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Home My WebLink About214968 12/04/2012 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: $1,502.50 CHICAGO IL 60686 CHECK NUMBER: 214968 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 333366 555 . 00 OTHER EXPENSES 601 5023990 333367 235 . 00 OTHER EXPENSES 601 5023990 333368 712 . 50 OTHER EXPENSES BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333368 INV DATE: 11/26/12 ** PAGE 1 OF 1 *** DUE DATE: 12/26/12 SOLD TO: SHIP T0: 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: 11/26/12 TERMS NET 30 DAYS B/L #. . . . 140718-00 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 12/26/12 INVOICE TOTAL USD 712 . PAID AFTER 12/26/12 INVOICE TOTAL USD 726. 75 Original Document MF BRENNTAG AWN BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333367 INV DATE: 11/26/12 *** PAGE 1 OF 1 *** DUE DATE: 12/26/12 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: 11/26/12 TERMS NET 30 DAYS B/L #. . . . 140720-00 SHIP WHS : 29 SALESPRSN: 294 CUSTOMER # . : 407542 �L, SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY Cb' l 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 12/26/12 INVOICE TOTAL USD 235 .00 PAID AFTER 12/26/12 INVOICE TOTAL USD 239. 70 Original Document 31"x8 i BRENNTAG ..._... BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS333366 INV DATE: 11/26/12 ** PAGE 1 OF 1 *** DUE DATE: 12/26/12 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: 11/26/12 TERMS NET 30 DAYS B/L #. . . . 140721-00 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 12/26/12 INVOICE TOTAL USD 555.00 PAID AFTER 12/26/12 INVOICE TOTAL USD 566.10 Original Document KU 3 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 11/28/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/28/201', 333366 $555.00 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 # 122894 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 333366 01-6180-03 $555.00 -3333(p It a "CD 3 333LA� If Voucher Total I III-)Qa 50$sg_�P_o Cost distribution ledger classification if claim paid under vehicle highway fund