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Home My WebLink About209938 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 0 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $20,357.80 CHICAGO IL 60686 CHECK NUMBER: 209938 CHECK DATE: 6/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 224971 14,277.80 OTHER EXPENSES 601 5023990 229656 555.00 OTHER EXPENSES 601 5023990 229657 235.00 OTHER EXPENSES 601 5023990 229658 765.00 OTHER EXPENSES 601 5023990 232531 4,525.00 OTHER EXPENSES BRENNTAG BRENNTAG MID SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419 -0020 INVOICE BMS232531 INV DATE: 6/05/12 PAGE 1 OF 1 DUE DATE: 7/05/12 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: 6/05/12 TERMS NET 30 DAYS B/L 8244 -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 80.0000 805002 1.000 4000.0000# 1.1250 4,500.00 50.0000 BAG SOD FLUORIDE GRAN >A F/S QUESTIONS, CALL 317- 898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 4,500.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 7/05/12 INVOICE TOTAL 4,525.00 PAID AFTER 7/05/12 INVOICE TOTAL 4,615.50 Original Document ?f�F BRENNTAG BRENNTAG MID SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419 -0020 INVOICE BMS229656 INV DATE: 5/30/12 PAGE 1 OF 1 DUE DATE: 6/29/12 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: 5/30/12 TERMS NET 30 DAYS B/L 3969 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG CUSTOMER PO VERBAL 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 6/29/12 INVOICE TOTAL 555.00 PAID AFTER 6/29/12 INVOICE TOTAL 566.10 Original Document ?IaF BRENNTAG BRENNTAG MID SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419 -0020 INVOICE BMS229657 INV DATE: 5/30/12 PAGE 1 OF 1 DUE DATE: 6/29/12 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID 610504545 DATE SHIPPED: 5/30/12 TERMS NET 30 DAYS B/L 3962 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG CUSTOMER PO VERBAL FOB DELIVERED TAX EX# 35600972 -001 -9 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 4.0000 873311 11.870 600.0000# .3500 210.00 150.0000 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 210.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 6/29/12 INVOICE TOTAL 235.00 PAID AFTER 6/29/12 INVOICE TOTAL 239.70 Original Document ?la`F i BRENNTAG BRENNTAG MID SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419 -0020 INVOICE BMS229658 INV DATE: 5/30/12 PAGE 1 OF 1 DUE DATE: 6/29/12 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: 5/30/12 TERMS NET 30 DAYS B/L 3971 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 407542 SHIP VIA: OUR TRUCK PKG CUSTOMER PO VERBAL 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 4.0000 873311 11.870 600.0000# .3500 210.00 150.0000 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 740.00 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 6/29/12 INVOICE TOTAL 765.00 PAID AFTER 6/29/12 INVOICE TOTAL 780.30 Original Document ?laF i BRENNTAG BRENNTAG MID SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 ,,11 HENDERSON KY 42419- 0020'V INVOICE BMS224971 INV DATE: 5/23/12 PAGE 1 OF 1 DUE DATE: 6/22/12 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID 610504545 DATE SHIPPED: 5/23/12 TERMS NET 30 DAYS B/L 997879 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 407542 SHIP VIA: OUR TRUCK -BULK CUSTOMER PO JERRY FOB DELIVERED TAX EX# 356000972 -001 -9 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 44540.0000 437426 10.280 44540.0000# .3200 14,252.80 1.0000 BULK HYDROFLUOSILICIC ACID 23% >A BLK QUESTIONS, CALL 317- 898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 14,252.80 INS SEC SURCHARGE 25.00 PAID ON OR PRIOR TO 6/22/12 INVOICE TOTAL 14,277.80 PAID AFTER 6/22/12 INVOICE TOTAL 14,563.36 Original Document ?�F 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 6/11/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/11/2012 232531 $4,525.00 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 121140 WARRANT ALLOWED 359584 IN SUM OF BRENNTAG MID -SOUTH INC 3796 RELIABLE PARKWAY CHICAGO, IL 60686 -0037 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 232531 01- 6180 -03 $4,525.00 ILA a 17. 1 3b Voucher Total $4,525.00 Cost distribution ledger classification if claim paid under vehicle highway fund