193783 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
0 ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $1,275.04
CARMEL, INDIANA 46032 P O BOX 872361
6n,do KANSAS CITY MO 64187 -2361 CHECK NUMBER: 193783
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 6570232 29.00 OTHER MAINT SUPPLIES
1093 4238900 6572143 265.28 OTHER MAINT SUPPLIES
1093 4238900 6579223 533.04 OTHER MAINT SUPPLIES
651 5023990 6579225 447.72 MATERIALS SUPPLIES
www.hilivard.com
HILLYARD R emit HILL YARD /INDIANA �tformat�a�n
P. O Box: 872361
Customer Number 272994
Tff CLEANING R ESOURCE® Kansas City, MO 64187 2361
Invoice Number 6570232
Plant: 1350
Phone: 765 378 3766 Invoice Date 12/15/2010
Fax: 765378 6671 Purchase Order No. 28005
Packing List Number 83547889
Ship MONON CENTER AT CENTRAL PARK
To 1 135 CENTRAL PARK DRIVE WEST Sales Order Number 21105926
CARMEL IN 46032 Payment Terms Net due in 30 days
IlllllllllllllllllllllllllllllllVIIIIIIIIIIIIIIII Page 1 of
Bill THE MONON CENTER 06570232
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455
Total Amount Due 29 Q(3
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
'y K
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 TNT1017832 1 EA 29.00 29.00
RETAINER SQGE RH
LAI Subtotal 29.00
DEC 2 0 2010 Shipping
o.00
Tax Amount 0.00
]BY°
Gross Price 29.00
Purchase
Descrip tlon jPoITO RlL SUppueS
P.O. Q �5 jj�p P
G.L.# 1093- 1 4 238 9oD
Budget
Line Descr I'll f'Yl(? I a.
Purchaser J Date
Approval Date
Invoice Number 6570232 Date 12/15/2010 Purchase Order: 28005
Plant: 1350 Customer Number 272994 MONON CENTER AT CENTRAL PARK
H ILLYARD HILL YARD /INDIANA Invoice
P. O. Box: 872361
THECLEMGRHOURCE° Kansas City, MO 64187 -2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISION$ OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED, IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
www.hill ard.com
Remit To:
e
HILLYARD
HILL YARD IINDIANA
MIXIONNOX P.O Box: 872361
Customer Number: 272994
THE CLEAMNG RESOURCE Kansas City, MO 64187 2361
Invoice Number 6572143
Plant. 1350 Invoice Date 12/16/2010
Phone: 765 378 3766
Fax: 7653786671 Purchase Order No. 27999
Packing List Number 83547900
Ship MONON CENTER AT CENTRAL PARK
To 1 135 CENTRAL PARK DRIVE WEST Sales Order Number 21 105335
CARMEL IN 46032 Payment Terms Net due in 30 days
„III, III, III, IIII ,,,,II,IIIII,,,I„IIIIIII,IIIII Page 1 of 1
BIII THE MONON CENTER 06572143
TO 1411 EAST 116TH STREET
C
ARMEL
IN 46032-3455
T: atah AounfiDu$>>
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT, IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
t>
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo CSM36141503 3 EA 16.93 50.79
DUSTPAN LOBBY UPRIGHT W CLIP AND BROOM
0020 HIL29997 1 EA 18.30 18.30
BUDDY JUG 5 GALLON WITH SPIGOT
0030 RUB781788WH 2 CS 97.00 194.00
LINERS FOR CHANGING STATION
Subtotal 263.09
4 Shipping 2.19
Tax Amount 0.00
DEC 7 2010 Gross Price 265.28
BY..
Purchase
Description
P.O.# flrF
G.L. 9� 0
Budget
Line
Purchaser v
Date
Approval Date
Invoice Number 6572143 Date 12/16/2010 Purchase Order: 27999
Plant. 1350 Customer Number 272994 MONON CENTER AT CENTRAL PARK
H ILLYARD HILL YARD /INDIANA Invoice
®rere M P. 0. Box: 872367
■NO
THE CLEMNINGRESOURCE• 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
HILLYARD R emit HILLYARD /INDIANA
fnf+rnal�an
s P.O Box. 872367 is
Customer Number. 272994
UE CLEANING RESOURCE Kansas City, MO 64187 -2361
Invoice Number 6579223
Plant: 1350
Phone: 765 378 3766 Invoice Date 12/22/2010
Fax: 7653786671 Purchase Order No. 1348
Packing List Number 83556759
Ship MONON CENTER AT CENTRAL PARK
To 1 135 CENTRAL PARK DRIVE WEST Sales Order Number 11545262
CARMEL IN 46032 Payment Terms Net due in 30 days
IIIIIII I II Page 1 of 1
Bill THE MONON CENTER 06579223
To 1411 EAST 116TH STREET
CARMEL IN 46032 -3455
o #ai Amvunt:ra0..:.'�
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 HIL0106054 36 EA 5.28 190.08
M.C.P. MULTIPURPOSE CLEANER POLISH 18 OZ
0020 JAD434720B 3 CS 26.22 78.66
LINER 43X47 LLPE ROLL 1 .6ML 100 /CS
0030 JAD385820B 4 CS 28.54 114.16
LINER 38X58 LLPE ROLL 1.6ML 100 /CS
0040 HIL0125003 2 CS 34,92 69.84
SOAP HAND PINK PLUS FOAM 1.51 2CS
0050 HIL30502 10 PAC 6.53 65.30
GLOVE LATEX PWDR FREE LARGE 100 BOX
Subtotal 518.04
Shipping 15.00
Tax Amount 0.00
Gross Price 533.04
Purchase
Description a Z P 0&
P.O.
G.L.
Budget
Une Descr
pate_.__.
Purchaser Date_�
Approval
Invoice Number 6579223 Date 12!22!2010 Purchase Order: 1348
Plant: 1350 Customer Number 272994 MONON CENTER AT CENTRAL PARK
H ILLYARD HILLYARD /INDIANA Invoice
P. O. Box: 872367
PE CLEANiNc Ruoum- 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.
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
12/15/10 6570232 Janitorial supplies 28005 29.00
12116110 6572143 Janitorial supplies 27999 265.28
12/22110 6579223 Janitorial supp lies 28052 53104
Total 827.32
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
827.32
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6570232 4238900 29.00 1 hereby certify that the attached invoice(s), or
1093 6572143 4238900 265.28 bill(s) is (are) true and correct and that the
1093 6579223 4238900 533.04 materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Jan 2011
Signature
827.32 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.
r>tie aeaEiS
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10150 6 CS 26.73 160.38
TOWEL KITCHEN ROLL GSC 2 PLY 30/90 CS
0020 HIL0124703 2 CS 40.85 81.70
GREEN SELECT FOAM HAND SOAP 1250ML
0030 HIL0125603 1 CS 68.00 68.00
SANITIZER IHS FOAM PUSH 1.21- 3 CS
0040 HIL0010204 12 QT 2.25 27.00
GERMICIDAL BOWL CLEANER QTS
0050 H I L0101804 12 QT 3.40 40.80
SPRAY CLEAN HD
0060 HIL24205 12 EA 4.57 54.84
MOP WET BLVD CUT END NB 4PLY 240Z BLUE
Subtotal 432.72
Shipping 15.00
Tax Amount 0.00
Grass Price 447.72
Invoice Number 6579225 Date 12!22/2010 Purchase Order: S12363
Plant: 1350 Customer Number 272994 CARMEL W.W_T.P. WASTEWATER UTILIT
H ILLYARD HILL YARD INDIANA Invoice
a
P. O. Box: 872361
Tff CLEANINCMaw Kansas City, MO 64787 -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 106831 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
6579225 01- 7202 -05 $377.88
6579225 01- 7202 -06 $54.84
6579225 01- 7202 -06 $15.00
Voucher Total f
Cost distribution ledger classification if
claim paid under vehicle highway f
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 12/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201( 6579225 $447.72
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