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Home My WebLink About252646 1 2/1 5/1 5 CITY OF CARMEL, INDIANA VENDOR: 117785 a til ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $*******627.16* s9, ?� CARMEL, INDIANA 46032 PO BOX 68310 CHECK NUMBER: 252646 M�TpN� INDIANAPOLIS IN 46268 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 22496405 60.27 OTHER EXPENSES 651 5023990 I2497380 566.89 OTHER EXPENSES !pLq • •- �a r 0 AFERGUSON 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:12/2/2015 Ship To#: 1 000204 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 Representative------] 12497380 12/2/2015 Net 30 S15653 Barbara Roberts 0 -Order NO:- -Order-Date- - -Shi Via- Customer Reference - - Customer Service Contact S02662936 12/2/2015 IN00 Extension# 1300 Ordered 8/0 Shipped UOM Item No. Description MFG Item# Unit Price Amount 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 109216 KC 07001 Cottonelle 07001 72.33000 72.33 Coreless Tissue 2ply 36/800/cs 2.00 2.00 CS 172143 KC 25639 Kleenex 25639 88.48000 176.96 MOD HRT Roll Towel Wht 700'6rl/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 112376 HP Can Liner 33x39 XH RP-S4688-X 33.95000 33.95 Black Hevi-Tough 150/cs (10/15) 1.00 1.00 PK 175614 107313 Paper bags GK-S-Coach 14.56000 14.56 10/pkg f/Super Coach Pro 10 GK-S-Coach PRO 2.00 2.00 CS 120023 Spartan UriGard U For 860000 58.65000 117.30 Urinals 8600 6/cs 4.00 4.00 EA 134823 Golden Star Starline ASB1 LB 4.29000 17.16 Blend Wet Mop Large 1" Blue 12/cs 12.00 12.00 QT 119936 Spartan Germicidal 710203 1.75000 21.00 Bowl Cleaner 23% HCL Quart 7102 12/cs -- - 1.00 1.00 EA 999907 Fuel Surcharge 1003081 11.95000 11.95 Remit to and make checks payable to: Subtotal: 566.89 HP Products Sales tax: 0.00 PO Box 68310 Invoice total: 566.89 Indianapolis, IN 46268 Amount paid: 0.00 Total due: 566.89 Pagel THANK YOU FOR YOUR BUSINESS! Standard Terms and Conditions Apply.Reference online at: http://www.wolseleyna.com/terms_cond itionsS ale.htm l "0 A'FERMSON ENTERPRISE "lY 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:12/2/2015 Ship To#: 1 000204 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 Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative 12496405 12/2/2015 Net 30 S15653 Barbara Roberts 0 Order No: Order Data -- Ship Via Custoner Reference ,-Customer Service Contact S02663124 12/2/2015 UPSG Extension# 1300 Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount_ 1.00 1.00 CS 114058 KC 05843 WypAll L30 05843 60.27000 60.27 EconoMizer Wiper 11 x10.4 W ht 24/70/cs 5843 Remit to and make checks payable to: Subtotal: 60.27 HIP Products Sales tax: 0.00 PO Box 68310 Invoice total: 60.27 Indianapolis, IN 46268 Amount paid: 0.00 Total due: 60.27 Page 1 THANK YOU FOR YOUR BUSINESS! Standard Terms and Conditions Apply.Reference online at: http://www.wolsoleyna.com/terms_conditionsSale.htmi VOUCHER # 156826 WARRANT # 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 12497380 01-7202-05 $566.89 0v7 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I 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 46268Due Date 12/8/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/8/2015 12497380 $566.89 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 Date Officer