HomeMy WebLinkAbout199510 07/20/2011 a CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
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CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $860.60
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 199510
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6804880 860.60 OTHER EXPENSES
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PG53971 6 CS 50.85 305,10
TOWEL BOUNTY 30 RLS
0020 PAP10170 3 CS 46-01 138.03
TISSUE OPTICORE GSC 2 PLY 36 865 CS
0030 LR4348150K 2 CS 41.34 82.68
LINER 56GAL 43X48 1.5MIL BILK 1 OO/CS PAYL
0040 HIL01 25603 2 CS 70.31 140.62
SANITIZER IHS FOAM PUSH 1.2L 3 CS
0050 HIL01 24703 2 CS 42.24 84.48
GREEN SELECT FOAM HAND SOAP 1 250M
0060 HIL0010204 12 OT 2,39 28.68
GERMICIDAL BOWL CLEANER QTS
0070 HIL0101804 6 OT 3,50 21.00
SPRAY CLEAN HID
0080 HJL29920 2 DZ 23.54 47.08
UR INAL INAL SCREEN CHERRY 40Z BLOCK
Subtotal 847.67
Shipping 12-93
Tax Amount 0.00
Gross Price 860.60
Invoice Number 6804880 Date 06/3012011 Purchase Order: 512603
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. WASTEWATER UTILIT
H ILLYARD HILL YARD /INDIA Invoice
A O. Box: 872361
THE CLEANING RESOURCE' Kansas City, MO 64187-2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED, IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359478
HILLYARD /INDIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 7/7/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2011 6804880 $860.60
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
711 1111
Date Officer
VOUCHER 115427 WARRANT ALLOWED
359478 IN SUM OF
HILLYARD /INDIANA
PO BOX 872361
KANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6804880 01- 7202 -05 $860.60
Voucher Total $860.60
Cost distribution ledger classification if
claim paid under vehicle highway fund