177221 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $242.17
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 177221
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 9115/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AM OUNT DE SCRIPTION
651 5023990 I0565832 242.17 OTHER EXPENSES
o Worner -o, ned 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 8/26/2009 0�
11 11JJI11111111111111LI, J1IIL11I,1J1111 lei ILIIIIJI11111 Ship To #:1
000010* *001* *001 *3 -DIGIT 460 CARMEL WASTEWATER TRTMNT I
Sold To #:C001915 9609 HAZEL DELL PKWY
CARMEL WASTEWATER TRTMNT PLANT *DEL B T 8 -3:30 CLOSED 12 -1
760 3RD AVE SW STE 110 INDIANAPOLIS, IN 46280
CARMEL IN 46032 -2070
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re presentative
10565832 8/26/2009 Net 30 511831 Barbara Roberts (VM 1691)
Order No. Order Date I Ship Via Customer Reference Customer Service Contact
S00644327 8/26/2009 IN00 Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 CS 114801 KC 034790 WypAII X60 34790 93.40000 186.80
Teri Wiper 9.1x16.8 Box
10/126/cs
1.00 1.00 CS 115158 HP Disinfectant Foam CP873 39.42000 39.42
Cleaner 12/19oz
1.00 1.00 EA 999907 Fuel Surcharge 99997 7.95000 7.95
1.00 1.00 EA 999909 Handling Charge 8.00000 8.00
Subtotal: 242.17
Sales tax: 0.00
Invoice total: 242.17
Amount paid: 0.00
Total due: 242.17
Remit to and make checks payable to :HP Products
4220 Sam -larc Trail
P.O. Box 68310
Indianapolis, IN 46268 -4819
s
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 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 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 10565832 $242.17
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 O r
VOUCHER 096333, V`.'ARRANT ALLOWED
117785 IN SUM OF
HP PRODUCTS
4220 Saquaro Trail
Indianapolis, IN 4626
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
J Board members
PO INV ACCT AMOUNT Audit Trail Code
10565832 01- 7202 -05 $226.22
10565832 01- 7202 -05 $15.95
U
Voucher Total $242.17
Cost distribution ledger classification if
claim paid under vehicle highway fund