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Home My WebLink About228454 1 /28/2014 CITY OF CARMEL, INDIANA VENDOR: 359584 Page 1 of 1 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $18,994.10 CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY a ,oN.o CHICAGO IL 60686 CHECK NUMBER: 228454 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 BMS631877 13 , 116 . 60 OTHER EXPENSES 601 5023990 BMS63513S 194 . 75 OTHER EXPENSES 601 5023990 BMS635136 5, 682 . 75 OTHER EXPENSES BREI NTNG ...... BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS631877 INV DATE: 1/02/14 *** PAGE 1 OF 1 *** DUE DATE: 2/01/14 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: 1/02/14 TERMS NET 30 DAYS B/L #. . 522311-00 SHIP WHS : 29 SALESPRSN: 294 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK BULK CUSTOMER PO#: VERBAL FOB . . : DELIVERED TAX EX# : 356000972-001-9 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 40880.0000 437426 10. 280 40880.0000# . 3200 13,081 .60 1 .0000 # BULK HYDROFLUOSILICIC ACID 23% >A BLK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC * 3796 RELIABLE PARKWAY * CHICAGO IL 60686-0037 * MERCHANDISE 13,081 .60 INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 2/01/14 INVOICE TOTAL USD 13,116 .60 PAID AFTER 2/01/14 INVOICE TOTAL USD 13, 378.93 Original Document >TtaF 3 BRENNTAG : law BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS635136 INV DATE: 1/13/14 *** PAGE 1 OF 2 *** DUE DATE: 2/12/14 SOLD TO: SHIP TO: CARMEL WASTE WATER CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/13/14 TERMS NET 30 DAYS B/L #. . 536573-00 SHIP WHS : 29 SALESPRSN: 294 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# .2700 540 .00 2000 .0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- 80.0000 805002 1 . 000 4000 . 0000# 1 .2370 4,948.00 50. 0000 # BAG SODIUM FLUORIDE GRAN >A F/S -------------------------------------------------------------------------------- 3 .0000 873311 11 . 870 450.0000# . 3550 159. 75 150 . 0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- Original Document sc:F BRENNTAG ...... BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS635136 INV DATE: 1/13/14 *** PAGE 2 OF 2 *** DUE DATE: 2/12/14 SOLD TO: SHIP TO: Attach to Invoice# BMS635136 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 5,647 . 75 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 2/12/14 INVOICE TOTAL USD 5,682.75 PAID AFTER 2/12/14 INVOICE TOTAL USD 5,796 .41 Original Document $,c:F 3 BRENNTAG .._.. BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS635135 INV DATE: 1/13/14 *** PAGE 1 OF 1 *** DUE DATE: 2/12/14 SOLD TO: SHIP TO: CARMEL WASTE WATER CARMEL WATER, PLANT 3 3450 WEST 131ST STREET 4425 E . 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 1/13/14 TERMS NET 30 DAYS B/L #. . . . . 536576-00 SHIP WHS : 29 SALESPRSN: 294 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: JERRY FOB . . : DELIVERED TAX EX# : 35600972-001-9 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 3 .0000 873311 11 . 870 450 . 0000# . 3550 159 . 75 150.0000 # 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 159. 75 INS & SEC SURCHARGE 35 .00 ----------------- PAID ON OR PRIOR TO 2/12/14 INVOICE TOTAL USD 194. 75 PAID AFTER 2/12/14 INVOICE TOTAL USD 198.65 Original Document ?�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 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 631877 $13,116.60 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 5-11-10-1.6 311,1 Date Officer VOUCHER # 133852 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 631877 01-6180-03 $13,116.60 �35r'� S `� � °l�•Z5 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund