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HomeMy WebLinkAbout206130 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1 i ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS CHECK AMOUNT: $22,716.80 CARMEL, INDIANA 46032 P 0 BOX 116232 ATLANTA GA 30368 -6232 CHECK NUMBER: 206130 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 95752997 22,716.80 OTHER EXPENSES ASHLANAE INVOICE ORIGINAL Page 1(1) Invoice Number Invoice Date F 22 e Date 0 95752997 23 Jan 2012 Feb 2012 t` M Hercules Incorporated P.O.Number Payment Terms Payer Number N Hercules Plaza S12sss Days 441113 r Ln 1313 North Market Street Wilmington DE 19894 -0001 Shipped From ales Order Num Bill -To Number USA I AHWT GREENSBORO DYLE ST PL PKG 4598192 441113 Remittance instructions below Bill of Lading Number Incoterms DAP Dest Prepaid Ship -To Number 3587650 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 Qty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount Number USD 8 IBC 657240 PRAESTOL K 274 FLX IBC 1000L 1201517 18,320 LB 1.2400 22,716.80 1201537 Should you have any questions regarding this Invoice Total invoice, please contact USD 22,716.80 THERESA BOES at 999-999-9999 Remit to ACH Credit Wire transfer P.O. Box 116232 Hercules Incorporated Hercules Incorporated ATLANTA GA 30368 -6232 Account Number:71522253 Account Number:30813889 Clearing House EPN (Electron Citibank NA Bank-ID: 021052053 bank-ID: 021000089 Please refer to the invoice number on the remittance. Please return remittance advice with your payment. Comments: Federal ID number 51- 0023450 The terms and conditions of this sale are set forth at http:/ /www.ashland.com /salesterms. Print date 24 Jan 2012 visit us at www.ashland.com VOUCHER 116706 WARRANT ALLOWED 358405 IN SUM OF ASHLAND SPECIALITY CHEMICALS PO BOX 116735 Atlanta, GA 30368 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 95752997 01- 7182 -05 $22,716.80 Voucher Total $22,716.80 Cost distribution ledger classification if claim paid under vehicle highway fund 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 2/6/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/6/2012 95752997 $22,716.80 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