161287 07/11/2008 »ti CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $475.33
CHICAGO IL 50686 CHECK NUMBER: 161287
CHECK DATE: 7/11/2008
DEPAR TMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
651 R5023990 S10904 BMS501182 475.`33 CHLORINE
g
i
13venntag -Mid- South, Inc. BRENNTAG
1405 Highway 136 W P.O. BOX 20 D 1
Henderson, Kentucky 42419 -0020
INVOICE BMS501182 INV DATE: 6/18/08 PAGE 1 OF 2
DUE DATE: 7/18/08
SOLD TO: SHIP TO:
CARMEL WASTE WATER CARMEL WASTE WATER
3450 WEST 131ST STREET 9609 N_ RIVER ROAD
WESTFIELD IN 46074 CARMEL IN 46280
__FED.ERAL_ID._ 6.10.5.04.5.45 DATE SHIPPED: 6/18/08 TERMS NET 30 DAYS
B/L 65410 -00 SHIP WHS: 29 SALESPRSN: 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO VERBAL FOB DELIVERED
TAX EX# 356000972 -001 -9
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
1.0000 465527 10.140 53.000OG 1.3590 72.03
53.0000 G -PDRM SOD HYPOCHLORITE 12.5%
PBL
DEPOSIT: 50.00
2.0000 588218 9.523 284.0000# .3500 99.40
142.0000 -PDRM MURIATIC ACID 18 DEG
35 PBL
DEPOSIT: 25.00
1.0000 839284 1.000 100.0000# 1.7890 178.90
100.0000 VDRM PRESTOCHLOR GRAN
F/S
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
I. Corl Provisions
SCI Icr's terms and conditions stated in this Document "Terms :urd Conditions') shall be deluCd controlling notwithstanding any prior or Snh,equent purchase order or similar document
from Purchaser. Purchaser by taking delivery of aP or ury portion of the items shown on the revers side shall be conclusively deemed to have accepted and assented to Selier's Terms
aid Condiiions.
2, PuichaSC Price and Payment
The purchase price for all item, shown on the reverse Side excludes "dies. use. occupmion, liccn,c. excise and other luxes anti fees in respect of nt 11111[ thew re, .sale, Storage, Consnnpliun
or delivery, all of which shall be paid by PprehaSer. The purchase price [or all items is psyahie in laWlhl money of the United Stales. Acceptance by Seller of dt'ahs, checks or other
media of Payment will he proyisional ovly and Suh to,immediale collcction A the 11111 lava. anwtmtt Qtercof Sellercoscryes the right to sham c. a Lac fee, and /or interest, d= Purchaser
fail, to make any payments to Seller when same hccomc d'uc.
3. DChv�endPorce Ma Care
Dcliva y "l goods to the Purchaser's location shall constitute delivery to tht: Purchaser; and all risk of lass or damage shall thereupon pass to and he assened by the Purchaser. Any tints
or elate stated for delivery is Lilt estimate only and the Seller shall nol be liahlc for failure to dediS er al the specified lime or on the spccif icd date, nor shall such Iailure on the part of the
SCIICr be deemed to be a breach of this Agrcement or any terms and conditions or part thereof: Purchaser Shall not be entitled to cancel or rescind this sake nor shall Seller be liable in
damages or otherwise. in the case of delay or intpainmcnt or failure of performance by Seller 11y reason oI causes hcyond Seller's control, includinw without Pmiution, claims of IOVCC
majcure by Seller's suppliers, strikes. labor difficulticS, shonagCN of labor, furl, power. nrnerialS or SupplieS, inability w uhlaht shipping Space, transportation delays, lire, floods,
accidents, riots. acts of Clod, w1[: governnlCntal inierlrrcnce ter cnthrtrgo. In any smelt event. Seller reserves the right, in its Bode discretion, to ahncne it, inventory between Purchaser
and Seller's other' customers, and Purchaser waives any right to assert a claim wainst Scllcr therefor.
d. Su.s of Credit or Shipnicn[
Seller may at any lime ahm or Suspend cretin to Purchaser. stop shipment w Purehsscr in trmtsit- or delay or refuse to ship to Purchaser, or cancel any or all unfllcd orders when. ill
Scllcr', sole opinion:
a. the 11 condition of PnrCha"el is unsatislbctor, to Scllcr:
h. dClii' IA is rlclaved by the fault ni Purchaser:
L. Pnl'ChANCA i•, delinquent in pa ;nrcnt of ally ohdigilliun (mQd lo Seller: or
d. ale of products nr Maier to Purchaser ntuy result in cnvironmcili Safciv or health clanger or ha /ard.
5. W;irmnty
Scllcr wauianb Will the products or materials delivered hereunder nice[ the standard spccif ications oI' the manufacturer(") for the products Or Such other Spccitications to nary have been
expressly agreed to in Writing by Purchaser and Seller. SELLER MAKES NO OTHER WARRANTIES, FXPRBSS OR IMPLIED. INCLUDING. WITHOUT LIMITATION, ANY
WARRANTY OF 11L•RCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Determination of [he suitahility of the Protiuct supplied hereunder for the uses and appli
cationS conletnpdated by Purchaser and (Ctrs[" sh;dl be the sole responsibility of Purcha,ci. Purchaser assumes all risk and Iluhility resulting hour the handling. use, storage or resale of
[hc PnlductS delivered hereunder, whether used, handled. slored nr resold or in coruhination with outer products, and Purchaser agrees to indenurity and hold Seller harmless
against any and all loss. damages, liability, cost and expense (induCling reasonable auornevs lees). arising nut of such u.se. handling, storage or resale. Seller aswmes no ohligatitm ter
liability for the Icchnical ii&ice given by Scllcr Wilh nlCmnce to the use of the Products or re,ullN uhtaitted tlterelinnt and all such advice is given and accepted at. Purchaser's risk.
6. LIM1T'Af10NS OF LIABILITY
a. PURC'IIASLR HEREBY WAIVES ANY CLAIM AGAINST SEI.T,F:R FOR CONSEQUENTIAL DAMAGES, 1 OF OR DAMAGE TO GOODWILL OR ANY OTHER
SPECIAL. DIRECT- WDIRL'0' OR INCIDENTAUDAMAGES. EVEN IF SFLLBR HAS BEEN ADVISED OF OR HAS NOTTCE OF THE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER'S ]EXCLUSIVE REMEDY WITH RESPECT TO ANY CLAP0. P'HETHER IN CONTRACT VOR'I' OR S'T'RICT LIARIIJTY OR OTHERWISE. IN RESPECT
OF" I'HE PRODUCTS SOLD HERLUN'DBR SHALL HE EXPRESSLY 1-1, THEAMOUNTOFTHE PURCHASE PRICE OE SUCH PRODUCTOR THE REPLACEMENT
OFSUCH PRODUCT.
h. FAILURE BY PURCHASER Ti WRITTEN NOVICE OF SUCH CLAIM TO SL-LLFR WITHIN 10 DAYS FkONI THE DATE OF DELIVERY OF SUCH PRODUCT SHALL
CONSTITUTE.. A WAIVER BY PURCHASER OF AI.I. CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED TO
SFLLFR WITHOUT.SEL.LFR S I'll RM [SS ION. NO CLAIM SHALL BL ALLOWABLE Ah PFR ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER.
7. GmluincrslCvlindc
a. All returnable containers and cylinders remain the property of the Seller anti most he returned to Scllcr.
b. Canlaincr Ind cylinder deposits will be forfeited it' containers are not returned within IM Claw of shipment unic,ss otherwise agreed to in writing by Seller. In addition to Ute
iorfcilure of anv wch deposit Purchaser ,hall mmain Eiahle fur an amount eyutd to the dillerenee between the deposit and iho replacement cost of any relurnahlC container or
evlinClar Whfclt iN not R'tLll'ned to Scllcr.
C. PLI1ChaNCI ugrCCS to acCep[ full respomsihidity and liability for the diNposul of non returnable containers and cylinders in strict compliance with all laws and rcgufaGons.
d. Pu'ch;ner shall indenmify and hold Seller harmless aguinsl anv claim, loss, damage or expense arising Icons Pali ''S handling, use, Sloratge or dispo."nl of any container or
cvlinda'.
C. tieller rc,cnvc, the 1i4 l" ChargC Irurchascr with dcirurrtge for an- rcurnahle conminer nr cylinder.
S. Rcamned .Mnicria
No ct'cdit will he isnucd for mlmerial mturncd u111CIS SCller ha, given w ripen consent 11[ 'uet retm'ft. Aft rcurnal material IS wLllli to a 7CAOL king charge.
9. C'rodiu
Any credit issued by Seller to Purchaser. may only he applied against the future purehaSo of Products by Purchaser and will not he paid in cash. Any such credit will expire one year
after the date of issuance. ;md Seller will have no obligation with respoet thereto in the event that Purchaser does not apply [he credit atgainnt the cost of Product purchased by it prior to
Such expiry date.
