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164273 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD INDIANA CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $1,612.00 KANSAS CITY MO 64187 -2361 CHECK NUMBER: 164273 CHECK DATE: 9/30/2008 DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI 1047 4238900 14013434 287.09 OTHER MAINT SUPPLIES 1047 4238900 2489831 103.00 OTHER MAINT SUPPLIES 1047 4238900 2495898 534.24 OTHER MAINT SUPPLIES 1047 4238900 2521180 10.92 OTHER MAINT SUPPLIES 1047,' 423•;8900 2605073 1, 159. 03 O�THER SUPPLIES 1047 4238900 722290 9 51:.39 OTHER,MAINT SUPPLIES 1047 423$900 722344`1 40:.51 OTHER MAINT;SUPPLIES w HIL L Y AAD CUSTOMER COPY Please Note New Remit Address THE CLEANING RESOURCE' Remit To:� 1 HILL YARD/ INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 Invoi Fax: 765 378 6671 Kansas City MO 64187 -2361 t Ship THE MONON CENTER www.hill ard.com TO 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA Customer Number: 265562 Invoice Number 2489831 BIII THE MONON CENTER Invoice Date 05/15/2008 TO 1235 CENTRAL PARK DRIVE EAST Purchase Order No. 17729 CARMEL IN 46032 USA Packing List Number 82468909 Sales Order Number 10933923 Payment Ted 9 1 of 1 Net due in 30 days Invoice Details ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo ROC25144388 2 CS 88.93 177.86 TAMPON PLAYTEX GENTLE GLIDE 0020 ROC25176798 3 CS 43.90 131.70 STAYFREE NO 4 FOLDED 250 CS 0030 LX386019M 2 CS 19.91 39.82 LINER 60GAL 38X58 19MIC MAG 100 /CS ULTRA 0040 LL30377K 2 CS 22.17 44.34 LINER 20 -30GAL 30X37 .71MIL BLK 250 /CS D 0050 HIL0081622 6 EA 9.99 59.94 ARSENAL RE- JUV -NAL 1/2 GAL 0060 HIL99600EG 2 EA 51.50 103.00 DISPENSER ARSENAL JUNIOR EGAP SEP 1 0 2008 Subtotal 556.66 pumhase S Y: Description Aa l `-sue P.O. or p Shipping 12.45 Tax Amount 0.00 G.L. Budget Gross Price 569.11 Line Descr Purchaser Date '?Prl D X0-25 O 9 CW I (oCgD 1 Approval Ocme� p3 e t q� HILLYARD CUSTOMER COPY CEIVEID .4, Please Note New Remit Address AUK 2 9 THE CLEANING RESOURCE' Remrt To: HILLYARD /INDIANA Plant: 1350 Phone: 765 378 3766 P O Box: 872361 v oi ce Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www.hilly To 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA Customer Number: 265562 Invoice Number 7223441 Bill THE MONON CENTER Invoice Date 08/20/2008 To 1235 CENTRAL PARK DRIVE EAST Purchase Order No. Jim CARMEL IN 46032 USA Packing List Number 95180979 Sales Order Number 54081072 Payment Ted 9� 1 of 1 Net due in 30 days Invoice Details ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0020 TNT900016 1 EA 33.90 33.90 BAG CLOTH MT2600 Subtotal 33.90 Shipping 6.61 Tax Amount 0.00 Gross Price 40.51 Purchase Description P.O. ��95 IF G.L. Budget Line Descr AU Purchaser -JN'"1E" Date 008 i Approval Date BY: t t HILLY ARD I CUSTOMER COPY e 1 Please Note New Remit Address 7A THE CLEANING RESOURCE° Remit To: HILLYARD /INDIANA Plant: 1350 j 5 2008 Phone: 765 378 3766 P.O Box: 872361 I n I Fax: 765 378 6671 Kansas City MO 64187 -2361 S hip THE MONON CENTER www.hilly TO 1235 CENTRAL PARK DRIVE EAST l CARMEL IN 46032 information USA Customer Number: 265562 Invoice Number 7222909 BIII THE MONON CENTER Invoice Date 08/15/2008 TO 1235 CENTRAL PARK DRIVE EAST Purchase Order No. Jim CARMEL IN 46032 USA Packing List Number 95180087 Sales Order Number 54081072 Payment Ted 9 1 or 1 Net due in 30 days G Inv oice Details z r s ue'. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 TNT612059 1 EA 43.00 43.00 BAG FILTER PAPER MAGNA TWIN 10 PER PKG Subtotal 43.00 Shipping 8.39 Tax Amount 0.00 Gross Price 51.39 Purchase Description P.O. I F�ft 9 5 t Pe r F G.L Bud FAIVRID Budget UneDescr AUG 2 0 2008 Purchaser Date Approval I Date 0 BY: Pianen nofma h. and Rohnn Rnttnm Pnrtinn with Pavment--------------------------------- RILLYARD CUSTOMER COPY .C.`, Please Note New Remit Address TFffi CLEANING RESOURCE° Remit To: Plant: 1350 HILL YARD/ INDIANA Phone: 765 378 3766 P.O Box: 872361 In voice Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www.hilly TO 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA Customer Number: 265562 Invoice Number 2521180 BIII THE MONON CENTER Invoice Date 06/16/2008 TO 1235 CENTRAL PARK DRIVE EAST Purchase Order No. 17730 CARMEL IN 46032 USA REC'El Packing List Number 82499860 1 2008 Sales Order Number 10952649 C P Payment Ted 9 2 of 2 Net due in 30 days t s:1�, r a rya `iw :��r'. f G r� 4 w�l�: Py s t ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 012o HIL31833 25 EA LABEL RTU AIRS 833 SUPROX CONC Subtotal 10.92 Shipping 0.00 Tax Amount 0.00 Gross Price 10.92 Purchase Description P.O.# R P rF G.L Bu dget Line D escr Purchaser Date- Approval Date y I n Vii_ I`._i. L. .__i.ln�w.. n,.�_�_n,...a:.... {I. 0...........♦ HILLYARD CUSTOMER COPY .0- Please Note New Remit Address THE CLEANING RESOURCE' Remit To: HILL YARD/ INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 I nvoice Fax: 765 378 6671 Kansas City MO 64187 -2361 i v Ship E MONON CENTER u www.hillyard.com TO 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA Customer Number: 265562 Invoice Number 2521180 Bill THE MONON CENTER Invoice Date 06/16/2008 TO 1235 CENTRAL PARK .RLVE EAST Purchase Order No. 17730 CARMEL IN 46032 j USA Packing List Number 82499860 SEP 1 0 2008 Sales Order Number 10952649 Payment TeggR 1 of Net due in 30 days ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo HIL31950 12 EA 0.47 5.64 BOTTLE QUART PLAIN PLASTIC 0020 HIL26011 12 EA 0.44 5.28 SPRAYER 28MM TRIGGER WHITE 0030 HIL31620 25 EA LABEL RTU ARS 801 ASSURANCE CLEANER 004o HIL31621 25 EA LABEL RTU ARS 802 WINDO- CLEAN+ 005o HIL31603 25 EA LABEL RTU ARS 808 SUPER SHINE ALL 0060 H I L31618 25 EA LABEL RTU ARS 811 RESTROOM CLEANER 007o HIL31614 25 EA LABEL RTU ARS 814 CARPET PRE -SPRAY 008o HIL31617 25 EA LABEL RTU ARS 817 DEGREASER ooso HIL31616 25 EA LABEL RTU ARS 816 RE- JUV -NAL DISINFECTAN oloo HIL31821 25 EA LABEL RTU ARS 821 TYPHOON 0110 HIL31825 25 EA LABEL RTU ARS 825 SAN ITIZER Please Detach and Return Bottom Portion with Payment HILLYARD XX*XM THE CLEANING RESOURCE' MLLYARD CUSTOMER COPY RECEIVED Please Note New Remit Address 1 HE CLEANING RESOURCE' Remit To: S E P 0 52008 HILL YARD/ INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 i n voi ce Fax: 765 378 6671 Kansas City MO 64187 -2361 BY: V v Ship THE MONON CENTER ww ill ard.com TO 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA 7,D Customer Number: 265562 0 2008 Invoice Number 2605073 BIII THE MONON CENTER Invoice Date 09103/2008 TO 1235 CENTRAL PARK DRIVE EAST" Y Purchase Order No. 17730 CARMEL IN 46032 USA Packing List Number 82588397 Sales Order Number 21042755 Payment Term R 1 of 1 Net due in 30 days Invoice Details ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo UNX75353 3 CS 96.73 290.19 LIQ LDRY QUALITEX SOFTENER /SOUR 4X1 CS 0020 UNX86396 2 CS 147.95 295.90 SPEC TAK WONDER DETERGENT 4X7.5 LB CS 0030 PAP10145 2 CS 49.89 99.78 TISSUE FACIAL GSC 2 PLY 150 PKG 30 CS 0040 GOJ539202 4 CS 82.54 330.16 PURELL FOAM INSTANT HAND SANITIZER 1200M 0050 GOJ965212 2 CS 64.00 128.00 SANITIZER PURELL W PUMP 80Z 12 CS Subtotal 1,144.03 tests; chase hipping 15.00 ase G, Tax Amount 0.00 ^criptiorT Gross Price 1 ,159.03 G 16117- 42 38400 Budget tine Descr !Yl E g ED Purchase y d 0 S E P 1 0 2008 11 Approval Date BY: Awl HILLYARD Please Note New Remit Address V e"s Remit To: cy p THE CLEANING RESOURCE' HILL YARD/ INDIANA S P U N 2003 Phone: 765 378 3766 P•O Box: 872361 Kansas City MO 64187 -2361 tome r Fax: 765 378 6671 Statement www.hillyard.com 0 l llingA d ress y Information r THE MONON CENTER Customer Number 265562 1235 CENTRAL PARK DRIVE EAST tatement Date 08/20/2008 CARMEL IN 46032 �:�'.VF pen item list on 08/20/2008 SEEP 1 0 2008 Page 1 of 1 �Involce �Custome�r PO �5 Documents 3 Amount Reference Document y a: 14013434 01/28/2008 263.52- i 0- PP l Check 000155756 -I1� 14013434 01 /28/2008 23.57 Iav Check 000155756 2480967 2518580 05/07/2008 611.91 0010929155 2489831 17729 05/15/2008 569.11 0010933923 2495898 VERBAL 05/21/2008 534.24 0010938728 2521180 17730 06/16/2008 10.92 0010952649 2544793 18895 07/09/2008 2,014.02 0021040571 21005724 07/11/2008 466.11- 7217669 VERBAL 07/11/2008 181.70 0055135666 2570374 18895 07/31/2008 446.56 0021041416 8091796 I NV 2500223 07/31/2008 95.04- 0031021196 7222909 Jim 08/15/2008 51.39 0054081072 7223441 Jim 08/20/2008 40.51 0054081072 E NT A Balance on key date 08/20/2008.......... der ra,iase 3 scription PAST DUE '.o. ParF udget _one Descr 5 3 'urchaser Da l prova Date QVERDUE 31 °60 OVE CURRENT ®VERDUE 1 30� 61 90 O\/E ACCT BALANCE 538.46 2,100.68 455.19- 1,715.26 287.09- $3,612.12 H CUSTOMER COPY VX Please Note New Remit Address THE CLEANING RESOURCE® Remit To: HILL YARD/ INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 Y g� e voi Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www.hilly TO 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Information USA Customer Number: 265562 Invoice Number 2495898 BIII THE MONON CENTER Invoice Date 05/21/2008 TO 1235 CENTRAL PARK DRIVE EAST Purchase Order No. VERBAL CARMEL IN 46032 11 USA `t Q� l Packing List Number 82476537 Sales Order Number 10938728 Payment Te6 9 of 1 Net due in 30 days Invoice Details ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 RUB2655GY 4 EA 79.08 316.32 RECEPTACLE 55 GL GRAY BRUTE 0020 RUB264016BK 4 EA 50.73 202.92 DOLLY BRUTE 2CS Subtotal 519.24 DIVED SEP X p Shipping 15.00 2008 Tax Amount 0.00 BY: Gross Price 534.24 Purchase Description P.Q.# PorF G.L. q 7 ?2 21 ya a 0 0 Budget l y[ /OYI Line Descr Purchaser Date Approval Date �j 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 Indiana Terms P.O. Box 872361 Kansas City, MO 64187 -2361 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/15/08 2489831 Restroom supplies PO 18895 P 103.00 8/20/08 7223441 Cleaning supplies PO 18895 P 40.51 8/15/08 7222909 Cleaning supplies PO 18895 P 51.39 6/16/08 2521180 Cleaning supplies PO 18895 P 10.92 9/3/08 2605073 Cleaning supplies PO 18895 P 1,159.03 1/28/08 14013434 Credit on account (263.52) 1/28/08 14013434 Credit on account (23.57) 5/21/08 2495898 Trashcans 534.24 Total 1,612.00 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 1 20_ Clerk- Treasurer r Voucher No. Warrant No. 359478 Hillyard Indiana Allowed 20 P.O. Box 872361 Kansas City, MO 64187 -2361 In Sum of 1,612.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept ept 1047 2489831 4238900 103.00 1 hereby certify that the attached invoice(s), or 1047 7223441 4238900 40.51 bill(s) is (are) true and correct and that the 1047 7222909 4238900 51.39 materials or services itemized thereon for 1047 2521180 4238900 10.92 which charge is made were ordered and 1047 2605073 4238900 1,159.03 received except 1047 14013434 4238900 (263.52) 1047 14013434 4238900 (23.57 1047 2495898 ;4239000 534.24 Al pAC 15 -Sep 2008 �v v� Signature 1,612.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund M