177098 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS
CARMEL, INDIANA 46032 CHECK AMOUNT: $20,884.80
P O BOX 116735
ATLANTA GA 30368 -6735 CHECK NUMBER: 177098
CHECK DATE: 9/15/2009
DEPARTMENT ACC OUN T PO NUMB INV NUM BER A MOUNT DESCRIPTION
651 T 5023990 S11835 92743863 20,884.80 PRAESTOL
hr
AAm� �ii'' INVOICE
ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0 92743863 27 Aug 2009 26 Sep 2009
M
l0
00 P.O.Number Payment Terms Payer Number
M S11835 Net 30 Days 441113
Shipped From Carrier Bill -To Number
GREENSBORO DOYLE ST PLANT PKG R AND L CARRIERS 441113
1 Bill of Lading Number Incoterms DDP nest, Fri Prepaid Ship -To Number
1985340 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
oty. UoM Material Number Material Description Batch Billing Qty UOM Unit Price Amount
Number USD
s IBC 657240 PRAESTOL K 274 FLX IBC 10001 0907918 18,320 LB 1.1400 20,884.80
0908502
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 Account Number:0968468 Account Number.40502427
Mellon Bk NA Citibank NA
Bank -ID 043000261 Bank-ID: 021000069
Please refer to the invoice number on the remittance.
Please return remittance advice with your payment.
Comments:
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 Aug 2009
visit us at www.ashiand.com
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 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 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 92743863 $20,884.80
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date ff r
VOUCHER 096338 WARRANT ALLOWED
358405 IN SUM OF
ASHLAND SPECIALITY CHEMICALS
PO BOX 116735
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
PO INV ACCT AMOUNT Audit Trail Code
92743863 01- 7182 -05 $20,884.80
G l
Voucher Total $20,884.80
Cost distribution ledger classification if
claim paid under vehicle highway fund