190340 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 172430 Page 1 of 1
s 0 ONE CIVIC SQUARE KAYLINE COMPANY
CARMEL, INDIANA 46032 PO Box 603207 CHECK AMOUNT: $350.85
CLEVELAND OH 44103 CHECK NUMBER: 190340
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 190550 175.18 GARAGE MOTOR SUPPIE
2201 4232100 190551 175.67 GARAGE MOTOR SUPPIE
�N. pMER3Wry
ff wK ORIGINAL INVOICE visa p �1 REss
rofessional Maintenance Products PLEASE REMIT FROM THIS INVOICE M rn EMBER
On Cleaning and Maintenan
e ATTN: ACCOUNTS PAYABLE H ATTN: JEFF STEWART
CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W. 131ST ST. I 3400 W. 131ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T
O O
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
190550 09/08/10 JEFF STEWART 1 09/08/10
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. Warehouse:
330 10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. WHSE Cle veelandland, i OhiMo o v 4e
Cleve i4
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K224 CENTENNIAL PLUS CS 1 1 1 '59.990 159.99
Ask Your Salesman About Ag24 The New Disinfectant, Fungicide,
Virucide Deodorizer That Keeps Working When You're Dore Cleaning!
I
i
UBTOTAL 159.99
Kayline Fed. I.D. No. 34- 0325350 REMIT TO: KAYLINE COMPANY rAx 0.00
1 1/2 Charge per month past 30 days.
All freight claims must be filed by customer. P.O. BOX 603207 REIGHT 15.19
CLEVELAND, OH 44103
No goods returnable without Kayline's written consent
Do not take discounts on sales tax or freight charges. PAY
OFFICE: (216)566 -9858 (800)426 -5820 THIS
tvww.kaylinecompany.com FAX: (216)566 -1228 AM62NT 175.18
I.
i
cep ERIG4p1
ORIGINAL INVOICE PJVi �AESS
i I PLEASE REMIT FROM THIS INVOICE MEMBER
1 Frofessional Maintenance Products
I me E•perts
On Cleaning and matmenance
B ATTN: ACCOUNTS PAYABLE S ATTN: JEFF STEWART
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W. 131 ST ST. 1 3400 W. 131 ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T
O O
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
190551 09/08/10 JEFF STEWART 1 09/08/10
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. Warehouse:
3303
10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. W HSE Clev lev Lakeside Ave.
Celand, Ohio 44114
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K224 CENTENNIAL PLUS CS 1 1 159.990 159.99
I
Ask Your Salesman About Ag24 The New Disinfectant, Fungicide,
Virucide Deodorizer That Keeps Working When You're Done Cleaning!
I
l
i
i
r
S UBTOTAL 159.99
Kayline Fed. I.D. No. 34 0325350 REMIT TO: KAYLINE COMPANY TAX 0.00
1 112 Charge per month past 30 days. P.O. BOX 603207 F REIGHT 15.68
All freight claims must be filed by customer. CLEVELAND, OH 44103
No goods returnable without Kayline's written consent
Do not take discounts on sales tax or freight charges. OFFICE: (216)566 9858 (800)426 -5820 PA Y
www.kaylinecompany.com FAX: (216)566 -1228 THIS 175.67
AMOUNT
VOUCHER NO. WARRA NO.
ALLOWED 20
Kayline Company
IN SUM OF
P. O. Box 603207
Cleveland, OH 44103
$350.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITt_E AMOUNT Board Members
2201 190551 42-321-00 $175.67 1 hereby certify that the attached invoice(s), or
2201 190550 42- 321.00 $175.18 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
Thursday Se ber 23, 2010
b
Street Commissioner
Street C.orrlr i sicner
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))
09/08/10 190551 $175.67
09/08/10 190550 $175.18
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