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Home My WebLink About217566 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