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Home My WebLink About164164 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359661 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID -SOUTH INC CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $1,412.68 CHICAGO IL 60686 -0037 CHECK NUMBER: 164164 CHECK DATE: 9130/2008 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350400 17572 BMS543661 y 911.24 REFLECTING POOL CHEMI 2201 4350400 17572 BMS548026 501.44 REFLECTING POOL CHEMI Brenntag Mid South., Inc. B R E N NTAG 1405 Highway 136 W P.O. BOX 20 Henderson, Kentucky 42419 -0020 _or INVOICE: BMS548026 INV DATE: 9/16/08 PAGE 1 OF 1 DUE DATE: 10/16/08 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. 126TH STREET CARMEL IN 46032 FEDERAL ID 610504545 DATE SHIPPED: 9/16/08 TERMS NET 30 DAYS B/L 98692 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG CUSTOMER PO#: 1873 FOB DELIVERED TAX EX## 0031201550 -020 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 199.9993 365998 10.140 199.9993G 2.1072 421.44 1.0000 G BULK SOD HYPOCHLORITE 12.50 DRUM OFF -330 G POLY TOTE BLK PO #17572 FOR 2008 QUESTIONS, CALL 317 -898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 421.44 FUEL SURCHARGE 80.00 PAID ON OR PRIOR TO 10/16/08 INVOICE TOTAL 501.44 PAID AFTER 10/16/08 INVOICE TOTAL 506.45 Original Document Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE TE RMS AND CONDITIONS L Conflicting Provisions Seller's terins and cunditions stated in this Document ("Toms and Conditions Shall be deemed controlling notwithstanding any prior or subsequent purchase order or similar document from Purchaser. pale hascr by taking deli,ery of all m a portion of portio of the items shown on the reverse Silo shall be conclusively (]coined to have accepted and assented to Sellers Terms and Conditions. Z. Purchase Price and Payment 'Fire purchase price for all hears shown on the ttvctse side excludes sale,. usc, occupaiion. license. excise and otter taxes and fees in respect of manufacture, sole, storage, consumption or delivery. all of which shall be paid b% Purchaser The purchase price Ibr all items is payable in lawful money of the United States. Acceptance by Seller of drafts, checks or other media of payment will be provisional onlc and subject to iimnediale collection of the I'nll face amount thereof, Seller reserves the right to charge a late fee and/or interest, if Purchaser fails to make anv paymonis to Sellcr when same hecoutc due. 1. Dclivery/Force Maieurc Delivery of goods to the Purchascr's location shall constitute delivery to the Purchaser, and all risk of loss or damage shall thereupon pass to and be assumed by the Pwthaser Any time .p or date stated for delivery is an estintmc only and the Seller shall not he liable for failure to deliver al the specified time or on the specified date, nor shall such failure pn the part of the Seiler be deemed to he it breach of this Agramcnt or any terms and conditions or part thereof. Purchaser shall not be entitled to cancel or rescind this sale nor shall Seller be liable in damageS or otherwise, in the case of delay or impairnu -ni or failure of performance by Seller by rcasun of cause, heyond Seller's control, including. without limitation, claitnS of force majeure by Seller's supplicn, sinkca_ labor difficulties, shortages of labor, fuel, power, materials or supplies, inability to ohlain shipping space, transportation delays, lire, floods, accidents, riots, acts of God, war. governmental interference or embargo. ]n any such event, Seller reserves Lite right, in its site discretion. to allocate its inventory between Purchaser and Seller's Other cLIMOII 'S, and Purchaser waive, anv right to assert it claim against Seller Iherefol. a. Suspension of Credit or Shi mein Scllcr may at any time ahcr or suspend credit to Ptrchascr. stop shipmcul to Ptu'chasei in transit, or delay or refuse to ship to Purchaser. or cancel any or all unfilled orders when, in Seller's sole opinion: a_ the financial condition of Purchaser is un,ausfactury to Seiler, b. dCllVCIV is delaYCLI by the. fault of Purchaser; a Purcha.eris delinquent in payment of any obligation owed to Scller: of d- sale Of procluCIS or ntalcrialS to Purchaser ably rt,uh in environmcnutl. safciv or health duager or hazard. -5. Warranty Seller warrurta that the products or materials delivered heeunder meet the standard Specificafions of the manufacturer(s) for the products or such other specifications as may have been expressly agreed to in writing by Purchaser and Scller. SELLER MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT 1AMITATION, ANY WARRANTY OP MI?RCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Determination of the suitability of the Product supplied hereunder for the uses and appli- cations erucmplaled by Purchaser and others shall be the solo responsibility 01 Purchaser. Purchaser assumes all risk and liability resulting from the handling, use, storage or resale of the product, delivered hereunder, whether used, handled. stored or resotd singly or in combination with other products, and Purchaser agrees to indemnify and hold Sellor harmless against any and all loss, damages. liability, cost and e.xpcnsc (including reasonable attorneys' fees), arising out of Such use. handling, storage or resale. Scller assumes no obligation or liability fur the technical Advice given by Scller with reference to the use of the Products of results oblained therefrom, and all such advice is given and accepted a( Purchaser's risk. 6. LIMITATIONS OF LIABILI 'I'Y a. PURCHASER HEREBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSEQUENTIAL DAMAGES, LOSS OF OR DAMAGE TO GOODWILL OR ANY OTHER SPECIAL. DIRECT. INDIRECT OR INCIDENTAL DAMAGES, EVEN IF SELLER HAS BEEN ADVISED OF OR HAS NOTICE OF THE FOSSIBILITY OF SUCH DAMAGES AND PURCHASER'S EXCLUSIVE REt%iFDY WITH RESPECTTO ANY CLAIM, WHETHER fN CONTRACT, TORT OR STRICT LIABILITY OR OTHERWISE, IN RESPECT OF THE PRODUCTS SOLI? HEREUNDER SHALL BE FXPRESSLY LIMITED "hO THE AMOUNT OFTH6 PURCHASE PRICE OF SUCH PRODUCT OR THF. RI-PLACEMENT OFSUCHPRODUCT. b. FAILURE BY PURCHASER TO GIVE WRF17EN NOTICE OF SUCH CLAIM TO SELLER WITHIN 30 DAYS FROM Th1L DATE OF DELIVERY OF SUCH PRODUCT SHALL CONSTITUTE A WAIVER 13Y PURCHASER OF ALL. CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL 13E RETURNED TO SELLER WITHOUT SELLER'S PERMISSION. NO CLAIM SHALL BE ALLOWABLE AFTER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER. 7. Conminers/COIndeis a. All returnable containers and cylinders remain the property of the Seller and must he riwrned to Seller. h. Container and cylinder deposit., will Ire linrfcited if containers are not returned within 90 days of shipment, unless otherwise agreed to in writing by Setter. In addition to the forfeiture of any such dcposil. Purchaser ,hall remain liable liar an au vwIll equal to the difference between the deposit and the. repla:cmcm cosl of:ioy letuariaMe container or whirler which is not returned to Scllcr. c_ Purchaseragrecs to accept lull responsibility and liahihty for the disposal of nrm- returnable containers and cylinders in strict compliance with all laws and regulations. d. Purchaser shall indemnify and hold Scller harndess aga'nsl any claim, loss, damage Or expense arising from Purchaser's handling, use, storage or disposal of any container or cvlincle,r. e. Seller reserves the right to chutes Purchaser with demurrage for ally ream 11ahle container nr cylinder. 3. Returned Material No credit will be issued 1'o11 ma(criat t unle- Scllcr has given hyriuc❑ consent nt xrch return. All returned material is subject to a ;cslockins charge. 9. Cn its .Any credit issued by Scher to Purchaser, rally only be applied agaiuSl the future purchase of Products by Purchaser and will not be paid in cash. Any such credit will expire one year niter the date of issuance, and Seller will have no obligation with respect trercto in the event that Purchaser does not apply the credit against the cost of Product purchased by it prior to such expiry dale. 10. General a. This Document shall not be assignable in whole or in part by Purchaser without [lie prior written consent of Sellcr. b. Unless smted to the contrary elsewhere in this DOCmneIlt. no action, regardless of form, arising out of the .sale or delivery of product hereunder, may be commenced more than one year after the cause of action has accrued, except that all action for noapavnicnl of for failure to return containes and cylinders may be brought at any time. c. Seller's waiver of any breach. or failure to enforce mtv of the lemis and conditions of this Agreement, at any time, shall not in any way affect. limit or waive Seller's right there- after to enforce and compel strict compliance with each and every feral and condition hereol. The acceptance by the Scher of any payment after the specified due date shall not constitute a waiver o(ihc Purchaser's obligation to make further payments on the specified dates. d. This Agreement shall be governed by and enforced in accordance with the laws of the state in which the Seller's corporate office is located without reference to its conflict of law rules. Purchaser by taking,: delivery of alb or am items shall be conclusively deemed to have consented to personal jurisdiction in the above-mentioned state. c. The terms and conditions hcrein constitute the entire agrccmeni between Scller and Purchaser and may not he modified or amended except by n writing executed by an authorized officer of Scllcr and no modification shail be effected by the panics' course OI' de;ding or the acknowledgment or acceptance of purchase order forms containing tern, or condi- tions in addition to or al variance with those set forth herein. L If arty pro% orprm isions of this Docmncnt shall he held to be illegal or unenforceable the legality and enforceability of the remaining provisions shall not in any way be. aftect- ed or impaired. a Products shall be (]slivered to Purchaser a, indicated On the rinse hereof, and unless otherwise indicated. Purchaser shall be responsible for the payment of all freight and transportation charges front SCIICr s poll][ of ]uadtn,= to the delivery address specified or the face hereol'. Delivery dates are approximate and are prcdiC:ned on the prompt receipt by Seller of all necessary information and documentation front Purchaser. h. Unless Purchaser is authorized to distribute the products delivcrod hereunder pursuant io a written agreement with Scller. Seller agrees that the product is supplied to Purchaserfor Purchaser 's' internal use only. and Purchaser may not repackage, resell or otherwise distribute the product to third parties without the express written consent of Seller: I. In the event that Purchaser :n d Scller engage in any electronic transactions, including, but not limited to, electronic dada interchange or facsimile exchanges, Such electronic exchanges shall be considered as valid and legally hinding and shall he subject to the terms and conditions of" this Agreement. B renntag Mid South, Inc:. B R E N N TAG 1405 Highway 136 W P.O. BOX 20 Henderson, Kentucky 42419 -0020 INVOICE#: BMS543661 INV DATE: 9/09/08 PAGE 1 OF 1 DUE DATE: 10 /09/08 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. 126TH STREET CARMEL IN 46032 FEDERAL ID tt_ 610504545 "DATE SHIPPED: 9/09/ 08 TERMS NET 30 DAYS B/L 122395 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG CUSTOMER PO 1873 FOB DELIVERED TAX EX# 0031201550 -020 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 394.4760 365998 10.140 394.4760G 2.1072 831.24 1.0000 G BULK SOD HYPOCHLORITE 12.50 DRUM OFF -330 G POLY TOTE BLK PO #17572 FOR 2008 QUESTIONS, CALL 317 -898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 831.24 FUEL SURCHARGE 80.00 PAID ON OR PRIOR TO 10/09/08 INVOICE TOTAL 911.24 PAID AFTER 10/09/08 INVOICE TOTAL 920.35 Original Document Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE TERMS AND CONDITIONS 1. Conflicting Provisions Seller's terms and conditionS Stated in this Document ("Terms and Conditions shall he deemed controllin notwithstanding any pilot or subsequent purchase order or similar dOCanlCn[ Iron Purchaser. Purchuscr by inking delivery of all ur any portion of the items shown on the reverse side shall be conclusively deemed to have accepted and assented TO Seller's Torts and Conditions. Purchase Price and Pavmenl The purchase price for all items .shown on the rccerse siJe exclonICS Sales, use, uceupanion, license, excise and other taxes and fees in respect of monuFtcturc, sale. Storage. consumption or delivery, all of which Shall be paid by Purchaser_ file purchase price for all iterns is payable in lawful money of the United States. Acceptance by Seller of drafts, checks or other media of payment will he provisional only and subject to intuedialc collection Of the full face amount thereof. Seller reserves the right to charge a late fee and/or interest, it Purchuscr fails to make any payments to Scllcr when same become duc. 3. Dclivcry /Force Majeure Delivery of to the Purchaser's location shall constitute delivery to the Purchuscr: and all risk Of loss or damage shall (hereupon pass to and be assented by the Purchaser. Any time or date suited for delivcn a is an estimate only and the Seller ShAl not he liahle for failure to deliver at the specified time or on n the Specified date, or Shall such failu o n re n the pa of the Scllcr be deemed to he a brearch of this Agreement or any terns end conditions or part ihereol'_ Purchaser shall not be entitled to cancel or rescind this sale nor shall Seller be liable in damages or olhcrwisc. in the case of delay or impairment or I:ailure of performance by Seller by reason ol' Causes beyond SCIIer'S control, including, without limitation, claims of three nu iCLIN by Seller's Supplicrn, strikes, labor difficulties. ShortagCS Of labor, tact, power, materials or Supplies, inability to ubmin shipping space, transportation delays, hi e, floods, accidents, riots, act of God, will, interlcrence m embargo. It any such event. Seller reserves the right. in its sole discretion, to allocate its inventory between Purchaser and Seller's other cu3tomcr:S. and Purchaser waives any right to ;rsserl a claim against Seller therefor. 4. Suspension of Credit or Sh 11riLL Seller may at any time aher or Suspend credit to Purchaser. Stop .shipment to Purchaser in transit, or delay or refuse to Ship to Purchaser, or cancel any or all unfilled orders when, in Seller's sole Opinion: a_ file financial condition of Purchuscr is unsatisfactory to Seller; b. delirCy is delayed hp the fault o1 Purchaser. e. Purchaser is deCnnqucnt in pavntcnt of any obli "L[tion awed to SCllcn': or Cl. Sale of products or materials TO PLn'ihanCl MaN rewlt in environnicnla, Sal'cty or health danger or h;vard. Warranty Scllcr warrants that the products or material. delivered hereunder nice( the standard Specifications of the manufacturer(s) for the products or such other specifications as may have been expressly agreed to in writing by Purchaser and Seller. SELLER MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WI'pHOUT LIMITATION, ANY WARRANTY OF MERC IANTABILI"I Y OR I'll NESS FOR A PARTICULAR PURPOSE. Determination of the Suitability of the Product supplied hereunder for the uses and appli- cation contemplated by Purchaser and others shall he the sole respomibifily of Purchilscr. Purchaser assumes all risk and liability resulting from the handling, use, storage or resale of the products delivered hereunder, whether a.SC(I, handled, stored Or resold singly or in combination with other products, and Purchaser agrees to indemnify and hold Seller harmless ilginst any Lind all loss_ chrmaLes, Iiahility, cost and expense (including reasonable anooncVS' fees), arising out of such use, handling. Storage. ar resale. Seller assumes no obligation or liability for the technical advice given by Seller with reference to the use of the Products ur results obtained thcaeCrom, and all Such advice is given and accepted at Purchaser's risk. 6. LINIII'A'I'IONS OF LIA131LIIY a. PURCHASER HEREBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSEQUENTIAL DAMAGF.S, LOSS Of- OR DAMAGE TO GOODWILL OR ANY OTHER SPECIAL. DIRECT, INDIRECT OR INCIDENTAL DAMAGFS, EVEN IF SELLER HAS BEEN ADVISED OF OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES AND PURCHASER'S EXCLUSIVE REMEDY WiTI I RESPECT TO ANY CLAIM, WHETHER IN CONTRACT, "PORT OR STRICT LIABILITY OR OTHERWISE. IN RESPECT OFTI IF PRODUCTS SOLD HEREUNDER SHALL BE EXPRESSLY IAMITED TO THE AMOUNTOFTFIF PURCHASE PRICE OF SUCH PRODUCT OR THE REPLACEMENT OF SUCH PRODUCT. b. FAILURE I3Y PURL tASER GIVE WRITTEN NOTICE OF SUCH CLAIM TO SELLER WITHIN 30 DAYS FROM THE DATE OF DELIVERY OF SUCH PRODUCT SHALL CON.STITUTP A NVAIVL:R BY PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED TO SELLER WITHOUT SELLER'S PERMISSION, NO CLAIM SI[ALL BE ALLO\VABLE- AFTER ANY SUCH PRODUCT IIAS BEEN PROCF,SSED IN ANY MANNER. 7. Conlal Ile[ S /Cylinders a. All Icturnahlc coneriners and cylinders reinain the property of the Seller and must he rcwrned 10 Seller. b. Container and cylinder deposits will he forfeited if containers lire not returned within 90 duyS Ot Shipment, unless otherwise agreed to in writing by Seller_ In addition to the furli:imre of ;any such dclik it. Purchaser shall remain liahle for an amount equal to the difference between the deposit and the replaccnlun cyst 01 any returnable container or cylinder which is not returned to Seller. C. Purchaser agrees to ucCept lull responsibility and liability for the disposal of non returnable containers and cylinders in sh'iet compliance with all laws and ngulationS. d. Purchaser shall indemnify and hold Sellcr harntl ss against any claim. Toss, damage or expense arising from Purchaser's handling. use, storage or disposal of any container or cylinder. C. Scllcr reserves the right to charge. Purchaser with dcmurraae for any returnable container or cylinder. a. Rctumcd Matcriul No credit will he swed lire Inalenul icnuned unless Seller ha, gi<en writer ennscnt to ,such n arrn. All returned material is Subject to it resiocking charge. 