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186854 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD INDIANA F CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $2,315.33 KANSAS CITY MO 64187 -2361 CHECK NUMBER: 186854 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 6330937 195.61 OTHER MAINT SUPPLIES 1125 4239000 6343573 188.68 MISCELLANEOUS SUPPLIE 1093 4238900 6343574 1,931.04 OTHER MAINT SUPPLIES H ILL Y A RD, Please Note New Remit Address CUSTOMER COPY Remit To: Li Li Li U Li U Li Lj THE CLEANING RESOURCE` HILL YARD /INDIANA P.O Box: 872361 Plant: 1350 Kansas City MO 64187-2361 I n voi c e Phone: 765 378 3766 Fax: 765 378 6671 www.hillyard.com Ship MONON CENTER AT CENTRAL PARK 1nfc�rmaion TO 1 135 CENTRAL PARK DRIVE WEST CARMEL IN 46032 Customer Number: 272994 Invoice Number 6330937 Invoice Date 05/28/2010 BIII THE MONON CENTER ttt Purchase Order No. 23499 To 1411 EAST 116TH STIR f LT jUN 0 7 2010 CARMEL IN 46032 -3455 Packing List Number 8331 1900 Sales Order Number 21083422 Payment Terms Net due in 30 days Page 1 of 1 i FUi tC� etai S ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo RUB781788WH 2 CS 97.00 194.00 LINERS FOR CHANGING STATION Subtotal 194.00 Shipping 1.61 Tax Amount 0.00 Purchase J Q 2P R L Description Gross Price 195.61 P.O. 3 F G.L. f��J —LIZ3 9�� Budget UneUe Purchaser pate THE SF1I FR RFPRFSFNTS IT HAS F711 I COMPLIED WITH THE PROVISIONS OF THE FAIR LAROR STANDARDS ACT OF 1930. AS AMENDED. 3N THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE. HIL Please Nate New Remit Address CUSTOMER COPY Remit To: LJUUUUUUU HILL YARD INDIANA Tff C LEANING RESOURCE P.O Box: 872361 Plant: 1350 Kansas City MO 64187-2361 Invoice Phone: 765 378 3766 Fax: 765 378 6671 www.hifl ard.com Ship MONON CENTER AT CENTRAL PARK To 1135 CENTRAL PARK DRIVE WEST infbrtritrOn CARMEL IN 46032 Customer Number: 272994 Invoice Number 6343574 Invoice Date 06/09/2010 Bill THE MONON CENTER Purchase Order No. 23630 To 1411 EAST 116TH STREET CARMEL IN 46032 -3455 Packing List Number 83324572 Sales Order Number 21085467 Payment Terms Net due in 30 days Page 3 of 3 ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT Subtotal 1 ,91 6.46 Shipping 14.58 Tax Amount 0.00 L Pai Gross Price 1, 931.04 P.4.r u aa �C.L�d.��. ��zf 5 ��s a Date THE CFI I FR RFPRFRPMTC IT HAS FIN I V (:nMPI IFft WITH THE PRnVMInMC nF THE FAIR t AROR gTANnARnq ACT OF IR'iN AS AMFNn Fn IN THE MANI IFAC.TI IPF nF (:Arms r.()VFRFI] nV THIC INVnIT:F ILLA Please Note New Remit Address CUSTOMER COPY Remit To: UuLjbyobo HILL YARD /INDIANA Tff CL EAmc RESOURCE` P. o Box: 872361 Plant: 1350 Kansas City MO 64187 -2361 Invoice Phone: 765 378 3766 Fax: 765 378 6671 www.h illyard.com Ship MONON CENTER AT CENTRAL PARK fnrt>tt�.cn. To 1135 CENTRAL PARK DRIVE WEST CARMEL IN 46032 Customer Number: 272994 Invoice Number 6343574 Invoice Date 06/09/2010 Bill THE M0N0N CENTER l` Purchase Order No. 23630 To 1411 EAST 116TH S7�REETa CARMEL IN 46032 -3455„ Packing List Number 83324572 Sales Order Number 21085467 z,, Payment Terms Net due in 30 days Page 1 of 3 �nu�alGe+�ls ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL0081622 6 EA 10.91 65.46 ARSENAL RE JUV NAL 112 GAL 0020 HIL0080222 7 EA 19.58 137.06 ARSENAL WIN DO-CLEAN 1 /2 GAL 0030 HIL0080822 6 EA 17.59 105.54 ARSENAL SUPER SHINE -ALL 112 GAL 0040 PAP10145 1 CS 51.88 51.88 TISSUE FACIAL GSC 2 PLY 30 150 CS 0050 JAD385820B 5 CS 27.87 139.35 LINER 38X58 LLPE ROLL 1 .6ML 100 /CS 0060 LH404816N 1 0 CS 51.80 518.00 LINER 40 -45GAL 40X48 16MIC NAT 250 /CS ST 0070 PTM101532 4 PAC 26.96 107.84 DUSTER PRO 0080 RUB6141 2 CS 35.40 70.80 NAPKIN DISPOSABLE LINERS 25 CS 0090 HIL0011204 12 QT 2.67 32.04 MILD BOWL AND PORCELAIN CLEANER QTS 0100 HIL0012504 12 QT 7.62 91.44 EXTRA STRENGTH CSP CLEANER 0110 PAP22014 4 CS 24.53 98.12 TOWEL C FOLD GSC WHITE 16 150 CS THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS OF THE FAIR LABOR STANDARDS ACT OF 19M,A_ S 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. HILLYARD I Nl#� THE CUAMNG RFs oun* THANK YOU! HILLYARD. Please Note New Remit Address CUSTOMER COPY Remit To: HILL YARD /INDIANA THE CLEAN NG RESOURCE' P.O Box: 872361 Plant: 1350 Kansas City MO 64187 -2361 Invoice Phone: 765 378 3766 Fax: 765 378 6677 www.hillyard.com Ship MONON CENTER AT CENTRAL PARK To 1135 CENTRAL PARK DRIVE WEST 111'ftUl'.Ytft3t5 CARMEL IN 46032 Customer Number: 272994 Invoice Number 6343574 Invoice Date 06109/2010 Bill THE MONON CENTER Purchase Order No. 23630 To 1411 EAST 116TH STREET CARMEL IN 46032 -3455 Packing List Number 83324572 Sales Order Number 21085467 Payment Terms Net due in 30 days Page 2 of 3 iiviGetaES. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0120 HIL0046604 1 QT 9.44 9.44 TAKE DOWN CHERRY 0130 HIL0125003 3 CS 34.92 104.76 SOAP HAND PINK PLUS FOAM 1.5L 2CS 0140 HIL0080822 6 EA 17.59 105.54 ARSENAL SUPER SHINE -ALL 1/2 GAL 0150 HIL0103454 24 EA 4.73 113.52 OIL STAINLESS STEEL CLEANER 15 OZ 0160 IMP3105 4 EA 9.92 39.68 DUSTER LAMBSWOOL TELESCOPIC 0170 UNGSRB30 1 EA 19.54 19.54 BLADE SAFETY SCRAPER SNG EDGE 100 PER BX 0180 RUB9T80YW 1 EA 55.80 55.80 BAG VINYL REPLACEMENT HIGH CAPACITY 0190 IMP7058 2 EA 2.20 4.40 SPRAYER FORMER TRIGGER 75 IN 0200 HOSDS5000 1 CS 46.25 46.25 SEAT COVER 1/2 FOLD 5000 PER CASE THE SELLER REPRESENTS IT HAS FULLY COMPUEO 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. HILLYARD e THE CLEANING RESOURCE' THANK YOU! ILLY Please Note New Remit Address CUSTOMER COPY Remit To: HILL YARD /INDIANA THE CLEAMNG RESOURCE P.O Box: 872361 Plant: 1350 Kansas City MO 64187 -2361 Invoi Phone: 765 378 3766 Fax: 765 378 6671 www.hfflyard.com Ship THE MONON CENTER To 1427 EAST 116TH STREET lnft�rmtnn CARMEL IN 46032 3455 Customer Number. 272994 K�� Invoice Number 6343573 ola Invoice Date 06109/2010 BIII THE MONON CENTER Purchase Order No, 1125-420-015-4239000 To 1411 EAST 116TH STREET "7.' Pvga A9s.s.piSPi'� CARMEL IN 46032 -3455 Packing List Number 83324571 Sales Order Number 21085348 Payment Terms Net due in 30 days Page 1 of 1 ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo PAP10115 2 CS 46.34 92.68 TOWEL CENTERPULL GSC 2PLY 6 600 CS 0020 PAP22018 2 CS 40.50 81.00 TISSUE TOILET JUMBO GSC 2 PLY 12 1000 CS Subtotal 173.68 �o Ldf Shipping 15.00 Purdhase lTD l J Lies Tax Amount 0.00 Description P a f P.O. Gross Price 188.68 Q .L. Bud ISC �U Line Descr Purchaser 08[� Approval Date----- THE CFI E FR RFPRFCFNTC IT HAS FI ft I V r.OMP 19171 WITH THE PRnVICIfIN.R (lF THE FAIR I ARnP CTANhARfIC Af:T nP iO1A AC AMFNf1Fn EN THE MANI IFAC.TI IRF np li(1l1 lYIVFRFR RV THIC lNV(I P 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 5128110 6330937 Janitorial supplies 23499 195.61 619!10 6343574 Janitorial supplies 23630 1,931.04 619110 6343573 Janitorial supplies 188.68 Total 2,315.33 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 359478 Hillyard Allowed 20 P.O. Box 872361 Kansas City, MO 64187 -2361 In Sum of 2,315.33 ON ACCOUNT OF APPROPRIATION FOR 101 General 1 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 6330937 4238900 195.61. 1 hereby certify that the attached invoice(s), or 1093 6343574 4238900 1,931.04 bill(s) is (are) true and correct and that the 1125 6343573 4239000 188.68 materials or services itemized thereon for which charge is made were ordered and received except 17 -Jun 2010 Signature 2,315.33 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund