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HomeMy WebLinkAbout204166 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $5,317.50 a, /o CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHICAGO IL 60686 CHECK NUMBER: 204166 CHECK DATE: 12/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 122627 5,317.50 OTHER EXPENSES BRENNTAG INVOICE BMS122627 INV DATE: 11/22/11 PAGE 2 OF 2 DUE DATE: 12/22/11 SOLD TO: SHIP TO: Attach to Invoice# BMS122627 CARMEL WATER, PLANT 5 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED CONTINUED FROM PREVIOUS PAGE QUESTIONS, CALL 317 -898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 5,292.50 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 12/22/11 INVOICE TOTAL 5,317.50 PAID AFTER 12/22/11 INVOICE TOTAL 5,423.85 Original Document QRENNTAG INVOICE BMS122627 INV DATE: 11/22/11* PAGE 1 OF 2 DUE DATE: 12/22/11 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID 610504545 DATE SHIPPED: 11/22/11 TERMS NET 30 DAYS B/L 867704 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG CUSTOMER PO JERRY FOB DELIVERED TAX EX# 356000972 -001 -9 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 1.0000 253418 11.870 2000.0000# .2650 530.00 2000.0000 CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 80.0000 805002 1.000 4000.0000# 1.1250 4,500.00 50.0000 BAG SOD FLUORIDE GRAN >A F/S 5.0000 873311 11.870 750.0000# .3500 262.50 150.0000 CYL CHLORINE, LIQUID (BMS ONLY) >A RPK Original Document 3 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 359584 BRENNTAG MID -SOUTH INC Purchase Order No. 3796 RELIABLE PARKWAY Terms CHICAGO, IL 60686 -0037 Due Date 11/29/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/29/201' 122627 $5,317.50 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 12 -12-1 c'-_ Date Officer VOUCHER 113061 WARRANT ALLOWED 359584 IN SUM OF BRENNTAG MID -SOUTH INC 3796 RELIABLE PARKWAY CHICAGO, IL 60686 -0037 OP qq� S Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 122627 01- 6180 -03 $5,317.50 Voucher Total $5,317.50 Cost distribution ledger classification if claim paid under vehicle highway fund