HomeMy WebLinkAbout214232 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 358405 Page 1 of 1
` ONE CIVIC SQUARE ASHLAND SPECIALTY CHEMICALS
% CARMEL, INDIANA 46032 P 0 BOX 116232 CHECK AMOUNT: $22,716.80
ATLANTA GA 30368-6232
CHECK NUMBER: 214232
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 130093056 22 , 716 . 80 OTHER EXPENSES
�SHL�NU® INVOICE ORIGINAL
Page 1(1)
Invoice Number FInvooice Date Due Date
0 130093056 ct 2012 18 Nov 2012
�o
mo Hercules Incorporated P.O.Number Payment Terms Payer Number
M 8145 Blazer Drive S13325 Net 30 Days 11441113
o Wilmington DE 19808
USA Shipped From ales Order Num Bill To Number
AHWT GREENSBORO DYLE ST PL PKG 6213833 441113
Remittance instructions below
Bill of Lading Number Incoterms:DAP Dest Prepaid Ship-To Number
120149162 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
Oty. UoM Material Number Material Description Batch Billing Qty UoM Unit Price Amount
Number USD
e IBC 657240 PRAESTOL K 274 FLX IBC 1000L 1210517 18,320 LB 1.2400 22,716.80
Should you have any questions regarding this Invoice Total
nvoice,please contact USD 22,716.80
-HERESA BOES
4 866-280-9028
emit to ACH Credit Wire transfer
O.Box 116232 Hercules Incorporated Hercules Incorporated
rLANTA GA 30368-6232 Account Number:71522253 Account Number:30813889
Clearing House-EPN(Electron Citibank NA
Bank-ID:021052053 Bank-ID:021000089
ease refer to the invoice number on the remittance.
ease return remittance advice with your payment.
mments:
feral ID number 51-0023450
terms and conditions of this sale are set forth at http://www.ashiand.com/salesterms.
Print date 20 Oct 2012
visit us at www.ashland.com
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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 10/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/201: 130093056 $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
VOUCHER # 126015 WARRANT # ALLOWED
358405 IN SUM OF $
ASHLAND SPECIALITY CHEMICALS
PO BOX tM745 116 Z-,3-Z_
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
130093056 01-7182-05 $22,716.80
Voucher Total $22,716.80
Cost distribution ledger classification if
claim paid under vehicle highway fund