186834 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS
CHECK AMOUNT: $96.86
CARMEL, INDIANA 46032 4220 SAGUARO TR
s4•io PO BOX 68310
CHECK NUMBER: 186834
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 I0783273 51.92 OTHER MISCELLANOUS
1205 4238900 I0783298 44.94 OTHER MAINT SUPPLIES
3� Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 :2008
4220 Saguaro Trail V Q I n v o i ce
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317- 293 -0459
Date 6!912010
Sold To #:CO21875 Ship To 1
CITY OF CARMEL CITY OF CARMEL
1 CARMEL CIVIC SQ 1 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10783298 6!912010 Net 30 Jeff Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00878881 619!2010 WILLCALL Extension #1300
Notes
S pecial Instructions
Ordered B10 Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 129328 KC 91556 Pink Gntl 91556 44.94000 44.94
Lotn Cassette 1000ml
61cs
D
JUN 21 2010
By
Remit to and make checks payable to Subtotal: 44.94
HP Products Sales tax: 0.00
4220 Saguaro Trail Invoice total: 44.94
P.O. Box 68310 Amount paid: 0.00
Indianapolis, IN 46268 -4819 Total due. 44.94
Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
HP Products
IN SUM OF
4220 Saguaro Trail, PO Box 68310
Indianapolis, IN 46268 -4819
$44.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 1 10783298 I 42- 389.00 I $44.94 1 hereby certify that the attached invoice(s), or
I 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, June 21, 2010
Director, Ad inistratio
Title
Cost distribution ledger classification if
claim paid motor 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 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))
06/09/10 10783298 $44.94
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
5
t Women -owned Business Enterprise (WBE)
3 r
i �s
SxcellE;nce in Distribution
HP Products CORPORATE OFFICE ISO 9001 :2008
4220 Saguaro Trail Invo
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317 293 -0459
Date 6/9/2010
Ship To 1
000083 CITY OF CARMEL FIRE DEPT
Sold To #:CO21876 2 CIVIC SQ
CITY OF CARMEL FIRE DEPT CARMEL IN 46032
2 CARMEL CIVIC SQ
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re presentative
10783273 6/9/2010 Net 30 Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00878825 6/9/2010 WILLCALL Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG item# Unit Price Amount
1.00 1.00 CS 115250 GOJO 5163 FMX 5163 -03 51.92000 51.92
Luxury Foam Hair /Body
Wash 1250m] 3 /cs
Customer representative confirmation of receipt: Remit to and make checks payable to Subtotal: 51.92
HP Products Sales tax: 0.00
4220 Saguaro Trail Invoice total: 51.92
P.O. Box 68310 Amount paid: 0.00
Indianapolis, IN 46268 -4819 Total due: 51.92
01 -ORDER COMPLETE
Page 1
THANK YOU FOR YOUR BUSINESS!
VOUCHER NO. WARRANT NO.
ALLOWED 20
HP Products
IN SUM OF
P.O. Box 68310
Indianapolis, IN 46268
$51.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 10783273 42- 390.99 $51.92 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
r
u V
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
10783273 $51.92
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