182378 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD 1 INDIANA
CARMEL,JNDIANA 46032 P O BOX 872361 CHECK AMOUNT: $87.75
KANSAS CITY MO 64187-2361
CHECK NUMBER: 182378
CHECK DATE: 2117/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 6176476 87.75 OTHER MAINT SUPPLIES
HILLAR Please Note Ne w Remit A ddress CUSTOMER COPY
Remit To:
HILL YARD IINDIANA
MCLEANtNG REsouRCF P. 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
-D
To 141 EAST 11 6TH STR EET
CARMEL IN 46032-3455 Customer Number: 272994
--N Invoice Number 6176476
i Invoice Date 0112012010
Bill THE MONON CENTER JAN Purchase Order No. I SA-01 /05/2010
To 141 EAST 11 6TH STREET
CARMEL IN 46032-3455 Packing List Number 83158208
Sales Order Number 21071575
Payment Terms Net due in 30 days
Page 1 of 1
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a OHS,
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0036406 4 GAL 15.38 61.52
SPORT AND SPA BODY WASH
0020 HIL45120 5 EA 5.10 25.50
PAD 20 IN BLUE ICE BURNISHING
Subtotal 87.02
Pumhase
Dwcr1pdon—�17f-nl-tCk1Cd Shipping 0.73
P•O• _Z1 D-SK ,r F CO) Tax Amount 0.00
ML DO 32 0— 0 D Gross Price 87.75
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LA Pa 'Ll
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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
1/20/10 6176476 Janitoriaf supplies 23089 p 87.75
Total 87.75
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
Voucher No. Warrant No.
359478 Nillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
87.75
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6176476 4238900 87.75 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
11 -Feb 2010
Signature
87.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund