166690 12/10/2008 CITY OF CARMEL, INDIANA VENDOR 117785 Page 1 of 1
C ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $244.13
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 60310 CHECK NUMBER: 166690
INDIANAPOLIS IN 46268 -4619
CHECK DATE: 1211012008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
b51 5023990 I0363645 244.13 OTHER EXPENSES
7'
Women -owned Business Enterprise (WBE)
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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
Dale 11/19/2008
Sold To #:C001915 Ship To 1
CARMEL WASTEWATER TRTMNT I CARMEL WASTEWATER TRTMNT 1
760 THIRD AVE S W STE 110 9609 HAZEL DELL PKWY
CARMEL, IN 46032 *DEL B T 8 -3.30 CLOSED 12 -1
INDIANAPOLIS, IN 46280
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10363645 11/19/2008 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00407763 11/19/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No Description MFG Item# Unit Price Amount
200 2.00 CS 132026 Charmin Big Ultra PGP12372 7539000 150.78
Strong 2ply 5 /Spk
1.00 1 00 CS 119849 Spartan Steriphene II 608100 77.40000 77.40
Dis /Deod Fresh Scent
6081 12 /cs
1.00 1.00 EA 999907 Fuel Surcharge 99997 795000 795
1 00 1 00 EA 999909 Shipping and Handling 800000 8.00
Charge
Subtotal, 244.13
Sales tax: 0.00
Invoice total: 244.13
Amount paid: 0.00-
Total due: 244.13
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!
VOUCHER 086747 WARRANT ALLOWED
1 17785 IN SUM OF
HP PRODUCTS
4220 Saquaro Trail
Indianapolis, IN 4626
Carmel Wastewater Utility
n
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10363645 01- 7202 -05 $244.13
Voucher Total $244.13
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
117785
HP PRODUCTS Purchase Order No.
4220 Saquaro Trail Terms
Indianapolis, IN 4626 Due Date 11/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/2001 10363645 $244.13
I hereby certify that the attached invoice(s), or bill(s) is (are) true and i
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer