165263 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD /.INDIANA CHECK AMOUNT: $244.03
CARMEL, INDIANA 46032 P 0 80X 872361
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 165263
_L CHECK DATE: 10/29/2008.
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCR
1047 4238900 2645880 102.99 OTHER MAINT SUPPLIES
1047 4238900 7230916 141.04 .OTHER MAINT SUPPLIES
e
e
e
e
m
3
�E
3"
m
SO
HILLYARD CUSTOMER COPY Csj
Please Note New Remit Address
'T'HE CLEANING RESOURCE'
Plant: 1350 Remit To: O CT 0C
HILL YARD/ INDIANA
Phone: 765 378 3766 P.O Box: 872361
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER www.hillyard.com
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Information,
Customer Number: 265562
Invoice Number 2645880
BIII THE MONON CENTER Invoice Date 10/09/2008
To 1411 EAST 116TH STREET Purchase Order No. 18895
CARMEL IN 46032 -3455
Packing List Number 82628018
Sales Order Number 21043733
Pa y ment age� of 1 Net due in 30 days
Invoice Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 H I L45120 5 EA 5.10 25.50
PAD 20 IN BLUE LUSTER BURNISHING
0020 HIL0070622 6 EA 12.62 75.72
C2 TOP CLEAN .5 GAL
REC, 7" FD D Subtotal 101.22
OCT 1 6 2008
Shipping 1.77
BY: Tax Amount 0.00
P urc h ase
Description 1 Gross Price 102.99
L. P.o. or F'
G.L.
Budget
Line Descr
Purchaser Date_
Approval i Date d
Please Detach and Return Bottom Portion with Payment------------------------------------------------------------------
HILLYARD Plant: 1350 Customer No. 265562
HILL YARD/ INDIANA Invoice No. 2645880
P. O. Box: 872361 AMOUNT DUE
THE CLEANING RESOURCE' Kansas City MO 64187 -2361 102.99
REMITTANCE STUB j
HILLYARD CUSTOMER COPY
r
Please Note New Remit Address
THE CLEANING RESOURCE' Remit To:
Plant: 1350
HILL YARD/ INDIANA Ar
Phone: 765 378 3766 P.O Box: 872361 k� Q
Fax: 765 378 6671 Kansas City MO 64187 -2361 01 e
Ship THE MONON CENTER www.hill ard.co
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 Information
Customer Number: 265562
Invoice Number 7230916
BIII THE MONON CENTER Invoice Date 10109/2008
TO 1411 EAST 116TH STREET Purchase Order No. VERBAL JAMES
CARMEL IN 46032 -3455 DOWNS
Packing List Number 95186738
Sales Order Number 54083201
Page 1 of 1
I'nvolce Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0020 WIN2046 1 EA 9.72 9.72
BRUSH STRIP 14 IN
0030 W I N2046 3 EA 9.72 29.16
BRUSH STRIP 14 IN
0040 WIN2049 1 EA 21.79 21.79
BELT DRIVE
0050 E DRIVE ��V� 3 EA 21.79 65.37
OCT 1 6 2008
Subtotal 126.04
Y:
Purchase
Description Shipping 15.00
P.O. P Tax Amount 0.00
G.L.
Budget Gross Price 141.04
Line Descr
Purchaser Date
Approval
c� rin�grh anrt Rotii.n Rnttn Portion with Pavment-----------------------------------
t 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,l1Umber of hours, rate per hour, number of units, price per unit, etc.
r --ay'=c 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
1019/08 2645880 cleaning supplies 102.99
10/9/08 7230916 cleaning supplies 141.04
Total 244.03
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 to. Warrant No.
3'59.°478 Hillyard Allowed 20
P.O. Box 872361
'(ansas City, MO 64187 -2361
f'
In Sum of
244.03
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2645880 4238900 102.99 1 hereby certify that the attached invoice(s), or
1047 7230916 4238900 141.04 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
24 -Oct 2008
Signature
244.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund