176765 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $56.25
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 176765
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
�a1120� 4238900 y I0556819 56.25 OTHER MAINT SUPPLIES
Women-owned Business Enterprise (WB£)
x.:
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 'fyV ®1`i�
4220 Saguaro Trail
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317 293 -0459
Dale 8/17/2009
Ship To 1
000072 CITY OF CARMEL FIRE DEPT
Sold To #:CO21876 2 CIVIC SO
CITY OF CARMEL FIRE DEPT CARMEL, IN 46032
2 CARMEL CIVIC SQ
CARMEL IN 46032
F No. I Invoice Date Terms Customer Purchase Order No. Sales Representative
!0556819 81 C9 Nit' Gary
�0
Gary Carter Rajah ohaviirani (Vivi 1671
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00629616 8/1012009 WILLCALL Extension 1300
Notes
Special Instructions
Ordered B/O Shi UOM Item No. Descri MFG Item# Unit Price Amount
1.00 1.00 CS 115250 GOJO 5163 Luxury 5163 -03 56.25000 56.25
Foam Hair /Body Wash
1250ml 3 /cs
4.00 4.00 EA 115252 GOJO 5150 FMX 12 5150 -06 0.00000 0.00
Dispenser Gray 6 /cs
Subtotal: 56.25
Sales tax: 0.00
Invoice total: 56.25
Amount paid: 0.00
Total due: 56.25
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!
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))
10556819 $56.25
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.
ALLOWED 20
HP Products
t IN SUM OF
P.O. Box 68310
Indianapolis, IN 46268
$56.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 10556819 42- 389.00 $56.25 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
AUG 31 2nn
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund