HomeMy WebLinkAbout217972 03/13/2013 �,. 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: $565.00
CHICAGO IL 60686
„o CHECK NUMBER: 217972
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BMS388323 565 . 00 OTHER EXPENSES
BRENNTAG .....
BRENNTAG MID-SOUTH, INC.
1405 HIGHWAY 136 WEST
PO BOX 20
HENDERSON KY 42419-0020
INVOICE#: BMS388323 INV DATE: 2/21/ *** PA 1 OF 1 ***
DUE DATE: 3/2 /13
SOLD TO: SHIP TO:
CARMEL WASTE WATER HAZEL DELL
3450 WEST 131ST STREET 9609 HAZEL DELL
CARMEL IN 46074 CARMEL IN 46280
FEDERAL ID #: 610504545 DATE SHIPPED: 2/21/13 TERMS . : NET 30 DAYS
B/L #. . . 213666-00 SHIP WHS : 29 SALESPRSN: 299
CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG
CUSTOMER PO#: S13486 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
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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 3/23/13 INVOICE TOTAL USD 565 .00
PAID AFTER 3/23/13 INVOICE TOTAL USD 576 . 30
Original Document
t
VOUCHER # 135074 WARRANT # ALLOWED
359584 IN SUM OF $
BRENNTAG (ULRICH)
3796 Reliable Parkway "
CHICAGO, IL 60686
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
J
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
BMS388323 01-7182-05 $565.00
I
I
Voucher Total $565.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 (ULRICH) Purchase Order No.
3796 Reliable Parkway Terms
CHICAGO, IL 60686 Due Date 3/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2013 BMS388323 $565.00
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