169922 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $553.49
CARMEL, INDIANA 46032 4220 SAGUARO TR
PO BOX 68310 CHECK NUMBER: 169922
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 3118/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 10430977 415.03 EQUIPMENT REPAIRS M
1120 4238900 I04351511 138.46 OTHER MAINT SUPPLIES
C�
Wooten -owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 -2000
4220 Saguaro Trail Certificate Number 2006 -005 Invoice
Indianapolis, IN 46268
Phone: 317-298-9950 FAX: 317 293 -0459
Date 3/3/2009
Ship To 2 0
000053 STATION 453
Sold To #:CO21876 10701 N COLLEGE AVE
CITY OF CARMEL FIRE DEPT INDIANAPOLIS, IN 46280
2 CARMEL CIVIC SQ
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No._ Sales Representative
10435155 3/3/2009 Net 30 Gary Ratan Bhavnani (VM 1677)
Order No. Order Date Shi Via Customer Reference Customer Service Contact
S00493000 3/3/2009 IN00 Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 128544 KC 91552 Luxury Foam 91552 70.46000 70.46
Skin Clnsr 1000ml 6 /cs
1.00 1.00 CS 114336 KC 02000 HRT White 02000 68.00000 68.00
Hard Roll Towel 8x950'
6 /cs
3.00 3.00 EA 113833 KC 91070 All -N -1 91070 0.00000 0.00
Bracket Plastic, White
50 /cs
3.00 3.00 EA 128548 KC 92145 Cassette 92145 0.00000 0.00
Dispenser 1 000m Black
6 /cs
Backorders
Remaining
Item No. UOM Description quantity
114152 EA KC 09996 In -Sight 3.00
Sanitouch HRT Disp.
Grey
Subtotal: 138.46
Sales tax: 0.00
Invoice total: 138.46
Amount paid: 0.00
Total due: 138.46
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))
104351511 Supplies $138.46
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
$138.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 104351511 42- 389.00 $138.46 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
MAR 16 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Women owned Business Enterprise (WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001 -2000
4220 Saguaro Trail Invoice
o
Indianapolis, IN 46268 Certificate Number 2006 -005
Phone: 317-298-9950 FAX: 317 293 -0459 e
Date 2/25/2009
Ship To 1
000014 "001 "001 3 -DIGIT 460 BROOKSHIRE GOLF CLUB
Sold To #:C001716 12120 BROOKSHIRE PKWY
BROOKSHIRE GOLF CLUB MAINTENANCE
12120 BROOKSHIRE PKWY CARMEL, IN 46033
CARMEL IN 46033 -3314
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10430977 2/25/2009 Net 30 Ken Miller Raian Bhavna.ni (1/M 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00470930 2/6/2009 IN00 Extension #1300
Notes
S pecial Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 EA 111256 TC AutoFlush 401186 203.53846 407.08
Sidemount for Urinals
Chrome 401186 6 /cs
1.00 1.00 EA 999907 Fuel Surcharge 99997 7.95000 7.95
Subtotal: 415.03
Sales tax: 0.00
Invoice total: 415.03
Amount paid: 0.00
Total due: 415.03
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!
7
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
P LO Purchase Order No.
/�o?O S,c�or �gea el Terms
0 ✓a�b��� ��o?�� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
16 9 1 R va- o n d
Total
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.
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
&i �"75 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
m f> 2 0 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
Sig n �1 G�L��
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund