215883 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS CHECK AMOUNT: $14.77
CARMEL, INDIANA 46032 PO BOX 68310
oN�; INDIANAPOLIS IN 46268 CHECK NUMBER: 215883
CHECK DATE: 12/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 I1538605 14 . 77 OTHER EXPENSES
Women-owned Business Enterprise(WBE)
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail tl ®�V
Indianapolis, IN 46268 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :12/6/2012
Ship To #:3
000004 STATION 42
SOLD TO#:CO21876 3610 W 106TH ST
CITY OF CARMEL FIRE DEPT CARMEL, IN 46032
2 CARMEL CIVIC SQ US
CARMEL IN 46032
Invoice No. invoice Date Terms I Customer Purchase Order No. Sales Re resentative
11538605 12/6/2012 Net 30 BARB Barbara Roberts ()
Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01670469 12/6/2012 WILLCALL Extension# 1300
Notes
PLEASE CALL GARY CARTER @ 317-508-5777 IF NO ONE IS AT FACILITY(THEY MAY BE OUT ON A RUN & HE WILL
INSTRUCT WERE TO DELIVER).
Special Instructions
BARB
Ordered B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
1.00 1.00 CS 114661 Bunn Paper Coffee 287153 14.77000 14.77
Filter 12 Cup 9"-3/4x4-
1/4" 1000/cs
# 20115
Customer representative confirmation of receipt: Remit to and make checks payable to : Subtotal: 14.77
BARB TOOK HP Products Sales tax: 0.00
ti PO Box 68310 Invoice total: 14.77
12/6/2012 Indianapolis, IN 46268 Amount paid: 0.00
Total due: 14.77
01-ORDER COMPLETE
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
$14.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept.
INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1120 I 11538605 1 120-851.00 I $14.77 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
DEC 17 2092
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
11538605 $14.77
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