334471 01/18/19 ® � CITY OF CARMEL, INDIANA VENDOR: 365285
ONE CIVIC SQUARE H D SUPPLY UTILITIES LTD CHECK AMOUNT: $*******196.56*
CARMEL, INDIANA 46032 PO sox 4852 CCHECK HECK NUMBER: 01/719
M,•..._...: ORLANDO FL 32802-4852DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT 'DESCRIPTION
651 5023990 10009125576 196.56 OTHER EXPENSES
VOUCHER NO. 187159 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 365285 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HD SUPPLY CONSTRUCTION &INDUSTRIAL CITY OF CARMEL
PO BOX 4852 An invoice or bill to be properly itemized must show: kind of service,where performed,
ORLANDO, FL 32802-4852 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
196.56 365285 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HD SUPPLY CONSTRUCTION&INDUSTRIAL Terms
Carmel Wasterwater Utility PO BOX 4852 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice. ORLANDO, FL 32802-4852
(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
1000912557 01-7200-02 $196.56 and received except 12/30/2018 10009125576 $196.56
6
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
' Clerk-Treasurer
A • =SVPPLY INVOICE
CONSTRUCTION&INDUSTRIAL BRANCH ADDRESS -,�A .INvotCE>NUMBER
WHITE CAP 151-INDIANAPOLIS 10009125576
HD Supply Construction Supply,Ltd. (317)260-4300
501 W.Church Street, Orlando,FL 32805-2247 ` y: :;'INVOICE DgTE
7130 W.MC CARTY ST.
INDIANAPOLIS IN 46241 07/23/2018
;CUSTOMER PO NUMBER
S18696
ENROLLMENTTOKEN.' FWX MMP TRK
TERRITORY: ` PLEASE`REMITPAYMENTTO::-'
SOLD TO: 193439 SHIP TO: 1934391 HD SUPPLY CONSTRUCTION AND
INDUSTRIAL-WHITE CAP
P.O.Box 4852
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 BY ,t
07/23/2018 29327071 DUANE JARVIS
BRANCHa�. r ACCTJO NO
" TERMS rR
sHlavinounNc, PIERCE MATTHEW P
. WALK IN
193
cus R ioB rio..,,
151 1934391 NET 30 DAYS 5 439
LINE PART NUMBER DESCRIPTION u`'' QTY ORD UNIT PRICE QTY BKO. OTY SHP EXTENDED TAX;-'-'PRICE.a AMT
1 438481241 100Z TUBE SIKAFLEX 11 FC WHITE FAST CURE 24 8.19 EA 0 24 ;196.56 0.00
URETHANE SEALANT SIKA
Received by
Date: 1-3 -r5 PO #: 5 t'3
cct #:
Use: 1De c,a4 f AvJ"e
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 196.56
(1-800-944-8322).
NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE TOTAL TAX 0.00
Visit hftp://whitecap.com/misctterms and_conditions.pdf to view complete terms and TOTAL SHIPPING
conditions. AND HANDLING 0.00
mr
RECEIVED BY: SIGNATURE COPY ON FILE TOTAL INVOICE `� =� 196.56
Please verify that_the remrt`to address you a`re using agrees;to the;adtlress sFown at the topµof this invoice, Page 1 of 1
Ho:DSUPPLY ON ACCOUNT
CONSTRUCTION & INDUSTRIAL
WHITE CAP
151-Indianapolis RECEIPT 29320478
7130 W.Mc Carty St
Indianapolis,IN,46241
(317)260-4300
Sold To: 193439 Ship To: CITY OF CARMEL
CITY OF CARMEL UTILITIES UTILITIES-193439,1934391-ST
9609 HAZEL DELL PKWY
PO BOX 109 INDIANAPOLIS,IN,46280
CARMEL,IN,46082 Job Site Contact:PAUL ARNONE
317-571-2443
Job Site Phone:
Map#:
Printed By • Matthew P
Printed Date: 07/202018 03:00 PM EASTERN Ordered By DUANE JARVIS Contact Phone
r tOr'der'I7at'eivlq-
> R"e'uest,PDate? � '. voice Date .x Sales eisot-. :
Order Numbers FT +
29320478 07/20/2018 07/20/20,18
Terms .�.. sShi. m 2vfetho�d er.� �r 1�R,.Cusfumer�PO ' : �•`�� �� a�_ . Cr•.eated=B H..:,
N30D 5.Walk In
S 696 Matthew P
18
,ua itii' _ UO vI 7Amount
r
TY ht
anTyy���y t LO %SN � �:° ,ORD `SHP.>` BKGI _.'. I7nt
tWT 'r.. -
.�®0� � 't.: w !
1.1 438431241 100Z TUBE SIKAFLEX 24 24 0 EA $7.39 $177.36
IA WHITE URETHANE 1.0417 LBS
I-SRD0203 SEALANT 24/BOX SIKA
VPN:0431-241
Shipped amount $177.36
Order charges $0.00
Tax amount $0.00
Lumber Tax rate/amount 1.00% $0.00
Order total $177.36
Deposit/funds tendered $0.00
Balance due $177.36
REPORT DISCREPANCIES WITHIN 24 HRS.
IF YOU DIDN'T RECEIVE THE SERVICE YOU EXPECTED CALL JEREMIAH GEORGE(630)945-2485
NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE
SEE REVERSE SIDE FOR TERMS AND CONDITIONS
WWW WHITECAP.COM
PRINT: JIFF �dCIE(�c SIGN:
SHIPPED WEIGHT:25.00 LBS PULLED BY: CHECKED BY: LOADED BY:
WARNING: These products contain chemicals known to the State of California to cause cancer and birth defects or other reproductive harm.
Download any needed Safety Data Sheets(SDS)online today at sds.hdsupply.com
Page 1 of 1