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Home My WebLink About165489 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1 ONE CIVIC SQUARE ASHLAND INC CARMEL, INDIANA 46032 P 0 BOX 116735 CHECK AMOUNT: $1,414.32 ATLANTA GA 30368 CHECK NUMBER: 165489 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231500 91975829 433.40 OIL 1120 4232100 91975829 .106.25 GARAGE MOTOR SUPPIE 1110 4231500 18956 91975829 874.67 OIL i AS HLNNn. INVOICE ORIGINAL Page 1(1) Invoice Number Invoice Date Due Date CO 0 91975829 14 Oct 2008 13 Nov 2008 rn OD P.O.Number Payment Terms Payer Number Ln Jason Net 30 Days 344796 r rn Shipped From Carrier Bill -To Number NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Irl cot erms DDP Dest, Fri Prepaid Ship -To Number 1385416 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 3 DR UM743 ULTRAMAX 1OW30 DR 55 GA 3 DR 433.4000 1,300.20 1 DR VVWW55 VAL WINDSHIELD WASHER SOLV DR 1 DR 106.2500 106.25 55 GA Fuel /EnergySurcharge 7.87 Should you have any questions regarding this Invoice Total invoice, please contact USD 1,414.32 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. Comments: m 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 15 Oct 2008 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE `o f(C...,armel CERTIFICATE NO. 003120155 002 0 E C l o t y R PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 19 S A 3 )_00g 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 October 4 2003 oil VENDOR Ashland SHIP City of Carmel Maintenance Facility P.O. Box 116735 TO 51400 W. 131st Street Atlanta, GA 30368 Westfield, IN 46074 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 gallnn drumeo6f oil 422.07 844.14 Al I n k�� I Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID.. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. (r' t PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .I SHIPPING LABELS. i t THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9 CLERK- TREASURER DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. :e. 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 St31e 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. 18956F 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)) 10/14/013 91975829 payment for oil and window washer fluid 1,414.32 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 A 'shl'and IN SUM OF P.O. Box 116735 Atlanta, GA 30368: =6735 1,414.32 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 18956F 91 75829 315 874.67 bill(s) is (are) true and correct and that the materials or services itemized thereon for 1120 91975829 315 433.40 which charge is made were ordered and 1120 91 75829 321 106.25 received except OctQ 22 20 08 ignature Assistant Chief of Polic Cost distribution ledger classification if Title claim paid motor vehicle highway fund