166240 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $1,401.89
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 166240
CHECK DATE: 11124/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N A MOUNT D ESCRIPTION
F1047 4238900 2605072 511.47 OTHER MAINT SUPPLIES
1047 4238900 2666583 303.12 OTHER MAINT SUPPLIES
1047 4238900 2,666584 411.00 OTHER MAINT'SUPPLIES
"1047 423`8900 2675122 176.30 OTHER MAINT SUPPLIES
A:
4
HILLYARD CUSTOMER COPY
Please Note New Remit Address
'I'HE CLEANING RESOURCE° Remit To:
Plant: 1350 HILL YARD/ INDIANA
Phone: 765 378 3766 P.O Box: 872361 Invo
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER
TO 1235 CENTRAL PARK DRIVE EAST www h►ll and com
gf
CARMEL IN 46032 informations
USA Customer Number: 265562
Invoice Number 2605072
BIII THE MONON CENTER Invoice Date 09/03/2008
TO 1235 CENTRAL PARK DRIVE EAST Purchase Order No. 18895
CARMEL IN 46032
USA Packing List Number 82588396
Sales Order Number 21042752
Payment T �a a �t 2 of 2 Net due in 30 days
Invoice Details s
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Subtotal 496.47
Shipping 15.00
Tax Amount 0.00
Gross Price 511.47
Purchase i IPA r MCI.
Description 7D,
P.O.# ��7 Po F NOV 1 9 2008
G.L
Budget BY:
Line Des cr
Purchaser Date
c7�f
Approval Date
HILLYARD CUSTOMER COPY
W1-DB G Please Note New Remit Address
THE CLEANING RESOURCE- Remit To:
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 Invoi
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER www
TO 1235 CENTRAL PARK DRIVE EAST y
CARMEL IN 46032 Informatlon��
a" ..r
USA Customer Number: 265562
Invoice Number 2605072
BIII THE MONON CENTER Invoice Date 09/03/2008
To 1235 CENTRAL PARK DRIVE EAST Purchase Order No. 18895
CARMEL IN 46032
USA Packing List Number 82588396
Sales Order Number 21042752
Payment Te !MR 1 of 2 Net due in 30 days
!n o ce Deta�is� :.,.w.
S. v� 9�by �yb.u"L .a.✓ ../.iow.x...
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
ow o H I L42720 5 EA 5.00 25.00
PAD 20 IN STRIP BLACK
0020 H I L20410 6 EA 1.70 10.20
MOP BOWL 2600 CONE
0030 CH1911 1 CS 50.75 50.75
DUST CLOTH MASSLIN 24X24
oo4o HIL30503 10 PAC 7.66 76.60
GLOVE LATEX PWDR FREE 100 BOX XL
0050 H I L28939 3 PAC 4.48 13.44
PADS SPONGE 63 LIGHT SCRUBBING WHT 5 /PAC
0060 H I L29952 2 PAC 4.48 8.96
PAD SPONGE SCRUBBING 74 GREEN 5 /PAC
007o HIL0102554 24 EA 2.88 69.12
WINDOW CLEAN 19 OZ
0080 HIL0100204 12 QT 3.76 45.12
GLASS PLASTIC CLEANER
oo90 H I L26011 6 EA 0.44 2.64
SPRAYER 28 MM TRIGGER WHITE
0100 HIL0103454 24 EA 4.41 105.84
OIL STAINLESS STEEL CLEANER 15 OZ
0110 H I L0012504 12 QT 7.40 88.80
EXTRA STRENGTH CSP CLEANER
Please Detach and Return Bottom Portion with Payment
HILLYARD
%Aez%%n"
ME WREEN
THE CLEANING RESOURCE'
CUSTOMER COPY
HILLYARD
Please Note New Remit Address
THE CLEA NING RESOURCE' Remit To:
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 II" ®i ce
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER
TO 1411 EAST 116TH STREET ww and com
CARMEL IN 46032 -3455 Information
Customer Number: 265562
Invoice Number 2666584
BIII THE MONON CENTER Invoice Date 10/29/2008
TO 1411 EAST 116TH STREET Purchase Order No. ROB
CARMEL IN 46032 -3455
Packing List Number 82651216
Sales Order Number 11042851
Pa y ment paFe n ?or 1 Net due in 30 days
Invoice Details
x
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL22265 20 EA
DISPENSER HILLYARD IN COUNTER PUMP 1.5 L
002o HIL0124903 12 Cs 33.00 396.00
GREEN SELECT FOAM SOAP 1500ML 2 /CS
Subtotal 396.00
Shipping 15.00
Tax Amount 0.00
NOV 0 5 2008 Gross Price 411.00
BY:
P.O.# l �Ql5
Budget
Line Descr
Purchases Date
Approval Date I `(7 55,
DI-1- Ilnhrl+ —4 Dofr. D.. ts.. M_ 53 -.+5 rear
HIL CUSTOMER COPY
Plea N i
se Not e New Remit Address C�IV��
THE CLEANING RESOURCE' Remit To:
HILL YARD/ INDIANA
Pant: 1350
P.OBox:872361 8CT v V ®0��
Phone: 765 378 3766
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER
www and com
TO 1411 EAST 116TH STREET<
CARMEL IN 46032 -3455 Informhatign
Customer Number: 265562
Invoice Number 2666583
Bill THE MONON CENTER Invoice Date 10/29/2008
TO 1411 EAST 116TH STREET Purchase Order No. WWW:11:29:27
CARMEL IN 46032 -3455
Packing List Number 82649951
Sales Order Number 21045129
PaymentPaFern? or 1 Net due in 30 days
Vx
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HOSHG5000 10 PAC 3.78 37.80
REFILL TOILET SEAT COVER 20 PAC 250 CS
0020 HIL0125003 3 CS 32.64 97.92
HILLYARD PINK PLUS HAND FOAM 1.51- 2/CS
0030 LX404822M 3 CS 50.80 152.40
LINER 40 -45GAL 40X48 22MIC MAG 150 /CS UL
Subtotal 288.12
Shipping 15.00
Tax Amount 0.00
Gross Price 303.12
Purchase----------------------------
Description
P.O. P r F I!..
G.L.
B et 0V 0 5 2008
Purchaser Date BY
Approval A- Date it
HILL YARD CUSTOMER COPY
rm� Please Note New Remit Address
THE CLEANING RE SOURCE' Remit To:.
H►LLYARD/ INDIANA
Plant: 1350 P.O Box: 872361
Phone: 765 378 3766 Iff
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER www.hilly
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 lnformati'on
Customer Number: 265562
Invoice Number 2675122
Bill THE MONON CENTER Invoice Date 11/05/2008
To 1411 EAST 116TH STREET Purchase Order No. ROB
CARMEL IN 46032 -3455
Packing List Number 82657673
Sales Order Number 11036205
PaymentPjFjn? of 1 Net due in 30 days
ln�oice Deta il i§`
u> A,.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 GOJ962504 2 Cs 80.65 161.30
SANITIZER PUREL INSTANT HAND 2 LITER 4/C
Subtotal 161.30
Shipping 15.00
Tax Amount 0.00
Gross Price 176.30
Purchase
Description
P.O. ti S� f F !r P
Una Des cr I NO 2008
Purchaw Daie
Date Lt 1-3Y
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)) Amount
9/3/08 2605072 cleaning supplies PO 16876 F 511.47
10/29/08 2666584 cleaning supplies PO 18895 P 411.00
10/29/08 2666583 cleaning supplies PO 18895 P 303.12
11/5/08 2675122 cleaning supplies PO 18895 P 176.30
Total 1,401.89
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
1,401.89
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2605072 4238900 511.47 1 hereby certify that the attached invoice(s), or
1047 2666584 4238900 411.00 bill(s) is (are) true and correct and that the
1047 2666583 4238900 .303.12 materials or services itemized thereon for
1047 2675122 4238900 176.30 which charge is made were ordered and
received except
18 -Nov 2008
Signature
1,401.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund