190518 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360392 Page 1 of 1
ONE CIVIC SQUARE WHITE CAP CONSTRUCTION SUPPLY CHECK AMOUNT: $138.68
CARMEL, INDIANA 46032 Po Box 535209
ATLANTA GA 30353
CHECK NUMBER: 190518
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 152029382 138.68 MATERIALS SUPPLIES
INVOICE
BRANCH ADDRESS INVOICE NUM 6 A2
CONSTRUCTION SUPPtY INDIANAPOLIS EAST 152029382
317 INVOICE,DA7E,re ,3 „5;
Credit Services 501 W. Church Street, Orlando, FL 32805 -2247 6433 E. 30TH STREET 9102110
INDIANAPOLIS, IN 46219
�CUSTOtVIER,PO NUMBER r���,” i=
JEFF COOPER
PLEASE'REMIT PAYMENTTO;
TERRITORY: UMA1
SOLD TO: 193439 SHIP TO: HDS WHITE CAP CONST SUPPLY
24961 MB 0.382 E0253X 10391 D245331688 P612322 0001:0001 AT BOX 5
ATLANTA, GA GA 30353
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CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
760 3RD AVE SW STE 110 9609 HAZEL DELL PKWY
CARMEL IN 46032 2070 INDIANAPOLIS, IN 46280
,;;;ORDER I?, ATE °ACCOUNT MANAGER ,R TAKEN BY
tip-
09/02110 152028897 JEFF COOPER DUSTIN DUNCAN JBROW
a SHIP ViA I ROUTING h a d CUSTOMER JOB IVO
BRANCH ACCTJOB NR TERMS
152 193439 NET 30DAYS O:WILL CALL
j n s a E 3 A EXTEN DED
LINE PART NUMBER to F DESCRIIPTIO 'r sl a a QTY ORD g UNIT_PRICE QM BKO qTY SHP g
a
10 255SCMPG 50LB MP NS GROUT SPEC CHEM 4 10.67 EA 4 42.68N
20 471CDFINE 20LB FINE CONCRETE DRESSING ARDEX 2 48.00 BAG 2 96.00N
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PLEASE BE ADVISED THAT, EFFECTIVE MAY 1 2009, INVOICES THAT ARE PAST DUE WILL ACCRUE
A SERVICE CHARGE OF 1.5% PER MONTH UNTIL PAID.
For questions regarding this invoice please call 1- 800 WHITECAP (1- 800 944- 8322). TOTAL GROSS 138.68
NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE TOTAL TAX
Visit http: whitecap. com /misc /terms_and_conditions.pdf to view complete terms and conditions. TOTAL FREIGHT
13$.6$
RECEIVED BY: BRAD OLIVER SIGNATURE COPY ON FILE TOTALSINVOICE
Please vI rfy that the remltao address you are using agrees to the addressshown &atop of this jnvolce "5 Page 1 of 1
0001:0001
VOUCHER 106215 WARRANT ALLOWED
360392 IN SUM OF
WHITE CAP CONSTRUCTION SUPPLY
e h N&-&& 3�99
611 303-53
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1520291382 01- 7202 -06 $138.68
Voucher Total $138.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
360392
WHITE CAP CONSTRUCTION SUPPLY Purchase Order No.
9950 S 134TH STREET Terms
OMAHA, NE 68138 -6199 Due Date 9/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2010 152029382 $138.68
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
Date Officer