HomeMy WebLinkAbout230460 03/26/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 359478
ONE CIVIC SQUARE HILLYARD /INDIANA CHECK AMOUNT: S""" "524.56*
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK NUMBER: 230460
KANSAS CITY MO 64187-2361 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 601054456 524.56 OTHER EXPENSES
www.hillyard.com
HILLYARD Remit H/LLYARD/IND/ANA Information
.O Box:872361
XK4 ®`v ® L� v PCustomer Number. 272994
THE CLEANING RESOURCE® Kansas City, MO 64187-2361
Invoice Number 601054456
Plant: 1350
Phone: 765 378 3766 Invoice Date 02/28/2014
Fax: 7653786671 Purchase Order No. BLAINE MALLABER
Packing List Number 85972332
Ship CARMEL W.W.T.P. - WASTEWATER UTILIT
To 9609 HAZEL DELL PARKWAY Sales Order Number 39271 286
INDIANAPOLIS IN 46280 Payment Terms Net due in 30 days
1111111111 HII 1111111111111 El IN Page 1 of 1
Bill CARMEL W.W.T.P.-WASTEWATER UTILITY 601054456
To ATTN: PAUL ARNONE
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 Total.i4mount Due 524: 56
- - - .. .. --- ------- - - _...... . -- .._ . -- - ----------------------- - ..._
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
'invo€ce :.e --
_-
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo LR4348170K 1 CS 38.81 38.81
LINER 56GAL 43X48 1 .7MIL BLK 100/CS PAYL
0020 PAP10145 2 CS 36.00 72.00
TISSUE FACIAL GSC 2 PLY 30 160 box
0030 PG53971 6 CS 54.41 326.46
TOWEL BOUNTY 30 RLS
0040 HIL29920 1 DZ 25.49 25.49
URINAL SCREEN CHERRY WITH 4 OZ BLOCK
I
0050 HIL0101804 12 QT 3.90 46.80
SPRAY CLEAN HD
----------------------------
Subtotal 509.56
-----------------------------
Shipping 15.00
Tax Amount 0.00
Gross Price 524.56
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Invoice Number 601054456 Date 02/28/2014 Purchase Order: BLAINE MALLABER
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
HILLYARD HILL YARD/INDIANA Invoice
Xc N ° " P. O. Box:872361
THE CLEANING RESOURCE' Kansas City, MO 64187-2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS OF THE FAIR LABOR STANDARDS ACT OF 1938,AS AMENDED,IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
VOUCHER # 137604 WARRANT # j ALLOWED
359478 j{� IN SUM OF $
HILLYARD/INDIANA
PO BOX 872361
KANSAS CITY, MO 64187-2361
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Carmel Wastewater Utility f
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ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
601054456 01-7202-05 $524.56
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Voucher Total $524.56 V
Cost distribution ledger classification if
claim paid under 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 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 3/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2014 601054456 $524.56
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
Date Officer