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Home My WebLink About156489 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1 ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS CHECK AMOUNT: $664.40 CARMEL, INDIANA 46032 P 0 Box 7247 -7261 PHILADELPHIA PA 19170 -7261 CHECK NUMBER: 156489 CHECK DATE: 2/21/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 17340 91309768 664.40 OIL AS L A 44 INVOICE ORIGINAL �V� Page 1(1) Invoice Number Invoice Date FDue Date 0 91309768 11 Feb 2008 Mar 2008 00 r- P.O.Number Payment Terms Payer Number rn 02/07/2006 Net 30 Days 344796 0 M Shipped From Carrier Bill -To Number NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DDP Dest, Fri Prepaid Ship -To Number 890783 344796 Billing address Shipping address CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 -2584 CARMEL IN 46032 -2584 Qty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount Number USD 2 DR UM743 ULTRAMAX 1OW30 DR 55 GA 2 DR 332.2000 664.40 Should you have any questions regarding this Invoice Total invoice, please contact USD 664.40 ADAM DUEK at 859-357-2811 Remit to ACH Credit Wire transfer P.O. Box 116735 Ashland Inc. Ashland Inc. ATLANTA GA 30368 -6735 Account Number:0968468 Account Number:40502427 Mellon Bank, N.A. Citibank, N.A. Bank-ID: 043000261 Bank-ID: 021000089 Please refer to the invoice number on the remittance. Please return remittance advice with your payment. Af Comments: Valvoline. Federal ID number 20- 0865835 D -U -N -S number 00- 500 -3264 The terms and conditions of this sale are set forth at http /www.ashland.com /salesterms. Print date 12 Feb 2008 visit us at www.ashiand.com 0 INDIANA RETAIL TAX EXEMPT PAGE j� ®I' CERTIFICATE NO. 003120155 002 0 Ji PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3 SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Farr ary 7 9 0 18 oil VENDOR Ashland T OHIP City of Caramel Police Department 3 Civic Square Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 Ballots drums of oil 332°20 664.40 Ike w Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 7 PROJECT ACCOUNT AMOUNT 1110 315 oil PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l�f� .•S r SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chi ef of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 1 7340.v. COPY SIGN AND RETURN TO CLERK'S OFFICE %UCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ashland Purchase Order No. 17340F P.O.B ox 116735 Terms Atlanta, GA 30368 -6735 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/11/08 91309768 payment for oil 664.40 Total 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Ash IN SUM OF P.O. Box 116735 Atlanta, GA 30368 -6735 664.40 ON ACCOUNT OF APPROPRIATION FOR p olice general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17340F 91309768 315 664.40 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except February 14 2008 A Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund