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189348 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1 0 ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $80.94 CARMEL, INDIANA 46032 4220 SAGUARO TR PO BOX 68310 CHECK NUMBER: 189348 INDIANAPOLIS IN 46268 -4819 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4238900 I0838637 80.94 OTHER MAINT SUPPLIES Women -owned Business Enterprise,(WBE) Excellence in Distribution NP Products CORPORATE OFFICE ISO 9001:2008 Invoice 4220 Saguaro Trail Indianapolis, IN 46268 Certificate Number 2006 -005 Phone: 317 -298 -9950 FAX: 317 -293 -0459 Date 8/23/2010 Ship To 1 000070 CITY OF CARMEL FIRE DEPT Sold To CO21876 2 CIVIC SQ CITY OF CARMEL FIRE DEPT CARMEL, IN 46032 2 CARMEL CIVIC SQ US CARMEL IN 46032 Invoice No. Invoice Date Terms Customer Purchase Order No- Sales Representative 10838637 8123/2010 Net 30 Gary 107 /Colle Rajan ohavnani (VIM 1677) Order No. Order Date Ship Via Customer Reference Customer Service Contact S00937574 8/2212010 WILLCALL Extension 1300 Notes Special Instructions Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount 1.00 1.00 CS 133625 Spartan Clothesline 700304 80.94000 80.94 Fresh Laundry Detergent 3 7003 4 /cs Customer representative confirmation of receipt: Remit to and make checks payable to Subtotal: 80.94 HP Products Sales tax: 0.00 4220 Saguaro Trail Invoice total: 80 -94 P.O. Box 68310 Amount paid: 0.00 Indianapolis, IN 46268 -4819 Total due: 80.94 01 -ORDER COMPLETE Page 1 THANK YOU FOR YOUR BUSINESS! VOUCHER NO. WARRANT NO. ALLOWED 20 HP Products IN SUM OF P.Q. Box 68310 Indianapolis, IN 46268 $80.94 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 10838637 42- 389.00 $80.94 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 MG 3 0 M5 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)) 10838637 $80.94 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 20 Clerk- Treasurer