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Home My WebLink About167565 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 359460 Page 1 of 1 ONE CIVIC SQUARE ASHLAND INC CARMEL, INDIANA 46032 P 0 BOX 116735 CHECK AMOUNT: $951.19 ATLANTA GA 30368 CHECK NUMBER: 167565 CHECK DATE: 1/7/2009 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 92134535 5.25 OIL 1110 R4231500. 18995 92134535 945.94 OIL AC ANO INVOICE ORIGINAL Page 1(1) Invoice Number Invoice Date Due Date 0 92134535 18 Dec 2008 17 Jan 2009 m Ln P.O.Number Payment Terms Payer Number 18995 Net 30 Days 344796 c+1 rl Shipped From Carrier Bill -To Number NOBLESVILLE HERRIMAN BLVD PKGD ASHLAND FLEET INDIANAPOLIS 15280 344796 Bill of Lading Number Incoterms DDP Dest, Frt Prepaid Ship -To Number 1510597 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 oty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount Number USD 2 DR UM741 ULTRAMAX 5W30 DR 55 GA 2 DR 472.9750 945.95 Fuel /EnergySurcharge 5.24 I I Should you have any questions regarding this Invoice Total invoice, please contact USD 951.19 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 10:043000261 Bank-ID: 021000089 Please refer to the invoice number on the remittance. Please return remittance advice with your payment. Comments: 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 19 Dec 2008 visit us at www.ashiand.com INDIANA RETAIL TAX EXEMPT PAGE Cipy Carmel CERTIFICATE NO. 003120155 002 0 f of PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1899 350: 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 I REQUISITION NO. VENDOR NO. DESCRIPTION December 17, 2 08 oil VENDROR Asjxhand SHIP City of Carmel Dolice Department P.O. Box 116735 TO 3 Civic Square Atlanta, GA 3036886735 Carmml, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 gallon dramms of oil 472.97 945.94 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 315 o0l 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. y C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ft .��F�.C:X 7i'T PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 CLERK TREASURER DOCUMENT CONTROL NO A. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. 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 I 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 Ashland Purchase Order No. 18995RF 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)) 12/18/08 92134535 payment for 2 55 gallon drums of oil 951.19 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 V CHER NO. WARRANT NO. ALLOWED 20 Asp land IN SUM OF P.O. Box 116735 Atlanta, GA 30368 -6735 951.19 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 18995RF 92134535 315 951.19 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 January 2 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund