168179 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 362304 Page 1 of 1
ONE CIVIC SQUARE SAIA MOTOR FREIGHT LINE INC CHECK AMOUNT: $254.98
CARMEL, INDIANA 46032 PO BOX 730532
DALLAS TX 75373
CHECK NUMBER: 168179
CHECK DATE: 1/2112009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER A DE
601 5023990 W08570 57514254560 254.98 FLUORIDE
SAIA MOTOR FREIGHT LINE, INC. QUESTIONS OR INQUIRIES
P:6. BOX A STATION 1 PHONE: 800- 950 -7242
HOUMA, LA 70363 985- 868 -1030
STATEMENT NUMBER: 4160888
FREIGHT BILL DATE BOL OR INTL# CHARGES
57514254560 0920095 254.98
Want to track a shipment or get a quote?
Calculate rates or complete a BOL online? STATEMENT TOTAL: 254.98
Check out www.Saia.com. PAGE: 1
PI FACE nFTArN Awn CIIRMiT WTTN PAYMENT a
i INVOICE NUMBER
FREIGHT LINE ORIGINAL INVOICE REFER TO THIS NUMBER
DATE I BILLER ACCTS.REC. I DUE SAIA I DUE C/L DESTINATION ORIGIN PAGE 3
2/04/08 RA 7 7 254 .98 IND STL 7 14254560
HYDRITE CHEMICAL COMPANY PURCHASE ORDER NO.SHIPPER'S NUMBER
1 5485 E 126TH ST
CARMEL UTILITIES R OUTE c IERS RO DATE NoJUNCTIONS
�CARMEL IN 46033 DRIVER'S No. 5757714
SSOLVAY CHEMICALS INCORPORATED B CARMEL UTILITIES
Y3500 MISSOURI AVE 5484 E 126TH ST PLANT 6
L ORTON IL 62207 T CARMEL IN 46033
No. PCS. HN DESCRIPTION OF ARTICLES WEIGHT RATE TOTAL CHARGES
FUEL SURCHARGE FS 35.39
R DESIGNATED R8VMgUL NOT
MET
59.00% DISCOUNT DISCNT 294.41-
80 TOTAL PIECES 4,000 254.98PPD
BL# 80920095
PO# TH08241 /VERBAL
The freight bill may be subject to further discounts or allowances. PT
P.O. BOX 730532
Y DALLAS, TX 75373 -0532
s>sis,
emu®
00355 00004 rb1209r6
S4 1 p k INVOICE NUMBER 4T FREIGHT LINE ORIGINAL INVOICE REFER TO THIS N
DATE 1 BILLER ACCTS.REC. DUE SAIA I DUE C/L DESTINATION ORIGIN
2/04/08 RAC 9700575 2 54.98 1 IND STL 57514254560
HYDRITE CHEMICAL COMPANY PURCHASE ORDER NO.SHIPPER'S NUMBER
5485 E 126TH ST
CARMEL UTILITIES ROUTE CARRIERS PRO DATE A No.JUNCTIONS
tCARMEL IN 46033
DRIVER'S No. 5757714
SSOLVAY CHEMICALS INCORPORATED B CARMEL UTILITIES
Y3500 MISSOURI AVE 5484 E 126TH ST PLANT 6
RALORTON IL 62207 T CARMEL IN 46033
No. PCs. HNI DESCRIPTION OF ART ICLES WEIGHT RATE TOTAL CHARGES
80 X HG SODIUM 60 4000 9.98 399.20
FLUORIDE, 6.1,UN1690,I11
ON 2 PALLETS. 2PLT
317 571 -2669 CCPHON
UNABLE TO COUNT UTC
BL# 80920095
PO# TH08241 /VERBAL
The freight bill may be subject to further discounts or allowances. P
A P.O. BOX 730532
Y DALLAS, TX 75373 -0532
S INVOICE NUMBER IT FREIGHT LINE ORIGINAL INVOICE REFER TO THIS NUMBER
DATE 1 BILLER ACCTS.REC. I DUE SAIA I DUE C/L DESTINATION ORIGIN PAGE 2
12/04/08 IRAC 19700575 1 254.98 1 IND I STL 57514254560
RITE CHEMICAL COMPANY PUR CWSE ORDER NO.SHIPPER'S NUMBER
5485 E 126TH ST
CARMEL UTILITIES R OUTE CARRIERS PRO DATE No.JUNCTIONS
CARMEL IN 46033
DRIVER'S No. 5757714
S SO LVAY CHEMICALS TWORP5 RATED B CARMEL UTILITIE
Y 3500 MISSOURI AVE 5484 E 126TH ST PLANT 6
R ALORTON IL 62207 T CARMEL IN 46033
No. PCS. HM DESCRIPTION OF ARTICLES WEIGHT RATE TOTAL CHARGES
EMERGEN /CHEM CTREC
1- 800 424 -9300 8
HAZARDOUS MATERIAL CHG HAZMAT 15.00
INLAND 568
RUSH RUSH= =RUSH= =RUSH RUSH
DEFICIT DEF 1000 9.98 99.80
BL# 80920095
PO# TH08241 /VERBAL
The freight bill may be subject to further discounts or allowances. 153LIX MOTOR FREIGHT JUIRE, INC.
p T� P.O. BOX 730532
00355 00003 rbl209r6 Y DALLAS, TX 75373 -0532
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
362304
SAIA MOTOR FRIEGHT LINE INC Purchase Order No.
PO BOX 730532 Terms
DALLAS, TX 75373 -0532 Due Date 12/31/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/2001 5751425456( $254.98
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
�Z
Date Officer
VOUCHER 084035 WARRANT ALLOWED
362304 IN SUM OF
•ISAIA MOTOR FRIEGHT LINE IV94r
PO BOX 730532 i n
DALLAS, TX 75373 -0532
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
57514254560 01- 6180 -03 $254.98
i
Voucher Total $254.98
Cost distribution ledger classification if
claim paid under vehicle highway fund