HomeMy WebLinkAbout158791 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1
ONE CIVIC SQUARE ASHLAND INC CHECK AMOUNT: $1,467.68
o CARMEL, INDIANA 46032 P 0 BOX 116735
ATLANTA GA 30368 CHECK NUMBER: 158791
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
601 5023990 91465031 803.28 OTHER EXPENSES
1110 4231500 17427 91483668 332.20 OIL
1120 4237000 91483669 332.20 REPAIR PARTS
REMITTANCE ADVICE
ORIGINAL
Page 1(1)
n Invoice Number Invoice Date ri5uMay e Date
rn
91483669 15 Apr 2008 2008
P.O.Number Payment Terms Payer Number
Jason Net 30 Days 344796
w
Shipped From Carrier F3444796 l -To Number
NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280
Bill of Lading Number Incoterms DOP Deal, Fn Prepaid Ship -To Number
1024456 344799
Billing address Shipping address
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQ 3400 W 131ST ST
CARMEL IN 46032 -2584 CARMEL IN 46032
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
State Tax 7.0000% 4 1
Should you have any questions regarding this Invoice Total:
invoice, please contact USD 710.91
ADAM DUEK
a1859- 357 -2811
Remit to ACH Credit Wire transfer
P.O. Box 115735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368£735 Account Number:0968468 Account Number:40502427
Mellon Bank, N.A. Citibank, N.A.
Bank -1D: 043000261 Bank 10:021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment.
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,ashiand.com/salesterms.
1 Print date $6 Apr 2008
visit us at www.athland.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ashland Inc.
IN SUM OF$
P.O. Box 116735
Atlanta, GA 30368
$332.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 91483669 42 370.00 $332.20 1 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
o
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
e
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/15/08 91483669 Fire Dept. Portion of Oil $332.20
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
REMITTANCE ADVICE ORIGINAL
Page 1(1)
I n Invoice Number Invoice Date Due Date
CA 91483669 15 Apr 2008 15 May 2008
P.O.Number Payment Terms Payer Number
00
Jason Net 30 Days 344796
w
Shipped From Carrier Bill -To Number
NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796
Bill of Lading Number IncoterMS DDP Dest, Frt Prepaid Ship -To Number
1024456 344799
Billing address Shipping address
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SO 3400 W 131 ST ST
CARMEL IN 46032 -2584 CARMEL IN 46032
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
State Tax 7.0000% 1
Should you have any questions regarding this Invoice Total
invoice, please contact USD 7 .91
ADAM DUEK I
at 859 357 -2811 .LI
Remit to ACH Credit Wire transfer
P.O. Box 116735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368 -6735 AccountNumber: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.
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.
t Print date 16 Apr 2008
visit us at www.ashiand.com
C 0 INDIANA RETAIL TAX EXEMPT PAGE O II Car meI CERTIFICATE NO. 003120155 002 0 1
JL 1a PURCHASE ORDER NUMBER
Police Depart t FEDERAL EXCISE TAX EXEMPT
35- 60000972 17477
3 3NEICIVIC 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
April 15, 200$ oil
VENDOR
Ashland SHIP City offC @rmel Maintenanee Facilitty
P.O. Box 116735 TO 3400 W. 131st Street
At &nta, GA 30368 Westfield, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 55 gallon drum of oil 332.20
'sC {i 45 g. Ka?
fy
F
s
9,
Send Invoice To: �p
yst�'
PLEASE INVOICE IN DUPLICATE
y DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT__
1110 315 9 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 'y tr'•'_�f ?✓.`i -C
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK— TREASURER
DOCUMENT CONTROL NO.1 7 4 2 7 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER 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 14y State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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. 17427F
P.O. Box 116735 Terms
Atlanta, GA 30368 -6735 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/15/08 91483669 payment for 55 gallon-drum of oil 332.20
*Fire is paying half of invoice
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
4shland IN SUM OF
P.O. Box 116735
Atlanta, GA 30368 -6735
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
914 83668 315 2 20 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
Fire is payinj half of Invoice
April 24 20 08
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�HLANE INVOICE ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0 91465031 08 Apr 2008 23 May 2008
o P.O.Number Payment Terms Payer Number
04/04/2008 Net 45 Days 415408
w
Shipped From Carrier Bill -To Number
NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 415408
Bill of Lading Number Incoterms DDP Dest, Fri Prepaid Ship -To Number
1007913 1415408
Billing address Shipping address
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 W 31 ST ST 3450 W 131 ST ST
WESTFIELD IN 46074 Carmel IN 46032
D
Oty. UoM Material Number Material Description Batch Billing Qty UOM Unit Price Amount
Number USD
2 DR UM741 ULTRAMAX 5W30 DR 55 GA 2 DR 401.6400 803.28
Should you have any questions regarding this Invoice Total
invoice, please contact USD 803.28
DANA HAMMONDS
at 859-357-2696
Remit to ACH Credit Wire transfer
P.O. Box 116735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368 -6735 AccountNumber: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. 1%f
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 09 Apr 2008
visit us at www.ashiand.com
VOUCHER 081485 WARRANT ALLOWED.
'359460 IN SUM OF
ASHLAND INC
PO BOX 116735
ATLANTA; GA 30368 -6735 0.0 ZR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
91465031 01- 6500 -04 $401.64
91465031 01- 6500 -05 $401.64
r
Voucher Total $803.28
Cost distribution ledger classilica'tn 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
359460
ASHLAND INC Purchase Order No.
PO BOX 116735 Terms
ATLANTA, GA 30368 -6735 Due Date 4/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2008 91465031 $803.28
1 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