166705 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
+y� CARMEL, INDIANA 46032 P 0 80X 872361 CHECK AMOUNT: $2,054.11
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 166705
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 423- -8900 2681589 129.80 OTHER MAINT SUPPLIES
"1047 4238900 2696116 604.31 OTHER MAINT SUPPLIES
1047 4238900 2700870 1,320.00 OTHER MAINT'SUPPLIES
s.'
HILLYARD CUSTOMER COPY��i��
Please Note New Remit Address
THE CLEANING RESOURCE' Remit To: DEC Q 220 8
HILLYARD /INDIANA
Plant: 1350 P.O Box: 872361 t�V
Phone: 765 378 3766 i' J o i ce
Fax: 765 378 6671 Kansas City MO 64187 2361
Ship THE MONON CENTER www.hilly
To 1411 EAST 116TH STREET t
CARMEL IN 46032 -3455 Information �1
Customer Number: 265562
Invoice Number 2700870
BIII THE MONON CENTER Invoice Date 12/02/2008
TO 1411 EAST 116TH STREET Purchase Order No. INV 2603060
CARMEL IN 46032 -3455 CORRECTI
Reference Number 0028010125
PaymentPernnisf 1 Net due in 30 days
Invoice Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo FREIGHT 1 EA 1,320.00 1,320.00
RESTOCKING FEE FREIGHT ON CORRECT PROD
Subtotal 1,320.00
Shipping 0.00
Tax Amount 0.00
Gross Price 1,320.00
H ILLYARD CUSTOMER COPY RECEIVED
X Please Note New Remit Address rr �ytnitai
THE CLEANING RESOURCE' Remit To: DE �yHg
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 v oic e
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER
To Zug D� www hill and com
1411 EAST 116TH STREET r
CARMEL IN 46032 -3455 Information�x
_w z.
Customer Number 265562
Jit Invoice Number 2696116
BIII THE MONON CENTER Invoice Date 11/25/2008
To 1411 EAST 116TH STREET Purchase Order No. 17729
CARMEL IN 46032 -3455
Packing List Number 82680274
Sales Order Number 21046468
Pa y ment PaFe n of 1 Net due in 30 days
nVOlc-e etallS�
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0080822 12 EA 17.24 206.88
ARSENAL SUPER SHINE ALL 1/2 GAL
0020 HIL0103154 12 EA 3.61 43.32
LUSTRE MIST FURNITURE POLISH 19 OZ
0030 HIL0046604 12 QT 9.20 110.40
TAKE DOWN CHERRY
0040 HIL42720 5 EA 5.00 25.00
PAD 20 IN STRIP BLACK
0050 HIL0081422 12 EA 17.10 205.20
ARSENAL CARPET PRE SPRAY 1/2 GAL
Subtotal 590.80
Shipping 13.51
Tax Amount 0.00
7DEC Gross Price 604 31
Y:
HILLYARD CUSTOMER COPY
A- Please Note New Remit Address f
THE CLEANING RESOURCE' Remit To: l
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 Invoice
Fax: 765 378 6671 Kansas City MO 64187 2361
Ship THE MONON CENTER www.hil!y
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 InformAtion.-
Customer Number: 265562
Invoice Number 2681589
Bill THE MONON CENTER Invoice Date 11/12/2008
TO 1411 EAST 116TH STREET Purchase Order No. WWW:11:27:12
CARMEL IN 46032 -3455
Packing List Number 82665134
Sales Order Number 21045935
Pa y men 'PaFe r q of 1 Net due in 30 days
Invoice Details a
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL30503 10 PAC 8.42 84.20
GLOVE LATEX PWDR FREE 100 BOX XL
0020 HIL0011204 12 OT 2.55 30.60
MILD BOWL AND PORCELAIN CLEANER QTS
Subtotal 114.80
Shipping 15.00
Tax Amount 0.00
Gross Price 129.80
Purchase
Description
P.O. /98 9s LJ,r r
G.L.
Budget
Line Descr J it c t
Purchaser Date C 0 l 700$
Approval
1��:_
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. 18895 P
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)) Amount
1212108 2700870 cleaning supplies 1,320.00
11/25/08 2696116 cleaning supplies 604.31
11/12/08 2681589 cleaning supplies 129.80
Total 2,054.11
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
2,054.11
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2700870 4238900 1,320.00 1 hereby certify that the attached invoice(s), or
1047 2696116 4238900 604.31 bill(s) is (are) true and correct and that the
1047 2681589 4238900 129.80 materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Dec 2008
Signature
2,054.11 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund