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HomeMy WebLinkAbout200466 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD INDIANA CARMEL, INDIANA 46032 CHECK AMOUNT: $3,389.88 P 0 BOX 872361 KANSAS CITY MO 64187 -2361 CHECK NUMBER: 200466 CHECK DATE: 8117/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 6825453 723.51 OTHER MAINT SUPPLIES 1125 4238900 6832340 304.90 OTHER MAINT SUPPLIES 1205 4238900 6838496 193.19 OTHER MAINT SUPPLIES 1093 4238900 6838497 304.90 OTHER MAINT SUPPLIES 1125 4238900 6838498 870.26 OTHER MAINT SUPPLIES 651 5023990 6843965 146.62 OTHER EXPENSES 1205 4238900 6847589 84.84 OTHER MAINT SUPPLIES 651 5023990 6851899 484.28 OTHER EXPENSES 651 5023990 6851900 167.16 OTHER EXPENSES 651 5023990 6851901 110.22 OTHER EXPENSES Remit To: www.hillyard.com H ILLYARD HILL YARD /INDIANA P.O Box: 872361 R ESOURCE' Customer Number. 2562 8 Tff CLEAmG R ESOURCE' Kansas Cit MO 64187 2361 Invoice Number 6838496 Plant: 1350 Phone: 765 378 3756 3 Invoice Date 07/27/2011 Fax: 7653786671 Purchase Order No. MAYORS OFFICE Packing List Number 83810926 Ship CITY OF CARMEL- MAYOR'S OFFICE To ATTN: JEFF BARNES Sales Order Number 11670261 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 IIIIIIIIIIIII( fll IIIIIIIIII lIIIIIIIIIIIIIIIIIIIIII Page 1 ofi 1 Bill CITY OF CARMEL 06838496 To ATTN: JEFF BARNES ONE CIVIC SQUARE CARMEL IN 46032 •TotalAirrount:Due 193. 10 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT, IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. �nvQtce. Itaf�s ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo KIM04007 3 CS 63.68 191.04 TISSUE TOILET CORELESS SCOTT 36 RL /CS Subtotal 191.04 Shipping 2.15 Tax Amount 0.00 Gross Price 193.19 Invoice Number 6838496 Date 07/27/2011 Purchase Order: MAYORS OFFICE Plant: 1350 Customer Number 256298 CITY OF CARMEL- MAYOR'S OFFICE H ILLYARD HILL YARD /INDIANA Invoke P. Q Box: 872361 T[CLEAiY1NGRESOl1RCE" 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. H ILLYARD Remit To: www hd! and com HILL YARD INDIANA I 11 �01`r'iT1a CEO n P.O Box: 872361 Customer Number 256298 THE CLEAMG RESOURCE Kansas City, MO 64187 2361 Invoice Number 6847589 Plant: 1350 Phone: 765 378 3766 Invoice Date 08/02/2011 Fax: 765 378 6671 Purchase Order No. ISA- 07/27/201 1 �IA} Packing List Number 83820585 Ship CITY OF CARMEL TO ATTN: JEFF BARNES Zb Sales Order Number 21 139753 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 Page 1 of 1 Bill CITY OF CARMEL Illlllllllllllllllllllllllllllllllflfillll 06847589 To ATTN: JEFF BARNES ONE CIVIC SQUARE Total Am"' U i '.Due., 84..8 CARMEL IN 46032 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. envoi .e i� a ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL0103454 12 EA 5.82 69.84 OIL STAINLESS STEEL CLEANER 15 OZ Subtotal 69.84 Shipping 15.00 Tax Amount 0.00 Gross Price 84.84 J Invoice Number 6847589 Date 08102/2011 Purchase Order: ISA 0712712011 Plant: 1350 Customer Number 256298 CITY OF CARMEL H ILLYARD HILL YARD /INDIANA Invoice A O. Box: 872361 THECLaNiNGRE5owr Kansas City, MO 64187 -2361 CUSTOMER COPY THANK YOU! THE SELLER REPRESENTS IT HAS FULL`! 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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 LLB( Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3 qf� I� 3, 19 Total 2 2 y' 03 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR m I A.J. 17Z/�'i�U Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or OS /�6� 40 �3' bill(s) is (are) true and correct and that the d 1 /2 3K- 60 Y'�'YY materials or services itemized thereon for which charge is made were ordered and received except 20 nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund Remit To: www.hillyard.com H ILLYARD HILL YARD /INDIANA P.O Box: 872361 s Customer Number. 269324 TH CLEANING RE SOURCE® Kansas City, MO 64187 2361 Invoice Number 6825453 Plant: 1350 Phone: 765 378 3766 Invoice Date 07/18/2011 Fax: 765378 6671 Purchase Order No. 28780 PIRCEIVED Packing List Number 83793384 Ship MONON CENTER AT CENTRAL PARK To 1 135 CENTRAL PARK DRIVE WESTJUL 2 U 20i1 Sales Order Number 21 137581 CARMEL IN 46032 Payment Terms Net due in 30 days Illlllllllllllllllllllllllllllllllllllllllllllllll Pa of 1 Bill CARMEL CLAY PARKS RECREATION 46825453 T© ATTN: TERRY MEYERS 1427 EAST 116TH STREET CARMEL IN 46032 iota# 14mountDue 51 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACC(DUNT. tYL�iO �C4 l�.,tli l5 a t ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo JAD434720B 10 CS 28.99 289.90 LINER 43X47 LLPE ROLL 1 .6ML 100 /CS 0020 PAP22014 5 CS 21.87 109.35 TOWEL C FOLD GSC WHITE 16 150 CS 0030 PAP10145 2 CS 51.78 103.56 TISSUE FACIAL GSC 2 PLY 30 160 box 0040 PAP10145 2 CS 51.78 103.56 TISSUE FACIAL GSC 2 PLY 30 160 box 0050 RUB781788WH 1 CS 102.14 102.14 LINERS FOR CHANGING STATION 7 a T I M 17 117 Subtotal 708.51 JUL 2011 Shipping 15.00 Tax Amount 0.00 Gross Price 723.51 Purchase Description P.O. 1 XV -M I orc G.L. 0 b 0 Bud Line Descr, Purchaser Date Approval Date Invoice Number 6825453 Date 07/18/2011 Purchase Order: 28780 Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK p H ILLYARD HILL YARD /INDIA NA Invoice a y P. O. Box: 872361 THE CLEA1n1GRE50URCE° Kansas City, MO 64187 -2361 CUSTOMER COPY THANK YOU! THE SELLER REPRESENTS 11 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. Remit To: www hill and com H ILLYARD HILL YARD INDIANA P.O Box: 872361 Customer Number. 269324 Tff CLEANING RESOURCE' Kansas City, MO 64787 2361 Invoice Number 6832340 Plant: 1350 Phone: 765 378 3766 Invoice Date 07122/2011 Fax: 7653786671 Purchase Order No, SERRA Packing List Number 83801543 Ship MONON CENTER AT CENTRAL PARK TO 1 135 CENTRAL PARK DRIVE WEST Sales Order Number 11668412 CARMEL IN 46032 Payment Terms Net due in 30 days Illlllflllllllllllifllllllllllllilllllllllllllllll Page i of 1 Bill CARMEL CLAY PARKS RECREATION 06832340 To ATTN: TERRY MEYERS 1427 EAST 116TH STREET CARMEL IN 46032 Tota# Amount Due 304.90 111.111 __1111.._ _1111_ PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. 91{3LGe lug all S ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo JAD434720B TO CS 28.99 289.90 LINER 43X47 LLPE ROLL 1 .6ML 100 /CS Subtotal 289.90 Shipping 1 5.00 Tax Amount 0.00 n Purchase Qescription �OtucL Q Q Gross Price 304,90 P.O. 1Z_4��' C �r F G.L. Budget r I ir,�Y- LUV S-��Q Line Descr Purchaser Date'j Approval Date i BY: Invoice Number 6832340 Date 07!22/2011 Purchase Order: SERRA Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK H I L L Y A R H I L L YARD /INDIANA Invoi a a P. O. Box: 872361 THE CLEAhvINGRuOURCE' 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. www.hillyard.com Remit To: H ILL D INDIANA HILLYARD H R nf.:r P.O Box: 872361 THE CLEAmG RESOURCE Kansas City, MO 64187 -2361 Customer Number: 269324 Invoice Number 6838497 Plant: 1350 Phone: 765 378 3766 R CEIN -TE' Invoice Date 07/27/2011 Fax: 7653786671 AUG 1 2011 Purchase Order No. SERRA Packing List Number 83810928 Ship MONON CENTER AT CENTRAL PARK To 113 5 CENTRAL PARK DRIV_E_V1/E -ST Sales Order Number 11668516 CARMEL IN 46032 Payment Terms Net due in 30 days IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1 Bill CARMEL CLAY PARKS RECREATION 06838497 To ATTN: TERRY MEYERS 1427 EAST 1 16TH STREET CARMEL IN 46032 Iota [,,Amount >:D:ue..::....:.304 90 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. �iiE(Fli�.� Ii�j ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 JAD434720B 10 CS 28.99 289.90 LINER 43X47 LLPE ROLL 1 .6ML 100 /CS Subtotal 289.90 Shipping 15.00 Tax Amount 0.00 Purchase Gross Price 304.90 Description P.O.# i` ��54 P rF G.L. Budget Line Descr CI l�Y1_.1_ 0A 4 M� Purchaser Date Approval_ Date�1 Invoice Number 6838497 Date 07/27/2011 Purchase Order: SERRA Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK H ILLYARD HILLYARD /INDIANA Invoice P. O. Box: 872361 THECLEAI�NGRZOURCE' 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. Remit T www.hillyard.com 0 HILLYAID HILL YARD INDIANA Ind r n P.O Box: 872367 z 11 Customer Number. 269324 THE CLEANIlVG RESOURCE Kansas Cit O 64187 =2367 AU Invoice Number 6838498 Plant: 1350 1 2 I Phone: 765 378 3766 Invoice Date 07/27/2011 Fax: 7653786671 Purchase Order No. 28805 Packing List Number 83811568 Ship THE MONON CENTER TO 1427 EAST 1 16TH STREET Sales Order Number 21 138803 CARMEL IN 46032 -3455 Payment Terms Net due in 30 days IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1 Bill CARMEL CLAY PARKS RECREATION 06838498 To ATTN: TERRY MEYERS T11 TREET 6TH 1427 EAST 6 S TotaI A o t 0u!e 26 CARMEL IN 46032 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. It�va��e C3:ea ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 PAP10115 4 CS 46.34 185.36 TOWEL CENTERPULL GSC 2PLY 6 600 CS 0020 PAP10150 2 CS 32.00 64.00 TOWEL KITCHEN ROLL GSC 2 PLY 30/90 CS 0030 LL24337K 2 CS 38.30 76.60 LINER 12 -16GAL 24X33 .72MIL BLK 500 /CS D 0040 LL2433100K 5 CS 26.01 130.05 LINER 12 -16GAL 24X33 .98MIL BLK 250 /CS D 0050 PAP22014 5 CS 21.87 109.35 TOWEL C FOLD GSC WHITE 16 150 CS 0060 JAD434720B 10 CS 28.99 289.90 LINER 43X47 LLPE ROLL 1 .6ML 100 /CS Subtotal 855.26 Shipping 15.00 Tax Amount 0.00 Gross Price 870.26 Purchase Description P P.O.# rF G.L. �i4 -01- 42 3S90� Budget Line Descr m Purchaser Date Approval Date Invoice Number 6838498 Date 07/27/2011 Purchase Order: 28805 Plant: 7350 Customer Number 269324 THE MONON CENTER H ILLYARD HILL YARD /INDIANA Invoice P. O. Box: 872361 TI 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. 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 Terms P.O. Box 872361 Kansas City, MO 64187 -2361 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/18/11 6825453 Janitorial supplies 28780 723.51 7/22/11 6832340 Janitorial supplies 28805 304.90 7/27/11 6838497 Trash liners 28847 304.90 7/27/11 6838498 Janitorial supplies 28805 870.26 Total 2,203.57 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 Allowed 20 P.O. Box 872361 Kansas City, MO 64187 -2361 In Sum of 2,203.57 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 1 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 6825453 4238900 723.51 1 hereby certify that the attached invoice(s), or 1125 6832340 4238900 304.90 bill(s) is (are) true and correct and that the 1093 6838497 4238900 