215328 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $2,723.33
CARMEL, INDIANA 46032 PO BOX 68310
INDIANAPOLIS IN 46268 CHECK NUMBER: 215328
CHECK DATE: 12111/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 11530568 1, 208 . 70 OTHER MAINT SUPPLIES
2201 4238900 11531681 1, 514 . 63 OTHER MAINT SUPPLIES
Women-owned Business Enterprise(WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail
Indianapolis,IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :11/27/2012
����I�Il�lrlilllll�ll�ll����lllilll�I�I'�I'lll���l"�I'I'lllll�ll Ship To#:3
000004**001**001UTO**3-DIGIT460_AB MONON CENTER/ 1195
THE SOLD
MONON CENT RFC IVED CARMEL, IN 46032 RK WEST
THE MONON CENTER
1411 E 116TH ST us
CARMEL IN 46032-3455 NOV 2 9 2012
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative
11530568 11/27/2012 Net 30 29193 Woody Moore 0
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01660696 11/27/2012 IN00 Extension# 1300
Ordered 6/0 Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 111819 3M Scotch Brite Medium 20688 45:00000 `-- - -45.00
Duty Scrub Sponge # 74
20/cs
1.00 1.00 CS 119993 Spartan Spraybuff RTU 304003 44.75000 44.75
Quart 3040 12/cs
Ordered item 148339 is out of stock. We have sent item 119993 as an alternative.
5.00 5.00 CS 112156 HP Can Liner 24x33 8 MR-S4554-N 29.34000 146.70
Mic Natural 1000/cs
(20/50)
5.00 5.00 CS 100155 Bay West 15000 15000 44.75000 223.75
EcoSoft GSeal Facial
Tissue 8 3/4x8 30/150/c
2.00 2.00 CS 113156 HOSPECO Waxed HS-6141 21.98000 43.96
Paper Liner 9x1 0x3.25"
HS-6141 250/cs
5.00 5.00 CS 100183 Bay West 49500 49500 24.99000 124.95
EcoSoft C-Fold Towel
White 12/200/cs
5.00 5.00 CS 134762 TC OneShot Foam FG750386 59.62000 298.10
Lotion Soap
W/Moisturizer 1600ml
750386 4/cs
3.00 3.00 CS 109795 RM 7817 Protective FG781788W 93.83000 281.49
Liners For Sturdy
_ _ _ _ Station 320/cs
Purchase
Description J ��•
P.O.# oc�1gR P r F
G.L.# Q �l�O
Budget
Line Descr Remit to and make checks payable to : Subtotal: 1,208.70
HP Products Sales tax: 0.00
Purchaser Date PO Box 68310 Invoice total: 1,208.70
CwWoval _Dnta Indianapolis, IN 46268 Amount paid: 0.00
Total due: 1,208.70
Page 1
THANK YOU FOR YOUR BUSINESS!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
117785 H P Products Terms
P.O. Box 68310
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/27/12 11530568 Janitorial supplies 29198 $ 1,208.70
Total $ 1,208.70
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.
117785 H P Products Allowed 20
P.O. Box 68310
Indianapolis, IN 46268
In Sum of$
$ 1,208.70
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 11530568 4238900 $ 1,208.70 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
6-Dec 2012
Signature
$ 1,208.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Women-owned Business Enterprise(WBE)
Excellence in Distribution
Products CORPORATE OFFICE ISO 9001:2008
42 INVOICE
4220 Saguaro Trail
Indianapolis,IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :11/28/2012
'1'1"I11-Ir..IIIII�II��r�II��L�llllrl��l��llll�ll����rlllr��lll Ship To #: 1
000025**001**001UTO**3-DIGIT460 AB CITY OF CARMEL STREET DEPT
SOLD TO#:0002056 — 3400 W 131 ST ST
CITY OF CARMEL STREET DEPT CARMEL, IN 46074
3400 W 131 ST ST us
CARMEL IN 46074-8267
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Re resentative
11531681 11/28/2012 Net 30 Bonnie 11-28-12 Barbara Roberts ()
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01662716 11/28/2012 IN00 Extension# 1300
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
12.00 12.00 CS 114353 KC 01890 Kleenex M- 01890 58.75000 705.00
Fold Towel Wht
16/150/cs
6.00 6.00 CS 112384 HP Can Liner 43x47 RP-S4694-X 70.77000 424.62
XXH Black Hevi-Tough
100/cs (10/10)
2.00 2.00 CS 119464 GP 198-80/01 Envision 19880/01 72.75000 145.50
2ply Tissue 80/550/cs
6.00 6.00 CS 112000 HP Can Liner 24x32 .5 P-S4501-K 37.76000 226.56
Mil Black 500/cs (10/50)
1.00 1.00 EA 999907 Fuel Surcharge 5500000998 12.95000 12.95
Remit to and make checks payable to : Subtotal: 1,514.63
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 1,514.63
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 1,514.63
Page 1
THANK YOU FOR YOUR BUSINESS!
VOUCHER NO. WARRANT NO.
ALLOWED 20
HP Products
IN SUM OF $
P. O. Box 68310
Indianapolis, IN 46268
$1,514.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 11531681 1 42-389.001 $1,514.63 I 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
FEiday, December 07, 2012
rY t M I / r// d .A �A
yywtN I�
Street Commiss4oner
c+enn+r`nmmiccinnar
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/28/12 11531681 $1,514.63
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