161861 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
0 ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 80X 872361 CHECK AMOUNT: $168.0D
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 161861
CHECK DATE: 7/2312008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER A DESCRIPTION
1125 4238000 2540044 138.00 SMALL TOOLS MINOR E
1047 4238900 7216328 30.00 OTHER MAINT SUPPLIES
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Please Note New Remit Address CUSTOMER COPY
HZLYA Remit To:
H ILL YARD /INDIANA
CH A 0 Box: 872361
THAp);], -Ai+W RESOURCE' Kansas City MO 64 18 7 -236 1
Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship p
CARMEL CLAY PARKS RECREATION
To ATTN: TERRY MEYERS
p
1427 EAST 1 16TH STREET Customer Number: 269324
CARMEL IN 46032
USA Invoice Number 2540044
Invoice Date 07/03/2008
Bill CARMEL CLAY PARKS RECREATION Purchase Order No. ROB VERBAL
To ATTN: TERRY MEYERS
1427 EAST 1 16TH STREET Packing List Number 82520596
CARMEL IN 46032 Sales Order Number 10965444
USA JUL 0 7 2008 Payment Terms Net due in 30 days
Page 1 of 1
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP42505 6 EA 20.50 123.00
DISPENSER CENTERPULL BLACK TRANS
Subtotal 123.00
Shipping 15.00
Tax Amount 0.00
Gross Price 138.00
JUL I1208
7 FUND
LINE 2
DESC
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HILLYARD CUSTOMER COPY �V�: 'THE �E
Please Note New Remit Address CL EANING RESOURCE° Remit To: p HILLYARD /INDIANA �OO Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 D i c e
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 7216328
Bill THE MONON CENTER Invoice date 06/30/2008
To 1235 CENTRAL PARK DRIVE EAST Purchase Order No. VERBAL
CARMEL IN 46032
USA Packing List Number 95175258
Sales Order Number 54079061
Payment Ted m 1 or 1 Net due in 30 days
Invoice Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
o010 ADV505195 1 EA 15.00 15.00
PAD RETAINER CENTER LOK 3
Subtotal 15.00
Restocking Chg
Shipping 15.00
Tax Amount 0.00
Gross Price 30.00
JUL 0 8 2008
BY 1
p tom r;.."'
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
6/30/08 7216328 Cleaning Chemicals 30.00
7/3/08 2540044 Paper towel dispensers 138.00
Total 168.00
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
,20
Clerk- Treasurer
Voucher No. Warrant No.
359478 Hillyard Indiana Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
168.00
ON ACCOUNT OF APPROPRIATION FOR
101 General 104 Program
or
Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 7216328 4238900 30.00 1 hereby certify that the attached invoice(s), or
1125 2540044 4238000 138.00 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
17 -Jul 2008
Signature
168.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund