170296 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS
CARMEL, INDIANA 46032 P 0 e0x 7247 -7261 CHECK AMOUNT: $20,864.80
PHILADELPHIA PA 19170 -7261 CHECK NUMBER: 170296
CHECK DATE: 41112009
D EPARTMENT ACCOUNT PO NUMBER INVOICE, NUMBER AMOUNT DESCRIPTION�
651 5023990 82330919 20,884.80 OTHER EXPENSES
d;�■ INVOICE ORIGINAL
Page 1(1)
Invoice Number Invoice Date Due Date
0 92330919 17 Mar 2009 16 Apr 2009
m
Cn P.O.Number Payment Terms Payer Number
S11640 Net 30 Days 441113
M
Cn
Shipped From Carrier Bill -To Number
GREENSBORO DOYLE ST PLANT PKG R AND L CARRIERS 441113
Bill of Lading Number Incoterms DDP Dest. Fn Prepaid 7FShip-To Number
1664821 1442287
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
s IBC 657240 PRAESTOL K 274 FLX IBC 1000L 0903522 18,320 LB 1.1400 20,884.80
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
PA. Box 116735 Ashland Inc. Ashland Inc.
ATLANTA GA 30368.6735 AccountNumber.0968468 Account Number:40502427
Mellon Bk 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:
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 /salesterrns.
Print date 18 Mar 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
r
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 7247 -7261 Terms
PHILADELPHIA, PA 191707261 Due Date 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 92330919 $20,884.80
g
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
1�/9C�-
Date Officer
VQJCHER 095302 WARRANT ALLOWED
35.8405 IN SUM OF
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ASHLAND SPECIALITY CHEMICALS
PO BOX 7247 -7261
PHILADELPHIA, PA 191707261
Carmel Wastewater Utility
4UN ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
92330919 01- 7182 -05 $20,884.80
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a_.
Voucher Total $20,884.80
Cost distribution ledger classification if
claim paid under vehicle highway fund