304.90 materials or services itemized thereon for 1125 6838498 4238900 870.26 which charge is made were ordered and received except l 9 -Aug 2011 Signature 2,203.57 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ii PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB Wifk YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT DISPENSER FOR FOAM SOAP 1.25L DOVE GRAY 0020 PAP42525 1 EA DISPENSER TISSUE OPTICORE 2 ROLL 003o HIL0036603 2 CS 68.89 137.78 HAND CLEANER MD PLUS 5000ML 2CS Subtotal 137.78 Shipping 8.84 Tax Amount 0.00 Gross Price 146.62 Invoice Number 6843965 Date 07/29/2011 Purchase Order: VERBAL STEPHANIE Plant 1350 Customer Number 272884 CAnMsLvv.Wzp.' WASTEWATER UnLrr HILLYARD HILL YARD /mxDmmw Invoice n����������� P. 0. Box: 872361 THE CLEANING DEsOURC^ Kansas City, ««m 64187'2361 CUSTOMER COPY THANK YOU! THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS o, THE FAIR LABOR STANDARDS ACT n,.mo, AS AMENDED, THE MANUFACTURE or GOODS COVERED a, THIS INVOICE. PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. invoice C3eta�ts ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL22267 10 EA 11.50 115.00 DISPENSER FOR IHS FOAM MANUAL 1.21 GRAY 0020 HIL22239 4 EA 11.50 46.00 DISPENSER BLACK 5000ML Subtotal 161.00 Shipping 6.16 Tax Amount 0.00 Gross Price 167.16 Invoice Number 6851900 Date 08/05/2011 Purchase Order: VERBAL STEPHANIE Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. WASTEWATER UTILIT H ILLYARD HILL YARD /INDIANA Invoice P. O. Box: 872361 TffCLEAmmRES0URCE' 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. PLEASE DETAC� AT T14E PERFORATION A60VE AND RETURN THE STLI� WIT14 YOUR PAYMENT. it WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT HAND CLEANER MID PLUS 2000ML 4CS Subtotal 110.22 Shipping 0.00 Tax Amount 0.00 Gross Price 110.22 Invoice Number 6851901 Date08/05/2011 Purchase Order: S12683 Plan,: 1350 Customer Number 272994 cxnMELvv.xvzp.' WASTEWATER oruIT HILLYARD *ucxomo/ INDIA xm Invoice u������ pm.��ozza6r THE CLEANING Ns0mcs^ Kansas City, MO 64187'2361 CUSTOMER COPY THANK YOU! THE SELLER REPRESENTS n HAS FULLY COMPLIED WITH THE PROVISIONS o, THE FAIR LABOR STANDARDS ACT OF.mm.^S AMENDED, THE MANUFACTURE v, GOODS COVERED o, THIS INVOICE. PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. :i::.::::::'::::::..;. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL0124703 2 CS 42.24 84.48 GREEN SELECT FOAM HAND SOAP 1250ML 0020 HIL0113554 6 EA 3.35 20.10 AEROSOL Q &C DUST MOP TREATMENT 160Z 0030 HIL0014406 8 GAL 7.45 59.60 TOP CLEAN., 0040 PG53971 6 CS 50.85 305.10 TOWEL BOUNTY 30 RLS Subtotal 469.28 Shipping 15.00 Tax Amount 0.00 Gross Price 484.28 Invoice Number 6851899 Date 08/05/2011 Purchase Order: S12683 Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. WASTEWATER UTILIT H ILLYARD HILL YARD /IND /ANA Invoice P. O. Box: 872361 THE CLEANINGRE50URCE' 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. VOUCHER 115667 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 6851899 01- 7202 -05 $484.28 LS51CIO l Lt ©.22, 6Sk3465 r x(6. i qC$4 Voucher Total .28 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An kind invoice or bell to be properly Itemized must 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 8/9/2011 Invoice "Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/2011 6851899 $484.28 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 e111 //I Date Officer Officer