190300 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
d ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $3,142.58
KANSAS CITY MO 64187 -2351
CHECK NUMBER: 190300
CHECK DATE: 912912010
DEPARTMENT ACCO PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 6450927 30.78 OTHER MAINT SUPPLIES
1205 4238900 6454453 2,894.30 OTHER MAINT SUPPLIES
1125 4239000 6454454 217.50 MISCELLANEOUS SUPPLIE
www.hillyard.com
HILLYARD R emit HILL YARD INDIANA
1 r>rFt rrna ton
P.O Box: 872361
II Customer Number 272994
THE CLEANING RESOURCE' Kansas City, MO 64187 2367
Invoice Number 6454454
Plant: 1350
Phone: 765 378 3766 Invoice Date 09/08/2010
Fax: 7653786671 Purchase Order No. 1125-420-015-4239000
T Packing List Number 83434838
Ship Carmel Clay Parks Recn
To 1427 EAST 1 16TH STREET Sales Order Number 21094631
CARMEL IN 46032 -3455 SEP 1 3 201
Payment Terms Net due in 30 days
197 IIIIIIIIIIIII��II�I�IIIIIII�IIIIIIIIIIIIII�Illllll Page 1 of 1
Bill THE MONON CENTER 06454454
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455
Total i4maunt0ue Z17.50
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
i
inv prce vec'wt$
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP22018 5 CS 40.50 202.50
TISSUE TOILET JUMBO GSC 2 PLY 12 1000 CS
Subtotal 202.50
Shipping 15.00
Tax Amount 0.00
Purchase
Description Gross Price 217.50
P.O. PorF
G.L. _jjx,5 423�100�
Bud et
Line Descr i'Yl iSC i t 1 Zf� I A
Purchaser Date
Approval Date
9 13 NEEo
Invoice Number 6454454 Date 09/08/2010 Purchase Order: 1125 420 015- 4239000
Plant: 1350 Customer Number 272994 Carmel Clay Parks Rao
H ILLYARD HILL YARD /INDIANA I nvoice
P. O. Box: 872361
TIC CLEAINGRESOURCE` Kansas Ciry, MO 64 18 7 -23 6 1 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVIStONS OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED, IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
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 Hiliyard 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
918110 6454454 Janitorial supplies 217.50
Total 217.50
1 hereby certify that the attached invoice(s), or bifl(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
217.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO_ ACCT #(TITLE AMOUNT Board Members
Dept
1125 6454454 4239000 217.50 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
23 -Sep 2010
U: �C�'l��lYYL17'y11Z1
Signature
217.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
aice e ailq::.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo FTJO0887 20 CS 45.06 901.20
TOWEL BIGIFOLD PREMIUM 2208 CS
0020 KIM04007 20 CS 58.69 1,173.80
TISSUE TOILET CORELESS SCOTT 36 RL/CS
0030 PG53971 10 CS 50.85 508.50
TOWEL BOUNTY 30 RLS
0040 JAD385820B 10 CS 27.88 278.80
LINER 38X58 LLPE ROLL 1.6ML 100/CS
ooso IMP6008 10 EA 1.70 17.00
TRIGGER SPRAYER CHEMICAL 75 IN
Subtotal 2,879.30
Shipping 15.00
Tax Amount 0.00
I
Gross Price 2,994.30
r D Z-/--%.N
SEP 2 7 2010
By
Invoice Number 6454453 date 09/08/2010 Purchase Order; MAYOR'S OFFICE
Plant 1350 Customer Number 256298 CITY OF CARMEL
H ILLYARD HILL YARD /JNDIA IVA Invoice
X*NXWON P. O. Box: 872361
THE CLEAnc RBouRcE, Kansas City, MO 64187-2361 CUSTOMER COPY THANK YOU!
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 THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
X.
X.
X �X X
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo H I L2141 1 1 CS 28.82 28.82
WIPER ALL PURPOSE WHITE 1 OOBX 4CS
Subtotal 28.82
Shipping 1.96
Tax Amount 0.00
Gross Price 30,78
D Q L1
SIP 2 7 1111
By
Invoice Number 6450927 Date 0910312010 Purchase Order: MAJOR'S OFFICE
Plant, 1350 Customer Number 256298 CITY OF CARMEL
H ILLYARD HILL YARD INDIANA Invoice
P. 0. Box.- 872361
Kansas City, MO 64 18 7 -236 1 TfE CLEANTNG RESOURCE" CUSTOMER COPY THANK YOU!
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.
VOUCHER NO. WARRANT NO,
ALLOWED 20
Hillyard Indiana
IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
$2,925.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1205 I 6450927 42- 389.00 I $30.78 1 hereby certify that the attached invoice(s), or
1205 6454453 42- 389.00 $2,894.30
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
Monday, September 27, 2010
Director, Administration'
Title
Cost distribution ledger classification if
claim paid motor 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 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))
09/03/10 6450927 $30.78
09108/10 I 6454453 I $2,894.30
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