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307229 1/20/17 {� CITY OF CARMEL, INDIANA VENDOR: 365285 CHECK AMOUNT: $**M M k•%1198 58• ONE CIVIC SQUARE H D SUPPLY UTILITIES LTD CARMEL, INDIANA 46032 PO BOX 4852 CHECK NUMBER: 307229 �M ORLANDO FL 32802-4852 CHECK DATE: 01/20/17 ITON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 50005468610 98.58 OTHER EXPENSES N E E O ? � v F- z g z z �S, LL D 0 ca Z 2 z 0 0 N &- tc) C) p 0 N 3:cc w C*4 CL J�- 0 a. co 00 C0 v a Z 04 12 0 Cc LL 0 C14 -j LL 0 U) >- La Z 0 z U-) x co o z O a 0 x a. 0 CL Ochi HODSUPPLY. INVOICE CONSTRUCTION&INDUSTRIAL BRANCH ADDRESS INVOICE NUMBER WHITE CAP 151 -INDIANAPOLIS 50005468610 HD Supply Construction Supply,Ltd. (317)260-4300 INVOICE DATE 501 W.Church Street, Orlando,FL 32805-2247 7130 W.MC CARTY ST. INDIANAPOLIS IN 46241 12/14/2016 CUSTOMER PO NUMBER S16768 ENROLLMENT TOKEN:I LKS MMM FRW TERRITORY: PLEASE REMIT PAYMENT TO: SOLD TO: 193439 SHIP TO: 193439 HDS WHITE CAP CONST SUPPLY 2648 1 MB 0.419 E0296X 10516 D2082857578 S2 P3766983 0001:0001 P.O.Box 4852 ORLANDO,FL 32802-4852 III��IIIlllll��llnll11II�I�IInII��IIIJ��l�llll�l���l�I�lull�r CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES-193439 PO BOX 109 760 THIRD AVE SW CARMEL IN 46082-0109 STE 110 CARMEL IN 46032 ORDER DATE ORDER NO. ORDERED BY ACCOUNT MANAGER TAKEN 9Y 12/14/2016 22916433 DUANE JARVIS EWING,ANDREW J BRANCH ACCT JOS NO.- fERM9 - _ . _. ----___. SWWAfROUT1WG_ _ . _ CUSTOMER"'NI 151 193439 NET 30 DAYS 0.WILL CALL UNE PART NUMBER DESCRIPTION QTY ORD UNIT PRICE QTY BKO QTY SNP EXTENDED TAX PRICE AMT 0 HDRDESC 1 0 0 1 0.00 DELIVERY TAG#:6244664 *****Rf4ff++f+fff**************RR****R****f++4+f+++**+********** 1 255SPLUG 50LB SPECPLUG SPECCHEM 2 49.29 EA 0 2 98.58 0.00 THESE ITEMS ARE CONTROLLED BY THE U.S.GOVERNMENT AND AUTHORIZED FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE BY THE ULTIMATE CONSIGNEE OR END-USERS)HEREIN IDENTIFIED. THEY MAY NOT BE RESOLD,TRANSFERRED OR OTHERWISE DISPOSED OF TO ANY OTHER COUNTRY OR ANY PERSON OTHER THAN THE AUTHORIZED ULTIMATE CONSIGNEE OR END-USER(S),EITHER IN THEIR ORIGINAL FORM OR AFTER BEING INCORPORATED INTO OTHER ITEMS,WITHOUT FIRST OBTAINING APPROVAL FROM THE U.S.GOVERNMENT OR AS OTHERWISE AUTHORIZED BY U.S. LAW AND REGULATIONS. Please take a quick 5 minute survey at hffp://www.WhiteCap.com/re-survey or typing in your browser. Thank you for your feedback and we look forward to hearing from you! For questions regarding this invoice please call 1-800-WHITECAP TOTAL GROSS 98.58 (1-800-944-8322). NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE TOTAL TAX 0.00 Visit hftp://whitecap.com/misc/terms—and—conditions.pdf to view complete terms and TOTAL SHIPPING 0.00 conditions. AND HANDLING RECEIVED BY: DUANE JARVIS SIGNATURE COPY ON FILE TOTAL INVOICE `- 98.58 Please verify that the remit to address you are using agrees to the address shown at the top of this Invoice. Page 1 of 1 0001:0001