245143 05/13/15 ��%'� �. CITY OF CARMEL, INDIANA VENDOR: 117785 ■**M*M 4 ■
® ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $ 606.32
,9 ,=a CARMEL, INDIANA 46032 PO BOX 68310 CHECK NUMBER: 245143
°j�ZroN"�°' INDIANAPOLIS IN 46268 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I2293595 606.32 OTHER EXPENSES
CM'dYY.Y{
0AFERGUSON 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:4/27/2015
Ship To#: 1
000250 CARMEL WASTEWATER TRTMNT I
SOLD TO#:Co01915 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 US
Invoice No. I Invoice Date Terms Customer Purchase Order No. Sales Representative
12293595 4/27/2015 Net 30 S15046 Barbara Roberts 0
-- Osdar-No. -Order-Date --Ship-via - - - _custorner-Refererlce - - -Customer Service Qcniaci
S02452234 4/24/2015 IN00 Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 EA 175060 ProTeam Super Coach 107303 377.52000 377.52
Pro 10 Hepa w/Xover
Tool Kt D# 107100
1.00 1.00 CS 132007 GOJO 9674 Purell Aloe 9674-12 52.70000 52.70
Hand Sanitizer 8oz
Pump 12/cs
1.00 1.00 CS 172142 KC 25703 Scott MOD 25703 89.50000 89.50
HRT Roll Towel Wht
1150'6rl/cs
1.00 1.00 CS 109217 KC 04007 Coreless 04007 53.45000 53.45
Tissue W ht 36/1000/cs
1.00 1.00 EA 104495 "Pumie" Pumice Scour PUM12 2.20000 2.20
Stick 72 Sticks/Case
6.00 6.00 EA 116251 HP General Purpose 5906 0.65000 3.90
Trigger Sprayer Red 9-
7/8"5906 200/cs
6.00 6.00 EA 108487 HP Plastic Spray Bottle 5032WG 0.75000 4.50
No Logo 32oz 5032WG
96/cs
2.00 2.00 BX 107649 Lens Cleaning LCT100 5.30000 10.60
Towelettes Anti-
Fog/Anti-Stat 100/bx
10bx/cs
1.00 1.00 EA 999907 Fuel Surcharge 1003081 11.95000 11.95
Remit to and make checks payable to: Subtotal: 606.32
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 606.32
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 606.32
Pagel
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply. Reference online at:
http://www.wolseloyna.com/terms_conditionsSale.htmi
q
VOUCHER # 155451 WARRANT # %{ ALLOWED
117785 IN SUM OF $
HP PRODUCTS
PO BOX 68310
Indianapolis, IN 46268
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
I
PO# INV# ACCT# AMOUNT `i Audit Trail Code
12293595 01-7202-05 $606.32 (I1
1�
i I
ISI
� I
it
I
1
IIII
1
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Voucher Total $606.32
Cost distribution ledger classification if
claim paid under vehicle highway fund
�I
Prescribed by State Board of Accounts i
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
i
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 5/5/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
5/5/2015 12293595 $606.32
t
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 5-1 1-10-1.6
I /n�
Date Officer
I