180434 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS
CARMEL, INDIANA 46032 4220 SAGUARO TR CHECK AMOUNT: $8.50
PO BOX 68310 CHECK NUMBER: 180434
INDIANAPOLIS IN 46268 -4819
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1205 4238900 I0640991 8.50 OTHER MAINT SUPPLIES
Women' =owned Business Enterprise(WEIE)
Excellence in Distribution I ZO
HP Products CORPORATE OFFICE ISO 9001:2008
4 Certificate Number 2006 -005 Invoice
IN
Indianapdianap olislis, IN 466 268
Phone: 317-298-9950 FAX: 317 293 -0459
Date 12/2/2009
Ship To 1
000051 CITY OF CARMEL
Sold To #:CO21875 1 CIVIC SCQ
CITY OF CARMEL CARMEL, IN 46032
1 CARMEL CIVIC SO US
CARMEL IN 46032
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
10640991 12/2/2009 Net 30 JEFF Rajan Bhavnani (VM 1677)
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S00713711 11/16/2009 WILLCALL Extension 1300
Notes
Special Instructions
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
2.00 2.00 EA 117849 5137HG 5424HG 5424DG 4.25000 8.50
RETAINING RING
Subtotal: 8.50
Sales tax: 0.00
Invoice total: 8.50
Amount paid: 0.00
Total due: 8.50
Remit to and make checks payable to HP Products
4220 Saguaro Trail
P.O. Box 68310
Indianapolis, IN 46268 -4819
E DEC 14 2099
Page 1
THANK YOU FOR YOUR BUSINESS!
+cr t i
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
j 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
HP Products Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/02/09 10640991 Retanin Ring 8.50
Total $8.50
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
r VOUCHER N01 2/14/09 WARRANT NO.
r,
t
ALLOWED 20
HP Products
IN SUM OF
4220 Saguaro Trail
Indianapolis, IN 4 6268
$8.50
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1205 General A dministration
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 10640991 389 $8.50 materials or services itemized thereon for
which charge is made were ordered and
received except
20
4 S:iatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund