241017 01/13/15 a u.C4AM
CITY OF CARMEL, INDIANA VENDOR: 369030
;; ® ONE CIVIC SQUARE HDS WHITE CAP CONST SUPPLY CHECK AMOUNT: $***....282.56*
?4 CARMEL, INDIANA 46032 PO BOX 4852 CHECK NUMBER: 241017
'e,�roN�. ORLANDO FL 32802-4852 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10002758454 282.56 OTHER EXPENSES
HODSUPPLY. INVOICE
CONSTRUCTION& INDUSTRIAL BRANCH ADDRESS iCt,N 0
WHITE CAP 151 -INDIANAPOLIS 10002758454
(317)260-4300 ICE IJAT071z
Credit Services 501 W.Church Street, Orlando,FL 32805-2247 7130 W.MC CARTY ST.
INDIANAPOLIS IN 46241 12/08/2014
CUSTOMER=PO'
S14622
ENROLLMENT TOKEN; LKS MMM FRW
TERRITORY:
MIf PAY
I WENTITO:,"
SOLD TO: 193439 SHIP TO: 193439 HDS WHITE CAP CONST SUPPLY
1374 1 AB 0.406 E0006X 1008 01171062172 P2307738 0001:0001 P.O.Box 4852
ORLANDO,FL 32802-4852
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES-193439
760 3RD AVE SW STE 110 760 THIRD AVE SW
CARMEL IN 46032-2070 STE110
CARMEL IN 46032
'BORDER DATEM
N
12/08/2014 15389167 DUANE JARVIS KUNTZ, RICHARD R EWING,ANDREW J
�CTVS&o 7—
P tjfjNG1 1W
151 193439 NET 30 DAYS 5.WALK IN
Iff 1�� EXTENDED �TAX
'S
LINEy PARTNUMBEi A OU t;;,
ORICE,,'
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1 257RX101TFT 1-1/4"XII/2"RX101T WATERSTOP SOLD/FT 120 1.99 FT 0 120 238.80 0.00
CETCO
2 257CETSEALIO 10.10Z CETSEAL SEALANT ADHESIVE CETCO 2 8.49 EA 0 2 16.98 0.00
3 438432297 30OZ TUBE SIKAFLEX 1 CSL LIMESTONE SELF 2 13.39 EA 0 2 26.78 0.00
LEVELING URETHANE SEALANT SIKA
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For questions regarding this invoice please call 1-800-WHITECAP TOTAL GROSS 282.56
(1-800-944-8322).
NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE TOTAL TAX 0.00
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conditions. AND HANDLING
RECEIVED BY: SIGNATURE COPY ON FILE T.QTALINVOICE 282.56
e'niit.t61i'dclr
—91�s ey-
,Jqu ar g 6( e� §Ah"resslshCw Page 1 of I
0001:0001
i
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
365285
HD SUPPLY CONSTRUCTION & INDUSTRIAL Purchase Order No.
PO BOX 4852 Terms
ORLANDO, FL 32802-4852 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 1000275845-, $282.56
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
t
VOUCHER # 146367 WARRANT # ALLOWED
365285 � - IN SUM OF $
H D Ste'P LY-eO_N.ST,1�U.S-T �l Alp�,
PO BOX 4852
ORLANDO, FL 32802-4852 /
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10002758454 01-7202-06 $282.56
Voucher Total $282.56
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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