169381 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351986 Page 1 of 1
ONE CIVIC SQUARE CARGILL INC SALT DIVISION
0 CHECK AMOUNT: $17,908.56
CARMEL, INDIANA 46032 PO BOX 640283
PITTSBURG PA 15264 -0283 CHECK NUMBER: 169381
CHECK DATE: 314/2009
DEPARTMENT` ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236500 18733 2464416 17,908.56 ROAD DE -ICING SALT
INVOICE
TERMS: Net 30 Days NO, 2469916
INV DATE: 02/17/2009 LIST INVOICE NUMBERS
DUE DATE: 03/19/2009 ON CHECK STUB.
Mail CARGILL, INCORPORATED
Checks P O BOX 640283 Page: 1 of 1
Only TO: PITTSBURGH PA 15264 -0283
SHIP TO: CARMEL CITY OF BILL TO: CARMEL CITY nF
3400 WEST 131ST 3400 WEST 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 96074
CUSTOMER SERVICE: 800 600 -7258 Cargill Deicing Technology 41
OUST PO NO. 18758 SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLS E NO, so 2174598 062 60033071 50399931 2/17/2009
SHIPPED FROM CARRIER FREIGHT TERM TICKET NUMBER
Indianpolis IN 4090 BROOKFIELD TRANSPORT, INC Freight Prepaid 1139622
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
1139622 Indianpolis IN 4090 48,020.0000 24.0100 70.5200
1139626 Indianpolis IN 4090 40,080.0000 20.0400 70.5200
1139628 Indianpolis IN 4090 41,880.0000 20.9400 70.5200
1139629 Indianpolis IN 4090 43,160.0000 21.5800 70.5200
1139630 Indianpolis IN 4090 41,860.0000 20.9300 70.5200
1139637 Indianpolis IN 4090 37,1D0.0000 18.5500 70.5200
1139638 Indianpolis IN 4090 48,720.0000 24.3600 70.5200
1139640 Indianpolis IN 4090 38,340.0000 19.1700 70.5200
1139641 Indianpolis IN 4090 41,1D0.0000 20.8500 70.5200
1139642 Indianpolis IN 4090 40,600.0000 20.3000 70.5200
1139645 Indianpolis IN 4090 38,740.0000 19.3700 70.5200
1139646 Indianpolis IN 409D 97,700.0000 23.8500 70.5200
8545 BULK CLEARLANE ENHANCED DEICER TN 253.9500
This sale of goods is subject to the terms and conditions of sale Found at
http: /www. cargillsalt .com /cargillsalt /clause.html.
A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 800 377 -1017 or at the above- referenced website_
Seller represents that with respect to the production of the goods covered UOM NET 507, 900. oo INVOICE 17, 908.5
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
regulations and orders of the United States Department of Labor issued
under Section 14 thereof.
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/17/09 2464416 $17,908.56
1 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
VOUCHER NO. WAR N
ALLOWED 20
Cargill, Inc.
IN SUM OF
P -O. Box 98220
Chicago, IL 60693 -8220
$1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
18733 2464416 42- 365.00 $17,908.56 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
a riday, F ru lr, 7, 2009
i
Street Commission
free: -i%arnrnlssEoner
Cost distribution ledger classification if
claim paid motor vehicle highway fund