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Home My WebLink About219248 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $19,052.20 CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHICAGO IL 60686 CHECK NUMBER: 219248 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 BMS418165 4, 535 . 00 OTHER EXPENSES 601 5023990 BMS418166 565 . 00 OTHER EXPENSES 601 5023990 BMS418167 192 . 50 OTHER EXPENSES 601 5023990 BMS418168 617 . 50 OTHER EXPENSES 601 5023990 BMS419326 13 , 142 . 20 OTHER EXPENSES BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS419326 INV DATE: 4/04/13 *** PAGE 1 OF 1 * * DUE DATE: 5/04/13 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 Ut6j -5 FEDERAL ID #: 610504545 DATE SHIPPED: 4/04/13 TERMS NET 30 DAYS B/L #. . . . 252673-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK -BULK CUSTOMER PO#: JERRY FOB . . : DELIVERED TAX EX# : 356000972-001-9 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED ------------------------------------------------------------------ 40960 .0000 437426 10 . 280 40960 .0000# . 3200 13,107 . 20 1 .0000 # BULK HYDROFLUOSILICIC ACID 23% >A BLK -------------------------------------------------------------------------------- I QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS : * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 13, 107 .20 ' **'� **** ************************* INS & SEC SURCHARGE 35 . 00 ----------------- PAID ON OR PRIOR TO 5/04/13 INVOICE TOTAL USD 13,142 .20 PAID AFTER 5/04/13 INVOICE TOTAL USD 04 Original Document �;F BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS418168 INV DATE: 4/03/13 ** PAGE 1 OF 1 *** DUE DATE : 5/03/13 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 i FEDERAL ID #: 610504545 DATE SHIPPED: 4/03/13 TERMS NET 30 DAYS B/L #. . 252739-00 SHIP WHS : 29 SALESPRSN: 299 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 -------------------------------------------------------------------------------- 1 . 0000 873311 11 . 870 150 .0000# . 3500 52 . 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 582 .50 *************************************** INS & SEC SURCHARGE 35 .00 PAID ON OR PRIOR TO 5/03/13 INVOICE TOTAL USD 617 . 50 PAID AFTER 5/03/13 INVOICE TOTAL USD 629 . 85 Original Document Jis{ BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS418167 INV DATE: 4/03/13 *** PAGE 1 OF 1 *** DUE DATE: 5/03/13 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 I FEDERAL ID #: 610504545 DATE SHIPPED: 4/03/13 TERMS NET 30 DAYS B/L #. . 252738-00 SHIP WHS : 29 SALESPRSN: 299 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY C�� 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 -------------------------------------------------------------------------------- I 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 5/03/13 INVOICE TOTAL USD 192 .50 PAID AFTER 5/03/13 INVOICE TOTAL USD 196 . 35 Original Document ✓1 F a BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS418165 INV DATE : 4/03/13 *** PAGE 1 OF 1 *** DUE DATE: 5/03/13 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 U`�"D FEDERAL ID #: 610504545 DATE SHIPPED: 4/03/13 TERMS NET 30 DAYS B/L #. . 252743-00 SHIP WHS : 29 SALESPRSN: 299 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 -------------------------------------------------------------------------------- 80 .0000 805002 1 . 000 4000 . 0000# 1 . 1250 4,500 .00 50.0000 # BAG SOD FLUORIDE GRAN >A F/S -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 I *************************************** * 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 5/03/13 INVOICE TOTAL USD 4,535 .00 PAID AFTER 5/03/13 INVOICE TOTAL USD 4,625 . 70 Original Document .'MF BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS418166 INV DATE : 4/03/13 *** PAGE 1 OF 1 *** DUE DATE: 5/03/13 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 (a : FEDERAL ID #: 610504545 DATE SHIPPED: 4/03/13 TERMS NET 30 DAYS B/L #. . 252731-00 SHIP WHS : 29 SALESPRSN: 299 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 -------------------------------------------------------------------------------- I 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 -15 00 ------ ---------- PAID ON OR PRIOR TO 5/03/13 INVOICE TOTAL USD 565 . 00 PAID AFTER 5/03/13 INVOICE TOTAL USD 576 . 30 Original Document fi;F 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 4/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/15/2013 419326 $13,142.20 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 ybS Date Officer VOUCHER # 131336 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 419326 01-6180-03 $13,142.20 IT DO ti ` j $I1,S " Lt535LD Lb 91L�. �► 5lv5_GD Voucher Total .9,.,Y$ Cost Cost distribution ledger classification if claim paid under vehicle highway fund