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