HomeMy WebLinkAbout231259 04/08/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 359478
ONE CIVIC SQUARE HILLYARD /INDIANA CHECK AMOUNT: S***"***387.95*
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK NUMBER: 231259
KANSAS CITY MO 64187-2361 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 601064268 387.95 OTHER MAINT SUPPLIES
www.hfflyard.com
HILLYARD Re-it HILLYARD/IND/ANA Information
. .
® ® ® P.O Box:872361 Customer Number 256298
THE CLEAMG RESOURCE® Kansas City, MO 64187-2361
Invoice Number 601064268
Plant: 1350
Phone: 765 378 3766 Invoice Date 03/10/2014
Fax: 7653786677 Purchase Order No. VERBAL
Packing List Number 85981714
Ship CITY OF CARMEL
To ATTN: JEFF BARNES ���n7 Sales Order Number 39277255
ONE CIVIC SQUARE DME IED Payment Terms Net due in 30 days
CARMEL IN 46032
1111111EI i11111111111EII 111111111HiI HIN Page 1 of 1
Bill CITY OF CARMEL 601064268
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
fatal ilmount Due 563 18
CARMEL IN 46032
--... ..... ..... .................. ---- .................. -- --- ...... - ....... - ---
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
invo►ce Defatis -
......-.1-1..._..............
.. .
a
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP38006 5 CS 46.63 233.15
TOWEL ROLL WHITE 6 630 CS
0020 PAP38110 5 CS 45.71 228.55
TISSUE PREM OPTICORE 2 PLY 36 800 CS
0030 HIL0039403 2 CS 43.24 86.48
SOAP AFFINITY FOAM MAND CRAN 1 250ML 4 CS
----------------------------
Subtotal 548.18
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price
Building Maintenance �g7
Account # 'Ui$lDer
Department #_ /,Z6
Submitted To
APR 72014
I
Jerk `treasurer
Invoice Number 601064268 Date 03/10/2014 Purchase Order:VERBAL
Plant: 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILL YARD/INDIANA Invoice
P. O. Box:872361
UE CLEANINc RBOLTRCE* 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.
HI L LYA R D Please Note New Remit Address
Remit To:
The Cleaning Resource- HILL YARD/INDIANA
Phone: 765 378 3766 P.O Box:872361
Fax: 765 378 6671 Kansas City MO 64187-2361 Customer er
Statement
www.hill ard.com
Billing Address Information
CITY OF CARMEL Customer Number 256298
ATTN: JEFF BARNES Statement Date 03/21/2014
ONE CIVIC SQUARE Open item list on 03/21/2014
CARMEL IN 46032
_- _ Page_1 _of 1
Invoice# Customer PO# Document Amount
Reference Document Date
07/22/2011 080.50-
0032084673
8216576 INV#6778859 09/12/2011
601064268 VERBAL 03/10/2014 563.18
0039277255
-----------------------
Balance on key date 03/21/2014.......... 387.95
CURRENT OVERDUE 1-30 OVERDUE 31-60 OVERDUE 61-90 OVERDUE 91+ ACCT BALANCE
563.18 0.00 0.00 0.00 175.23- $387.95
VOUCHER NO. WARRANT NO. }
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$387.95
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 601064268 I 42-389.00 I $387.95 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
Wednesday, April 02, 2014
A 6 1 t!— Z —
Director, Administration
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))
03/10/14 601064268 $387.95
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