSe:
11. Unless PurchtnCI in adthotizcd to distrihutc the products rkclivcrcd hcreuttdcrpursuanl to it written agrccnrev with SCller. Scllcr agrccs dh;rl TLC I"OduCI 1s supfAiCd lu Purchaser for
I'urcha.er's' internal use only and I'mchaaer may not repack;ige. resell ,I otherwise distribute the product to Third Parties without the express written consent of Seller.
i, Ill the Cyem that PUICIIIrscr and SCller atgago in any cleclinnic tiiinsooions, including, but 1101 limited to. electronic data intcithdnge or I ;+CSintileeschangeS. Such electronic
axchangCs shall be considered ;Is valid ;and Icg.Jly hinding and Shall he subjccl 10 the toms and conditions of this Agrcanc.nl.
Brenntag Mid- South, Inc. B REN NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS869624 INV DATE: 7/20/10 PAGE 1 OF 1
DUE DATE: 8/19/10
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: 7/20/10 TERMS NET 30 DAYS
B/L 542884 -00 __SH_IP_WHS:_ 2.9 SAL_ESP.RSN: -294_
CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
284.8117 365998 10.140 284.8117G 2.5000 712.03
1.0000 G BULK SOD HYPOCHLORITE 12.5%
DRUM OFF -330 G POLY TOTE>A BLK
PO 417572 FOR 2008
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037
MERCHANDISE 712.03
PAID ON OR PRIOR TO 8/19/10 INVOICE TOTAL 712.03
PAID AFTER 8/19 /10 INVOICE TOTAL 726.27
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 NO. WARRANT NO.
ALLOWED 20
Brenntag Mid -South Inc
IN SUM OF
3796 Reliable Parkway
Chicago, IL 60686 -0037
$1,6
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO- ACCT /TITLE AMOUNT Board Member:
21432 BMS869624 43- 504.00 $712.03 1 hereby certify that the attached invoice(s), or
21432 BMS874863 43- 504.00 $898.42 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
Th rsd a ugust 12, 2010
Street Commt sAner
Title
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))
07/20/10 BMS869624 $712.03
07/28/10 BMS874863 $898.42
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
Btenhtag Mid South, Inc. B R E N NTAG
1405 Highway 136 W e P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS870959 INV DATE: 7/23/10 PAGE 1 OF 1
DUE DATE: 8/22/10
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
WESTFIELD IN 46074 CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 7/23/10 TERMS NET 30 DAYS
B/L 545395 -00 SHIP WHS: 29 SALESPRSN: 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972- 001 -9'
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
1.0000 253418 11.870 2000.0000# .2250 450.00
2000.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 450.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 8/22/10 INVOICE TOTAL 475.00
PAID AFTER 8/22/10 INVOICE TOTAL 484.50
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, LL 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
Brenntag Mid- South, Inc. B R E N N TAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020 z
CREDIT BMS822437 DATE: 7/15/10 PAGE 1 OF 1 CREDIT MEMO
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 TERMS NET 30 DAYS
INVOICE. BMS856960 SHIP WHS: -_29 SALES.PRSN: 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972 -001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
CHLORINE CYLINDER WOULD NOT OPEN. RTS
FOR RETURN TO TH. IN 856960.
1.0000 253418 11.870 2000.0000 .2250 450.00
2000.0000 CYL CHLORINE, LIQUID (BMS ONLY) ITEM CREDIT
>A RPK
WELL HEAD QUANTITY UOM METER TICKET
0 2,000.0000-
PROD PKG DRUM ORG BOL## QUANTITY DEPOSIT
253418 CYL 550384 530153 -00 1.0000
MERCHANDISE 450.00
QUESTIONS, .CALL 317- 898 -8632 CREDIT TOTAL 450.00
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
Btenfitag Mid- South, Inc. BRENNTAG
1405 Highway 136 W P.O. BOX 20'.
Henderson, Kentucky 42419 -0020
INVOICE BMS870958 INV DATE: 7/23/10 PAGE 1 OF 1
DUE DATE: 8/22/10
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: 7/23/10 TERMS NET 30 DAYS
B/L 545402 -00 SHIP WHS: 29 SALESPRSN: 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK YKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972 -001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
3.0000 873311 11.870 450.0000# .3100 139.50
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
QUESTIONS, CALL 317 -898 -8632
REMIT TO ADDRESS:
BRENNTAG MID- SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 139.50
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 8/22/10 INVOICE TOTAL 164.50
PAID AFTER 8/22/10 INVOICE TOTAL 167.79
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Louis, MO
Bartonville, 1L 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
Brenntag Mid- South, Inc. B R E N NTAG
1405 Hi 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS874294 INV DATE: 7/29/10 PAGE 1 OF 1
DUE DATE: 8/28/10
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: 7/29/10 TERMS NET 30 DAYS
B/L 550464 -00 SHIP WHS: 29 SALESPRSN: 29
CUSTOMER ff 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972 -001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
80.0000 805002 1.000 4000.0000# .9500 3,800.00
50.0000 BAG SOD FLUORIDE GRAN
>A F/S
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 3,800.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 8/28/10 INVOICE TOTAL 3,825.00
PAID AFTER 8/28/10 INVOICE TOTAL 3,901.50
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
Brenntag Mid- South, Inc. BRENNTAG ANU
1405 Highway 136 W o P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS870957 INV DATE: 7/23/10 PAGE 1 OF 1
DUE DATE: 8/22/10
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E_ 126TH STREET
WESTFIELD IN 46074 CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 7/23/10 TERMS NET 30 DAYS
B/L 545391 -00 SHIP WHS: 29 SALESPRSN: 294
'CUSTOMER 40 "7542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO##: VERBAL 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
QUESTIONS, CALL 317 -898 -8632
REMIT TO ADDRESS:
BRENNTAG MID- SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 186.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 8/22/10 INVOICE TOTAL 211.00
PAID AFTER 8/22/10 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
BRE NTAG 1
[NVOICE BMS879607 INV DATE: 8/06/10 PAGE 1 OF 1
DUE DATE: 9/05/10
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: .8/06/10 TERMS NET 30 DAYS
3/L 555483 -00 SHIP WHS: 29 SALESPRSN: 294
'USTOMER 407542 SHIP VIA: OUR TRUCK PKG
:USTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972 -001 -9
JNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
1.0000 253418 11.870 2000.0000# .2250 450.00
2000.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
JESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 450.00
F****** INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 9/05/10 INVOICE TOTAL 475.00
PAID AFTER 9/05/10 INVOICE TOTAL 484.50
Original Document
:�F
VOUCHER 102368 WARRANT ALLOWED
359584 IN SUM OF
BRENNTAG MID -SOUTH INC 0"T
3796 RELIABLE PARKWAY
CHICAGO, IL 60686 -0037 F 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
gq&to
870959 01- 6180 -03 fl-
s g�e���✓ caISO
tirr
�M� �e1 c3
Voucher Total 0.
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 9995)
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
359584
BRENNTAG MID -SOUTH INC Purchase Order No.
3796 RELIABLE PARKWAY Terms
CHICAGO, IL 60686 -0037 Due Date 8/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/2010 870959 $25.00
i hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audit ed same in accordance with IC 5- 11- 10 -1.6
Date Officer