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249976 09/24/15 ia�'-'4�AMR� �;; CITY OF CARMEL, INDIANA VENDOR: 366864 CHECK AMOUNT: $""*"***709.98* d "„ ONE CIVIC SQUARE NETWORK SERVICES COMPANY r ?� CARMEL, INDIANA 46032 LOCKBOX 231805 CHECK NUMBER: 249976 1805 MONLIMENTLIM PLACE CHECK DATE: 09/24/15 9y�rON.�� CHICAGO IL 60689-5318 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4238900 I2410721 709.98 OTHER MAINT SUPPLIES REMIT AND MAKE CHECK PAYABLE TO: network services company Lockbox 231805 1805 Momentum Place Chicago, IL 60689-5318 Network Services Company Network services agent and local distributor HP Products,Agt.# 108-00 (800)382 5326,Fax(317)291-5737 Date:8/31/2015 Ship To#: 1 000132 CITY OF CARMEL FIRE DEPT SOLD TO#:CO21876 2 CIVIC SQ NSC NATIONAL IPA/CITY OF CARMEL FIRE D CARMEL, IN 46032 2 CARMEL CIVIC SQ US CARMEL IN 46032 Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative 12410721 8/31/2015 Net 30 Scott 8-31-15 Barbara Roberts 0 Order No. Order Date Ship Via I Customer Reference Customer Service Contact S02573554 8/31/2015 IN00 Extension# 1300 Ordered B/O Shipped UOM Item No:--'Description --MFG-Item#– Unit Price Amount- 6.00 6.00 CS 112384 HP Can Liner 43x47 RP-S4694-X 30.99000 185.94 XXH Black Hevi-Tough 100/cs (10/10) 12.00 12.00 CS 114336 KC 02000 HRT White 02000 43.67000 524.04 Hard Roll Towel 8x950' 6/cs Remit to and make checks payable to: Subtotal: 709.98 Network Services Company Sales tax: 0.00 Lockbox 231805 Invoice total: 709.98 1805 Momentum Place Amount paid: 0.00 Chicago, IL 60689-5318 Total due: 709.98 (800) 382-5326, Fax(317) 291- Page 1 -- - - -THANK YOU FOR-YOUR BUSINESS. -- Standard Terms and Conditions Apply.Reference online at: http://www.wolsoleyna.com/terms—conditionsSale.htmi I l VOUCHER NO. WARRANT NO. ALLOWED 20 its Ng,_ro �1 e6 IN SUM OF$ Iri iaolis N46i 68st 'Y`it�1 ' �0,1 t"4)- $709.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 12410721 42-389.00 $709.98 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 SEP 2 1 2015 Fire Chief ;1 Title Cost distribution ledger classification if claim paid motor vehicle highway fund l 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)) 12410721 $709.98 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