4. Credits Anv credit issued by Scllcr to Purcltaict_ may Only be applied againSI the I'uture purchase of Products by Purchaser and will not he paid fit cash. Any such credit will expire one year after the date of issuance, and Seller will have no Ohfigatiun with respect thereto in the event that Purchaser does not apply the credit against the cost of Product purchased by it prior to Such expiry date. Ill. General a. ('his Doi 11nC111 Shall 1101 be assiendtle in whole or in pmt by Purchaser without the prior written consent of Scllcr_ b. Unless stated to the contrary elsewhere in this Document, 110 action, regardless of form, arising out of the sale Or delivery of product berCilndel, may be commenced more than one year after the cause of action has accrued, except than an action for nonpayment or for failure 10 return containers and cylinders may be brought at any time. C. Seller's waiver of any breach, or failure In cnforcc unN of the terms and conditions of this Agreement, at any time, shall not in any way affect, limit or waive Seller's right there- after to enforce and compel Strict compliance with each and every term and condition hereof. the aceeptancc by the Seller 01 ally payment after the Specified clue dine shall not constitute a waiver of the Purch; SU'.S Obligmion to make farther payments oil the Specified dates. d. This Agreement Shall be govcr11cd by and enl'urced in accordance with the laws of the State in which the Seller's corporate office is located without reference to its conflict of law rules. Purchaser by taking delivery of all Or any items Shall he conclusively deemed to have consented to personal jurisdiction in the above mentianed state. C. The terms and condiwals heroin constitute the entire itpeca tent between Seller and Purchaser and may not be modified or amended except by a writing executed by an authorized Officer of Seller and no modihicatinn shall he etlectcd by the parties' course of dealing or the acknowledgment or acceptance of purchase order forms containing terns or condi- tions in addition to or at vniamce with those Set forth herein. t. II' any provision or provisions of this Document shall be held TO be illegal or unenforceable the legality and enforceability of the remaining provisions shall not in any way be affect- ed or impaired. c Products shall he delivered to Purchaser as indicated on the face hereof, and unless otherwise indicated. Purchaser shall be responsible for the payment of all freight and trtmspoflalion charges from Scllcr', point of loading, to the delivery address specifier/ nn the face hereof. Delivery dates are approximate and arc predicated on the prompt receipt by Seller of all necessary in Oruratiun and dOCnnlenla 1Ot1 from Parch :r;er_ h. Unless Purchaser is authorized to distribute the products delivered hereunder pursuant to it writcn agreement with Seller. Sellcragrces that the product in ,supplied to Purchuscr for Purchase's internal use only, and Purchaser may not repackage, resell Or Otherwise distribute the product to third parties without the express written consent of Scllcr_ i. In the event thin Purchaser and Seller enga in any cicetronic transactions, including, but not limited m, electronic data interchange or facsimile exchanges, such electronic exchanges Shall be considered its valid and legally hinding and shall he .Subject to the terms and conditions of this Agreement. VOUCHER NO. WARRANT NO. ALLOWED 20 Brenntag Mid -South Inc IN SUM OF 37 96 R hl_ 934 4 C� tL $1,412.68 C -X) J ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 17572 BMS543661 43- 504.00 $911.24 1 hereby certify that the attached invoice(s) or 17572 BMS548026 43 504.00 $501.44 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 Monday, September 29, 2008 Street jI 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/09/08 BMS543661 $911.24 09/16/08 BMS548026 $501.44 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 20 Clerk- Treasurer