156196 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $70.80
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187 -2361
CHECK NUMBER: 156196
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 2373972 70.80 OTHER MISCELLANOUS
I
I
HILLYARD Please Note New Remit A ddress CUSTOMER COPY
I yE A IT" R Remit To:
HILL YARD /1NDJA IVA
CELEBRATION P. Box: 872361
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Plant: 1350 Kansas City MG 64187-2361 Invoice
Phone: 765 378 3766
Fax: 7653786677
w w J a
Ship CARMEL FIRE DEPARTMENT
To 2 CARMEL CIVIC SQUARE 1 f
CARMEL IN 46032 Customer Number: 231969
USA Invoice Number 2373972
Invoice Date 01/22/2008
Bill CARMEL FIRE DEPARTMENT Purchase Order No. ROB-VERBAL
To 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 Packing List Number 82355166
USA Sales Order Number 10860200
Payment Terms Net due in 30 days
page 1 Of 1
1 oilcie;v
11 .1
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 SOC415 2 EA 9.65 19.30
SPRAYER PUMP 15 LTR SPRITZER
0020 HIL99600EG 1 EA 51.50 51.50
DISPENSER ARSENAL JUNIOR EGAP
Subtotal 70.80
Shipping 0.00
Tax Amount 0.00
Gross Price 70.80
Please Note OUF N
Remittance Address,
T ye a
THE SELLER REPRESENTS IT HAS FLIT LY COMPLIED WITH THE PROVISIONS OF THE FAIR LABOR STANDARDS ACT OF 1938 ASAMFNDED IN THE MANUFACMIRF OF GOODS rOL*RFnRY THIS INVCICF
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A
Ir
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same inn,accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
r
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
DEPT. I NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund