177681 09/29/2009 CITY OF CARMEL,_INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $555.79
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 177681
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 9/29/2009
DEPART A CCOUN T PO NUMBER INVOICE NUMBER AMOUNT DES CRIPT ION
2201 4238900 I0578846 J 555.79 OTHER MAINT SUPPLIES
I
BPI Women -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008
4220 Saguaro Trail Certificate Number 2006 -005 Invoice
Indianapolis, IN 46268
Phone: 317-298-9950 FAX: 317 293 -0459
Date 911412009
Ship To 1
000048* *001* *001 *3 -DIGIT 460 CITY OF CARMEL STREET DEPT
Sold To #:C002056 3400 W 131 ST ST
CITY OF CARMEL STREET DEPT W ESTFI ELD, IN 46074
3400 W 131ST ST
WESTFIELD IN 46074 -8267
Invoice No. Invoice Date Terms Customer Purchase Order No. I Sales Representative
10578846 9 Net 30 Bonnie Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00658663 9/14/2009 FleetUPS Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM It No. Desc MFG Item# Unit Price Amount
10.00 10.00 CS 114353 KC 01890 Kleenex M- 01890 54.78400 547.84
Fold Towel W ht
16/150/cs
1.00 1.00 EA 999945 Shipping Charge 998813 7.95000 7.95
Subtotal: 555.79
Sales tax: 0.00
Invoice total: 555.79
Amount paid: 0.00
Total due: 555.79
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!
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))
09/14/09 1)578846 $555.79
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HP Products
IN SUM OF
P. O. Box 68310
Indianapolis, IN 46268 -4819
$555.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1)578846 42- 389.00 $555.79 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
Thursday, ember 24, 2009
VV
Street Commis oner
Stroot Titld i:ri8r
Cost distribution ledger classification if
claim paid motor vehicle highway fund