241713 02/03/15 ` I
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CITY OF CARMEL, INDIANA VENDOR: 368740
b ONE CIVIC SQUARE FERGUSON ENTERPRISES, INC #1480 CHECK AMOUNT: $********96.02*
CARMEL, INDIANA 46032 PO BOX 802817 CHECK NUMBER: 241713
CHICAGO IL 60680-2817 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4796739 96.02 OTHER EXPENSES
%%FERGUSON INVOICE NUMBER i ;','CUSTOMER .; PAGE
ENTERPRISES, WOLSELEY 4796739 182128 1 of 1
INC*Nzz�� INgIMT CROUP
5420 WEST 84TH STREET PLEASE REFER TO INVOICE NUMBER WHEN
INDIANAPOLIS, IN 46268-1519 MAKING PAYMENT AND REMIT TO:
FERGUSON ENTERPRISES INC#1480
PO BOX 802817
Please contact with Questions: 317-872-8876 CHICAGO, IL 60680-2817
CARMEL UTILITIES
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE. 1 10
290 290 INE S14752 BSB 01/26/15 1722205
ORDERED', .-;,SHIPPED',' ITEM NUMBER''� DESCRIPTION UNIT PRICE' UM ' AMOUNT
1 1 MUL063096 8X6 PVC SWR GXGXG TEE 36.696 EA 36.70
1 1 F100288SR 8 CLAY X 8 CI SHIELDED COUP 30.588 EA 30.59
1 1 F105688SR 8X8 SHEAR RNG COUP CI PLAS 28.728 EA 28.73
INVOICE SUB-TOTAL 96.02
........................................
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LEAD LAW W NTNG:IT IS ILLEGAL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS WTH'NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION.
Thankyour ou for businessv
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $96.02
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://woIseleyna.com/terms_conditionsSale.htmI
and are incorporated by reference. Seller may convert checks to ACH.
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
00353162
FERGUSON ENTERPRISES, INC Purchase Order No.
PO BOX 802817 Terms
CHICAGO, IL 60680-2817 Due Date 1/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2015 4796739 $96.02
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
VOUCHER # 146605 WARRANT # ALLOWED
00353162 IN SUM OF $
FERGUSON ENTERPRISES, INC
PO BOX 802817
CHICAGO, IL 60680-2817
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4796739 01-7200-02 $96.02
Voucher Total $96.02
Cost distribution ledger classification if
claim paid under vehicle highway fund