HomeMy WebLinkAbout194971 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
0 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $872.00
CHICAGO IL 60686 CHECK NUMBER: 194971
CHECK DATE: 312/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 970363 211.00 OTHER EXPENSES
601 5023990 970364 661.00 OTHER EXPENSES
BRENNTAG
INVOICE BMS970363 INV DATE: 2/14/11 PAGE 1 OF 1
DUE DATE: 3/16/11
;OLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3
3450 WEST 131ST STREET 4425 E. 126TH STREET
CARMEL IN 46074 CARMEL IN 46032
?EDERAL ID 610504545 DATE SHIPPED: 2/14/11 TERMS NET 30 DAYS
3/L 674332 -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
FsF9rF�: *kk *�c�: ksF*** FY* *sF9c�c�e9e�e **9c�cF
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 186.00
F***** INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 3/16/11 INVOICE TOTAL 211.00
PAID AFTER 3/16/11 INVOICE TOTAL 215.22
Original Document
�s
BRENi TAG
ENVOICE#: BMS970364 INV DATE: 2/14/11 PAGE 1 OF 1
DUE DATE: 3/16/11
;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: 2/14/11 TERMS NET 30 DAYS
3/L 674328 -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
1.0000 253418 11.870 2000.0000# .2250 450.00
2000.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
4.0000 873311 12.870 600.0000# .3100 186.00
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
7
JESTIONS, CALL 317 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 636.00
e****** INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 3/16/11 INVOICE TOTAL 661.00
PAID AFTER 3/16/11 INVOICE TOTAL 674.22
Original Document
�F
i
VOUCHER 104173 WARRANT ALLOWED
359584 IN SUM OF
BRENNTAG MID -SOUTH INC
3796 RELIABLE PARKWAY
CHICAGO, IL 60686 -0037 OP>�n
S
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
970364 01- 6180 -03 $661.00
q7t S(Z bt l�1Sd 0 Qk(' VD
Voucher Total 10701
Cost distribution ledger classification if L
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 1/18/2000
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/2000 970364 $661.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance
a with Q IC 5- 11- 10 -1.6
l
Date Officer