244493 04/21/15 Q
CITY OF CARMEL, INDIANA VENDOR: 117785
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: S""""511.44'
CARMEL, INDIANA 46032 PO BOX 68310 CHECK NUMBER: 244493
INDIANAPOLIS IN 46268 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22276629 511.44 OTHER EXPENSES
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AFERGUSON ErMRPRM
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail
Indianapolis,IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :4/8/2015
Ship To#: 1
000209** CARMEL WASTEWATER TRTMNT I
SOLD TO#:0001915 9609 HAZEL DELL PKWY
CARMEL WASTEWATER TRTMNT PLANT *DEL B T 8-3:30 CLOSED 12-1 **
9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280
INDIANAPOLIS IN 46280-2935 US
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
12276629 4/8/2015 Net 30 S14995 Barbara Roberts 0
Order No- Order Date_ Ship'VW Customer Reference F Customer Service Contact
S02435888 4/8/2015 IN00 Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 112384 HP Can Liner 43x47 RP-S4694-X 46.06000 46.06
XXH Black Hevi-Tough
100/cs (10/10)
6.00 6.00 EA 108487 HP Plastic Spray Bottle 5032WG 0.75000 4.50
No Logo 32oz 5032WG
96/cs
6.00 6.00 EA 116251 HP General Purpose 5906 0.65000 3.90
Trigger Sprayer Red 9-
7/8"5906 200/cs
1.00 1.00 CS 120023 Spartan UriGard U For 860000 58.65000 58.65
Urinals 8600 6/cs
1.00 1.00 CS 114058 KC 05843 WypAll L30 05843 55.80000 55.80
EconoMizer Wiper
11 x10.4 W ht 24/70/cs
1.00 1.00 BX 107649 Lens Cleaning LCT100 5.30000 5.30
Towelettes Anti-
Fog/Anti-Stat 100/bx
10bx/cs
1.00 1.00 CS 111819 3M Scotch Brite Medium 20688 48.15000 48.15
Duty Scrub Sponge# 74
20/cs
1.00 1.00 CS 111847 3M Doodlebug Brown 08004 32.65000 32.65
Pad# 8541 4/5/cs
1.00 1.00 EA 122919 RM 2643-60 Exec FG264360BI 42.85000 42.85
Vented 44gl Brute
Container-Black 4/cs
- #:00-- -- - 1--OG-E-A =,l 311-0 - -F3,1-2640=BRU:T-E:-Dell,FG2E-44JO5B1-�-4F..45000
Bla (for 2620, 2632,
2643, 2655 Cont)2cs
2.00 2.00 EA 113289 RM 2642 Brute Caddy FG264200YI 37.65000 75.30
Bag Yellow 6/cs
1.00 1.00 BX 108273 Terry Towel White Rag 4051 LBTTW 23.90000 23.90
w/Finished Edges
Page 1
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply. Reference online at:
http://www.wolseleyna.com/terms_conditionsSale.html
0 A FERrUMN ENTERPRISE
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail
Indianapolis,IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date:4/8/2015
Ship To#: 1
CARMEL WASTEWATER TRTMNT i
SOLD TO#:C001915 9609 HAZEL DELL PKWY
CARMEL WASTEWATER TRTMNT PLANT *DEL B T 8-3:30 CLOSED 12-1 **
9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280
INDIANAPOLIS IN 46280-2935 US
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
12276629 4/8/2015 Net 30 S14995 Barbara Roberts 0
Order No. Order Date Shi Via Customer Reference _ Customer Service Contact
S02435888 4/8/2015 IN00 Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
12"X12"10Ib/bx
1.00 1.00 EA 111925 3M Doodlebug Pad 08542 56.98000 56.98
Holder# 6472 4.625x10
with Pads, Kit 1/ea
8542 4EA/CS
1.00 1.00 EA 999907 Fuel Surcharge 1003081 11.95000 11.95
Remit to and make checks payable to: Subtotal: 511.44
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 511.44
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 511.44
Page 2
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply.Reference online at:
hftp://www.wolseleyna.com/terms_conditionsSale.htmi
'I
VOUCHER # 155337 WARRANT # ALLOWED
i�
117785 IN SUM OF $
HP PRODUCTS
PO BOX 68310
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT y Audit Trail Code
I
12276629 01-7202-05 $511.44
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Voucher Total $511.44
Cost distribution ledger classification if y
claim paid under vehicle highway fund
Prescribed by State Board of Accounts t 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
117785
HP PRODUCTS Purchase Order No.
PO BOX 68310 Terms
Indianapolis, IN 46268 Due Date 4/15/2015
i
Invoice Invoice Description
Date Number (or note attached iinvoice(s) or bill(s)) Amount
4/15/2015 12276629 ; $511.44
f
A
r
F
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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
Date Officer
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