240763 01/07/15 CITY OF CARMEL, INDIANA VENDOR: 366864
® ONE CIVIC SQUARE NETWORK SERVICES COMPANY CHECK AMOUNT: $*****1,016.41*
CARMEL, INDIANA 46032 LOCKBOX 231805 CHECK NUMBER: 240763
1805 MONUMENTUM PLACE CHECK DATE: 01/07/15
Ml pN L°'
CHICAGO IL 6068 9-5 31 8
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4239099 24664 I2168976 1,016.41 STATION SUPPLIES
' REMIT AND MAKE CHECK PAYABLE TO:
network services company
® Lockbox 231805
_ 1805 Momentum Place
Pal Chicago, IL 60689-5318
Network Services Company
Network services agent and local distributor
HP Products,Agt.# 108-00
(800)382 5326,Fax(317)291-5737
Date :12/15/2014
Ship To #: 3
000010 STATION 42
SOLD TO#:CO21876 3610 W 106TH ST
NSC NATIONAL IPA/CITY OF CARMEL FIRE D CARMEL, IN 46032
2 CARMEL CIVIC SQ US
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative
12168976 12/15/2014 Net 30 Scott Osborne 12/12/14 Barbara Roberts 0
----Order No.- - Order Date I Ship Via I Customer Reference Customer Service Contact
S02324768 12/12/2014 IN00 Extension# 1300
Notes
PLEASE CALL GARY CARTER @ 317-508-5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN &HE WILL
INSTRUCT WERE TO DELIVER).
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
4.00 4.00 CS 119992 Spartan SparCling 9.5% 710803 28.94000 115.76
Bowl Cleaner Quart
7108 12/cs
6.00 6.00 CS 128544 KC 91552 Luxury Foam 91552 37.21000 223.26
Skin Clnsr Cassette
1000 m 16/cs
12.00 12.00 CS 110160 Johnson 4705 Glance 4705 24.55000 294.60
Glass/Surface Cleaner
Quart 12/32oz/cs
4705
5.00 5.00 CS 162281 KC 04460 Standard 04460 41.07000 205.35
2PIyTissue Wht
80/550/cs
4.00 4.00 CS 116617 Johnson 4277285 Oxivir 4277285 44.36000 177.44
TB Cleaner RTU Quart
12/32oz/cs
4277285
Remit to and make checks payable to : Subtotal: 1,016.41
Network Services Company Sales tax: 0.00
Lockbox 231805 Invoice total: 1,016.41
1805 Momentum Place Amount paid: 0.00
Chicago, IL 60689-5318 Total due: 1,016.41
(800) 382-5326, Fax(317) 291-
Pagel
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply.Reference online at:
http://www.wolseleyna.com/terms_conditionsSale.htmi
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12168976 $1,016.41
i
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
20
Clerk-Treasurer
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Network Services Company
Lockbox 231805 IN SUM OF $
1805 Momentum Place
Chicago, IL 60689-5318
$1,016.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24664 12168976 42-390.99 $1,016.41 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
I A as I� 7ti'!tr
�. tY
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund