251198 11/04/15 r t�q
CITY OF CARMEL, INDIANA VENDOR: 366864
® 31 ONE CIVIC SQUARE NETWORK SERVICES COMPANY CHECK AMOUNT: $*****1,487.49*
�4 CARMEL, INDIANA 46032 LOCKBOX 231805 CHECK NUMBER: 251 198
*y�roN. 1805 MONUMENTUM PLACE CHECK DATE: 11/04/15
CHICAGO IL 60689-5318
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 I2463060 232.83 OTHER MAINT SUPPLIES
1120 4239099 I2463060 1,254.66 OTHER MISCELLANOUS
ILI-
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REMIT AND MAKE CHECK PAYABLE TO:
M-emm I
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 :10/26/2015
Ship To#: 3
000110 STATION 42
SOLD TO#:CO21876 3610 W 106TH ST
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
12463060 10/26/2015 Net 30 Scott 10-26-15 Barbara Roberts ()
-Ordar No. Order Datc , IS'h;p Via Customer Reference Customer Service Contact
S02626971 10/26/2015 IN00 Extension# 1300
Notes
PLEASE CALL GARY CARTER @ 317-508-5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN & HE WILL
INSTRUCT WERE TO DELIVER). ,
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
12.00 12.00 CS 114336 KC 02000 HRT White 02000 43.67000 524.04'
Hard Roll Towel 8x950'
6/cs
6.00 6.00 CS 162281 KC 04460 Standard 04460 41.45000 248.70 '
2PIy Tissue Wht
80/550/cs
2.00 2.00 CS 209614 Household A-1 Ultra 90000400 10.97000 21.94
Bleach Disinfectant 6%
6Gal/Case
12.00 12.00 CS 112384 HP Can Liner 43x47 RP-S4694-X 30.99000 371.88
XXH Black Hevi-Tough
100/cs (10/10)
4.00 4.00 CS 112151 HP Can Liner 15X9X32 P-S4418-C 27.51000 110.04
.7MIL Clear 500/cs
(10/50)
3.00 3.00 CS 110160 Johnson 4705 Glance 4705 24.87000 74.61
Glass/Surface Cleaner
Quart 12/32oz/cs
2.00 2.00 CS 111235 GOJO 5192 Purell FMX 5192-03 58.21000 116.42
Foam Hand Sanitizer
1200m 13/cs
6.00 6.00 EA 135782 RM 6364 60" Metal Tip FG636400D 3.31000 19.86
Wood Lacqu Threaded
Broom Handle 12cs
Remit to and make checks payable to: Subtotal: 1,487.49
Network Services Company Sales tax: 0.00
Lockbox 231805 Invoice total: 1,487.49
1805 Momentum Place Amount paid: 0.00
Chicago, IL 60689-5318 Total due: 1,487.49
(800) 382-5326, Fax(317) 291-
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 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))
12463060 $1,254.66
12463060 $232.83
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Network Services Company
Lockbox 231805 IN SUM OF $
1805 Momentum Place
Chicago, IL 60689-5318
$1,487.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 12463060 42-390.99 $1,254.66 1 hereby certify that the attached invoice(s), or
1120 12463060 42-389.00 $232.83 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
NOV - 2 ZU15
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund