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HomeMy WebLinkAbout189673 09/14/2010 °gip« CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1 ty ONE CIVIC SQUARE ASHLAND INC CARMEL, INDIANA 46032 16397 COLLECTION CENTER DRIVE CHECK AMOUNT: $865.96 CHICAGO IL 60693 -6397 CHECK NUMBER: 189673 CHECK DATE: 9/1412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 93714389 865.96 OIL 9' AFAM SX- INVOICE ORIGINAL Page 1(1) Invoice Number Invoice Date Due Date 0 93 07 Sep 2010 07 Oct 2010 m M Ashland Inc. P.O- Number Payment Terms Payer Number Corporate Headquarters 09/01/2010 Net 30 Days 344796 n 50 East RiverCenter Blvd Covington KY 41011 Shipped From ales Order Num Bill -To Number LISA NOBLESVILLE HERRIMAN BLVD PKG 11 3504391 344796 Bill of Lading Number Incoterms DDP Dest, Frt Prepaid Ship -To Number 2768653 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 Oty UoM Unit Price Amount Number USD 2 DR UM741 ULTRAMAX 5W30 DR 55 GA 2 DR 430.1550 860.31 Fuel /EnergySurcharge 5.65 Should you have any questions regarding this Invoice Total invoice, please contact USD 865.96 DANA HAMMONDS at 859 -357 -2696 Remit to ACH Credit Wire transfer 16397 Collections Center Drive Ashland Inc. Ashland Inc. Chicago IL 60693 -6397 Account Number 0968468 Account Number:40502427 Mellon Bk NA Citlbank NA Bank -ID: 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 08 Sep 2010 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE C ®f Carmel CERTIFICATE N0. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 q Cd IVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CA =L NDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION September 3 2010 oil VENDOR Ashland SHIP City of Bafte& Deoice Department P.O. Box 116735 T O 3 Civic Squsse Atlanta, GA 30368 Carmel, IN 66002 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION. 2 55 gallon drums of oil 430.15 860.30 f 4 4` a Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PRO ECT PROJECT ACCOUNT AMOUNT 1110 315 oil PAYMENT AIP 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. r( C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL v 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 7 0 2 2 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. 'WARRANT NO. ALLOWED 20 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 2© Signature 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 Ashland 270228 Purchase Order No. PO Box 116735 A tlanta, GA 30368 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/7/10 93714389 Payment for oil 865.96 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. WARRANT NO. O ALLOWED 20 Ashland PO Box 116735 IN SUM OF Atlanta, GA 30368 865.96 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 27022F 93714389 315 5 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 Sept, 10 2010 i Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund