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180831 12/30/2009 7, CITY OF CARMEL, INDIANA VENDOR: 127102 Page 1 of 1 j ONE CIVIC SQUARE HEWLETT PACKARD INC CHECK AMOUNT: $2,425.00 CARMEL, INDIANA 46032 13207 COLLECTION CENTER DRIVE .o CHICAGO IL 6069 o CHECK NUMBER: 180831 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 20676 27436586 -001 2,425.00 INK Invoice Invoice Reference Invoice Date N Remit Payment to: HEWLETT- PACKARD COMPANY 46918763 27436586 001 12/16/09 13207 Collections Center Drive Chicago, IL 60693 Ship Date Due Date Total Amount (USD) D U N 912 -2532 i n v e n t 12/16/09 1/15/10 2425.00 FED ID 94 1081436 J Purchase Order Customer Number Contract Name Contract Number 20676 P05422 IN NORTHWEST INDIANA EDUCATIONAL SERVICE CENTER HPA200607 t CR DR Authorization Payment Terms Sales Order Order Date Carrier Freight Terms Page NET 30 DAYS GOV 27436586 12/07/09 UPS FOB Destination 1 of 1 J Bill to: 4.1.1048 1 MB 0.382 43316S11.ps 1 of 1 g HPV IIIIII' III II II II'lii I II' I '1 III1 1111 1l '11'1I Ship to: CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE PO #20676 /CANDY MARTIN CARMEL IN 46032 -7569 ONE CIVIC SQUARE CARMEL IN 46032 -0000 317 -571 -2417 Line Order Backorder Shipped Product Product Description Unit Extended Number Quantity Quantity Quantity Price (USD) Price (USD) 001 1 1 C9465A HP 91 Pigment Photo Black Ink Cartrid 293.00 293.00 002 1 1 C9466A HP 91 Pigment Light Gray Ink Cartridg 293.00 293.00 003 1 1 C9467A HP 91 Pigment Cyan Ink Cartridge 293,00 293.00 004 1 1 C9468A HP 91 Pigment Magenta Ink Cartridge 293.00 293.00 005 1 1 C9469A HP 91 Pigment Yellow Ink Cartridge 293.00 293.00 006 1 1 C9470A HP 91 Pigment Light Cyan Ink Cartridg 293.00 293.00 007 1 1 C9471A HP 91 Pigment Light Magenta Ink 293.00 293.00 008 1 1 C9464A HP 91 Pigment Matte Black Ink Cartrid 293.00 293.00 009 1 1 C9518A HP 91 Maintenance Cartridge 81.00 81.00 Track 4: 1 ZW4Y5160348094869 90 23 cs ,..r Dfc 2 l 2009 D() CS ti CP 11 INQUIRIES TO: (800)727 -2472 TOTAL USD 2425.00 J TEAMS: Payment terms are NET 30. The sale and delivery of the product andlor service listed on this invoice are subject to Hewlett Packard Company's standard sales terms and conditions in effect at the time the product or service is ordered. Any variance Iron those terms and conditions will be effective only it agreed lo in writing by Hewlett- Packard prior to the time the product or service is ordered. PRICES: All orders will be billed at prices in efteat at the time of the shipment. RETURNS Exchange or returns must be requested within 30 days of receipt of your shipment. All returns require prior approval and a return authorization number (RMA) REFUNDS authorized returns or returns REFUNDS without a RMA number may be refused. Opened sottware and any purchases subject to abuse are not eligible for return. Freight charges are nolerekmdable. After receipt and inspection of returned merchandise, credit will be issued. CLAIMS: Claims for shortages, damages and invoice discrepancies must be made within 30 days of receipt- In case of shipping damage. please keep all packaging materials and damaged merchandise in the original outside shipping canon. We will lire a claim with the carrier and replace the item at no cost to you. PER FAR NO 52 232 -25, IN CASE OF ©EFFECTIVE INVOICE PLEASE NOTIFY THE FOLLOWING: Hewlett- Packard Company, Alter. GEM Customer Sewee, 10910 Farnarn Drive, Omaha, NE 68154 Phone: 1 -805- 727 -2472 HPVGIE it VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Hewlett- Packard Company IN SUM OF CITY OF CARMEL 13207 Collections Center Drive An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by Chicago, IL 60693 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $2,425.00 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel DOCS Department Date Due Invoice Invoice Description Amount PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 20676 27436586 001 42 302.00 $2,425.00 I hereby certify that the attached invoice {s or 12/16/09 27436586 001 Plotter ink cartridges $2,425.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday December 28, 2009 L Director, DOA Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6 20 Clerk- Treasurer