190655 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS CHECK AMOUNT: $20,884.80
CARMEL, INDIANA 46032 P 0 BOX 116735
ATLANTA GA 30368 -6735 CHECK NUMBER: 190655
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93765255 20,884.80 OTHER EXPENSES
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INVOICE ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0 93765255 24 Sep 2010 24 Oct 2010
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N Hercules Incorporated P.O.Number Payment Terms JJFPayer Number
ui Hercules Plaza 51 Net 30 Days J441113
1 1313 North Market Street
Wilmington DE 19894 -0001 Shipped From ales Order Num Bill -To Number
USA AHWT GREENSBORO DYLE ST PL PKG 3668368 441113
Bill of Lading Number Incoterms DDP Dest, Fn Prepaid pShip-ToNumber
2817743 2287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES WATER- WASTEWATER UTILITIES
760 3RD AVE SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS IN 46280
Oty. UoM Material Number Material Description Batch Billing Qty UOM Unit Price Amount
Number USD
a IBC 657240 PRAESTOL K 274 FLX IBC 10001- 1008900 18,320 LB 1.1400 20,884.80
Should you have any questions regarding this Invoice Total
invoice, please contact USD 20,884.80
MARSHA WAYMAN
at 866-280-9028
Remit to ACH Credit Wire transfer
P.O. Box 116232 Hercules Incorporated Hercules incorporated
ATLANTA GA 30368 -6232 Account Number:71522253 Account Number:30813889
Electronic Payments Network Citibank NA
Bank-ID: 021052053 Bank-ID: 021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment.
Comments:
Federal ID number 51- 0023450
The terms and conditions of this sale are set forth at http /www.ashland.com /salesterms.
Print date 25 Sep 2010
visit us at www.ashiand.com
VOUCHER 106348 WARRANT ALLOWED
w
3'58405 IN SUM OF
ASHLAND SPECIALITY CHEMICALS
PO BOX 116735
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
93765255 01- 7182 -05 $20,884.80
Voucher Total $20,884.80
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
358405
ASHLAND SPECIALITY CHEMICALS Purchase Order No.
Pb BOX 116735 Terms
Atlanta, GA 30368 Due Date 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2010 93765255 $20,884.80
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
//v
Date Offi r