HomeMy WebLinkAbout197661 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
4 ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $669.50
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 197661
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6733217 669.50 OTHER EXPENSES
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PA T. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
0 j
Val S.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
ool o PG53971 6 CS 50.85 305.10
TOWEL BOUNTY 30 RLS
002o HIL0103954 6 EA 2.80 16.80
GERMICIDAL FOAMING CLEANER 20 OZ
0030 HIL01 24703 1 CS 42.24 42.24
GREEN SELECT FOAM HAND SOAP 1250ML
0040 HIL0014406 8 GAL 7.45 59.60
TOP CLEAN
0050 HIL0052207 4 PL 57.69 230.76
TOP SHAPE
Subtotal 654.50
Shipping 15.00
Tax Amount 0.00
-Gross-Price-- 669.50
Invoice Number 6733217 Date 05/05/2011 Purchase Order: S12473
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. WASTEWATER UTILIT
H ILLYARD HILL YARD /INDIANA Invoice
NNK§Now A O. Box: 872361
THE CLEANiNG 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 115124 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
6733217 01- 7202 -05 $669.50
Voucher Total $669.50
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
NILLYARD /INDIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 5/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/2011 6733217 $669.50
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