182856 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
0 ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $131.88
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310
CHECK NUMBER: 182856
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4235000 20698944 131.88 BUILDING MATERIAL
t
S s1 Women-owned Business Enterprise WBE)
Excellence in Distribution 2
HP Products CORPORATE OFFICE ISO 9001:2008 n r
4220 Saguaro Trail 9 Y Q I Ce
Indianapolis, IN 46268 Certificate Number 2006 -005 Phone: 317-298-9950 FAX: 317. 293 -0459
Date :212212010
Ship To 1
000059 CITY OF CARMEL
Sold To #:CO21875 1 civic SQ
CITY OF CARMEL CARMEL, IN 46032
1 CARMEL CIVIC SQ
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10698944 2/22/2010 Net 30 Verbal /Jeff Jim Luellen O
Order No. Order Date Shi Via Customer Reference Customer Service Contact
S00768226 1/28/2010 SERV_BILL RPU- Wsr.Vsp /18 Extension 1300
Notes
Special Instructions
Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 EA 118126 1596HG HANDLE 1596HG 8.95000 8.95
COVER VS
1.00 1.00 EA 117800 4615UL SWIVEL NECK 4615UL 34.99125 34.99
WIRE
1.00 1.00 EA 999901 Labor Charge 103 45.00000 45.00
1.00 1.00 EA 999919 Shop Supplies Charge 998846 8.94000 8.94
1.00 1.00 EA 999951 Waste /Parts Disposal 998110 2.00000 2.00
Fee
1.00 1.00 EA 999952 State Required 5500000998 2.00000 2.00
Environmental Fee
1.00 1.00 EA 999929 Service Pick Up Charge 998855 30.00000 30.00
Remit to and make checks payable to Subtotal: 131.88
HP Products Sales tax: 0.00
4220 Saguaro Trail Invoice total: 131.88
P.O. Box 68310 Amount paid: 0.00
Indianapolis, IN 46268 -4819 Total due: 131.88
Pagel
THANK YOU FOR YOUR BUSINESS!
Prescribed by State Board of Accounts City Form No, 201 (Rev. 1995)1'
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/22/10 10698944 $131.88
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
MP Products
IN SUM OF
4220 Saguaro Trail, PO Box 68310
Indianapolis, IN 46268 -4819
$131.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1205 I 10698944 I 42- 350.00 I $131.88 1 hereby certify that the attached invoice(s), or
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, March 01, 2010
Director, Ad inistration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund