HomeMy WebLinkAbout216358 01/15/2013 a CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $5,100.00
CHICAGO IL 60686 CHECK NUMBER: 216358
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BMS352339 4, 535 . 00 OTHER EXPENSES
601 5023990 BMS352340 565 . 00 OTHER EXPENSES
BRENNTAG A�.
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS352339 INV DATE : 1/03/13 ** PAGE 1 OF 1 **
DUE DATE : 2/02/13
SOLD T0: 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: 1/03/13 TERMS NET 30 DAYS
B/L #. . 162937-00 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
---------------------------------------------------
80 . 0000 805002 1 . 000 4000 . 0000# 1 . 1250 4, 500 . 00
50 .0000 # BAG SOD FLUORIDE GRAN
F/5----------------------------------------------------------- ------------------
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 35 . 00
-----------------
PAID ON OR PRIOR TO 2/02/13 INVOICE TOTAL USD 4,535 . 00
PAID AFTER 2/02/13 INVOICE TOTAL USD 4, 625. 70
Original Document
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BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS352340 INV DATE: 1/03/13 ** PAGE 1 OF 1 ***
DUE DATE: 2/02/13
SOLD T0: SHIP T0:
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: 1/03/13 TERMS NET 30 DAYS
B/L #. . 162926-00 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 # QTY UNIT PRICE WGT/GAL TOTAL Q EXTENDED
-------- -------------------------------
---------- ---- __________ _
1 . 0000 253418 11 . 870 2000 . 0000# 2650
530 . 00
2000 . 0000 # CYL CHLORINE, LIQUID (BMS ONLY)
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 35 .00
PAID ON OR PRIOR TO 2/02/13 INVOICE TOTAL USD 565 . 00
PAID AFTER 2/02/13 INVOICE TOTAL USD 576 . 30
Original Document
M,
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 1/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/2013 352339 $4,535.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
�-
Date Officer
VOUCHER # 123267 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
352339 01-6180-03 $$4,535.00
Voucher Total 51 M M $
Cost distribution ledger classification if
claim paid under vehicle highway fund