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Home My WebLink About172202 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1 ONE CIVIC SQUARE ASHLAND INC CHECK AMOUNT: $1,145.97 CARMEL, INDIANA 46032 P 0 BOX 116735 ATLANTA GA 30368 CHECK NUMBER: 172202 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOU DESCRIPTION 1110 4231500 20112 92432664 1,145.97 55 GALLON DRUM OF OIL I 1•-1LL�N�® REMITTANCE ADVICE ORIGINAL 4 Page 1(1) Invoice Number Invoice Date Due Date 92432664 27 Apr 2009 27 May 2009 q+ P.O,Number Payment Terms Payer Number 20112 Net 30 Days 344796 r Shipped From Carrier Bill -To Number NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DOP Dest, Frt Prepaid Ship -To Number 1739212 344799 Billing address Shipping address CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SQ 3400 W 131 ST ST CARMEL IN 46032 -2584 CARMEL IN 46032 Qty. UoM Material Number Material Description Batch Billing Qt UoM Unit Price Amount Number USD 1 DR UM741 ULTRAMAX 5W30 DR 55 GA 1 DR 422.9000 422.90 1 DR VV378 ATF DEXRON VI 1/55 GA 1 DR 718.9900 718.99 Fuel /EnergySurcharge 4.08 I Should you have any questions regarding this Invoice Total invoice, please contact USD 1,145.97 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 Sk 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: poa 20112 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 28 Apr 2009 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE C1 I y o Carmel CERTIFICATE NO. 003120155 002 0 f lL Y 1i PURCHASE ORDER NUMBER i Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 30,N, CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AM 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 Apr'il 23, 2009 oil trassmission flihid SHIP VENDOR Ashland TO City of Cammel Mainteannee Facility P.O. Box 116735 3400 W. 131st Street Atlanta, GA 30368 Westfield, IN 46074 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 55 gallnn drum of oil 415.64 1 55 gallnn drum of transmission fluid 718.99 ga Send Invoice To: PLEASE INVOICE IN DUPLICATE 1.134 DEPARTMENT ACCOUNT PROJECT, PROJECT ACCOUNT AMOUNT 1110 316 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 SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL .4 SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of POlice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 201; CLERK TREASURER DOCUMENT CONTROL NO. .COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. W WA'^RANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE 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 Stale 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. 20112F 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)) 4/27/09 92432664 payment for:-oil and tranmi §Ilion fluid 1.145.97 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. WAORANT NO. ALLOWED 20 A shland IN SUM OF P.O. Box 116735 Atlanta, GA 30368 -6735 1,145.97 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 20112F 92432664 315 1,145.97 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 May 7 20 09 r Si nature Chef of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund