192101 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P o Box 872361 CHECK AMOUNT: $1,494.39
9 M? KANSAS CITY MO 64187 -2361
CHECK NUMBER: 192101
CHECK DATE: 11/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 6522452 403.33 MISCELLANEOUS SUPPLIE
1205 4238900 6531255 195.62 OTHER MAINT SUPPLIES
1205 4238900 6531256 152.34 OTHER MAINT SUPPLIES
651 5023990 6531259 497.34 OTHER EXPENSES
651 5023990 6531260 245.76 OTHER EXPENSES
Remit To: WN+w hd! and com
H ILLYARD HILLYARD /INDIANA
11(GC3
X*X IOW P.O Box: 872361
p,, Customer Number 272994
Tff C LEANING RESOU Kansas City, MO 64187 2361
Invoice Number 6522452
Plant: 1350
Phone: 765 378 3766 Invoice Date 11/0312010
Fax: 7653786671 Purchase Order No. 24045
Packing List Number 835021 76
Ship CCPR Maint
TO 1427 EAST 1 16TH STREET Sales Order Number 21 101 207
CARMEL IN 46032 -3455 Payment Terms Net due in 30 days
Illlllllllllll IIII/ lllllllllllllllllllllllllllllll Pa 1 of
Bill THE MONON CENTER 06522452
To 1411 EAST 1 16TH STREET
CARMEL IN 46032- 3455otal:4Frrvtan.T}ue
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
hLV
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP22018 5 CS 40.50 202.50
TISSUE TOILET JUMBO GSC 2 PLY 12 1000 CS
0020 PAP10165 1 CS 62.33 62.33
TISSUE TOILET GSC 2 PLY 96 500 CS
0030 PAP10150 1 CS 30.82 30.82
TOWEL KITCHEN ROLL GSC 2 PLY 30/90 CS
0040 PAP10115 2 CS 46.34 92.68
TOWEL CENTERPULL GSC 2PLY 6 600 CS
Subtotal 388.33
Shipping 15.00
Tax Amount o.00
Gross Price 403.33
Purchase
w 11 Description
P.O.# �5 Po
NOV 0 8 1 2010 G.L. I lz� �l z3Q000
Bud, et I n
Line
BY. Purchaser Date
Approval Date
Invoice Number 6522452 Date 11/03/2010 Purchase Order: 24045
Plant: 1350 Customer Number 272994 CCPR Maint
H ILLYARD HILL YARD /INDIANA Invoice
P. O. Box: 872361
s ®N o r e o Kansas Ci MO 64187 -2361
T11FCi,�vCRFSOUaCE• y 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.
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
1113110 6522452 Janitorial supplies 24045 403.33
Total 403.33
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of$
403.33
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6522452 4239000 403.33 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
18 -Nov 2010
Signature
403.33 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.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0014006 4 GAL 15.03 60.12
SUPER SHINE ALL CLEANER
0020 RUB757788YW 1 EA 112.14 112.14
BUCKET WAVEBRAKE DOWN PRESS YW 35 QT
0030 RUBH146GY 1 EA 15.14 15.14
HANDLE MOP INVADER 601N GRAY
Subtotal 187.40
Shipping 8.22
Tax Amount 0.00
Gross Price 195.62
Invoice Number 6531255 Date 11110!2010 Purchase Order: JEFF BARNES
Plant.: 1350 Customer Number 256298 CITY OF CARMEL.
H ILLYARD HILL YARD /INDIANA Invoice
P. O. Box: 872361
91 >o ®o o Kansas City, MO 64 18 7 -23 6 1
TI-IECLEarvwclt>soua�c;;• 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.
ELILIELIA EJ
IX,
do.: e At s,
if ow
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL22267 6 EA
DISPENSER FOR IHS FOAM MANUAL 1.21- GRAY
0020 HIL01 25603 2 CS 68.67 137.34
SANITIZER IHS FOAM PUSH 1.21- 3 CS
Subtotal 137.34
Shipping 15.00
Tax Amount 0.00
Gross Price 152.34
Invoice Number 6531256 Date 11 /10/2010 Purchase Order: VERBAL JEFF
Plant. 1350 Customer Number 256298 CITY OFCARMEL
H ILLYARD HILL YARD /INDIANA Invoice
WAO�ow. A O. Box. 872361
THE CUANING REsoURCE' 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard Indiana
IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
I
$347.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 6531256 42- 389.00 $152.34 1 hereby certify that the attached invoice(s), or
1205 6531255 42- 389.00 $195.62 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, November 22, 2010
Director
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
D ate Num ber (or note attached invoice(s) or bill(s))
11/10/10 6531256 I $152.34
11/10/10 6531255 $195.62
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
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
Ta X;
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0052207 4 PL 57.69 230.76
TOP SHAPE
Subtotal 230.76
Shipping 15.00
Tax Amount 0.00
Gross Price 245.76
Invoice Number 6531260 Date 11/10/2010 Purchase Order: S12328
Plant 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
H ILLYARD HILL YARD /JND)ANA Invoice
A O. Box: 872361
Tff CLFANNGREoncE, 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.
q;
1
::I.:: X.:
X X
6 ic a
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL24205 12 EA 4.57 54.84
MOP WET BLND CUT END NB 4PLY 240Z BLUE
0020 PAP1 0170 2 CS 46.01 92.02
TISSUE OPTICORE GSC 2 PLY 36 865 CS
0030 LR4348170K 1 CS 37.47 37.47
LINER 56GAL 43X48 1.7MIL BLK 1 OO/CS PAYL
0040 PAP10 2 CS 46.95 93.90
TOWEL ROLL GSC NAT WHT CONTROL 6 800 CS
0050 HIL01 13454 6 EA 3.17 19.02
AEROSOL Q&C SS CLEANER POLISH 160Z
006o HIL01 13554 6 EA 3.24 1 9.44
AEROSOL Q&C DUST MOP TREATMENT 160Z
0070 HIL01 25603 1 CS 68.00 68.00
SANITIZER IHS FOAM PUSH 1.21- 3 CS
0080 HIL0124703 1 CS 40.85 40.85
GREEN SELECT FOAM HAND SOAP 1250ML
oogo HIL0010204 12 QT 2.25 27.00
GERMICIDAL BOWL CLEANER QTS
oloo HIL0014406 4 GAL 7.45 29.80
TOP CLEAN
Invoice Number 6531259 Date 11/10/2010 Purchase Order: S12326
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. WASTEWATER LITILIT
H ILLYARD HILL YARD /INDIANA Invoice
P. O. Box: 872361
THE CLEk%G RaoURCE* 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.
www.hillyard.com
Remit To:
HILLYARD HILL YARD /INDIANA
l rfo rmtcrn.:...
P.O Box: 872367 Customer Number: 272994
Tom, CLEANNG RESOURCE Kansas City, MO 64187 -2367
Invoice Number 6531 259
Plant: 1350
Phone: 765 378 3766 Invoice Date 11/10/2010
Fax: 7653786671 Purchase Order No. S12326
Packing List Number 83510568
Ship CARMEL W.W.T.P. WASTEWATER UTILIT
TO 9609 HAZEL DELL PARKWAY Sales Order Number 11518376
INDIANAPOLIS IN 46280 Payment Terms Net due in 30 days
Page 2 of 2
Bin CARMEL UTILITIES IIIIIII1111111111111111111111111111IIIIIIh111I
TO WASTEWATER 06531259
760 THIRD AVENUE SW SUITE 110
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
1nu01e #ails
1 J4
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Subtotal 482.34
Shipping 15.00
Tax Amount 0.00
Gross Price 497.34
Invoice Number 6531259 Date 1111012010 Purchase Order: S12326
Plant: 7350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
H ILLYARD HILL YARD /INDIANA Invoke
P. O. Box: 872361 L
THECLEA.NwGRsOURCE' 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.
VOUCHER 106590 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
6531259 01- 7202 -05 r $482.34
6531259 01- 7202 -05 $15.00
653iZ60 or.72- b5 z`1s.7b
t(D D
Voucher Total _$Aaf"J
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 11/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/201( 6531259 $497.34
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- 1110 -1.6
Date Officer