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Home My WebLink About163614 09/17/2008 ±yF CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1 ONE CIVIC SQUARE ASHLAND INC CHECK AMOUNT: $844.15 CARMEL, INDIANA 46032 P 0 ATLANTA BO 116 30368 CHECK NUMBER: 163614 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 18943 91877596 844.15 OIL' ASHILANEX REMITTANCE ADVICE ORIGINAL Page 1(1) r Invoice Number Invoice Date Due Date 91877596 08 Sep 2008 08 Oct 2008 �o Ln P.O.Number Payment Terms Payer Number t` Jason Net 30 Days 344796 t` co Shipped From Carrier Bill -To Number NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DDP Dest, Frt Prepaid 11 Ship -To Number 1311975 1 1344799 Billing address Shipping address CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SO 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 1 OW30 DR 55 GA 2 DR 418.0000 836.00 Fuel /EnergySurcharge 8.15 Should you have any questions regarding this Invoice Total invoice, please contact USD 844.15 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 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. 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 Sep 2008 visit us at www.ashiand.com City Car INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 f PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 8 943 3 NLE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, Alp 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 Sop t- QTONpr 1 )0 n8 oil VENDOR Ashland SHIP Carmel Maintenance Facility P.O. Box 116735 TO 3400 W. 131st Street Atlanta, GA 30368 Westfield, IN 46074 CONFIRMATION =UNIT PAYMENT TERMS FREIGHT f QUANTITY DESCRIPTION UNIT PRICE EXTENSION 2 55 gallnn drumsoof oil 332.20 664.480 3 h.. 451� u Send Invoice To: t PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 315 oil t .4 PAYMENT tV 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 APPRO RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. `q X+ ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERTO. I r 1 4 tj 9 e 5 CLERK TREASURER DOCUMENT CONTROL NO. A. COPY- SIGN AND RETURN TO CLERK'S OFFICE VC•UCHER NO, WARRANT NO ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR a 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 i 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. 18943F 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)) 9/8/08 91877596 paymnentffor oil 844.15 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 IN SUM OF P.O. Box 116735 Atlanta, GA 30368 -6735 844.15 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 18943F 91877596 315 844.15 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 September 11 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund