HomeMy WebLinkAbout163223 09/03/2008 CITY OF CARMEL, INDIANA VENDOR 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $2,911.91
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 163223
INDIANAPOLIS IN 462684819
CHECK DATE: 913/2008
DEP ARTME NT AC PO NUMBER INVOIC NUMBER AMOUNT DESCRI
651 5023990 IO277571 203.53 OTHER EXPENSES
651 5023990 IO279659 88.60 MATERIALS SUPPLIES
1120 4238900 IO281067 1,409.35 OTHER MAINT SUPPLIES
1120 4238900 IO283597 118.00 OTHER MAINT SUPPLIES
651 5023990 IO284846 154.90 OTHER EXPENSES
651 5023990 20286023 40.61 OTHER EXPENSES
1120 4238900 20288826 160.43 OTHER MAINT SUPPLIES
651 5023990 20289912 63.45 OTHER EXPENSES
1205 R4238900 18000 IO290036 472.46 TOILETRY
651 5023990 20291128 200.58 OTHER EXPENSES
Women -owned Business Enterprise (WBE)
a
xcellence in Distribution
3 5
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 8/20/2008
Sold To #:CO21875 Ship To 1
CITY OF CARMEL CITY OF CARMEL
1 CARMEL CIVIC SQ 1 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10290036 8/20/2008 Net 30 Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00321493 8/2012008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1 00 CS 100186 Bay West EcoSoft 2ply 54000 6275000 62.75
Tissue 4 3/8x3 3/4
500/961cs 54000
400 4.00 CS 119887 Spartan Fast Easy 326003 99.69000 398.76
RTU Handi Spray Qt.
3260 12 /cs
1.00 1.00 EA 999907 Fuel Surcharge 99997 10.95000 10.95
Subtotal' 472.46
Sales tax: 0.00
Invoice total: 472.46
Amount paid: 0.00
Total due: 472.46
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P O. Box 68310
Indianapolis, IN 46268 -4819
Pagel
THANK YOU FOR YOUR BUSINESS
rrescnb4tl ti State 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 Products Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08 /20/ e, HendrSpra
$472.46
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 W /79/0 WARRANT NO._
ALLOWED 20
0 Saguaro Trail IN SUM OF
PC) Rny 68-31 In
$472.46
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
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
pa is 389 $472.46
materials or services itemized thereon for
which charge is made were ordered and
received except
20
X Signa re
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
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 46268
Phone 317 -298 -9950 FAX 317 293 -0459
Date 8/11/2008
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 Re
10279659 811112008 Net 30 Jeff Cooper Barbara Roberts (VM 1551)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
500305558 8/4/2008 UPSG Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1 00 1 00 EA 133944 Rubbermaid[R] Vinyl 6183 4775000 47.75
Replacement Bag For
Janitor Cart Yellow
6183
200 1.00 1 00 EA 113109 Rubbermaid Closet 1992 3402000 34.02
Organizer/Tool Holder
Kit 18, Gray 1992 6/
1992
1.00 1.00 EA 999902 Freight Charge 207 6.83200 683
Backorders
Remaining
Item No UOM Description Quantity
113109 EA Rubbermaid Closet 1.00
Organizer /Tool Holder
Kit 18, Gray 1992 6/
1992
Subtotal: 8860
Sales tax 000
Invoice total: 88.60
Amount paid: 0.00
Total due: 88.60
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P.O. Box 68310
Indianapolis, IN 46268 -4819
Pagel
THANK YOU FOR YOUR BUSINESS'
t- "r 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 46268
Phone 317 298 -9950 FAX 317- 293 -0459
Date tM412008
Sold To #:0001915 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. I Invoice Date Terms Customer Purchase Order No. Sales Representative
10284846 8/14/2008 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00307473 8/5/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No Description MFG Item# Unit Price Amount
1.00 1.00 CS 137401 KIMTECH PURE 62484 135 95000 13595
POUCH FACE MASK
62484 W /KNIT
HEADBAND 6 /50PK
1 00 1.00 EA 999907 Fuel Surcharge 99997 1095000 10.95
1.00 1.00 EA 999909 Shipping and Handling 998812 8.00000 800
Charge
Subtotal 154.90
Sales tax: 0.00
Invoice total: 154.90
Amount paid: 0.00
Total due: 154.90
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'
HP I- Women owned Business Enterprise (WBE)
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 8/18/2008
Sold To #:0001915 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
10286023 8/18/2008 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
500305558 8/4/2008 UPSG Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No Description MFG Item# Unit Price Amount
200 1 00 EA 113109 Rubbermaid Closet 1992 34.02000 34.02
Organizer/Tool Holder
Kit 18, Gray 1992 6/
1992
1 00 1 00 EA 999902 Freight Charge 207 659400 659
Subtotal: 40.61
Sales tax. 0.00
Invoice total: 40.61
Amount paid 0.00
Total due: 40.61
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 086179 WARRANT ALLOWED
`117785 IN SUM OF
HP PRODUCTS
220 Saquaro Trail
Jianapolis, IN 4626
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10286023 01- 7202 -05 $4061
,j:0 -28K8y6 i5 Y.40
Lba74�59 0 /,72o2.as 8b•GO
i
Voucher Total r/
Cost distribution ledger classification if
i
claim paid under vehicle highway fund
a
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 8/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008 10286023 $40.61
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
,912 7/ 2 Vr h- ._.c,,. _u-�
Date Officer
n a a Women-owned Business Enterprise (WBE)
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 8121/2008
Sold To #:0001915 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. I Sales Representative
10291128 8/2112008 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference I Customer Service Contact
S00322675 8/21/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No Description MFG Item# Unit Price Amount
2.00 2.00 CS 119477 GP ei High 89460 100 29000 200.58
Capacity Touchless Roll
Towel 89460 6 /800 /c
Subtotal: 200.58
Sales tax 000
Invoice total: 200.58
Amount paid: 000
Total due: 200.58
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'
Women -owned Business Enterprise (WBE)
oe 4
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 8/612008
Sold To #:0021875 SKIP 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
10277571 8/6/2008 Net 30 Jeff Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00309176 8/6/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount
1.00 1 00 EA 117837 2030 2031 14" BRUSH 82030ER 9620800 9621
ASSY
1.00 1.00 EA 117853 4033ER 18" BRUSH 84033ER 9636900 9637
ASSY VSMII
1.00 1 00 EA 999907 Fuel Surcharge 99997 1095000 1095
Subtotal: 203.53
Sales tax 0.00
Invoice total: 203.53
Amount paid 000
Total due: 203.53
Remit to and make checks payable_ to HP ProCUCtS
4220 Saguaro Trail
P 0 Box 68310
Indianapolis, IN 46268 -4819
Page 1
THANK YOU FOR YOUR BUSINESS'
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
Date 8/2012008
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
10289912 8/20/2008 Net 30 Jeff Cooper Barbara Roberts (VM 1691)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00321052 8/20/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No Description MFG Item# Unit Price Amount
4.00 4 00 EA 106072 Ear Muffs Yellow NRR 1425Y 600000 2400
25 20 /cs
1 00 1 00 BX 105955 Howard Leight Max Lite LPF -30 2050000 2050
Earplug Polycord LPF-
30 10 /100 /cs
1.00 1 00 EA 999907 Fuel Surcharge 99997 10.95000 1095
1.00 1 00 EA 999909 Shipping and Handling 998812 800000 800
Charge
Backorders
Remaining
Item No. UOM Description Quantity
107609 CS HYDROSEP EYEWASH 1 00
PRESERVATIVE 4/80Z
BTUCS
Subtotal: 63.45
Sales tax: 0.00
Invoice total: 63.45
Amount paid: 000
Total due: 63.45
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P.O. Box 68310
Indianapolis, IN 46268 -4819
Pagel
THANK YOU FOR YOUR BUSINESSI
VOUCHER 086201 WARRANT ALLOWED
117785 IN SUM OF
HP PRODUCTS
4220 Saquaro Trail
.�lndianapolis, IN 4626
is
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10289912 01- 7202 -06 $63.45
z D27757/ o l.j Z62•o5 203.53
z0Z(1125 o/• 72c,2.05 200.58
461.5b
Voucher Total
C(t t distribution ledger classification if
claim paid under vehicle highway fund
7
i
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. k
Payee
117785
HP PRODUCTS Purchase Order No
4220 Saquaro Trail Terms
Indianapolis, IN 4626 Due Date 8/27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2008 10289912 $63.45
i
I
i
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
Date Officer
Women -owned Business Enterprise (WBE)
u i
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
Date 8/13/2008
Sold To #:CO21876 Ship To 1
CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
2 CARMEL CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10283597 8/1312008 Net 30 Gary Carter Rajon Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00311563 8/8/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
600 3.00 CS 112688 P &G Cascade[R] PGS39921 39.33400 118.00
Dishwasher Detergent
85 oz 6 /cs
Subtotal 118.00
Sales tax: 0.00
Invoice total: 118.00
Amount paid: 0.00
Total due: 118.00
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P 0 Box 68310
Indianapolis, IN 46268 -4819
Pagel
THANK YOU FOR YOUR BUSINESSI
n 3 Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 -2000
4220 Saguaro Trail Certificate Number 2006 -005 I nvoice
Indianapolis, IN 46268
Phone 317 298 -9950 FAX 317 293 -0459
Date 8/11/2008
Sold To #:CO21876 Ship To 1
CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
2 CARMEL CIVIC SO 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10281067 8111/2008 Net 30 Gary Carter Rajan Bhavnani (VM 1677)
Order No. Order Date Shi Via Customer Reference Customer Service Contact
S00311563 8/8/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered B/0 Shi UOM Item No. Description MFG Item# Unit Price Amount
1.00 1 00 CS 109430 Gojo Shower Spa Body 7134 -10 8655230 8655
Hair Shampoo
1000ml 7134 10 /cs
200 200 CS 112151 HP Can Liner 15X9X32 P- S4418 -C 42.21390 84.43
7MIL Clear
4.00 400 CS 114410 Kimberly Clark 04460 04460 4418310 176.73
Standard 2ply Tissue
White 8016051cs
1.00 1.00 CS 128544 KC Kimcare Luxury 91552 65.15500 65.16
Foam Skin Cleanser
1 OOOmL 091552 6 /cs
500 500 PL 119925 Spartan Xtreme Custom 300205 6484600 324.23
Car Wash 5 Gal.
600 3.00 3.00 CS 112688 P &G Cascade[R] PGS39921 3933400 118.00
Dishwasher Detergent
85 oz 5 /cs
600 6.00 EA 121589 Kimberly- Clark[R] 92620 0.00000 000
Kimcare[R] Air
Freshener Dispenser
White
700 700 CS 119446 Georgia Pacific Envision 26200 69.61830 48733
26200 Nat 1Ply REDI
FIT Towel 12/62
2.00 2.00 CS 113894 Gojo Thick Pink 1847 -04 33.46120 66.92
Antiseptic Lotion Soap
Pour Gallon 1847 4 /cs
Backorders
Remaining
Item No UOM Description Quantity
112688 CS P &G Cascade[R] 300
Dishwasher Detergent
85 oz 6 /cs
Page 1
THANK YOU FOR YOUR BUSINESS!
e r'! Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 -2000 Invoice
4220 Saguaro Trail Certificate Number 2006 -005
Indianapolis, IN 46268
Phone 317 298 -9950 FAX 317- 293 -0459
Date 8111/2908
Sold To #:CO21876 Ship To 1
CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
2 CARMEL CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10281067 8(11/2008 Net 30 Gary Carter Ratan Bhavnani (VM 1677)
Order No. Order Date Shi Via Customer Reference Customer Service Contact
500311563 8/8/2008 IN00 Extension #1300
Notes
Special Instructions
Ordered 8/0 Shipped UOM Item No. Description MFG Item# Unit Price Amount
Subtotal 1,40935
Sales tax 000
Invoice total: 1,409.35
Amount paid 0.00
Total due: 1,409.35
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P.O Box 68310
Indianapolis, IN 46268 -4819
I
Page 2
THANK YOU FOR YOUR BUSINESS'
Women -owned Business Enterprise (WBE)
i c
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
Date 8/20/2008
Sold To #:CO21876 Ship To 1
CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
2 CARMEL CIVIC SQ 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Invoice No. I Invoice Date Terms Customer Purchase Order No. Sales Representative
10288826 8/2012003 Net 30 Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Sery ice Contact
S00317028 8/15/2008 WILLCALL Extension #1300
Notes
Special Instructions
Ordered B/0 Shi UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 CS 109433 Gojo Antimicrobial 7185 -10 8021410 160.43
Lotion Soap 1000 ml-
7185 10 /cs
Subtotal: 160.43
Sales tax 0.00
Invoice total: 160.43
Amount paid 0.00
Total due: 160.43
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P 0. Box 68310
Indianapolis, IN 46268 -4819
Pagel
THANK YOU FOR YOUR BUSINESSI
VOUCH NO. WARRAN NO.
ALLOWED 20
HP Products
IN SUM OF
P.O. Box 68310
Indianapolis, IN 46268
$1,687.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 10288826 42- 389.00 $160.43 1 hereby certify that the attached invoice(s), or
1120 10283597 42-38900 $118.00 bill(s) is (are) true and correct and that the
1120 10281067 42- 389.00 $1,409.35
materials or services itemized thereon for
which charge is made were ordered and
received except
AuG 2 9 2008
1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
10288826 Misc Supplies Stations $16043
10283597 Mtsc Supplies Stations $118.00
10281067 Misc Supplies Stations $1,409.35
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