HomeMy WebLinkAbout217566 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1
0 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $3,782.50
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 217566
CHECK DATE: 2/2612013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 379181 565 . 00 OTHER EXPENSES
601 5023990 379182 3 , 025 . 00 OTHER EXPENSES
601 5023990 379183 192 . 50 OTHER EXPENSES
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS379182 INV DATE: 2/08/13 *** PAGE 1 OF 2 ***
DUE DATE: 3/10/13
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: 2/08/13 TERMS NET 30 DAYS
B/L #. . . . . 198678-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: JARED CLOUD 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
--------------------------------------------------------------------------------
40. 0000 805002 1 . 000 2000 . 0000# 1 . 1250 2, 250 . 00
50 . 0000 # BAG SOD FLUORIDE GRAN
>A F/S
--------------------------------------------------------------------------------
4.0000 873311 11 . 870 600 .0000# . 3500 210 . 00
150 . 0000 # CYL CHLORINE, LIQUID (BMS ONLY)
>A RPK
--------------------------------------------------------------------------------
Original Document
i
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS379182 INV DATE: 2/08/13 *** PAGE 2 OF 2 ***
DUE DATE: 3/10/13
SOLD TO: SHIP TO:
Attach to Invoice# BMS379182 CARMEL WATER, PLANT 5
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
*** CONTINUED FROM PREVIOUS PAGE ***
QUESTIONS, CALL 317-898-8632
***************************************
* REMIT TO ADDRESS :
* BRENNTAG MID-SOUTH, INC
* 3796 RELIABLE PARKWAY
* CHICAGO IL 60686-0037 * MERCHANDISE 2, 990 . 00
*************************************** INS & SEC SURCHARGE 35 . 00
-----------------
PAID ON OR PRIOR TO 3/10/13 INVOICE TOTAL USD 3 ,025 . 00
PAID AFTER 3/10/13 INVOICE TOTAL USD 85 . 50
Original Document
s�:s
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS379183 INV DATE: 2/08/13 *** PAGE 1 OF 1 ***
DUE DATE: 3/10/13
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: 2/08/13 TERMS NET 30 DAYS
B/L #. . 198668-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: JARED CLOUD FOB . . : DELIVERED
TAX EX# : 35600972-001-9
UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
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 157 . 50
*************************************** INS & SEC SURCHARGE 35 . 00
-----------------
PAID ON OR PRIOR TO 3/10/13 INVOICE TOTAL USD 192 .50
PAID AFTER 3/10/13 INVOICE TOTAL USD 196 . 35
Original Document
?:uF
BRENNTAG
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS379181 INV DATE: 2/08/13 *** PAGE 1 OF 1 ***
DUE DATE: 3/10/13
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: 2/08/13 TERMS NET 30 DAYS
B/L #. . 198672-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: JARED CLOUD 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 35 .00
-----------------
PAID ON OR PRIOR TO 3/10/13 INVOICE TOTAL USD �565O�
PAID AFTER 3/10/13 INVOICE TOTAL USD 576 . 30
Original Document
S,F
a
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 2/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2013 379182 $3,025.00
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 # 123551 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
379182 01-6180-03 n $3,025.00
3-I`t19-3 11 1qj Z5Ca
3-7 91x1
Voucher Total 31 2 5c
Cost distribution ledger classification if
claim paid under vehicle highway fund