313047 06/28/17 CITY OF CARMEL, INDIANA VENDOR: 365285
ONE CIVIC SQUARE H D SUPPLY UTILITIES LTD CHECK AMOUNT: $'"""*'41.34'
?� CARMEL, INDIANA 46032 PO BOX 4852 CHECK NUMBER: 313047
'+rioN ORLANDO FL 32802-4852 CHECK DATE: 06/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10007106142 41.34 OTHER EXPENSES
U-
0
LU
z
40.
z
0
P
C?
0 4:2
r44 a ^ �v
93.
CD
chi
LL
ti QI0
Ln z
0
(N
ai
0
LO
Ln
o Go
N V)
Ln
2 06
HODSUPPLY INVOICE
CONSTRUCTION & INDUSTRIAL. BRANCH ADDRESS INVOICE NUMBER
WHITE CAP 151 -INDIANAPOLIS 10007106142
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 06/02/2017
CUSTOMER PO NUMBER
JEFF COOPER
ENROLLMENT TOKEN:I LKS MMM FRW
TERRITORY: PLEASE REMIT PAYMENT TO:
SOLD TO: 193439 SHIP TO: 1934391 HD SUPPLY CONSTRUCTION AND
INDUSTRIAL-WHITE CAP
1101 1 AB 0.403 E0034X 10053 D2527221968 S2 P4331796 0001:0001 P.O.Box 4852
rrrll1llll1lr1lllll1lrl1l'111"11"I'1II1II'Irr111111r11r1'11'1 ORLANDO,FL 32802-4852
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES-193439
` PO BOX 109 9609 HAZEL DELL PKWY
CARMEL IN 46082-0109 INDIANAPOLIS IN 46280
ORDER DATE ORDER NO. ORDERED BY : ACCOUNT MANAGER TAKEN BYs
06/02/2017 24673139 JEFF COOPER HART,SHAWN M
BRANCH, ACCT JOB NO. TERMS SHIP VIA/ROUTING CUSTOMER JOB NO.
151 1934391 NET 30 DAYS 5. WALK IN 193439
LINE PART NUMBER DESCRIPTION QTY ORD UNIT PRICE QTY BKO QTY SHP ' EXTENDED TAX
PRICE AMT
1 438431241 100Z TUBE SIKAFLEX 1A WHITE URETHANE 6 6.89 EA 0 6 41.34 0.00
SEALANT 24/BOX SIKA
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-USER(S)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 hftp://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 41.34
(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: SIGNATURE COPY ON FILE TOTAL INVOICE 41.34
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