252730 12/15/15 i
CITY OF CARMEL, INDIANA VENDOR: 366864
® j ONE CIVIC SQUARE NETWORK SERVICES COMPANY CHECK AMOUNT: $**- -72.76`
CARMEL, INDIANA 46032 LOCKBOX 231805 CHECK NUMBER: 252730
1805 MONUMENTUM PLACE CHECK DATE: 12/15/15
CHICAGO IL 60689-5318
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 I2499037 72.76 OTHER MAINT SUPPLIES
® REMIT AND MAKE CHECK PAYABLE TO:
k' ( 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 :12/4/2015
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. I Invoice Date Terms Customer Purchase Order No. Sales Re resentative
12499037 12/4/2015 Net 30 Gary 12-3-15 Barbara Roberts 0
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S02664437 12/3/2015 WILLCALL Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 EA 114152 KC 09996 In-Sight 09996 36.38000 72.76
Sanitouch HRT Disp
Smoke Grey
Remit to and make checks payable to: Subtotal: 72.76
Network Services Company Sales tax: 0.00
Lockbox 231805 Invoice total: 72.76
1805 Momentum Place Amount paid: 0.00
Chicago, IL 60689-5318 Total due: 72.76
(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.html
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))
12499037 $72.76
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
$72.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 12499037 42-389.00 $72.76 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
tU 1 4 2015
1
,v ,=
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund