250694 10/21/15 u�'C4gM
S'' ;f - CITY OF CARMEL, INDIANA VENDOR: 117785
® ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $«""""""460.16«
s: CARMEL, INDIANA 46032 PO BOX 68310 CHECK NUMBER: 250694
+,,.TON co, INDIANAPOLIS IN 46268 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22427983 460.16 OTHER EXPENSES
Z A FERGUSON ENTERPRISE
,Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE4220 Saguaro Trail
Indianapolis,IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :9/17/2015
Ship To#: 1
000155 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 US
invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative
12427983 9/17/2015 Net 30 S15463 Barbara Roberts 0
Order No. Order Date I Ship Via Customer Reference Customer Service Contact 1
S02590578 9/17/2015 IN00 Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 EA 104495 "Pumie" Pumice Scour PUM12 2.20000 2.20
Stick 72 Sticks/Case
1.00 1.00 CS 109216 KC 07001 Cottonelle 07001 66.97000 66.97
Coreless Tissue 2ply
36/800/cs
3.00 3.00 CS 172143 KC 25639 Kleenex 25639 81.92000 245.76
MOD HRT Roll Towel
Wht 700' 6rl/cs
1.00 1.00 CS 119936 Spartan Germicidal 710203 21.00000 21.00
Bowl Cleaner 23% HCL
Quart 7102 12/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 CS 112384 HP Can Liner 43x47 RP-S4694-X 48.98000 48.98
XXH Black Hevi-Tough
100/cs (10/10)
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 EA 999907 Fuel Surcharge 1003081 11.95000 11.95
Backorders Remaining
Item No. UOM Description quantity
114058 CS KC 05843 WypAll L30 1.00
--- - Econoiviizer Wiper - - -
11 x10.4 W ht 24/70/cs
Remit to and make checks payable to: Subtotal: 460.16
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 460.16
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 460.16
Page 1
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply. Reference online at:
http://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 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 10/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! 12427983 $460.16
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
'0///,/�s
Date Officer
VOUCHER # 156454 WARRANT # i ALLOWED
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 Audit Trail Code
12427983 01-7202-05 $460.16
Voucher Total $460.16
Cost distribution ledger classification if
claim paid under vehicle highway fund