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167340 12/23/2008 CITY OF CARMEL, INDIANA VENDOR 117785 Page 1 of 1 ONE CIVIC SQUARE HP PRODUCTS �g CARMEL, INDIANA 46032 4220 SAGUARO TR CHECK AMOUNT: 8185.50 PO 80X68310 CHECK NUMBER: 167340 INDIANAPOLIS IN 46268 -4819 CHECK DATE: 12123/2008 DEPARTMENT ACCO PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 378928 185.50 OTHER EXPENSES I I Women -owned Business Enterprise(WBE) Excellence in Distribution HP Products CORPORATE OFFICE ISO 9001 -2000 ro s Invoice 42zo Saguaro 46 Certificate Number 2006 -005 4220 agua IN rail Phone 317 298 -9950 FAX 317- 293 -0459 Date 12/11/2008 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 10378928 12/1112008 Net 30 Jeff Cooper Barbara Roberts (VM 1691) Order No. Order Date Ship Via Customer Reference Customer Service Contact S00421479 12/8/2008 IN00 i Extension #1300 Notes' Special Instructions Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount 1000 1000 BG 109658 HP Ice Molter 50# Bag 1855000 18550 55 bags /pallet Subtotal 185.50 Sales tax 000 Invoice total: 185.50 Amount paid: 000 Total due: 185.50 Remit to and make checks payable to HP Products 4220 Saguaro Trail P.O Box 68310 Indianapolis, IN 4626 4 8 1 9 Page 1 THANK YOU FOR YOUR BUSINESS' VOUCHER 086942 WARRANT ALLOWED 117785 IN SUM OF HP PRODUCTS 4220 Saquaro Trail Indianapolis, IN 4626 Carmel Wastewater Utility ,ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 378928 01- 7202 -05 5185.50 Voucher Total $185.50 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 12/16/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/16/2001 378928 $185.50 5 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