193443 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $459.50
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 193443
CHECK DATE: 1/512011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4236500 6579222 459.50 SALT CALCIUM
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL29934 50 EA 8.89 444.50
HILLYARD SPEC BLEND ICE MELT 50 LB BAG
Subtotal 444.50
Shipping 15.00
Tax Amount 0.00
I
Gross Price 459.50
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JAN 0 4 2011
By
Invoice Number 6579222 Date 12/22/2010 Purchase Order: Mayor's Office V
Plant: 1350 Customer Number 256298 CITY OF CARMEL
H ILLYARD HILLYARD /INDIANA Invoice
A O. Box. 872367
Tfffi CLVMG 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 TKS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard Indiana
AZ IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
$459.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 6579222 1 42- 365.00 I $459.50 1 hereby certify that the attached invoice(s), or
I i 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
Tuesday, January 04, 2011
J
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))
12/22/10 6579222 $459.50
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