319832 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 117785
.�, ® �• ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $*******883.23*
?° CARMEL, INDIANA 46032 PO BOX 68310 CHECK NUMBER: 319832
9M_TON.Lo� INDIANAPOLIS IN 46268 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I3263905 773.33 OTHER EXPENSES
651 5023990 I3264203 42.20 OTHER EXPENSES
651 5023990 I3264417 67.70 OTHER EXPENSES
VOUCHER NO. 176977 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 117785 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HP PRODUCTS CITY OF CARMEL
PO BOX 68310 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46268 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
883.23 117785 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HP PRODUCTS Terms
Carmel Wasterwater Utility PO BOX 68310 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS, IN 46268
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT.# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
I3263905 01-7202-06 $773.33 and received except 12/12/2017 I3263905 $773.33
I3264203 01-7202-06 $42.20 12/12/2017 I3264203 $42.20
I3264417 01-7202-06 $67.70 12/12/2017 I3264417 $67.70
l �
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
0.A FERGUSON ENnRPRISErcaas
4220 Saguaro Trail
Indianapolis, IN,46268
Phone: (317)298-9957 - INVOICE
Fax: (317)216-3421
http://www.hpproducts.com
Date:12/6/2017
Ship To#: 1
CARMEL WASTEWATER TRTMNT f
Sold To#:CO01915 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
US
invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
13263905 12/6/2017 Net 30 S17899. Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S03455261 12/6/2017 INMO (317)298-9957 x 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
3.00 3.00 CS 172143 KC 25639 Kleenex 25639 95.56000 286.68
MOD HRT Roll Towel
W ht 700'6rl/cs
1.00 1.00 CS 109216 KC 07001 Cottonelle 07001 78.12000 78.12
Coreless Tissue 2ply
36/800/cs
2.00 2.00 CS 184967 Revolution Bag PC47150BK 37.74000 75.48
HeRCules 43x47 1.35
Mil Black 100/cs (5/20)
1.00 1.00 CS 110166 Johnson 04578. Crew 04578. 39.81000 39.81
9.5% HCL Cling Bowl
Clnr Quart 12/32oz/cs
8.00 8.00 EA 134823 Golden Star Starline ASB1 LB 4.54000 36.32
Blend Wet Mop Large
1" Blue 12/cs
1.00 1.00 CS 133198 Johnson 5549254 RTD 5549254 67.70000 67.70
Alpha HP Disinfectant
1.51- 2/cs
1.00 1.00 CS 113862 GOJO 7255 PR02000 7255-04 78.52000 78.52
Nat Orange Pumice
Hand Cleaner 2000ml
4/cs
10.00 10.00 EA 109982 RM 6310 Toilet Bowl FG631000WHT 3.98000 39.80
Brush 14.5" Polypro
`-- ---- -- - - 24/cs - - -- -- - - ----- --- -
1.00 1.00 CS 114058 KC 05843 WypAll L30 05843 63.95000 63.95
EconoMizer Wiper
11 x10.4 W ht 24/70/cs
1.00 1.00 EA 999907 Fuel Surcharge 1003081 6.95000 6.95
Remit to and make checks payable to: Subtotal: 773.33
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 773.33
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 773.33
Pagel
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply.Reference online at:
http://www.wolseleyna.com/torms_conditionsSale.htmi
O A FERGUSON ENTERPRISE . resas
4220 Saguaro Trail
.Indianapolis, IN,46268
Phone: (317)298-9957 IVOICE
Fax: (317)216-3421
http://www.hpproducts.com .'
Date:12/7/2017
Ship To#: 1
CARMEL WASTEWATER TRTMNT I
Sold To#:0001915 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
13264203 12/7/2017 Net 30 S17899. Barbara Roberts (VM 1691)
r Order No. Order Date Ship Via Customer Reference Customer Service Contact
S03455317 12/6/2017 UPSG r/o from 3455261 (317)298-9957 x 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
10.00 10.00 EA 110033 RM 6311 Toilet Bowl FG631100WHT 4.22000 42.20
Brush Holder/Caddy for
109982 24/cs
Remit to and make checks payable to: Subtotal: 42.20
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 42.20
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 42.20
Page 1
THANK YOU FOR YOUR BUSINESSI
Standard Terms and Conditions Apply.Reference online at:
http://www.iArolseleyna.com/terms_conditionsSale.htmi
r _ set SrEtinU: .
d. a
ZAFERGUSON ENTERPRISE
4220 Saguaro Trail
Indianapolis, IN,46268
Phone: (317)298-9957 INVOICE
Fax: (317)216-3421
http://www.hpproducts.com
Date:12/7/2017
Ship To#: 1
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
13264417 12/7/2017 Net 30 S17899 Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S03456745 12/7/2017 VENDOR TRK billing for overship (317)298-9957 x 1300
Ordered B/0 Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 133198 Johnson 5549254 RTD 5549254 67.70000 67.70
Alpha HP Disinfectant
1.51- 2/cs
Remit to and make checks payable to: Subtotal: 67.70
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 67.70
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 67.70
Pagel
THANK YOU FOR YOUR BUSINESS!
Standard Terms and Conditions Apply.Reference online at:
http://www.wolseleyna.com/terms—conditionsSaie.litmi