158420 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $538.85
j, CARMEL, INDIANA 46032 4220 SAGUARO rR
PO BOX 68310 CHECK NUMBER: 158420
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 20167491 538.85 OTHER MAINT SUPPLIES
I
r c Womon- owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001-2000
4220 Saguaro Trail Certificate Number 2006 -005 Invoice
Indianapolis, IN 46268
Phone. 317- 298 -9950 FAX 317- 293 -0459
r Dale 3127/2008
Sold To #:0002056 Ship To 1
CITY OF CARMEL STREET DEPT CITY OF CARMEL STREET DEPT
3400 W 131ST ST 3400 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10167491 3127/2008 Net 30 Bonnie Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00182057 3/27/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/0 Shipped UOM Item No. Description MFG Item# Unit Price Amount
10.00 10.00 CS 114353 Kimberly- Clark[R] 01890 5299000 52990
Kleenex[R] Multi Folded
Towel White
001890
1.00 1 00 EA 999907 Fuel Surcharge 99997 8.95000 8.95
Subtotal: 53885
Sales tax. 0.00
Invoice total: 538.85
Amount paid. 000
Total due: 538.85
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P.O. Box 68310
Indianapolis, IN 46268 -4819
ri
Page 1
THANK YOU FOR YOUR BUSINESSI
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))
Total
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.
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Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20_
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IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Pop or INVOICE NO ACCT #/TITLE AMOUNT
Po# p I hereby certify that the attached invoice(s), or
Z G I G"I1 -kR 1 56e, 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
APR 14 2008 20
Sir ture
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund