179117 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS
CARMEL, INDIANA 46032 P 0 BOX 116735 CHECK AMOUNT: $20,884.80
ATLANTA GA 30368 -6735 CHECK NUMBER: 179117
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 92876967 20,884.80 OTHER EXPENSES
INVOICE ORIGINAL
Page 1 (1)
Invoice Number Invoice Date Due Date
0 92876967 19 Oct 2009 18 Nov 2009
t`
rn P.O.Number Payment Terms Payer Number
to S11877 Net 30 Days 441113
00
Shipped From Carrier Bill -To Number
GREENSBORO DOYLE ST PLANT PKG R AND L CARRIERS 441113
Bill of Lading Number Incoterms DDP Dest, Frt Prepaid Ship -To Number
2089489 442287
Billing address Shipping address
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS IN 46280
Qty. UoM Material Number Material Description Batch Billing City UoM Unit Price Amount
Number USD
a IBC 657240 PRAESTOL K 274 FLX IBC 1000L 0909533 18,320 LB 1.1400 20,884.80
0909867
Should you have any questions regarding this Invoice Total
invoice, please contact USD 20,884.80
MARSHA WAYMAN
at 866 -280 -9028
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 -ID: 043000261 Bank -kD: 021000089
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment.
r ments:
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 /Ywww.ashIand.com /salesterms.
Print date 20 Oct 2009
visit us at www.ashiand.com
Prescribed by State Board of Accounts City Form No. 201 (Rev 1990
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, 'kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358405
ASHLAND SPECIALITY CHEMICALS Purchase Order No.
PO BOX 116735 Terms
Atlanta, GA 30368 Due Date 11!212009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/212009 92876967 $20,884.80
lj
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOI.��CHEf� 096658 WARRANT ALLOWED
r"
368405 IN SUM OF
ASHLAND SPECIALITY CHEMICALS
PO BOX 116735
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
rL
Board members
PO INV ACCT AMOUNT Audit Trail Code
92876967 01- 7202 -06 $20,884.80
11 !l
w
r
Voucher Total $20,884.80
Cost distribution ledger classification if
claim paid under vehicle highway fund