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310792 04/26/17 CITY OF CARMEL, INDIANA VENDOR: 369560 CHECK AMOUNT: $*******156.62* ONE CIVIC SQUARE SUPPLYWORKS CHECK NUMBER: 310792 r� CARMEL, INDIANA 46032 PO BOX 404284 ATLANTA GA sorsa-azea CHECK DATE: 04126/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4235000 396652810 87.26 BUILDING MATERIAL 1093 4238900 396652810 69.36 OTHER MAINT SUPPLIES < e \ % 0 / / 0 2 k / i 0 / \ (A) (A) 2 0 © \ � ƒ < O 30� R K o 0 0 o f a �_ 3 & q q m f 9 0 @ 2 z x F / o o p o k S X, i § > w t ƒ 0 t § -u E 2 / J E � k \ 7 0 OD § ƒ 0 E R ® CD 2 00 z Rt m /40 -CA 69 \_ CL 2 F, 7 00 4 z 0 % k Q k ] R — > n 7 0) F-= / / m = f F Cl) < _ § & & E ¥ 3 E 2 a) o S J § + > % 0 j 0 j \ _ @ ¥ _ E » \ ƒ Ca* 7 % \ - \ _ a m - w \ o & \ ° m \ � k \ 0 CL § < m R q S _ \ / $ o CD | 0 o INVOICE 4.%. ppWor ® ;'�fi� Page 1 of 1 PO Box 2317 APR 1 3 2017 INVOICE DATE 04/04/2017 Jacksonville FL 32203-2317 INVOICE NUMBER 396652810 �- ACCOUNT NUMBER 516300 Please mail payments to the remit address at the bottom of this bill ORDER NO. 7079547 FOR INQUIRIES CALL: (800)431-1872 SOLD TO: FAX: (888)499-0441 1825 1 MB 0.423 E0169X 10359 02367031455 S2 P4140153 0001:0001 customercare@jasmro.com www.jasmro.com SHIPPED TO: CARMEL-CLAY PARKS MONON CTR CARMEL-CLAY PARKS MONON CTR 1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032-3455 CARMEL IN 46032 ORDER NO. CONTROL NO. CUSTOMER P.O. SHIPPED VIA TERMS CASH DISCOUNT AMT 7079547 XX-5109 IND TRUCK 1 1%10 DAYS,NET 30 1.39 LN I ITEM NO. CAT DESCRIPTION IORDERI SHIP I B/O IUOMILISTPRICEI PRICE I EXT.AMT. TAX CODE 1 902332 15 OZ FLAT BLACK RUST TOUGH 12 12 0 EA 5.78 69.36 Old Item Number:98-7203 2 812035 15 OZ GLOSS BLACK RUST TOUGH 12 12 0 EA 5.78 69.36 HANDLING 17.90 Old Item Number:98-7202 $7.95 Handling Charge $9.95 Minimum Order Charge —\ _\1 ) NET MERCHANDISE TOTAL TAX TOTAL SPECIAL CHARGES INVOICE TOTAL 138.72 0.00 17.90 156.62 TERMS AND CONDITIONS FROM CURRENT CATALOG&ONLINE APPLY. CLAIMS FOR SHORTAGES OR DAMAGED GOODS MUST BE MADE IMMEDIATELY UPON RECEIPT OF SHIPMENT IN ACCORDANCE WITH CURRENT RETURN GOODS POLICY. NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION. RETAIN THIS PORTION OF THE INVOICE FOR YOUR RECORDS -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH YOUR REMITTANCE TO THE REMIT ADDRESS BELOW