191230 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
e CARMEL, INDIANA 46032 CHECK AMOUNT: $1,020.76
P 0 BOX 872361
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 191230
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 648610 208.00 MISCELLANEOUS SUPPLIE
651 5023990 6489186 401.96 OTHER EXPENSES
1093 4238900 6493217 410.80 OTHER MAINT SUPPLIES
H ILLYARD www.hillyard.com
Remit To:
HILL YARD /INDIANA I o}]��{j n
P. O Box: 872361 Customer 272994
Number
THE CLEANING RESOURCE Kansas City, MO 64187 -2361
Invoice Number 6484610
Plant: 1350
Phone: 765 378 3766 Invoice Date 09/30/2010
Fax: 7653786671 Purchase Order No. 23963
Packing List Number 87209836
Ship THE MONON CENTER
To 1411 EAST 1 16TH STREET Sales Order Number 15204676
CARMEL IN 46032 -3455 Payment Terms Net due in 30 days
Illll[f l[III IIIII IIIIIIIIII IIIII IIIII Illllllllllll Page 1 of 1
BIII THE MONON CENTER 06484610
To 1411 EAST 1 16TH STREET
CARMEL IN 46032 3455
l otal kmi unt: Due 208,tf0.
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo LR3860150K 5 CS 38.60 193.00
LINER 60GAL 38x58 1 .5MIL SLK 100 /CS
Subtotal 193.00
Shipping 15.00
Tax Amount 0.00
R D Gross Price 208.00
O CT' 0 8 2010
By l........................
Purchase
Description
P.O. �3 _�P ore
G.L. r l a, �i nD
Budget
Line Descr zib
Purchaser Date
Approval Date,_,,..
Invoice Number 6484610 Date 09/30/2010 Purchase Order: 23963
Plant: 1350 Customer Number 272994 THE MONON CENTER
H I L LYA R D HILL YARD INDIANA x: 872361
Invoice
P. O. Bo
0 0 0 0 0 0 0 ®m o Kansas City, MO 64 18 7 -236 1
THE CLEANING 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. 2
HILLYARD Remit To: www hrl/ and com
HILL YARD /INDIANA Info 1 ?Of!
P.O Box: 872361 Customer Number 272994
THE CLEAmG RESOURCE® Kansas City, MO 64187 2361
Invoice Number 6493217
Plant: 1350
Phone: 765 378 3766 Invoice Date 10/0812010
Fax: 765378 6671 Purchase Order No. 23968
Packing List Number 83469626
Ship MONON CENTER AT CENTRAL PARK
TO 1 135 CENTRAL PARK DRIVE WEST Sales Order Number 21096911
CARMEL IN 46032 Payment Terms Net due in 30 days
�IE 11fII [1111111111111111111111111111 IN 1111 Page 1 of 1
Bill THE MONON CENTER 06493217
TO 1411 EAST 1 16TH STREET
CARMEL IN 46032 -3455 I otal A In Due...... 1fl: 80
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
tifiY: @IcEtS
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0113354 12 EA 3.77 45.24
AEROSOL Q &C BASEBOARD STRIPPER 160Z
0020 HIL29940 1 EA 14.92 14.92
COURTCLEAN CUSTOM TOWEL 24 X 96 IN
0030 RUB781788WH 3 CS 97.00 291.00
LINERS FOR CHANGING STATION
0040 HIL0049806 4 GAL 13.87 55.48
CUTBACK
Q Subtotal 406.64
OCT 1 4 2010 Shippin 4.16
Tax Amount 0.00
BY
Gross Price 410.80
Purchase
Descriptio t eo
P.O.
G.L. 00
Budget
Line Desc
Purchaser �LG�
Approval
Date
Invoice Number 6493217 Date 10108(2010 Purchase Order: 23968
Plant. 1350 Customer Number 272994 MONON CENTER AT CENTRAL PARK
H ILLYARD HILLYARD INDIA NA Invoice
err�� P. O. Box: 872361
THE C�LEANINGREsoum- 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. 2-
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
9130110 6484610 Janitorial supplies 23963 208.00
10/8110 6493217 Janitorial supplies 23968 410.80
Total 618.80
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
Voucher No. Warrant No.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
618.80
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6484610 4239000 208.00 1 hereby certify that the attached invoice(s), or
1093 6493217 4238900 410.80 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
21 -Oct 2010
Signature
618.80 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.
1, c.. tat s
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo LR4348170K 2 CS 40.93 81.86
LINER 56GAL 43X48 1 .7MIL BLK 100 /CS PAYL
0020 PG53971 6 CS 50.85 305.10
TOWEL BOUNTY 30 RLS
Subtotal 386.96
Shipping 15.00
Tax Amount 0.00
Gross Price 401.96
Invoice Number 6489186 Date 10/06/2010 Purchase Order: 812298
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
H ILLYARD HILL YARD /INDIANA Invoice
A O. Box: 872361
IMCLEVNGRESOURCE' Kansas City, MO 64187 -2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESFNTS 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 106408 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
6489186 01- 7202 -05 $386.96
6489186 01- 7202 -05 $15.00
I
Voucher Total $401.96
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 10/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/181201( 6489186 $401.96
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