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165786 11/12/2008 CITY OF CARMEL, INDIANA VENDOR 117785 Page 1 of 1 ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $198.45 CARMEL, INDIANA 46032 420 SAGUARO TR PO aox 66310 CHECK NUMBER: 165786 INDIANAPOLIS IN 46268 -4819 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO N UMBER INVOI N UMBER AMOU DESCRIPTION 651 5023990 I0343036 196.45 OTHER EXPENSES I t Women owned Business Enterprise (WBE) Excellence in Distribution HP Products CORPORATE OFFICE ISO 9001 -2000 4220 Saguaro Trail Certificate Number 2006 -005 Invoice Indianapolis, IN 46266 Phone 317 298 -9950 FAX 317 293 -0459 Date 10123/2008 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 10343036 10!23 /2008 Net 30 Jeff Cooper Barbara Roberts (VM Order No. Order Date Ship Via Customer Reference Customer Service Contact S00378012 10/1712008 INOO Extension #1300 Notes Special Instructions Ordered B/0 Shi UOM Item No. Description MFG Item# Unit Price Amount 10.00 1000 BG 109658 HP Ice Metter 50# Bag 1795000 179.50 55 bags /pallet 1.00 1 00 EA 999907 Fuel Surcharge 99997 1095000 10.95 1.00 1 00 EA 999909 Shipping and Handling 998812 8.00000 8.00 Charge Subtotal 19845 Sales tax. 000 Invoice total: 198.45 Amount paid: 0.00 Total due: 198.45 Remit to and make checks payable to HP Products 4220 Saguaro Trail P 0. Box 68310 Indianapolis, IN 46268 -4819 Page 1 THANK YOU FOR YOUR BUSINESSI VOUCHER 086597 WARRANT ALLOWED 117,785 IN SUM OF HP PRODUCTS 4220 Saquaro Trail Indianapolis, IN 4626 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR P Board members PO INV ACCT AMOUNT Audit Trail Code 10343036 01- 7202 -06 $198.45 v; Voucher Total $198.45 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 i Indianapolis, IN 4626 Due Date 11/3/2008 4 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/3/2008 10343036 $198.45 hereby certify that the attached invoice(s), or bill(s) is (are) true and ,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 //5/ e C� /k, fit�' Date Officer