218868 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 117785 Page 1 of 1
ONE CIVIC SQUARE HP PRODUCTS
s CHECK AMOUNT: $640.45
% CARMEL, INDIANA 46032 PO BOX 68310
INDIANAPOLIS IN 46268 CHECK NUMBER: 218868
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 I1631244 640 .45 OTHER MAINT SUPPLIES
HP m
Warren-owned-Business Enterprise'(WBE)
e � � s
Excellence in Distribution
HP Products CORPORATE OFFICE ISO 9001:2008 INVOICE
4220 Saguaro Trail
Indianapolis,IN 46266 Certificate Number 2006-005
Phone:317-298-9950 FAX: 317-293-0459
Date :3/27/2013
rl�lr�l���l���lllll�ll����ll�rl��llll�l��lr�llll�ll��r��lll���111 Ship To #: 1
000030`001**001UTO**3-DIGIT 460 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 U S
CARMEL IN 46074-8267
Invoice No. Invoice Date Terms Customer Purchase Order No. Sales Representative
11631244 3/27/2013 Net 30 Amy Lunn 3-27-13 Barbara Roberts O
—Order No. Order Date Ship Via Customer Reference Customer Service Contact
S01770384 3/27/2013 IN00 Extension# 1300
Ordered_ B/O Shipped UOM Item No. Description MFG Item# Unit Price Amount
10.00 10.00 CS 114353 KC 01890 Kleenex M- 01890 62.75000 627.50
Fold Towel Wht
16/150/cs
1.00 1.00 EA 999907 Fuel Surcharge 5500000998 12.95000 12.95
Remit to and make checks payable to : Subtotal: 640.45
HP Products Sales tax: 0.00
PO Box 68310 Invoice total: 640.45
Indianapolis, IN 46268 Amount paid: 0.00
Total due: 640.45
Pagel
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))
03/27/13 11631244 $640.45
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
HP Products
IN SUM OF $
P. O. Box 68310 -
Indianapolis, IN 46268 -
$640.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 11631244 I 42-389.001 $640.45 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
Thur day ril 04, 2013
VVV e
eet Com issi
Street CdliiaWnissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund