209558 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS
o CARMEL, INDIANA 46032 PO Box 660417 CHECK AMOUNT: $1,223.10
INDIANAPOLIS IN 46266 -0417 CHECK NUMBER: 209558
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 I1354466 1,223.10 OTHER MAINT SUPPLIES
r Women- owned Business Enterprise (WBE)
Excellence in Distribution
Products CORPORATE OFFICE ISO 9001:2008
42 X10 ®I�+�
4220 Saguaro Trail
Indianapolis, IN 46268 E� Certificate Number 2006 -005 C
Phone: 317-298-9950 FAX: 317 293 -0459
Date :5/24/2012
I' I" I��rlr��lllll�ll����ll�rl��llll�l��l��llll�ll�rr�rlll���lll Ship To 1
000032 "001 "0011LITO 3 -DIGIT 460 AB CITY OF CARMEL STREET DEPT
SOLD TO #:C002056 3400 W 131 ST ST
CITY OF CARMEL STREET DEPT CARMEL, IN 46074
3400 W 131ST ST US
CARMEL IN 46074 -8267
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re presentative
11354466 5/24/2012 Net 30 Bonnie Callahan 5 -23 -12 Barbara Roberts Il
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01491223 5/24/2012 IN00 Extension 1300
Ordered B/O Shi UOM Item No. Description MFG Item# Unit Price Amount
10.00 10.00 CS 114353 KC 01890 Kleenex M- 01890 58.75000 587.50
Fold Towel W ht
16/150/cs
6.00 6.00 CS 112384 HP Can Liner 43x47 RP- S4694 -X 67.40000 404.40
XXH Black Hevi -Tough
100 /cs (10/10)
3.00 3.00 CS 119464 GP 198 -80/01 Envision 19880 72.75000 218.25
2ply Tissue 80/550/cs
1.00 1.00 EA 999907 Fuel Surcharge 5500000998 12.95000 12.95
Remit to and make checks payable to Subtotal: 1,223.10
HP Products Sales tax: 0.00
PO Box 660417 Invoice total: 1,223.10
Indianapolis, IN 46266 -0417 Amount paid: 0.00
T otal due: 1,223.10
Pagel
THANK YOU FO YOUR B
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))
05/31/12 11354466 $1,223.10
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 660417
Indianapolis, IN 46266 -0417
$1,223.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE I AMOUNT Board Members
2201 I 11354466 I 42- 389.001 $1,223.10 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
r Friday, June 01, 2012
7T(7 L A/
Street Commission�er
Street Con,Titlessioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund