170871 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $881.62
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 170871
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 4/16/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1205 4238900 8668455 881.62 OTHER MAINT SUPPLIES
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Women -owned Business Enterprise (WBE)
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5xcellence in Distribution 1 20D S
HP Products CORPORATE OFFICE ISO 9001 -2000 Invoice
4220 Saguaro Trail Certificate Number 2006 -005
Indianapolis, IN 46268
Phone: 317-298-9950 FAX: 317 293 -0459
Date 3/30/2009
Ship To 1
000061 CITY OF CARMEL
Sold To #:CO21875 1 CIVIC SQ
CITY OF CARMEL CARMEL, IN 46032
1 CARMEL CIVIC SQ
CARMEL IN 46032
Invoice No Invoice Date Terms Customer Purchase Order No. Sale Representative
10455089 3/30/2009 Net 30 Raian Bhavnanl (VM 1677)
Order No. Order Date I Ship Via Customer Reference Customer Service Contact
S00515146 3/30/2009 IN00 Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 100186 Bay West 54000 54000 68.94000 68.94
EcoSoft 2ply Tissue 4
3/8x3 3/4 500/96/cs
10.00 10.00 CS 109217 KC 04007 Coreless 04007 67.75000 677.50
Tissue W ht 36/1000/cs
3.00 3.00 CS 113747 Spartan BioRenewables 353003 42.41000 127.23
Restroom Cleaner
Quart 3530 12 /cs
1.00 1.00 EA 999907 Fuel Surcharge 99997 7.95000 7.95
Subtotal: 881.62
Sales tax: 0.00
Invoice total: 881.62
Amount paid: 0.00
Total due: 881.62
Remit to and make checks payab!e 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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
,i -:4� 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
11P Products Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.T,281 R2
03/30/09 !0455089 Restroom clea
Total $881.62
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- Treasurp•
VOUCHER /13/09 WARRANT NO.
P P rnA, ALLOWED 20
AO r
IN SUM OF
P.O. Box 68310
Indianapolis IN 4R9r
c
i
$881.62
ON ACCOUb FOR
1205 ADMINISTRATION
Board Members
PO# or INVOICE NO.
DEPT. ACCT #/TITLE AMOUNT I hereby certify that the attached invoices or
1206 045508A 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
20
g re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund a