HomeMy WebLinkAbout206157 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
p ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
T CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $1,822.50
ss CHICAGO IL 60686
CHECK NUMBER: 206157
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 154358 712.50 OTHER EXPENSES
601 5023990 154359 555.00 OTHER EXPENSES
651 5023990 BMS146859 555.00 OTHER EXPENSES
BRENNTAG
ANW
INVOICE BMS146859 INV DATE: 1/12/12 AGE
DUE DATE: 2/11/12
SOLD TO: SHIP TO:
CARMEL WASTE WATER HAZEL DELL
3450 WEST 131ST STREET 9609 HAZEL DELL
CARMEL IN 46074 CARMEL IN 46280
FEDERAL ID 610504545 DATE SHIPPED: 1/12/12 TERMS NET 30 DAYS
B/L 903007 -00 SHIP WHS: 29 SALESPRSN: 294
CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO 512943 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
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 530.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 2/11/12 INVOICE TOTAL 555.00
PAID AFTER 2/11/12 INVOICE TOTAL 566.10
Original Document
W
i
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
BREENTAG (ULRICH) Purchase Order No.
Terms
Due Date 2/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2012 BMS146859 $555.00
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
2.1 jo /ice
Date Officer
VOUCHER 116752 WARRANT ALLOWED
359584 IN SUM OF
BREENTAG (ULRICH)
PA k uJ A�
C�i c Ag o
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
BMS146859 01- 7182 -05 $555.00
Voucher Total $555.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
INVOICE BMS154358 INV DATE: 1/26/12 PAGE 1 OF 1
DUE DATE: 2/25/12
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: 1/26/12 TERMS NET 30 DAYS
B/L 911734 -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
3.0000 873311 11.870 450.0000# .3500 157.50
150.0000 CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
QUESTIONS, CALL 317 -898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 687.50
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 2/25/12 INVOICE TOTAL 712.50
PAID AFTER 2/25/12 INVOICE TOTAL 726.75
Original Document
i,rF
BRENNTAG
INVOICE BMS154359 INV DATE: 1/26/12 PAGE 1 OF 1
DUE DATE: 2/25/12
SOLD TO: SHIP TO:
CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4
3450 WEST 131ST STREET 10675 N. GRAY ROAD
CARMEL IN 46074 CARMEL IN 46032
FEDERAL ID 610504545 DATE SHIPPED: 1/26/12 TERMS NET 30 DAYS
B/L 911737 -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
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 530.00
INS SEC SURCHARGE 25.00
PAID ON OR PRIOR TO 2/25/12 INVOICE TOTAL 555.00
PAID AFTER 2/25/12 INVOICE TOTAL 566.10
Original Document
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 2/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2012 154358 $712.50
I 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
Date Officer
VOUCHER 113682 WARRANT ALLOWED
359584 IN SUM OF
BRENNTAG MID -SOUTH INC
3796 RELIABLE PARKWAY WAS
CHICAGO, IL 60686 -0037 OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
154358 01- 6180 -03 $712.50,
1 1 555, (ob�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund