HomeMy WebLinkAbout242293 02/17/15 �, _�,q�f CITY OF CARMEL, INDIANA VENDOR: 359478
;, ® i'r ONE CIVIC SQUARE HILLYARD/ INDIANA CHECK AMOUNT: $***....101.48*
r ?� CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK NUMBER: 242293
v KANSAS CITY MO 64187-2361 CHECK DATE: 02/17/15
M���ON GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 601478621 101.48 OTHER MAINT SUPPLIES
I PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
r _.
1 f 1113it,�.. .CdilS.:
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0039403 2 CS 43.24 86.48
SOAP AFFINITY FOAM MAND CRAN 1250ML 4 CS
----------------------------
Subtotal 86.48
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price 101.48
E
ingt #en #17
I
Submitted To
FEB 16 2015
Clerk `treasurer
Invoice Number 601478621 Date 01/30/2015 PO: ISA-01/30/2015
Plant: 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILL YARD/INDIANA Invoice
R A o P P. O. Box:872361
Tff CLEANiNGRESOURCE' 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.
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))
01/30/15 601478621 $101.48
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$101.48
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 ( 601478621 I 42-389.00 I $101.48 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
Monday, February 16, 2015
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund