205477 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $6,132.42
s °�y4o CARMEL, INDIANA 46032 PO BOX 660417
INDIANAPOLIS IN 46266 -0417 CHECK NUMBER: 205477
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 I1220196 417.34 OTHER MAINT SUPPLIES
1120 4238900 I1234191 3,117.82 OTHER MAINT SUPPLIES
1120 4239099 I1234191 2,597.26 OTHER MISCELLANOUS
Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOIC
4220 Saguaro Trail
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317 293 -0459
Date 12/19/2011
1111 liiiiiiiilijlllillillilliliililI11l '1I'lll1"�I'I'llll1111 Ship To 1
000011' *001"'001UT0"'3- DIGIT460 AB THE MONON CENTER
SOLD TO #:0004202 1235 CENTRAL PARK DR E
THE MONON CENTER CARMEL, IN 46032
1411 E 116TH ST us
CARMEL IN 46032 -3455
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
11220196 12/19/2011 Net 30 30288 Woody Moore
Order No. O rder Date Ship Via Customer Re ference Customer Service Contact
S01348080 12/19/2011 IN00 Extension 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
12.00 12.00 EA 134761 TC OneShot Foam FG750339 0.00000 0.00
Dispenser Polished
Chrome 750339 4 /cs
7.00 7.00 CS 134762 TC OneShot Foam FG750386 59.62000 417.34
Lotion Soap
W /Moisturizer 1600ml
750386 4 /cs
Purchase U(dercmunXr DER
Description
P.O. P of FO
G. G.L. it
Purchaser Date
Approval Date
Remit to and make checks payable to Subtotal: 417.34
HP Products Sales tax: 0.00
PO Box 660417 Invoice total: 417.34
Indianapolis, IN 46266 -0417 Amount paid: 0.00
Total due: 417.34
Page 1
THANK Y FOR YOUR BUSINESS!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
117785 HP Products Terms
P.O. Box 660417
Indianapolis, IN 46266 -0417
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/19/11 11220196 Under counter dispensers soap 30288 417.34
Total 417.34
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 No. Warrant No.
117785 HP Products Allowed 20
P O Box 660417.
Indlariapolls, 1N,,:462 0417
*new address In Sum of
417.34
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1093 11220196 4238900 417.34 1 hereby certify that the attached invoice(s), or
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
11 -Jan 2012
J ,J0//2& 2Zn1,2 I
Signature
417.34 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Women -awned Business Enterprise (WBE)
Y
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 :2008
4220 Saguaro Trail INVOICE
Indianapolis, IN 46268 Certificate Number 2006-005
Phone: 317-298-9950 FAX: 317 293 -0459
Date 1/10/2012
Ship To 3
000008 STATION 42
SOLD TO #:CO21876 3610 W 106TH ST
CITY OF CARMEL FIRE DEPT CARMEL, IN 46032
2 CARMEL CIVIC SQ US
CARMEL IN 46032
Invoice No. Invoice Date Term Custome Purchase Order No. Sales Rep resentative
11234191 1/10/2012 Net 30 Gary Carter Barbara Roberts
Order No. Order Date Ship Vi r C Reference Customer Service Contact
S01362625 1/9/2012 IN00 Extension 1300
Notes
PLEASE CALL GARY CARTER 317508 -5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN HE WILL
INSTRUCT WERE TO DELIVER).
Ordered B/O Shi pped UOM Item No. Description MFG Item# Unit Price Amount
5.00 5.00 CS 110160 Johnson 4705 Glance 4705 48.95000 244.75
Glass /Surface Cleaner
Quart 12 /32oz /cs
1.00 1.00 CS 119863 Spartan SparCreme 732003 51 .76000 51.76
Quart 7320 12 /cs
4.00 4.00 CS 104519 HP Stainless Steel CP841 52.64000 210.56
Polish /Clnr Oil Base
Aerosol 12 /20oz /cs
2.00 2.00 CS 119992 Spartan SparCling 9.5% 710803 28.95000 57.90
Bowl Cleaner Quart
7108 12 /cs
6.00 6.00 CS 114661 Bunn Paper Coffee 12.97000 77.82
Filter 12 Cup 9 3/4x4-
1/4" 1000 /cs
1.00 1.00 CS 116617 Johnson 4277285 Oxivir 4277285 61.60000 61.60
TB Cleaner RTU Quart
12 /32oz /cs
6.00 6.00 CS 119849 Spartan Steriphene II 608100 53.96000 323.76
Dis /Deod Fresh Scent
6081 12 /cs
2.00 2.00 CS 109463 GOJO 9652 Purell 9652 -12 57.61000 115.22
Original Hand Sanitzar
8oz Pump 12 /cs
6.00 1.00 5.00 CS 115250 GOJO 5163 FMX 5163 -03 54.52000 272.60
Luxury Foam Hair /Body
Wash 1250ml 3 /cs
4.00 4.00 CS 128544 KC 91552 Luxury Foam 91552 63.57000 254.28
Skin Clnsr Cassette
1000ml 6 /cs
2.00 2.00 CS 120485 GRILL BRICKS FG 32.98000 65.96
8X4X3.5 12 /CS
Page 1
THANK YOU FOR YOUR BUSINESS!
Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317 293 -0459
Date 1/10/2012
Ship To 3
STATION 42
SOLD TO #:CO21876 3610 W 106TH ST
CITY OF CARMEL FIRE DEPT CARMEL, IN 46032
2 CARMEL CIVIC SQ US
CARMEL IN 46032
Invoice No. I Invoice Date Terms Customer Purch Order No. Sales Re presentative
11234191 1/10/2012 Net 30 Gary Carter Barbara Roberts
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01362625 1/9/2012 IN00 Extension 1300
Notes
PLEASE CALL GARY CARTER 317 508 -5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN HE WILL
INSTRUCT WERE TO DELIVER).
Ordered B/O Shi UOM Item No. Descri MFG Item# Unit Price A mount
8.00 8.00 CS "108596 Household Bleach CH120 9.18000 73.44
Disinfectant 5.25%
6Gal /Case
3.00 3.00 CS 133625 Spartan Clothesline 700304 90.76000 272.28
Fresh Laundry
Detergent 3 7003 4 /cs
15.00 15.00 CS 114336 KC 02000 HRT White 02000 66.86000 1,002.90
Hard Roll Towel 8x950'
6 /cs
6.00 6.00 CS 128787 CAS 1759 Decor M -Fold 101759 27.17000 163.02
Towel White 9.25x9.5"
16/250/cs
2.00 2.00 PL 119925 Spartan Xtreme Custom 300205 63.97000 127.94
Car Wash 3002 5gl
10.00 10.00 CS 112151 HP Can Liner 15X9X32 P- S4418 -C 35.77000 357.70
.7MIL Clear 500 /cs
(10/50)
20.00 20.00 CS 112384 HP Can Liner 43x47 RP- S4694 -X 33.75000 675.00'
XXH Black Hevi -Tough
100 /cs (10/10)
5.00 4.00 1.00 CS 112688 P &G Cascade PGC39921 63.96000 63.96
Dishwasher Detergent
Powder 85oz 34953 6 /cs
4.00 4.00 CS 108970 HP Lime Off Cleaner HP -450# 01 51.33000 205.32
31.5% Phosphoric Acid
120t/Case
5.00 5.00 CS 114899 Dawn Dishwashing PGC45112 38.25000 191.25
Soap Liquid 45112
8/38oz
4.00 4.00 CS 121672 Dart 12J12 12oz Foam 12J12 50.95000 203.80
Cup -White 40/25/cs
Page 2
r THANK YOU FOR YOUR BUSINESS!
Bp Women- owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 :2008 {1�1\ ®I�
4220 Saguaro Trail Certificate Number 2006 -005 'tl
Indianapolis, IN 46268
Phone: 317-298-9950 FAX: 317 293 -0459
Date 1/10/2012
Ship To 3
STATION 42
SOLD TO #:CO21876 3610 W 106TH ST
CITY OF CARMEL FIRE DEPT CARMEL, IN 46032
2 CARMEL CIVIC SID US
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
11234191 1/10/2012 Net 30 Gary Carter Barbara Roberts
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01362625 1/9/2012 IN00 Extension 1300
Notes
PLEASE CALL GARY CARTER 317 508 -5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN HE WILL
INSTRUCT WERE TO DELIVER).
Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount
8.00 8.00 CS 162281 KC 04460 -02 Standard 04460 49.83000 1 /398.64
2PIy Tissue Wht
80/550/cs
4.00 4.00 CS 120074 Spartan Oven /Grill 319403 43.58000 174.32
Cleaner RTU Quart
3194 12 /cs
2.00 2.00 CS 108592 AMMONIA 4GL /CS CH125 6.41000 12.82
1.00 1.00 CS 111906 3M 7200 Black Stripper 08382 28.63000 28.63
Pad 20" 5 /cs
1.00 1.00 CS 111555 3M 5100 Red Buffer 08395 27.85000 27.85
Pad 20" 5 /cs
Backorders Remaining
Item No. UOM Description quantity
112688 CS P &G Cascade 4.00
Dishwasher Detergent
Powder 85oz 34953 6 /cs
115250 CS GOJO 5163 FMX 1.00
Luxury Foam Hair /Body
Wash 1250ml 3 /cs
121402 CS RIM C112 Swinger Loop 2.00
Wet Mop Medium 1"
Blue 6 /cs
Remit to and make checks payable to Subtotal: 5,715.08
HP Products Sales tax: 0.00
PO Box 660417 Invoice total: 5,715.08
Indianapolis, IN 46266 -0417 Amount paid: 0.00
Total due: 5,715.08
Page 3
THANK YOU FOR YOUR BUSINESS!
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))
11234191 $3,117.82
11234191 $2,597.26
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 NO. WARRAN NO.
ALLOWED 20
HP Products
IN SUM OF
P.O. Box 68310
Indianapolis, IN 46268
$5,715.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 11234191 j 42- 389.00 j $3,117.82 1 hereby certify that the attached invoice(s), or
1120 11234191 42- 390.99 $2,597.26 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
JAN 13 2012
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund