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163643 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC 3796 RELIABLE PARKWAY CHECK AMOUNT: $803.05 CARMEL, INDIANA 46032 CHICAGO IL 60666 CHECK NUMBER: 163643 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION 1047 4238900 BMS506636 611.49 OTHER MAINT SUPPLIES 1125 4239000 BMS522014 391.56 MISCELLANEOUS SUPPLIE 1125 4239000 BMS707030 200.00 MISCELLANEOUS SUPPLIE r Brenntag Mid South, Inc BRENNTAGAWk 1405 Hi 1'36. P.O. BOX 20 Henderson, Kentucky 42419 -0020 CREDIT BMS707030 DATE: 6/05/08 PAGE 1 OF 1 CREDIT MEMO SOLD TO: SHIP TO: CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS REC 1235 CENTRAL PARK DRIVE EAST 760 3RD AVENUE SW STE 100 CARMEL IN 46032 CARMEL IN 46033 FEDERAL ID 610504545 TERMS NET 30 DAYS INVOICE. SHIP WHS: 29 SALESPRSN: 296 CUSTOMER 787843 SHIP VIA: FOB TAX EX# 002423120 001 3 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED DRUM RETURN NO TICKET PROD PKG DRUM QUANTITY DEPOSIT 617606. 8.0000- 25.00 CEIVVED JUN 0 9 2008 �BY- UN 200 �8 ...I AJ FUND'' k- p DEPT ?LINE j DESC CONTAINER DEPOSIT 200.00 QUESTIONS, CALL 317- .898 -8,632 CREDIT TOTAL 200.00 VlK ��n i/, 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 a �nn.tag Mid- South Inc. BRENNTAG J5 Highway 136 W P.O. BOX 20 fenderson, Kentucky 42419 -0020 INVOICE BMS522014 INV DATE: 7/31/08 PAGE 1 OF 1 DUE DATE: 8/30/08 SOLD TO: SHIP TO: CARMEL CLAY PARKS RECREATION CAMEL CLAY PARKS REC 1235 C ENTRAL PARK DRIVE EAST DO NOT SHIP WILL CALL CARMEL IN 46032 INDIANAPOLIS IN 46226 FEDERAL ID 610504545 DATE SHIPPED: 7/31 TERMS NET 30 DAYS B/L 96804 -00 SHIP WHS: 29 SALESPRSN: 296 CUSTOMER 787843 SHIP VIA: CUSTOMER P/U CUSTOMER PO VERBAL FOB DELIVERED TAX EX# 002423120 001 3 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 5.0000 76827 9.700 74.7425G 2.8974 216.56 14.9485 G -PDRM MURIATIC ACID 20 DEG RPK DEPOSIT: 25.00 Purchwe pe®aiptiM P.O.# 1251 no Cf P F R: F TVED a.L 1 C l— q- 239000 AUG i. 9 2008 Purchaser pg 6 Y: Approval CEjV]E QUESTIONS, CALL 317- 898 -8632 AUG 2 0 zoos REMIT TO ADDRESS: B Y: BRENNTAG MID SOUTH, INC MERCHANDISE 2 .56 3796 RELIABLE PARKWAY CONTAINER DEPOSIT 125.00 CHICAGO IL 60686 -0037 CLEANING CHARGE 25.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 8/30/08 INVOICE TOTAL 391.56 PAID AFTER 8/30/08 INVOICE TOTAL 395.48 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 la INDIANA RETAIL TAX EXEMPT PAGE /ffy o f C arm s l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT q�?ff-"7 35- 60000972 ONE CIVIC 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 I Ok rwya;�c A�3 r Wav r�� ►�►d In VENDOR �7 n}� /1 /`_r SHIP �y� I itp l �l�l l� �V�Y �V TO �E V k.:.� look o (o OO� AU 22 0 2008 CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS 7B Y: FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Ruf of, C A0j for I w� o0 C %V .oea tl p Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT ID PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ter Co u1 ��pp�� ILCa NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND �_Og VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTION9 I REBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. I APPROPRIATION SUFFICIENT TWAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 CLERK TREASURER DOCUMENT CONTROL NO VENDOR COPY AUG- 28.2008 7:30AM BRENNTAG CREDIT N0.054 P.2 BR'gtWAC MID SOUTH, INC. WHITE COPY INVOICE 1405 HIGHWAY 136 WEST PO BOX 20 EENDERSON RY 42419 -0029 INVOICE#: BMS506636 INV DATE: 7/02/08 PAGE 1 OF 1 DUE DATE: 8/01/08 SOLD TO; SHIP TO: C'ARMEL C PAM RECREATION CARM L CLAY PAM REC 1235 CENTRAL PARR DRM EAST DO NOT SHIP WILL CALL CARM L IN 46032 IbMIANAPOLIS IN 46226 FEDEP,AL ID 610504545 DATE SHIPPED: 7/02/08 TERMS NET 30 DAY'S B/L 76762 -00 SHIP WHS; 29 SALESPRSN; 296 CUSTOMER 787843 SHIP VIA: CUSTOMER P/U CUSTOMER PO 19044 FOB WILL CALL TAX EX# 002423120 001 3 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 1 8.0000 76827 9.700 119,5880G 2.8974 346.49 14.9485 G -PDRM MURIATIC ACID 20 DEG RPK DEPOSIT: 25.00 Purchase Description i s. C P.O. t P p no cl G.L o 47- a 3891� Budget Line Deatx QUESTIONS, CALL 317 -898 -8632 i'urchaser ar�ll REMIT TO ADDRESS: BRENEl AG MID SOUTH, INC MERCHANDISE 346.49 3796 RELIABLE PARKWAY CONTAINER DEPOSIT 200.00 CHICAGO IL 60686 -0037 CLEANING CHARGE 40.00 INS SEC SURCHARGE 25.00 PAID OX OR PRIOR TO 8/01/08 INVOICE TOTAL 611.49 PAID AFTER 8/01/08 INVOICE TOTAL 617.60 WHITE COPY CEIVED S EP 0'2 2008 BY: V INDIANA RETAIL TAX EXEMPT PAGE B� C i t y of C arme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 9 ��J 35- 60000972 fr ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, 'VP 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 1 r evs n CYI.i a -Sa c.�-� t I.� C SHIP VENDOF 3 7 9 liable PbA lP TO Cpuo�a, I L (�`0 -0037 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION �.P I.Q C' e> J )04J, 4 TTF do g T Send Invoice To: J PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 4 ?o 0 �0 000 PAYMENT J I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. }',y+C., u��L1rt1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND �r VlX ►'i! VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. ThJlS PPROP I!ATION SUFFICIENT T PAY FOR THE ABOVE ORDER- 'j1// C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 19 45 2 CLERK TREASURER DOCUMENT CONTROL NO. VENDOR COPY ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Brenntag Mid South, Inc. Terms 3796 Reliable Parkway Chicago, IL 60686 -0037 Invoice WBMS707030 Description Date (or note attached invoice(s) or bill(s)) Amount 6/5108 Credit for Drum de osit 2oo.ao) 7/31/08 Muratic Acid for Inlow PO 19287 391.56 PO 19452 F 611.49 7/2/08 BMS506636 Chemicals for Outdoor Aquatics Total 803.05 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. Brenntag Mid South, Inc. Allowed 20 3796 Reliable Parkway Chicago, IL 60686 -0037 In Sum of 803.05 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 BMS707030 4239000 200.00) 1 hereby certify that the attached invoice(s), or 1125 BMS522014 4239000 391.56 bill(s) is (are) true and correct and that the 1047 BMS506636 4238900 611.49 materials or services itemized thereon for which charge is made were ordered and received except 2 -Sep 2008 ,ct kmjy u� Signature 803.05 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund