162755 08/20/2008 CITY OF CARMEL, INDIANA VENDOR 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $19.56
CARMEL, INDIANA 46032 4220 SAGUARO TR
4„� u; PO BOX 68310 CHECK NUMBER: 162755
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 8/2012008
i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.'1205 R4238900 18000 IO268411 19.56 TOILETRY
Women -owned Business Enterprise (WBE)
j s e g
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001-2000
4220 Saguaro Trail Invoice
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone 317 298 -9950 FAX 317 293 -0459
Date 7/282008
Sold To #:CO21875 Ship To 1
CITY OF CARMEL CITY OF CARMEL
1 CARMEL CIVIC SO 1 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative
16268411 7/28/2008 tJei 30 Ralan Bhavnam (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00288047 7/17/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered 1310 Shipped UOM Item No. Description MFG Item# Unit Price Amount
1200 200 EA 117230 1878 VSP EXHAUST 1878 978000 19.56
FILTER
Subtotal 19.56
Sales tax: 0.00
Invoice total: 19.56
Amount paid 000
Total due: 19.56
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P O. Box 68310
Indianapolis, IN 46268 -4819
Page 1
I THANK YOU FOR YOUR BUSINESS'
!%rescnbed 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
HP Products Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1026841 1878 VSP Exhaust e,
$18 -58
Total
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 PQS/ I8108-WARRANT NO._
��TTBfIUC ALLOWED 20
S aguaro I rail IN SUM OF
P.O. Box 68310
Inrti;;nonnlbq IN' ecnnn
Erd9 Itl Iv
$19.56
ON ACCOUn&g A PPR FUND RIATIO FOR
1205 ADMINISTRATION
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
18000 bill(s) is (are) true and correct and that the
paEtia
materials or services itemized thereon for
which charge is made were ordered and
received except
20
r
Sign tyre
Cost distribution ledger classification if Titl e�'�-
claim paid motor vehicle highway fund