192462 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $161.58
KANSAS CITY MO 64187 -2361
CHECK NUMBER: 192462
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 256298 161.58 OTHER MAINT SUPPLIES
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
110. V
.0
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo 1-111-0013804 24 OT 6.45 154.80
WINDO-CLEAN
Subtotal 154.80
Shipping 6.78
Tax Amount 0.00
Gross Price 161.58
Invoice Number 6539403 Date 11117/2010 Purchase Order: JEFF BARNES
Plant. 1350 Customer Number 256298 CITY OFCARMEL
H I L LYA R D HILL YARD /INDIANA Invoice
P. 0. Box: 872361
THE CLEANNG ksoum* Kansas City, MO 64787-2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS 17 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
$161.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 I 256298 I 42- 389.00 I $161.58 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
Monday, December 06, 2010
dyx::�:e�
Director, A ministrat n
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 snow: 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))
11/17/10 256298 $161.58
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