185777 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $1,780.69
off KANSAS CITY MO 64187 -2361 CHECK NUMBER: 185777
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12143 63030242 .3.46 CLEANING SUPPLIES
1205 4238900 6303233 /734.98 OTHER MAINT SUPPLIES
651 5023990 S12143 6303241 X295.36 CLEANING SUPPLIES
1205 4238900 6310057 X90.62 OTHER MAINT SUPPLIES
1205 4238900 6310058 X193.45 OTHER MAINT SUPPLIES
_651 5023990 S12143 6310063 312.82 CLEANING SUPPLIES
H I L LYA RD Please Note New Remit Address CUSTOMER COPY
Remit To:
HILL YARD INDIANA
ANIN
THE CLEG RESOURCE P. 0 Box: 872361
Plant. 1350 Kansas City M0 64187 -2361 Invo ice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship CITY OF CARMEL lnFt�rrn��an
TO ATTN: JEFF BARNES
ONE CIVIC SQUARE Customer Number: 256298
CARMEL IN 46032
Invoice Number 6310058
Invoice Date 05/12/2010
BIII CITY OF CARMEL Purchase Order No. VERBAL JEFF BARNES
To ATTN: JEFF BARNES
ONE CIVIC SQUARE Packing List Number 83291428
CARMEL IN 46032 Sales Order Number 11404644
Payment Terms Net due in 30 days
1 of 1
ilf1V�e -G 111EiiW
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo KIM04007 5 CS 58.69 29145
TISSUE TOILET CORELESS SCOTT 36 RL /CS
Subtotal 293.45
Shipping 0.00
Tax Amount 0.00
Gross Price 293.45
THE SELLER RFPRFSFNTR IT HAR PL I V nnm Pl IFn WITH THE PRnuninNC nF THE PAIR I ARfIR q--R— Af.T nF 1 OAa AC AMPHINgn IN THE NIANI ICA!`TI IMP (1F !_!1(Yl1C —MM RV TIIIC ItJVn1!`C
ILLYARD 1 It Please Note New Remit A ddress CUSTOMER COPY
Remit To:
1 51 HILL YARD INDIANA
THE CLEANING REsoum* A 0 Box: 872361
Plant: 1350 Kansas City MO 64187-2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hfflyard.com
Ship CITY OF CARMEL
I.,
To ATTN: JEFF BARNES worm. ca joh
ONE CIVIC SQUARE Customer Number: 256298
CARMEL IN 46032
Invoice Number 6310057
Invoice Date 05/1212010
Bill CITY OF CARMEL Purchase Order No. VERBAL JEFF BARNES
To ATTN: JEFF BARNES
ONE CIVIC SQUARE Packing List Number 83290889
CARMEL IN 46032 Sales Order Number 11397952
Payment Terms Net due in 30 days
Page 1 of 1
:7
ITEM
F MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL01 142 6 EA 14.90 89.40
WIPE STAINLESS STEEL 70CT
Subtotal 89.40
Shipping 1.22
Tax Amount 0.00
Gross Price 90.62
TWPiZPllPPnPPnPQPNTQ ITWAQ Pill 1.1.
H ILLYARD V 714 Please Note New Remit Address CUSTOMER COPY
z�
Remit To:
HILL YARD INDIANA
THE CLEANING RE SOURCE' P.O Box: 872361
Plant: 1350 Kansas City MO 64187 -2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www,hil! ard.com
Ship CITY OF CARMEL
TO ATTN: JEFF BARNES II nfQrmlan
ONE CIVIC SQUARE Customer Number: 256298
CARMEL IN 46032
Invoice Number 6303233
Invoice Date 05/06/2010
BIII CITY OF CARMEL Purchase Order No. VERBAL JEFF BARNES
To ATTN: JEFF BARNES
ONE CIVIC SQUARE Packing List Number 83282043
CARMEL IN 46032 Sales Order Number 11397952
Payment Terms Net due in 30 days
Page 1 of 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 FTJO0887 10 CS 45.06 450.60
TOWEL BIGFOLD PREMIUM 2208 CS
0020 PAP10150 10 CS 27.06 270.60
TOWEL KITCHEN ROLL GSC 2 PLY 30/90 CS
K 4fto5
S
Subtotal
Shipping 13.78
Tax Amount 0.00
Gross Price
73y 98"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard Indiana
IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
$1,119.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 6303233 42- 389.00 $734.98 1 hereby certify that the attached invoice(s), or
1205 6310057 42- 389.00 $90.62 bills) is (are) true and correct and that the
1205 I 6310058 I 42- 389.001 $293.45
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 24, 2010
Director, Pdmiristra4ion (.ffL
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
05/06/10 6303233 $734.98
05/12/10 6310057 $90.62
05/12/10 6310058 I I $293.45
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
11 ILLYA RD Please Note New RernitAddress CUSTOMER COPY
Remit To:
uuuuuuuu HILL VA RD /INDIANA
THE CLEAMG 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 CARMEL W,W.T.P. -WASTEWATER UTILIT
To 9609 HAZEL DELL PARKWAY infnrmtion
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 6303241
Invoice Date 05/06/2010
BIII CARMEL UTILITIES Purchase Order No. S12143
TO WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 83282040
CARMEL IN 46032 Sales Order Number 11398646
Payment Terms Net due in 30 days
Page 1 of 1
<trl
IT MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
o010 PAP10145 1 CS 36.00 36.00
TISSUE FACIAL GSC 2 PLY 30 150 CS
0020 LR4348170K 2 CS 40.93 81.86
LINER 56GAL 43X48 1.7MIL BLK 100 /CS PAYL
003o LL2433100K 2 CS 26.73 53.46
LINER 12 -16GAL 24X33 .98MIL BLK 250/CS D
0040 PAO 0170. 2 CS 44.88 89.76
TISSUE OPTICORE GSC 2 PLY 36 865 CS
0050 HIL0010204 12 QT 2.25 27.00
GERMICIDAL BOWL CLEANER QTS
0060 HIL22252 4 EA
DISPENSER FOR FOAM SOAP 1.25L DOVE GRAY
Subtotal 288.08
Shipping 7.28
Tax Amount
Gross Price 295.36
TYF CFI I FO CCOOFCFNTC IT 4160 FI II I V rl11..IPI 1FR WITH T4JF PR(1VI CIl1NC f1F THE FAIL 1 AR(1R CTIlNfIARfIC Ill`.T (]F 10'iR IlC AAAFNI]FIl IW THE hAANI1FAf:T11RF f1F rflflflC l:f1V[RFh RV YHIC 1NV(11f:F
H` I L R D Please Note New Remit Address CUSTOMER COPY
Remit To:
U HILL YARD INDIANA
THE CLEANING RESOURCE@ P. o Box: 872361
Plant: 1350 Kansas City MO 64187 -2361 I
Phone: 765 378 3766
Fax: 765 378 6671
www.ftWq,rd.com
Ship CARMEL W.W.T.P. -WASTEWATER UTILIT
To 9609 HAZEL DELL PARKWAY fin; c�rm�ron
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 6303242
Invoice Date 05/06/2010
BIII CARMEL UTILITIES Purchase Order No. S12143
TO WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 87198789
CARMEL IN 46032 Sales Order Number 15193784
Payment Terms Net due in 30 days
Page 1 of 1
r
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10150 2 CS 26.73 53.46
TOWEL KITCHEN ROLL GSC 2 PLY 30/90 CS
Subtotal 53.46
Shipping 0.00
Tax Amount 0.00
Gross Price 53.46
I L LYA R D Please Note New Remit Address CUSTOMER COPY
Remit To:
o HILL YARD /INDIANA
T CLEANING RESOURCE' P. o Box: 872361
Plant. 1350 Kansas City MO 64187 -2361 I
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship CARMEL W.W.T. P. -WASTEWATER UTI LIT
l 0 M10A.
To 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 Customer Number. 272994
Invoice Number 6310063
Invoice Date 05/12/2010
Bill CARMEL UTILITIES Purchase Order No. S12143
To WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 83290955
CARMEL IN 46032 Sales Order Number 11398646
Payment Terms Net due in 30 days
Page 1 of 1
�TtSTOtCe'fl�a
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo PG53971 6 CS 50.85 305.10
TOWEL BOUNTY 30 RLS
------------------I---------
Subtotal 305.10
Shipping 7.72
Tax Amount 0.00
Gross Price 312.82
VOUCHER 1055.01 "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
fo631 01- 7202 -05 $312.82
f,303o2`{� o 1.�20�.0 5 53.4
b�o3l�if `L
Voucher Total
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 properly 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 5/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2010 6310063 $312.82
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