HomeMy WebLinkAbout161264 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1
ONE CIVIC SQUARE ASHLAND INC
4I CHECK AMOUNT: $704.00
CARMEL, INDIANA 46032 P o sox 116735
ATLANTA GA 30368 CHECK NUMBER: 161264
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231500 91662636 704.00 OIL
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ASHLANU INVOICE ORIGINAL
A Page 1(1)
Invoice Number Invoice Date Due Date
0 91662636 19 Jun 2008 19 Jul 2008
ko P.O.Number Payment Terms Payer Number
N Phoned Jseon Net 30 Days 344796
ko
l0
Shipped From Carrier pill-To Number
NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 44796
Bill of Lading Number Incoterms DDP Dest, Fri Prepaid Ship -To Number
1156835 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 Y Billing Qty UoM Unit Price Amount
Number USD
2 DR UM743 ULTRAMAX 1 OW30 DR 55 GA 2 DR 352.0000 704.00
State Tax 7.0000% �28
Should you have any questions regarding this Invoice Total
invoice, please contact USD 48
ADAM DUEK
at 859-357-2811
Remit to ACH Credit Wire transfer
P.O. Box 116735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368 -6735 AccountNumber:0968468 Account Number:40502427
Mellon Bk NA Citibank NA
Bank-ID: 043000261 Bank- ID:021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment. ItAf.
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 20 Jun 2008
visit us at www.ashiand.com
Ci INDIANA RETAIL TAX EXEMPT PAGE
ty ®II Carmel CERTIFICATE NO. 003120155 002 0 Q¢ Jl PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
3 .QNE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
June'26, 2008 oil
VENDOR Ashland Inc. SHIP City of Carmel Maintenance Facility
P.O. Box 116735 TO 3400 W. 131st Street
Atlanta, GA 30368 Westfield, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 55 gallon drumssof oil 352.00 704.00
I
s s
C, I
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 315 oil PAYMENT
D A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
t 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. /Y! /•r�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 0
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 6f Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 16 7 2 3A•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 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 Inc Purchase Order No. 1672
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))
6/19/08 91662636 payment for oil 704.00
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
Ashland Inc. IN SUM OF
P.O. Box 116735
Atlanta, GA 30368 -6735
704.00
ON ACCOUNT OF APPROPRIATION FOR
polic general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16723F 91662636 315 704.00 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
July 7 20 08
h Q
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund