181932 02/03/2010 f:',--. CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
i P 0 BOX 872361 CHECK AMOUNT: $2,092.35
s ;�,r/ CARMEL, INDIANA
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 181932
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 1,717.35 OTHER MAINT SUPPLIES
1093 4239099 6153165 64.89 OTHER MISCELLANOUS
651 5023990 S11945 6176479 305.00 PAPER TOWELS
651 5023990 7294655 5.11 OTHER EXPENSES
HILLYARD
Please Note New Remit Address CUSTOMER COPY
r Remit To:
L L U 11 /LL'YARD INDIANA
THE CLEANING RESOURCE PP_.O.8ox: 872361
Plant: 1350 Kansa s.City MO- 64187-2361
Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship THE MONON CENTER lnft�rrntlo
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Customer Number: 272994
Invoice Number c61 :59322
Invoice Date 0.1106/201.0 -N
Bill THE MONON CENTER Purchase Order No. ISA-01/05/2010
TO 1411 EAST116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83141850
Sales Order Number 21071575
Payment Terms Net due in 30 days
Page 2 of 2
11.Y.PLC tj#r`I4ti3
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0120 PAP10145 2 CS 49.89 99.78
TISSUE FACIAL GSC 2 PLY 160 PKG 30 CS
0130 PTM 101532 2 PAC 26.96 53.92
DUSTER PRO
0140 TNT1014505 2 PAC 13.89 27.78
BAG 3110 WITH 2 FILTERS 8 PK
0150 HIL0046604 24 QT 9.20 220.80
TAKE DOWN CHERRY
0160 HIL42020 5 EA 5.00 25.00
PAD 20 IN POLISH WHITE
0170 HIL30487 1 PAC 4.88 4.88
GLOVE VINYL POWDERED 100 BOX LARGE
0180 LH24338N 6 CS 39.34 236.04
LINER 1 2 -16GAL 24X33 8MIC NAT 1 M /CS STEL
Subtotal 1.703.08
Purchase
Description. Shipping 14.27
P.O. PerF Tax Amount 0.00
G.L.#
Budget I) Gross Price 1;7 -1_ .35_
Linebescr [cI J AN 1 4 2010
Purchaser Data
Approval Date Y:
TuC CCi co DCCDCQCMTC it UAQ Fi II 1 V rn& oI IFl 1AlFTY TCC CCM.CIflMV AF T4C LAIC ACIIC CTAIV 11AR11C 6f`T (1F 10'!A AC A.IFNIIFII IM TMF I.IANI IRACTI J !tF (:llllllC Cl1VFCFl1 RY TI-IIC INVlIIrF
HILLYARD Please Note New Remit Address CUSTOMER COPY
E•a•i•m1�i■i• Remit To:
HILL YARD 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 THE MONON CENTER
To 1411 EAST 116TH STREET in
CARMEL IN 46032 -3455 Customer Number: 272994
r. Invoice Number 6159322
Invoice Date 01/06/2010
Bill THE MONON CENTER Purchase Order No. ISA- 01/05/2010
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83141850
Sales Order Number 21071575
Payment Terms Net due in 30 days
Page 1 of 2
'.�11vo1ce t e` a 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0018306 4 GAL 24.12 96.48
DEFOAMER II
0020 H1L0093285 6 EA 14.74 88.44
DOUBLE DOWN CARPET SPOTTER 6/32OZ
0030 HIL0081822 1 EA 26.82 26.82
ARSENAL NEUTRALIZER 1/2 GAL ry
0040 HIL99604 fl 'Rorer v r'?.1 I
1 EA 98.10 98.10
ARSENAL FOAMER u r�?r I,
0050 TNT230349 4 EA 2.50 10.00
BELT BRUSH DRIVE ROUND
0060 IMP3120 4 EA 14.57 58.28
DUSTER POLYWOOL EXTENDED
0070 LH404816N 4 CS 45.16 180.64
LINER 40 -45GAL 40X48 16MIC NAT 250 /CS ST
0080 G0J965212 2 CS 66.34 132.68
SANITIZER PURELL W PUMP 8OZ 12 CS
0090 HIL0011204 24 QT 2.67 64.08
MILD BOWL AND PORCELAIN CLEANER QTS
0100 HIL0125003 5 CS 34.92 174.60
HILLYARD PINK PLUS HAND FOAM 1 ,5L 2CS
0110 JAD385820B 4 CS 26.19 104.76
LINER 38X58 LLPE ROLL 1 .6ML 100 /CS
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.
ILLYARD
i F' a A MOUNT DUE g i''.x:
M -C a g V VIT hE 4 ;THIS STUBS y
THE CLEANING RESOURCE'
THANK YOU!
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.
Terms
359478 Hillyard
P.O. Box 872361
Kansas City, MO 64187 -2361
Invoice Invoice Description I PO Amount
Date Number (or note attached invoice(s) or bill(s))
1/6/10 6159322 Maintenance supplies
23089 1,717.35
Total 1,717.35
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$
1,717.35
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT ft/TITLE /TITLE AMOUNT
Dept
1093 6159322 -f 5ft DO 1,717.35 I 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
28 -Jan 2010
/4.17/7"/710,A}
Signature
1,717.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
HILLYARD
Please Note New Remit Address CUSTOMER COPY
■�M �a.�w��'�� Remit To:
HILL.YARD INDIANA
THE CLEANING RESOURCE P O Box:: 872 J
Plant: 7350 Kansas Cityi' MO 64187 -2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship THE MONON CENTER ln'Ft�rt�tton
To 1235 CENTRAL PARK WEST
CARMEL IN 46032 3455 Customer Number: 272994
i r x*.=.1.
JAN 0 4 ?d iU P Invoice Number 0 61-531 65'
e Invoice Date J-2/29/29_0_9
BiII THE MONON CENTER Tar Purchase Order No. MC00681
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83135784
Sales Order Number 11319527
Payment Terms Net due in 30 days
Page 1 of 1
if f a a s
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10145 1 CS 49.89 49.89
TISSUE FACIAL GSC 2 PLY 160 PKG 30 CS
Subtotal 49.89
Purchase Shipping 15.00
Description Tax Amount 0.00
P.O.i PorF
G.L. Gross Price., 64)
Budget
Line Desc r
Purchaser Date
Approval_ Date
rwr Ccl 1 cc AM. /PACKITC IT MAC CI I I I V rYIMf7I IFl WITH THE PafIVICIfNC r. TI-IF FAIf11 AROF CTANflAafl.0 ACT OF ISM AS AMFNr1Ff1 IN THE MANIIFA(:TIIRF f1E nrong f 11VFRFf1 RV THIS INVnICF
HILLYARD Please Note New Remit Address CUSTOMER COPY
�r■•f••® Remit To:
RESOURCE' HILL YARLy INDIANA
THE CLEANING RESOURCE' P..O ox: 8 2361��
K Kansas C City,..-' MO�/64187 -2361
Plant: 1350 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www. hillyard. com
Ship MONON CENTER AT CENT�RAL=PARK �nfQrmtinn
7 Ye
To 1 135 CENTRAL PARK DRIVjE(WES�T
CARMEL IN 46032 Customer Number: 272994
JAS 1 U 4 2010 Invoice Number C7294655
Invoice Date C12/.30L20.0
Bill THE MONON CENTER o Purchase Order No. 0229_45;
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 95238595
Sales Order Number 54102660
Payment Terms Net due in 30 days
Page 1 of 1
1ipt3Ee et
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0090 TNT100047 1 EA 4.90 4.90
BELT MAGNATWIN 16
Subtotal '4.90
Shipping 0.21
Purchase Tax Amount 0.00
Description
P.O. ,PorF Gross Price 5-11 1
G.L.
Budgget
LJne Descr
Purchaser Date
Approval Date
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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
12/29/09 6153165 Maintenance supplies 64.89
12/30/09 7294655 Vacuum belt 5.11
Total 70.00
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$
70.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6153165 4239099 64.89 I hereby certify that the attached invoice(s), or
1093 7294655 4238900 5.11 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
28 -Jan 2010
Signature
70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
.t�:
HILLYARD
Please Note New Remit Address CUSTOMER COPY
Remit To:
mzLnomo/INDIANA
THE CLEANING RESOURCE' po Box: a72anr
Plant: 1350 Kansas City MO 64187z361 Q�����������
Phone: r*5azaz7oo Invoice
Fax: 765 378 6671
hill
Ship CARK8ELVV.VV.T.P. WASTEWATER UTILIT
To 9809 HAZEL DELL PARKWAY
INDIANAPOLIS IN 40280 Customer Number: 272994
Invoice Number 6178479
Invoice Date 01/20/2010
Bill CARMEL UTILITIES Purchase Order No. S11945
To WASTEWATER
780 THIRD AVENUE SW- SUITE 110 Packing List Number 83158221
CARMEL IN 46032 Sales Order Number 11331002
Payment Terms Net due in 30 days
Page l of 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10110 4 CS 45J7 183.08
TOWEL ROLL GSC NAT WHT CONTROL 6 800 CS
0020 PAP1O150 4 C 26.73 106.82
TOWEL KITCHEN ROLL GSC 2 PLY 30 90 CS
Subtotal 290.00
Shipping 15.00
Tax Amount 0.00
Gross Price 305.00
VOUCHER 097197 WARRANT ALLOWED
359478 IN SUM OF$
HILLYARD /INDIANA
PO BOX 872361
KANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6176479 01- 7202 -05 $290.00
6176479 01- 7202 -05 $15.00
9(e)
DO'
Voucher Total $305,00
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 property 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 1/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/26/2010 6176479 $305.00
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