HomeMy WebLinkAbout229497 2 /25/2014 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
*f ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $84.77
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187-2361
CHECK NUMBER: 229497
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 601202516 84 . 77 OTHER EXPENSES
Remit To:
HILLYARD HILL YARD/mmmmw
pmBox:8 7236 Customer N.umber: 272994
7ff CLEAMG RESOURCEO Kansas City, xvo 64187'236/ Invoice Number 601020516
Plant: 1350
Phone: 7653783766 Invoice Date 01/31/2014
Fax: 765378667/ Purchase Order No. BLAINE MALLABER
Packing List Number 85940508
Ship C/\RN1ELVV.VV.T.P. WASTEWATER UT|L|T
To y8O0HAZEL DELL PARKWAY Sales Order Number 39257934
INDIANAPOLIS IN 40280 Payment Terms Net due in 30 days
11111111111111111111111111111 Page 1 of 1
Bill CARMEL UTILITIES 601020516
To L|SAKEMPA
78OTHIRD AVENUE SVV SUITE 110
CARMEL IN 46032
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Colo PAP42819 4 EA
0020 PAP42525 1 EA
DISPENSER TISSUE OPTICORE 2 ROLL
003o LR4348170K 1 CS 38.81 38.81
004o HIL0014406 4 GAL 7.74 30.96
TOP CLEAN
----------------------------
Subtotal 69.77
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price 84.77
----------------------------
- -
Invoice Number 601020516 Date 01/31/2014 Purchase Order: BLAINE MALLABER
Plant: /ano Customer Number 272994 CARMEL v . .
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HILLYARD HILL YARD/mmmxm
Invoice
m4NOXON P. 0. Box
nvo^ - -puaox e723e/
THE CIMUNC0EsOURC ^ Kansas City, mm 64/8/236/ CUSTOMER COPY THANK YOU!
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359478
HILLYARD/INDIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187-2361 Due Date 2/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2014 601202516 $84.77
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
Date fficer
VOUCHER # 137395 WARRANT # ALLOWED
359478 IN SUM OF $
HILLYARD/INDIANA
PO BOX 872361
KANSAS CITY, MO 64187-2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
601202516 01-7202-05 $84.77
Voucher Total $84.77
Cost distribution ledger classification if
claim paid under vehicle highway fund