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HomeMy WebLinkAbout193670 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $4,300.00 CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHICAGO IL 60686 CHECK NUMBER: 193670 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 BMS951670 475.00 CHEMICALS 601 5023990 BMS952931 3,825.00 OTHER EXPENSES BRENNTAG INVOICE BMS952931 INV DATE: 1/06/11 PAGE 1 OF 1 DUE DATE: 2/05/11 ;OLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID 610504545 DATE SHIPPED: 1/06/11 TERMS NET 30 DAYS 3/L 650898 -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 80.0000 805002 1.000 4000.00 .9500 3,800 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 3,800.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 2/05/11 INVOICE TOTAL 3,825.00 PAID AFTER 2/05/11 INVOICE TOTAL 3,901.50 Original Document VOUCHER 103796 WARRANT ALLOWED 359584 IN SUM OF BRENNTAG MID -SOUTH INC 3796 RELIABLE PARKWAY CHICAGO, IL 60686 -0037 WA7M OPERdI Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 952931 01- 6180 -03 $3,825.00 Voucher Total $3,825.00 i 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 1/11/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/11/2011 992931 $3,825.00 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 Date Officer BRENNTAG NVOICE BMS95167O INV DATE: 1/04/11* PAGE 1 OF 1* DUE DATE: 2/03/11 OLD TO: SHIP TO: ::ARMEL WASTE WATER HAZEL DELL 3450 WEST 131ST STREET 9609 HAZEL DELL :�ARMEL IN 46074 CARMEL IN 46280 EDERAL ID. 610504545 DATE SHIPPED: 1/04/11 TERMS NET 30 DAYS /L 649852 -00 SHIP WHS: 29 SALESPRSN: 294 USTOMER 407542 SHIP VIA: OUR TRUCK PKG USTOMER PO 512368 FOB DELIVERED TAX EX# 356000972 -001 -9 NITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 1 0000 253418 11.270 2000.0000# .2250 450.00 2000.0000 CYL CHLORINE, LIQUID (BMS ONLY) >A RPK ESTIONS, CALL 317 898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 k MERCHANDISE 450.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 2/03/11 INVOICE TOTAL 475.00 PAID AFTER 2/03/11 INVOICE TOTAL 484.50 Originai Document �zs s VOUCHER 906906 WARRANT ALLOWED 069684 IN SUM OF BREENTAG (ULRICH) Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code BMS951670 01- 7182 -05 $475.00 Voucher Total $475.00 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 BREENTAG (ULRICH) Purchase Order No. Terms Due Date 1/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1113/2011 BMS951670 $475.00 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 Date Officer