10. Gcn =rill
a- This DocunCnt Shall not be assignable in whole or in part by Purchaser without the l7rior written consent of Seller.
b. Unlesx Stated [o the contrary elsewhere in this Document, no action, re of for arising out of the sale nr delivery oP Pioducl hereunder, may he commenced nor[: than one
year after the cause of action has accrued, except that an faction for nonpav]]tent or lnr Iailure to return Containers and cvlinders may be brought at any time
e. Seller's waiver of any breach. or fadura to enforce any of the let nis and conditions of this Agreement, au anv time. shall not in any way affect. limit or Waive Seller'S tight there-
',t €'ICI to enforce and compel strict compliance with each itnd every term anti Cuudition hcreof. The acceptance W Ilse Seller -of any paymenit'after The specified due date shall not
consomme it Waiycr Of IhC Purchaser's obligation to make further pitvmenu on the specified dire,.
d. This Agreement shall he governed by and entiorcod in accordance with file laws of the state in Which the Scllcr'" corporate office is loCSICd Without reference to its conflict of law
.tole,. Purchaser by taking delivery olall or any item S. shall be Conclusi\'cly rlCOmed to h!ZV0.C1,IIsCu id to per,+onal- }urindictirin. in the above mentioned slate.
C. "I lie terms and conditions herein Conslifu[c the entire agrccmcul hchaeen SCIICr ilud PurehaSCr and may not he modified or amended except by a writing executed Foy an authorized
officer of Seller and no modil cation shall be et1cmd by the Parties course 01 dealing or [he aeknowledp.nCUl or aCCCpmnee of purchase order forms containing terms or condi-
lions in addition [o or at variance with those set forth herein.
I'- Ha provision or Provisions of This Document Shall he held to be illegal or unemfiorcuthl, the legality and cnforceathidity of the remaining provisions,shalf not in anyway he aflecl-
ed or impaired.
Pii,ducis shall he deliccrcd to poll Chi SCI' as indicated on the taco hcrad, and unless otherwise indicated, Purchaser shall he responsible for the payment of Lill freight and
transportation charges from Seller's point of loading to the delivcry address Specified on the lace hcreof. Delivery dates are approximate and are predicated on the prompt receipt
by Seller o1 all necessary information and documentation Isom Purchaser.
h. I Inless Purchaser is authorized to distrihuc the products deliccrcd hereunder Pra to a written ngrenncnl with Seller. Seller agrees that the product is supplied to Purchaser for
Purchaser internal use only, and Purchaser may not repackage. Ic,ell or otherwise di,u'ibuto the product to third Parties without the express written consent of Seller.
i. In the event [hat Purchascr rid Seller engage in arty el ruoflic tnmsactionN. including. but not limited to. electronic Clain interchange or Ihcsimtle exchanges, such electronic
exeh:mgcs shall he considered as .alid and legally hinlina and Nhall be NuhhCCl to 1110 lain ;uid eondilions ot'Ihis Agrccurcnt.
:Bfenntag. Mid- South, Inc. B R E N N TAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 424.19 -0020
INVOICE BMS501182 INV DATE: 6/18/08 PAGE 2 OF 2
DUE DATE: 7/18/08
SOLD TO: SHIP TO:
Attach to Invoice# BMS501182 CARMEL WASTE WATER
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
CONTINUED FROM PREVIOUS PAGE
QUESTIONS, CALL 317 -898 -8632
REMIT TO ADDRESS:
BRSNNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY MERCHANDISE 350.33
CHICAGO IL 60686 -0037 CONTAINER DEPOSIT 100.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 7/18/08 INVOICE TOTAL 475.33
PAID AFTER 7/18/08 INVOICE TOTAL 480.08
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
L Conf lictim Provisions
Seller's Icrnlu and coil diIions stated in this DOCmtleltt ("Term, slid Condit ions'! shall Lm dcenrccl controlling nolwil list nnclinr any prior or Subsequent purchase order or similar document
I'mm Purchaser. Purchaser by taking delivery of all or anv poilion of Ihc; deco, shown oM the rexcrsc side shall he conelusis'cly deemed to have accepted and essenled to Seller's Terms
and Conditions.
2, P urchase Price and Pttymcm
'I he, purchase price for all items shown on the reverse side excludes sales, I ouupation. license_ excise and other LaxdB and fees in iespCCt of manufacture, salt, storage, consumption
or delivery, all of which shall he paid by Purchaser. The purc'hasc price for ill items is payable in ILIWILll matey of Lhe UHIICd States. Acceptance, by Seller oP drafts, checks or tither
media of payman will he provisional only and subject to immediate collection of the full face amount thereof. Seller reserves the light to charge a late I'ec and/or interest, it Purchaser
tails to make Limy payments In .Scllcr when crane bccomc due.
I Dclivcr Majcurc
Dclivu of goods to the Purchasers 1 mien shall constitute delivery to the Purchaser; and all risk of loss or damage shalt thereupon pass to and be ussmned by the Purchat_ser. Anv Lime
nr date stated for deliver v is an estimate only a the Seller shall not he liable lot 11-I to deliver al the Spccilicd Lime, or on the specified dale- not Shrill such failure on the purl oi'thc
Scllcr be deemed to be a breach of this Agncnlcnl or any terms and conditions or part dhereol. Purchaser shall not be entitled to cancel or rescind this sale nor shall Seller tic liable in
danwgcs or otherwiW, in the case u3 deiary w' inhpainncnl ur failure of ]let fornuutce bt Seller by reason of causes beyond Scller's control, including, without limitation, claims of ICecc
mojeurc by Seller's suppliers, :strikes, labor di €IOdllicS. shortages of Jnhor- Fuel, power, materials or supplies. inability to obtain shipping space, transportation delays, fire, floods.
aceidems. riots, acts of God. war, govcrnntcuta! interl'crence or Until In ant such Cveui, Seller rcsenCS the right, in its sole discretion, to aflocnte its inventory between Purchaser
zinc] Seller's other cusutmers, and Purchaser warivcs any right to asserl a chtint against So 11cr Iherefor.
4. Sus oFCredil lit' Shipment
Scller may to any time alter lit suspend trcdit to Purchaser, stop shipment to Pur'chascr III transit, or delay (it refuse to ship to Purchase/', or cancel any 01' all unfilled orders when, in
Seller's sole opinion:
al it,, fi ll; c4,1 a....II on of Purchaser Is unsatisfactory w Sellcr-
h. dehvcry is detavcd by the fault of Plll'elhISCr:
C, Purchmer is definducm in Payment of any abligziliou owed to SCher; or
d. sale of products or materials to pulchascr may result in envituomcntal, safely or health dancer or hazard.
i. W;u
Scllcr warrants that the products or materials delivered hereunder mica the standard speciilcmions of the nhanulacturer(s7 for the prucluctS or such other Specilications US may have been
expressly agreed to in wilting by Purchaser and Seller. SELLER MAKES NO O 'II ILR WARRANTIES. EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY
WARRANTY OF hNIFRCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Dcterminalion ui' the suitability of the Product supplied hereunder I'or the uses Lind appli-
cmionS conleinpla[Cd by Purchaser and others shall be die sole responsibility of PurchMCI% PIIrCIIII ILy]MmeS Lill risk and liability resulting from file handling, use. storage or resale of
the products dclivcred hereunder; whether used. handled, stored or resold singly nr in combination with other Products, and Purchaser asks to indemnify and hold Seller harmless
against any and all loss. damages, liability, cost and expense (including reasonable attorneys' fees)_ arising out of such use, handling. storage or resale. Scller assumes no obligation or
liability for the technical advice given by Seller Stith Laference In the use of die PrOdLICk of results ohtained iliml oat, and Lill such advice is given and accepted at Purchaser's risk,
6. LIMITAPIONS OF I-IABILIFY
Lt. PURCHASER HEREBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSEQUENTIAL DAMAGES, LOSS OF OR DAMAGE TO GOODWILL OR ANY OTHER
SPECIAL, DIRL-Ch, INDIRECT OR INCIDENTAL DANIAGES, EVEN IF SELLER HAS BHFN ADVISED OF OR HAS NOTICE OP THE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER'S EXCLUSIVE REMEDY WfTH RFSPECa 'I'O ANY CLAIM, WHETHER IN CONTRACf.'rORT OR STRICT LIABILITY OR OTHERWISE, IN RESPECT
OF THG PRODUCTS SOLD III REUNDIFR SHALL BE EXPRESSLY LIMITED70 TIIE AMOUNTOFTHE PURCHASE PRICE OF SUCH PRODUCTOR THE REPLACEMENT
OF SUCH PRODUCT.
b_ FAILURE BY PURCHASERI'O GIVE Wltll`fEN WITHIN 30 DAYS FROM THE DATE OF DELIVERY OF SUCH PRODUCT SHALL
CONSTITUTE A WAIVER BY PURCHASER OP ALI. CLAIMS IN RESPECT OF SUCH PRODUCE NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED IfO
SELLER WITHOUT SELLER'S PERM)SSEON, NO CLAINI SHALL BF. ALLOWABLE. AFTER ANY SUCH PRODUCT HAS BEEN PROCI�SSED IN ANY MANNER.
T Containers /Cylinders
a. All rcmnhable containers and cylinders remain the property ofthe Seller and must be returned to Scllcr.
h. Container and gdindcr deposits will lie forfeilcd if axtlainers are not 1'etumed NVIlhlll 40 days of shipnhenl, unless otherwise agreed to in writing by Seller. In addition to the
forfCiturc of any such deposit, PerehaFCI Shall remain liable for rat amount etpiat to the dillerence between the deposit and the replacemem cost of any returnable container or
cylinder which is not rculrned to SCller.
C Purchaser a recs to accept full responsibility and liability liar the disposal of note- Ictumablc containers and cvhIldersa in Strlet compliance Willi all laws and regulations.
d. Purchaser shall indemnify and hoed Scllcr harmless agaillu any chtint, loss, damage or expense arising front Purchaser's handling, use. storige or disposal of any container nr
cylinder.
e. Seller reserves the riglu to charge Purchaser with den urrage for ally returMahlc container or cylinder.
H. Returned Nlatemll
No u,dlt ,ill he issued for matcriil returned unless Scllcr has green tc linen Consent Ill such return. All returned tnalcriad is suhjCCI. to a WSlockina charge.
9. Credits
Any credit issued by Scllcr to Purchaser; may only he applied against the !inure purchase of Products by Purchaser and will not be paid in cash. Any Such credit will expire one year
after the date nI issuance, and Scllcr will has °c no obligation 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.
M, General
Lt. This Document shah not he assignable in whole or in part by Purchaser without the prior written consent of Scllcr:
h. Unless stated to the contrary elsewhere in this Document. no action, regardless of for ill, au icing out of the sale or delivery of product hereunder, may he commenced more than one
year utter the cause of action has accrued, except that an action for nonpavrncnt nr Ibr IailurC 10 morn containers and cylinders may be brought at ;illy little_
c. Seller's waiver of any hreach, or failure to enforce ant' of the Icrliha and conditions Of Ihts Agreement. at any time. shall not in any way affect, limit or waive Seller'S light there-
after to enforce and compel strict compliance with each and every term and condition hereof. The acceptance by the Scllcr of any paymcm after the Specified due date shall not
constitute a waiver of the Purchaser's. obligation to make further payments on (he, spccillcd dates.
d. This Agreement shall be governed by and enforced in accordance with the laws of the state in which [tic Sellet's corporate office is tocmed without reference to its conflict of law
rules. Purchaser by taking delivery of all or any items shall be conclusively deemed to have cernuned to personal jurisdiction in the above mentioned state.
e The terms and conditions herein constitute the entire agreement between Scllcr and Purchaser and may not he modified or amended except by a writing executed by an authorized
officer of Seller and no modification shall he effected by the parties' course of dealing or the acknowludg1nenl or acceptance of purchase order forms containing terms or condi-
lions in addition lu or at variance with those set forth herein.
f. [Pauly provision or provisions of this Document shall be held to be illegal or unenforceable the legality and enforcuahility of (tic remaining provisions shall not in any way be affect-
ed or impaired.
g. Products shall be delivered to Purchaser as indicted on the face hercOE lull unless otherwise indicated, Purchaser shall be responsible for the payment of all freight and
transportation charpes from Seller's point of loading to the delivery address specified on the [Lice hereof. Delivery dates are approximate and are predicated on the prompt receipt
by Scllcr ill all necessary information amd documentation from Purchaser.
h, Unless Purchaser is authorized to distribute the products delivered hereunder pursuant to a written agreement With Seiler, Seller agrees that the product is Supplied to Purchaser for
Purchaser's' imor'mll use only. and Purchaser may not rcpackaEC, reed) or otherwise distribute the product to third parties without the express written consent of Seller—
i. In tine even) that Purchaser and Seller cngagc in any electronic transactions, includin bill not limited lo, clecnYmic data interchange or facsimile exchanges, such elcctomic
exchanges shall be considered as valid and legally bindini, and Shall be subject to dhc leans and conditiros of this Agrcement,
Prescribed State Board of Accounts ACCOUNTS PAYABLE VOUCHER
F�:rm No. 301 01 -S (Rev. 1995)
TO
ADDRESS
Inv8ice Date Invoice Number Item Amount
1
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
19
Signature Title
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.
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
BRPNa fA Favor Of
'3716
Chia 4 v D6B6 y
Total Amount of Voucher
Deductions
/N 55®! ;Z
00 100 00
Amount of Warrant
Month of 19
VOUCHER RECORD A No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325