HomeMy WebLinkAbout193383 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $1,161.00
t CHICAGO IL 60686
CHECK NUMBER: 193383
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 946476 118.00 OTHER EXPENSES
601 5023990 946477 568.00 CHEMICALS
601 5023990 946478 475.00 OTHER EXPENSES
BRENTAG
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INVOICE BMS946477 INV DATE: 12/20/10 PAGE 1 OF 1
DUE DATE: 1/19/11
;OLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
CARMEL IN 46074 CARMEL IN 46032
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FEDERAL ID 610504545 DATE SHIPPED: 12/20/10 TERMS NET 30 DAYS
3/L 640721 -00 SHIP WHS: 29 SALESPRSN: 294
:USTOMER 407542 SHIP VIA: OUR TRUCK PKG
:USTOMER PO PLANT 4 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
2.0000 873311 11.870 300.0000# .3100 93.00
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
JESTIONS, CALL 317 -898 -8632
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REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 543.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 1/19/11 INVOICE TOTAL 568.00
PAID AFTER 1/19/11 INVOICE TOTAL 579.36
Original Document
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[NVOICE BMS946478 INV DATE: 12/20/10 PAGE 1 OF 1
DUE DATE: 1/19/11
SOLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WATER, PLANT 5
3450 WEST 131ST STREET (n 5484 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
?EDERAL ID 610504545 DATE SHIPPED: 12/20/10 TERMS NET 30 DAYS
3/1, 640719 -00 SHIP WHS: 29 SALESPRSN: 294
'.USTOMER 407542 SHIP VIA: OUR TRUCK PKG
:USTOMER PO JERRY PLANT 5 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
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 1/19/11 INVOICE TOTAL 475.00
PAID AFTER 1/19/11 INVOICE TOTAL 484.50
Original Document
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BRED NTAG AME
INVOICE BMS946476 INV DATE: 12/20/10 PAGE 1 OF 3
DUE DATE: 1/19/11
SOLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
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FEDERAL ID 610504545 DATE SHIPPED: 12/20/10 TERMS NET 30 DAYS
3/L 640723 -00 SHIP WHS: 29 SALESPRSN: 294
:USTOMER 407542 SHIP VIA: OUR TRUCK PKG
.'USTOMER PO PLANT 3 FOB DELIVERED
TAX EX# 35600972 -001 -9
JNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
2.0000 873311 11.870 300.0000# .3100 93.00
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
JESTIONS, CALL 317 898 -8632
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REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 93.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 1/19/11 INVOICE TOTAL 118.00
PAID AFTER 1/19/11 INVOICE TOTAL 120.36
Original Document
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VOUCHER 103717 WARRANT ALLOWED
359584 IN SUM OF
BRENNTAG MID -SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686 -0037 WATER
jPERAT10NS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
946477 01- 6180 -03 $568.00
94Vn 11 Q •o
4.G4
Voucher Total r CD �0
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 12/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/27 /201( 946477 $568.00
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
Yom-
Date Officer