180833 12/30/2009 "14, CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD 1 INDIANA
I CARMEL, INDIANA 46032 P o eox easel CHECK AMOUNT: $1,387.66
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 180833
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 6123110 109.22 OTHER MAINT SUPPLIES
1047 4238900 6123111 902.10 OTHER MAINT SUPPLIES
1125 4239099 6131674 137.44 OTHER MISCELLANOUS
1047 4237000 7291078 238.90 REPAIR PARTS
HILLYARD Please Note New Remit Address CUSTOMER COPY
1 Remit To:
I u HILLYARD INDIANA
CLEANING RESOURCE° P.0 Box: 872361
Plant: 1350 Kansas City MO 64787-2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship Carmel,Clay Parks Recreation
To 1427 EAST 116TH STREET DEC 0 1 2 °i19 �nfrsrm t1on
CARMEL IN 46032 -3455 Customer Number: 272994
Invoice Number 1.2.31 "TO
Invoice Date (121.0212009
Bill THE MONON CENTER Purchase Order N o FS
To 1411 EAST116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83105992
Sales Order Number 21069208
Payment Terms Net due in 30 days
Page 1 of 1
i i L ,,f i
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP22018 2 CS 47.11 94.22
TISSUE TOILET JR JUMBO 2PLY 1000 /RL 12CS
Subtotal 94.22
Shipping 15.00
Purchase Tax Amount 0.00
Description) a,
Gross Price 109.
227 7
P.O. I! P orgy
G.L. 42 3 90 m
Budget
t.ineDescr
Purchaser Date
Approval Date
g.ki DEC. 072009
aeon
THE CFI 1 FP RFPRFCFNTC IT HAC FI11IY COI„IPI 150 WITH THE PROVISIONS 05 TI-IF 5515 I AROR RTANIIARDC ACT OF in la AS AMFNDED. IN THE MANUFACTURE OF GOODS COVERED RV THIS INVOICE.
HILLYARD Please Note New Remit Address CUSTOMER COPY
r r t Remit To:
L L 4 HILL YARD INDIANA
THE CLEANING RESOURCE" P.0 Box: 872361
Plant: 1350 Kansas City MO 64187 -2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship MONON CENTER AT CENTRAL PARK
To .1135 CENTRAL PARK DRIVE WEST Information
•CARMEL IN 46032 Customer Number:' 272994
DEC 0 7 2009 Invoice Number 1.07,.8_,_
Invoice Date 1.2702I200_9IJ
Bill THE MONON CENTER Purchase Order No. C21
To 1411 EAST116TH STREET
CARMEL IN 46032 -3455 Packing List Number 95235685
Sales Order Number 54102660
Payment Terms Net due in 30 days
Page 1 of 1
I
Tw oic@ D ta d
s
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 TNT1015743 2 EA 14,50 29.00
BELT TIMING
0070 KAISUBPHKV 1 EA 195.17 195.17
HOSE KAIVAC PRESSURE
0080 TNT100047 1 EA 4.90 4.90
BELT MAGNATWIN 16
Subtotal 229.07
Purchase
DescriptionV( Cti(1rn po r Shipping 9.83
P.O. Gjy� P o 11 D Tax Amount 0.00
G.L. 1 47 i r1)-- 310 Lit 3l7[91k�
8udaet
Line escr `a Gross Price C 2
I er it I
Purchaser Date
Approval Date
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS OF THE FAIR LA50R STANDARDS ACT OF 1935, AS AMENDED, IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
HILLYARD Note New Remit Address CUSTOMER COPY
j••• ••l•••��� Remit To:
HILL YARD INDIANA
THE CLEANING RESOURCE P.0 Box: 872361
Plant: 1350 Kansas City MO 64187 -2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship MONON CENTER AT CENTRAL PARK InfOrmtln.:.
To 1135 CENTRAL PARK DRIVE WEST
CARMEL IN 46032 Customer Number: 272994
Invoice Number
Invoice Date 1
Bill THE MONON CENTER Purchase Order No. �22974__s�J
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83106083
Sales Order Number 21069205
Payment Terms Net due in 30 days
Page 2 of 2
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
i J
Subtotal 889.34
Shipping 12.76
Tax Amount 0.00
Gross Price 902.7 0
r)) g• t1; F
(u DEC 0 7 2009 Ali
purchase. y
Description �l
G.L. —II�G� J� Sc)DCTh
Line 9udget escr y
Purchaser Date
Approval Date
THE SFI I FR RFPRFSFNTS IT HAS FI II I V (:f1MPI IFR WITH THE PROVISIDN.E f1F THE FAIR I ARIIR RTANRARDS ACT 13F 149A- AS AMENDED. IN THE MANOEACTIJRE OF GOODS COVERED BV THIS INVOICE
ILLYARD Please Note New Remit Address CUSTOMER COPY
C r n Remit To:
HILLYARD INDIANA
THE CLEANING RESOURCE' P.0 Box: 872361
Plant: 1350 Kansas City MO 64 18 7 -236 1 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship MONON CENTER AT CENTRAL PARK
To 1135 CENTRAL PARK DRIVE WEST fnfvrmt�on
CARMEL IN 46032 Customer Number: 272994
DEC 0 7 2009 Invoice Number 61 2311 1
Invoice Date 12/02/2009
Bill THE MONON CENTER Purchase Order No. 22974
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83106083
Sales Order Number 21069205
Payment Terms Net due in 30 days
Page 1 of 2
I<r�v�rlice Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0125003 8 CS 34.92 279.36
HILLYARD PINK PLUS HAND FOAM 1.5L 2CS
0020 JAD385820B 4 CS 26.19 104.76
LINER 38X58 LLPE ROLL 1 .6ML 100 /CS
0030 HIL31950 8 EA 0.56 4.48
BOTTLE 32 OZ.NATURAL PLAIN PLASTIC
0040 TN T1614505 3 PAC 13.89 41.67
BAG 3110 WITH 2 FILTERS 8 PK
0050 PAP10145 1 cs 49.89 49.89
TISSUE FACIAL GSC 2 PLY 160 PKG 30 CS
0060 PTM 101 532 3 PAC 26.96 80.88
DUSTER PRO
0070 HIL30482 20 PAC 5.10 102.00
GLOVE VINYL PWDR FREE 100 BOX LARGE
0080 G0J965212 1 CS 66.34 66.34
SANITIZER PURELL W PUMP 80Z 12 CS
0090 HIL0103454 12 EA 4.73 56.76
OIL STAINLESS STEEL CLEANER 15 OZ
0100 HIL42120 5 EA 5.60 28.00
PAD 20 IN NATURAL BURNISH
0110 RUB6375GY 4 EA 18.80 75.20
BROOM FLAGGED ANGLE VINYL CTD METAL HNDL
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.
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THIS STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
HILLIARD
4„,,,AMOUNT DUE' t
r °r '3 `THI
THE CLEANING RESOURCE'
THANK YOU!
ILLYARD Please Note New Remit Address CUSTOMER COPY
■mommoun■i■� Remit To:
r HILLYARD /INDIANA
THE CLEANING RESOURCE P.0 Box: 872361
Plant: 1350 Kansas City MO 64187 -2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship THE MONON CENTER lnformattan
To 1427 EAST 116TH STREET
CARMEL IN 46032 -3455 Customer Number: 272994
Invoice Number 6131674
C I z 2009 Invoice Date 12/09/2009
Bill THE MONON CENTER Purchase Order No. Serra
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 831 14595
Sales Order Number 21069590
Payment Terms Net due in 30 days
Page 1 of 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10160 2 CS 61.22 122.44
TISSUE TOILET GSC 2 PLY 616 SHEETS 48 CS
Subtotal 122.44
Shipping 15.00
Tax Amount 0.00
Purchase
Description
p,p,{I ParF Gross Price 137.44
O.L. k
Budget
Line Descr
Purchaser Date
Approval Date
TUC cm] rn nromre Ure 1 uec FI 11 I v rnnfll 1Fn wiTN TIJF oonhlclnuq n[ rim Fell I eAnR cTeuflARnS AFT f1F 197A AS AMFNf1Ff1 114 THE MANI IFAOTI IRF OF f:RIlf1R f:11VFRFf) RV THIS INVf1InP
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
359478 Hillyard Terms
P.O. Box 872361
Kansas City, MO 64187 -2361
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/2/09 6123110 Janitorial supplies 109.22
12/2/09 7291078 Vacuum parts 22945 F 238.90
1212109 6123111 Janitorial supplies 22974 F 902.10
12/9/09 6131674 Janitorial supplies 137.44
Total 1,387.66
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.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of$
1,387.66
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125 6123110 4238900 109.22 I hereby certify that the attached invoice(s), or
1047. 7291078 4237000 238.90 bill(s) is (are) true and correct and that the
1047 6123111 4238900 902.10 materials or services itemized thereon for
1125 6131674 4239099 137.44 which charge is made were ordered and
received except
23 -Dec 2009
Signature
1,387.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund