186332 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS
4220 SAGUAROTR CHECK AMOUNT: $47.25
CARMEL, INDIANA 46032
oe PO BOX 68310 CHECK NUMBER: 186332
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 776000 47.25 MATERIALS SUPPLIES
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HP iv!
Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 :2008
4220 Saguaro Trail Invoice
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone 317- 298 -9950 FAX: 317- 293 -0459
Date :5/28/2010
1 f,
Illllltlll111111llllllllllllllllllllln111111 [mill I III III IAll Ship To 1
000012 001 001 3- DIG1T460 CARMEL WASTEWATER TRTMNT f
Sold To #:C001915 9609 HAZEL DELL PKWY
CARMEL WASTEWATER TRTMNT PLANT *DEL B T 8 -3:30 CLOSED 12 -1
760 3RD AVE SW STE 110 INDIANAPOLIS, IN 46280
CARMEL IN 46032 -2070 US
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10776000 5/28/2010 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00870488 5/28/2010 FleetUPS Extension 1300
Notes
Special Instructions
Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount
6.00 6.00 DZ 107430 Brown Jersey Glove KW 7100 5.05000 30.30
Mens 9oz Cot/Poly
Blend 25dz/cs
1.00 1.00 EA 999945 Shipping Charge 998813 8.95000 8.95
1.00 1.00 EA 999909 Handling Charge 8.00000 8.00
Remit to and make checks payable to Subtotal: 47.25
HP Products Sales tax: 0.00
4220 Saguaro Trail Invoice total: 47.25
P.O. Box 68310 Amount paid: 0.00
Indianapolis, IN 46268 -4819 Total due: 47 -25
Page 1
THANK YOU FOR YOUR BUSINESS!
vbUCHER 105607: WARRANT ALLOWED
ri
117785 IN SUM OF
HP PRODUCTS
4220 Saquaro Trail
Indianapolis, IN 4626
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
776000 01- 7202 -06 $47:25
Voucher Total $47.25
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
117785
HP PRODUCTS Purchase Order No.
4220 Saquaro Trail Terms
Indianapolis, IN 4626 Due Date 6/3/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2010 776000 $47.25
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