187853 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $764.54
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 187853
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 6365417 64.06 OTHER MAINT SUPPLIES
_1093 4238900 6366031 70.80 OTHER MAINT SUPPLIES
.651 5023990 S12208 6375777 629.68 CLEANIGN SUPPLIES
H ILLYA RD Please Note Now Remit Address CUSTOMER COPY
Q "IRemit To:
d Li U U HILL YARD INDIANA
M CLEANING RESOURCE' P. 0 Box: 872361
Plant: 1350 Kansas City MO 64 18 7 -236 1 Invoice
Phone: 765 378 3766
Fax: 7653786677
www. hfflyard. coin
X
Ship MONON CENTER AT CENTRAL PARK
I I r
T o 1135 CENTRAL PARK DRIVE WEST
CARMEL IN 46032 Customer Number: 272994
Invoice Number 6366031
Invoice Date 06/2812010
Bill THE MONON CENTER Purchase Order No. 23630
To 1411 EAST 116TH STREET
CARMEL IN 46032-3455 Packing List Number 83347775
Sales Order Number 21085467
Payment Terms Net due in 30 days
Page 1 of I
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
ooio RUB9T80YW 1 EA 55.80 55-80
BAG VINYL REPLACEMENT HIGH CAPACITY
Subtotal 55.80
Shipping 15.00
Tax Amount 0.00
JUN 3 0 2010 Gross Price 70.80
Jay:
Purchase
Description
P.O.# P or F
Budget
Line Descr
Purchaser, Date_
Approval Date_
THE CFI FQ GF9GFCFNTC IT —I —I -!`n— WITH TIAP—III—I TWIP PAID I &An CTANMA—I —T 161A A-10--
11" ILLYA RD Please Note New Remit Address CUSTOMER COPY
Remit To:
LJLJULJUUUU HILL YARD INDIANA
THE C LEANING RESOURCE' A 0 Box: 872361
Plant. 1350 Kansas City MO 64187 -2361 I n vo i c e
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship THE MONON CENTER
To 1411 EAST 116TH STRE ET lnfipl'n 1
CARMEL IN 46032 -3455 Customer Number: 272994
Invoice Number 6365417
Invoice Date 06/28/2010
Bill THE MONON CENTER Purchase Order No. ROB
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Packing List Number 83346693
Sales Order Number 11434584
Payment Terms Net due in 30 days
Page lot 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP22014 2 CS 24.53 49.06
TOWEL C FOLD GSC WHITE 16 150 CS
Subtotal 49.06
JIN Shipping 15.00
Tax Amount 0.00
JOIN G 20
Gross Price 64.06
BY,
Pum hale
Deacttptlan
P.O. P or P
G.L.
unarm
Pu Date-
Apprtw Date
T— CCI t CD CCCCCCCAITC IT ..0 CI 11 T —T nC toad eC e.e GelnGn lu Tub A.AIJI ICAMI IOC nC In— 1 -1.CC1 Cv TuIC Ienlnlr`
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
Date Number
or note attached invoice(s) or bill(s)) PO Amount
6/28110 6366031 Janitorial supplies 23630 70.80 64.06
6128110 6365417 paper towels
Total 134.86
i hereby certify that the attached invoice(s), or bills) 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
134.86
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6366031 4238900 70.80 1 hereby certify that the attached invoice(s), or
1093 6365417 4238900 64.06 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
15 -Jul 2010
Signature
134.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
HILLYARD Please Note New R*rn/Amdresm CUSTOMER COPY
Rem nr
uuuuuuuu HILL YARD /mmmxw
THE pLBAmNC RESOURCE" *o Box: 872361
Plant: /ysu Kansas City xvo 64187'2361
Phone: 7oea7earmo Invoice
n,x/ 7653786671
www.h fflyard.com
Ship C/\RMELVV.VVT.P. -WASTEWATER UT|L|T
To SGU0 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 6375777
Invoice Date 0710712010
Bill CARK4ELUT|L|T|ES Purchase Order No. S12208
To WASTEWATER
70O THIRD AVENUE SVV SUITE 110 Packing List Number 83357131
CARMEL|N 46032 Sales Order Number 11440048
Payment Terms Net due in 30 days
Page I of 1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
TOWEL BOUNTY 30 RLS
002o HIL01 24703 2 CS 40.83 81.70
GREEN SELECT FOAM HAND SOAP 1250ML
ono HIL0052207 2 PL 57.69 115.38
TOP SHAPE
004o HIL0101804 3 QT 3.40 10.20
SPRAY CLEAN HD
005o HIL01 25603 3 CS 68.00 204.00
SANITIZER IHS FOAM PUSH 1.21- 3 CS
Subtotal 614.68
Shipping 15.00
Tax Amount 0.00
VOUCHER ,165841 WARRANT ALLOWED
359478
IN SUM OF
H ILLYARD/I N DIANA
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
6375777 01- 7202 -05 $614.68
6375777 01- 7202 -05 $15.00
�o U
O+�
Voucher Total $629.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Fcgrm No. 201 (Rev 1995)
ACCOUNTS PAYABLE .VOUCHER i
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 7/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1512010 6375777 $629.68
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