190199 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CHECK AMOUNT: $7,595.48
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 190199
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
601 5023990 897613 211.00 OTHER EXPENSES
601 5023990 897614 2,157.50 OTHER EXPENSES
601 5023990 902311 2,375.00 OTHER EXPENSES
601 5023990 902312 475.00 OTHER EXPENSES
2201 4350400 21432 BMS895954 823.96 REFLECTING POOL CHEMI
2201 4350400 21432 BMS899782 729.06 REFLECTING POOL CHEMI
2201 4350400 21432 BMS901450 823.96 REFLECTING POOL CHEMI
Brenntag Mid- L *outh, Inc. B R E N NTAG EL
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE#: BMS899782 INV DATE: 9/14/10 PAGE 1 OF 1
DUE DATE: 10/14/10
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: 9/14/10 TERMS NET 30 DAYS
B/L 583_541 -00 SHIP..WHS: .29 SALFSP -P.SN- 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
310.2390 723584 9.670 310.2390G 2.3500 729.06
1.0000 G BULK MURIATIC ACID 20 DEG
DRUM OFF -330 G POLY TOTE7A 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 10/14/10 INVOICE TOTAL 729.06
PAID AFTER 10/14/10 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
TERMS AND CONDITIONS
I. Conflictin Provision
Sellu''s Lc ns and conditions stated in This Document "Terms and Conditions 1 shall be deuricd controlling notvithsiIIItdhtg any prior or Subsequent Purchase "I (]Cl or Sim IIaIr document
I'10111 Purchaser. Pareha[lY by Inking deiivoiy of all of any portion of the dents shown on the rovcrse side ~hall he conclusively deemed Lo lhavc accepted and assCirt d 10 Scller'S Teams
and Conditions.
2, Purchase Pi icc a nal Pa mom
The purchase Imice for Lill items shown on the reverse side excludcS sales, use, occup.nion. license, excise and other tuxes and fees in respecl of manufncturc. sale, storage, atnsuntptiun
or delivery, all of which shall be paid by Purchascr. The purchase price for all items is payable in lawful money of the United Stales. Acccplance by Seller of drifts checks or olio
media of payment will be Provisional only and subject In immediate collection of the full face amount thereof. Scllcr reserves the right to change a laic fee and/or intert4t it Purchaser
fails to make any payments to Seller When same become due.
3. DeliverydForcc Majcure
Delivery of' goods io the [It rchascr's location shall constitute delivery to the Purchascr: and all risk of loss or damage Shall Ill ereupgn puts to and be assumed by the Iurchascr. Any line
or date slated for delivery is an estimate only and the Scller ,shut[ not be kitb[e fur failurc u0 deliver ai Iho Specified lime or oil the specified date, nor Shall such failure on the part of tare
Sellcr be deemed to be a breach of this Agreemem or oily icons and conditions ur pan thereof. PLm'Chasel' shall nut he entitled to cancel or rescind this sole nor shall Seller be liable in
daiudges or otherwise. in the case of delay or impairment or failure of perl by Seller by reason of causes beyond Seller's control, including. withrnd limitation. claims of force
nrajctu'a: by Seller's suppliers, mikes. labor difficulties, Shortag,s of labor, ltlel. Power'. mulcrials or supplies, inability to obtain shipping Space, Irusportadion delays, fire, floods,
accidents, riots, acts of God, war. governmental interference or emhargo. In any Such event. Sellcr reserves the right. in its sole discretion, to allocate its inventory between Piu
and Seller's other cusiomas. and Purchaser waives any right to assort it claim against Sellcr Therefor.
d. Suspension of Credit or Shipment
Sellcr may ul any little tiller or suspend credit to I'urchusar. Scup Shipment to Purchaser in transit, or delay or refase to ship to I'mchuser, or cancel oily or unfilled orders when. In
Sellers sole opinion:
a, the financial condition of Purchascr is unsatiS[acturw to Sellcr;
h, delivery is delayed by the fault of I'mrChaSCT:
C. PuichaLscr is delinquent in payment of env obligation owed to Scllcr; ur
d. snle of pt �>duc6S or materials to Purchaser may resuh in enviionnicntirl. safety or health dancer or hazard.
L. Warranty
Sellcr Warrants that the pruducls or maiciials delivered hcrcmider meet the standard specifications of the ntantdadurer(S) for the products or such other specifications as may have been
expressly agreed to in writing by Purchaser and Seiler. SELLER MAKES NO OTHER WARRANTIES. EXPRESS OR IMPLIE,.D, INCLUDING. WITHOUT 1.,IMI FNFION. ANY
WARRANTY OF MERCHANTA1311.,ITY OR FITNESS FOR A PARTICULAR PURPOSE. Dctermimuion of the Suitability of the Product supplied hereunder for the uses and appii-
calions collie nl plat ed by I'urdeaser Laid otters shall be the sole responsibilily of I'urchuser. Pill "Chi1SCraSSm11CS all risk and liability resulting from the handling, use, storage or resale of
the pruducls delivered hereunder'Ahethm' used, handled, stored or resold singly or in combination with other pnxktcts, and Purchaser agracs to indemnify and hold Seller harmless
against any and Lill loss, damages. liability, cost and expense (includfmc reasonable allorneVS' IC(LS). arisin;; amt of Such use. handling, slora,e or resale. Scller assumes no obligation or
liability 1'or Iho technical advice given by Seller With reference to the use of the Products or results oMained therefrom. and all Such advice in Given and accepted Lit Purchaser's risk.
6. LIMITATIONS OF LIA BILI I Y
a. PURCHASER HEREBY 1V,AIVES ANY CLAIM AGAINST SELLER POR CONSEQUENTIAL DAMAGES. LOSS OF OR DAMAGE 70 GOODWILL OR ANY OTHER
SPFCIAf_, DIRECT. INDIRECT C iitiCiDC ;'L -1t. DAMAGES, EVEN If SELLER HAS BEEN ADVISED Of- OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES
AND PURChASER'S EXCLUSIVE REMEDY WITH RESPECT TO ANY CLAIM. WHETHER IN CONTRACT, TORT OR STRICT LIA1311_ITY OR OTHERWISE. IN RESPECT
OFTHE PRODUCTS SOLD HEREUNDER SHALL BF„ EXPRESSLI' LIMITED TO THE AMOUNT OFTHE PURCHASE PRICF Of' SUCH PRODUCT OR TI F RFPI_ACEMENT
OFSUCII PRODUCT.
b. FAILUR] BY PURCHASER TO GIVE: WRITTEN NOTICE OF SUCH CLAIM TO SELLER WITHIN 30 DAYS PROM'IIIE DATE OF DEI.,IVERY OP SUCK PRODUCT SHALL,
CONSTITUTE A WAIVER BY PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL 13F RE TURNED TO
SELLER Wri 'r SELLER'S 1 NO CLAIM SHALL BE ALLOWABLE AFTER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER.
7. C0ntaiucrs /Cvlind0IS
a. All namable containers and cylinders remain the property of the Sellcr and nntSt be rcturned to Seller
b. Cunlaincr and cvlimdcr deposits will he forfeited if containers arc not rennnCd Within 90 days of Shipment unless otherwise agreed Ill in writing by SCllcr. [n addition to the
fortciLUre of Lilly such deposit. Purchaser .shall remain liahlc for an amount Cqual to the ditli atnce between the deposit and the raplacemcnt cost of any returnablc container or
cviinder Which is 1101 rclurncd to Scller.
C, Purchascr agreCS Lo accept fall responsibility and liability 1'or the disposal of non- rclurneble containers ;[tic[ Ckhildcts in strict Cnq>liance with all laws and mgulaiirnts.
Ll. Purchascr shall Indenmify and hold Sellcr harmless against ally claim. loss. clanragc of expense arisim ihan Purcitascr's handling, use, stor-rge or dispusul of any uollulllel or
cvlindor.
C. Scller reserves the right to churgc Purchaser with demurrage for any relurnahlC container or cylindcc
Rciurncit Malarial
No credit will be mated lot malaria retuntcd unless Sellcr hats given written consent to such.renrn. All rcturned material is subject to e restocking change.
9. Credits
Any credit issued by SCllcr Lit Pnrehaser. may only ho applied against the iillla'C pmchase of Pairducis by Purchascr and will not he paid in cash, Any Such credit will expire one year
alter the date of issmince, and Sclier will have 110 obligation Willi respect Ihereto in the wort that Purchaser does not apply the credit against the cost of P[UdIICI purthaucd b_v it prior to
such uspiry date.
10. General
a. '['his Document shall not bc. assignable in whole ur in purl by Purchaser wit the pare written consent of Scller.
h. Unless Slated Lo the contrary clscwhere in this Document, no action, regardless of form, arising out of she SLle or delivery of product hercundcL may be commenced more than one
ycur after the cause of action has accrued, except that. Lill action for nonpayment or for Ili11L11'C to rGurn containers and cylinders may he brought Lit may Lillie.
c. Seta's waiver of may breach, ui failure lu cuforce any of the lernls and conditions of This Agreement, at any time, shall not in any way affect, limit or waive Sellcr's right Ihere-
akcr to enforce and compel strict contp[i ;nee with each and every term and condition hereof. The aceepemee by lilt SCllcr of any paymat after the spccificd duc date shall 1101
constitute it waiver of the Purcltascr's ubliu.a ion to make further payments on the spccificd da1CS.
d. This Agreement Shall be 1 0N'cntcd by and adorecd in accordance with file Taws Jibe slate in which the Seller's corporate office is loc without reference to its cunl7ict of law
rides. Purchascr by taking delivery of all of any ifcros shall be conclusively deemed w have consented to personal jurisdiction in the above- mentioned sate.
C. The terms and conditions herein constitute the entire agreement between Sellcr and Purchaser and ilia, not be modified or amended cxccpl by a writing CXCCUtCd by an autltoriza[
officer of Seller and no modification shall be eflecled by the parties" coWSC of dcalin,r, or the acknowledgment or acceptance of purchase order furors containing trials or condi-
tions in addition to or at variance with those set forth herein.
f. 11 provision or provisions of this Document Shull be held to be illCgal or uncnforcminle the legality and enforceability of the remaining provisions Shat[ not in any way be aTfcct-
cd or impaired.
1'roduc is shall be dclivcrecl all Purchascr as indicatoLl on the face hereof, and unless otherwise indiealcil. Purchaser shall he responsible for the payment of all freight and
transportation charges from Se11er`s point of louding to the deliver address spccificd nn the taco hereof. Delivery dales are approximate laid are predicated of) the prompt receipt
by Scllcr of Lill necessary information and docunaentalion from Purchascr.
h. Unless Purchascr is authorized Lo di5tribatl' the products delivered 11CICnnde1 pursuant to a svriucn acrceinent with Scller, Scllcr agrees Than the product is supplied to Purchascr fort
Purchascr's' internal use only, and Purchascr stay 1101. rQpackage, resell or uthcmisc dicolhnLd (tic product to Ihiid panes wilhom the express written consort of Seller
i, In the eveni that Pai'CIIaser and Seller engagC in any ciccvonic transactions, including. hill not limited to, electronic data interchange or facsimile exchanLes. such clec0'unic
exchanges shall be ctmsidercd as wand and le"ally bindhtg :rod shall he Suhjecl 10 the terms and conditions of this Agreement.
Brenntag Mid- South, Inc. BRENNTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS895954 INV DATE: 9/07/10 PAGE 1 OF 1
DUE DATE: 10/07/10
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: 9/07/10 TERMS NET 30 DAYS
B/L 577532_ -00 SHIP WHS _.2.9__SALES"P.RSN__- _29.4._
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
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 10/07/10 INVOICE TOTAL 823.96
PAID AFTER 10/07/10 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
VOUCHER NO. WARRANT NO.
Brenntag Mid -South Inc ALLOWED 20
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 Members
21432 BMS895954 43- 504.00 $823.96 1 hereby certify that the attached invoice(s), or
21432 BMS899782 43- 504.00 $729.06 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
ursday S�pte t>8r 23, 201 C
Uawf 4L, 6 h
Street Commissi I: J/
TV
ipler issioner
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))
09/07/10 BMS895954 $823.96
09/14/10 BMS899782 $729.06
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
v�
�a
INVOICE BMS897614 INV DATE: 9/09/10 PAGE 1 OF 1
DUE DATE: 10/09/10
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: 9/09/10 TERMS NET 30 DAYS
3/1, 579196 -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
40.0000 805002 1.000 2000.0000# .9500 1,900.00
50.0000 BAG SOD FLUORIDE GRAN
>A F/S
5.0000 873311 11.870 750.0000# .3100 232.50
150.0000 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 2,132.50
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 10/09/10 INVOICE TOTAL 2,157.50
PAID AFTER 10/09/10 INVOICE TOTAL 2,200.65
Original Document
yc,F
[NVOICE BMS897613 INV DATE: 9/09/10 PAGE 1 OF 1
DUE DATE: 10/09/10
3,OLD 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
?EDERAL ID 610504545 DATE SHIPPED: 9/09/10 TERMS NET 30 DAYS
3/L 579188 -00 SHIP WHS: 29 SALESPRSN: 294
:USTOMER 407542 SHIP VIA: OUR TRUCK PKG
:USTOMER PO VERBAL FOB DELIVERED
TAX EX# 35600972 -001 -9
JNITS 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
JESTIONS, CALL 317 -898 -8632
Fk�csFF�3c�ekk9e�s9c�c k9c�F9e9e* �rF�rYTC�9c9c�t�ckk�cic�rF9ck
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 10/09/10 INVOICE TOTAL 211.00
PAID AFTER 10/09/10 INVOICE TOTAL 215.22
Original Document
W,
a
BRENNTAG
INVOICE BMS902312 INV DATE: 9/17/10 PAGE 1 OF 1
DUE DATE: 10/17/10
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
CARMEL IN 46074 CARMEL IN 46032
7EDERAL ID 610504545 DATE SHIPPED: 9/17/10 TERMS NET 30 DAYS
3/L 584864 -00 SHIP WHS: 29 SALESPRSN: 294
:USTOMER 407542 SHIP VIA: OUR TRUCK PKG
:USTOMER PO JERRY 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 DBMS ONLY)
>A RPK
JESTIONS, CALL 317- 898 -8632
FF�C�k9e: Fsk�c��F: F*: F: F�ca��Ck* ;kF:F9c7F9eFF *�c *icF�C�*
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 10/17/10 INVOICE TOTAL 475.00
PAID AFTER 10/17/10 INVOICE TOTAL 484.50
Original Document
BRENNTAG
[NVOICE BMS902311 INV DATE: 9/17/10 PAGE 1 OF 1
DUE DATE: 10/17/10
SOLD T0: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5
3450 WEST 131ST STREET 5484 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
?EDERAL ID 610504545 DATE SHIPPED: 9/17/10 TERMS NET 30 DAYS
3/1, 584861 -00 SHIP WHS: 29 SALESPRSN: 294
:USTOMER 407542 SHIP VIA: OUR TRUCK PKG
"USTOMER PO JERRY 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
40.0000 805002 1.000 2000.0000# .9500 1,900.00
50.0000 BAG SOD FLUORIDE GRAN
>A F/S
JESTIONS, CALL 317 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 2,350.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 10/17/10 INVOICE TOTAL 2,375.00
PAID AFTER 10/17/10 INVOICE TOTAL 2,422.50
Original Document
y��
VOUCHER 1.02812 WARRANT ALLOWED
359584 IN SUM OF
BRENNTAG MID -SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686 -0037 1p
z
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
897614 01- 6180 -03 $2,157.50
9 0 11r0 13 bV tmlSb �r I. o
q 0 a31 a a 1-
R oa X11 of 61 Aso o3
Voucher Total
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
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 9/20/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2010 897614 $2,157.50
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date 9icer
k
Brenntag Mid- South, Inc. BRENNTAGAINE
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS901450 INV DATE: 9/16/10 PAGE 1 OF 1
DUE DATE: 10/16/10
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: 9/16/10 TERMS NET 30 DAYS
B/L 577534 -00 SHIP WHS: 29 SALESPRSN_:_.2.94
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
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 10/16/10 INVOICE TOTAL 823.96
PAID AFTER 10/16/10 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 1 Huntsville, AL Memphis, TN St. Albans, WV
ALL SALES SUBJECT. TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brenntag Mid -South Inc
IN SUM OF
3796 Reliable Parkway
Chicago, IL 60686 -0037
$823.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT
Board Members
21432 BMS901450 43- 504.00 $823.96 1 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
Frida eptemp r 24, 201
r i
Street Commissi r
Street Con, ripissioner
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))
09/16/10 BMS901450 $823.96
i
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