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162345 08/07/2008 CITY OF CARMEL, INDIANA VENDOR' 117785 Page 1 of 1 L ONE CIVIC SQUARE HP PRODUCTS CARMEL, INDIANA 46032 4220 SAGUARO TR CHECK AMOUNT: $969.27 PO BOX 68310 CHECK NUMBER: 162345 INDIANAPOLIS IN 46268 -4819 CHECK DATE: 817/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 R4238900 18000 10260520 969.27 TOILETRY I Women -owned Business Enterprise (WBE) Excellence in Distribution HP Products CORPORATE OFFICE ISO 9001 -2000 4220 saguaro Trail Indianapolis, IN 46268 Certificate Number 2006 -005 Invoice Phone 317- 298 -9950 FAX 317 293 -0459 Dale 711712008 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. I Sales Representative 10260520 7/17/2008 Net 30 Ratan Bhavnani (VM 1677) Order No. Or Date Ship Via Customer Reference I Customer Service Contact S00288047 7/17/2008 IN00 Extension #1300 Notes Special Instructions Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount 6.00 6 00 PK 118194 5300 SR /S/XPfVSP 5300 29.36000 176.16 PPR BAG 10 /PK 25PKG /CS WON'T WORK W/ VSE 12.00 12.00 EA 117231 1825 VSP MOTOR 1825 12.58000 15096 FILTER 12.00 12.00 CS 119541 Georgia Pacific 20887 20887 44.45000 53340 BigFold Z Prem Fold Towel White 10/220 1200 2.00 1000 EA 117230 1878 VSP EXHAUST 1878 9.78000 9780 FILTER 1.00 1 00 EA 999907 Fuel Surcharge 99997 10.95000 10.95 Backorders Remaining Item No. UOM Description quantity 117230 EA 1878 VSP EXHAUST 2.00 FILTER Subtotal. 96927 Sales tax 000 Invoice total: 969.27 Amount paid: 0.00 Total due: 969.27 Remit to and make checks payable to HP Products 4220 Saguaro Trail P O. Box 68310 Indianapolis, IN 46268 -4819 Page 1 THANK YOU FOR YOUR BUSINESS! 4 PreSCnbed by Sate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No 201 (Rev 1995) 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 PCQdu s Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total $969.27 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 VOUCHEFU8%4 /e8___WARRANT NO._ ro Uc S ALLOWED 20_ 4220 Saguaro Trail IN SUM OF PO eo,Y 6631 $969.27 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 ADMINISTRATION Board Members Pox 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 partial I 260520 389 69.27 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund