248460 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 366864
b i! ONE CIVIC SQUARE NETWORK SERVICES COMPANY CHECK AMOUNT: S"""»210.60'
�. CARMEL, INDIANA 46032 LOCKBOX 231805 CHECK NUMBER: 248460
9 fTUN ` 1805 MONUMENTUM PLACE CHECK DATE: 08/12/15
CHICAGO IL 60689-5318
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 I2381959 210.60 SPECIAL DEPT SUPPLIES
® REMIT AND MAKE CHECK PAYABLE TO:J
. network services company
Lockbox 231805
1805 Momentum Place
- ,rP
_. Chicago, It-60689-5318
Network Services Company
Network services agent-and local disirbutor
HP Products,Agt.# 108-00
(800)382 5326,Fax(317)291-5737
Date :7/31/2015
Ship To #: 1
000035 CITY OF CARMEL FIRE DEPT
SOLD TO#:CO21876 2 CIVIC SQ
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 Representative
12381959 7/31/2015 Net 30 G Carter Barbara Roberts 0
Ords.--NG. Order Datis i Customer Reference Oustomer Service Contact �
S02542131 7/29/2015 WILLCALL Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 CS 138509 Eyesaline Eyewash 32-000455-0 105.30000 210.60
32oz Bottle 12/cs
Remit to and make checks payable to : Subtotal: 210.60
Network Services Company Sales tax: 0.00
Lockbox 231805 Invoice total: 210.60
1805 Momentum Place Amount paid: 0.00
Chicago, IL 60689-5318 Total due: 210.60
(800) 382-5326, Fax (317) 291-
Page 1
THANK YOt) FOR YOUR --
Standard'T'ernls and Conditions Apply. Reference online at:
http:/I'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))
12381959 $210.60
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Network Services Company
Lockbox 231805 IN SUM OF $
1805 Momentum Place
Chicago, IL 60689-5318
$210.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1120 12381959 42-390.11 $210.60 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
AUG 10 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund