201247 09/13/2011 \,f CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $2,445.92
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 201247
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 6858484 655.40 OTHER MAINT SUPPLIES
1125 4238900 6858485 556.30 OTHER MAINT SUPPLIES
1093 4238900 6858486 304.90 OTHER MAINT SUPPLIES
1093 4238900 6867641 294.95 OTHER MAINT SUPPLIES
1093 4238900 6877961 282.19 OTHER MAINT SUPPLIES
1093 4238900 6888405 352.18 OTHER MAINT SUPPLIES
www.hillyard.com
R emit To.
HILLYARD HILL YARD /INDIANA
form.to
E� I DM A0 Box: 872361 Customer Number 269324
THE CLEANING RESOURCE Kansas City, MO 64187 -2361
Invoice Number 6858485
Plant: 1350
Phone: 7653783766 0 Invoice Date 08/10/2011
Fax: 765 378 6671 Q Z!q Purchase Order No. 28859
AUG 1 7 2011 Packing List Number 83830098
Ship CarmelClay Parks &Rec
To 1427 EAST 1 16TH STREET 7 Sales Order Number 21 141099
CARMEL IN 46032- 3455' °.e
Payment Terms Net due in 30 days
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 06858485
To ATTN: TERRY MEYERS
EAT
1427 S 16TH STREET 1
CARMEL IN 46032 Total 4moun #:Q:ue?: 556 30
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
1n�>3lce teta>its
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP10115 2 CS 46.34 92.68
TOWEL CENTERPULL GSC 2PLY 6 600 CS
0020 PAP22014 2 CS 21.87 43.74
TOWEL C FOLD GSC WHITE 16 150 CS
0030 PAP22018 2 CS 42.12 84.24
TISSUE TOILET JUMBO GSC 2 PLY 12 1000 CS
0040 LR3860150K� 3 CS 35.06 105.18
LINER 60GAL 38x58 1 .5MIL BLK 100 /CS
oo5o LH24338N 2 CS 48.40 96.80
LINER 12 -16GAL 24X33 8MIC NAT 1 M /CS STEL
0060 PAP10165 2 CS 59.33 118.66
TISSUE TOILET GSC 2 PLY 96 500 CS
Subtotal 541.30
Shipping 15.00
Tax- Amount 0.00
Purchase Gross Price 556.30
Description
P.O. GG ��4�
G.L.
Budget �y 5
Line Descr w L i�
Purehaser Date
Approval Date
Invoice Number 6858485 Date 08/10/2011 Purchase Order: 28859
Plant: 1350 Customer Number 269324 CarmelClay Parks Rec
H ILLYARD HILL YARD/ /ND /ANA Invoice
P. O. Box: 872361
THE CLEANING RESOURCE' Kansas City, MO 64 18 7 -236 1 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.hfflyard.com
Remit To:
Rem
N
/L YARD D /ANA
H ILL H ILLYAR D y
Qriln
P.0 Box: 872361 Customer Number 269324
TH CLEAMNG RESOURCE° Kansas City, MO 64187 2361
Invoice Number 6858486
Plant: 1350
Phone: 765 378 3766 Invoice Date 08/10/2011
Fax: 765378 6671 Purchase Order No. SERRA
Packing List Number 83830103
Ship .MONON CENTER AT CENTRAL PARK
To 1195 CENTRAL PARK DRIVE WEST Sales Order Number 11668520
CARMEL IN' 46032 Payment Terms Net due in 30 days
II�IIIIIIII' IIIIIIIII l�IIIIIIIlIII{{IIIIIIIIIIIII{ Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 06858486
To ATTN: TERRY MEYERS
H STREET
T11 T S
1427 EAST 6
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
1 v.,o a i3e#ails
I
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Coto JAD434720B to CS 28.99 289.90
LINER 43X47 LLPE ROLL 1 .6ML 100 /CS
Subtotal 289.90
o R Y' 7 15.00
Tax Amount 0.00
AUG 17 2011 Z Gross Price 304.90
d
Purchase
Desci iption
P.O. P or F
G.L.# (095- g23�900
Line
D `ieny u lG� Ivy �L l l�lE
Line Descr
Purchaser Date
Approva] g 11 I
S
irk z I er
vyicl ord •l
Invoice Number 6858486 Date 08/10/2011 Purchase Order: SERRA
Plant. 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
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.
www.hfflyard.com
i
Rem t To.
Y ARD INDIANA
HILLYARD
HILL A
1! as >s i s s as ss ss s assns sss s sssss< ass
In Q mat.:::
P.O Box: 872361
Customer Number. 269324
THE CLEANING RESOURCE Kansas City, MO 64187 2361
Invoice Number 6867641
P /ant: 1350
Phone: 765 378 3766 Invoice Date 08/17/2011
Fax: 765 378 6671 Purchase Order No. MC001996
Packing List Number 83840543
Ship MONON CENTER AT CENTRAL PARK
TO 1 195 CENTRAL PARK DRIVE WEST Sales Order Number 11690896
CARMEL IN 46032 Payment Terms Net due in 30 days
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 06867641
To ATTN: TERRY MEYERS
1427 EAST 1 16TH STREET
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
nua>ce
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0125003 2 CS 38.02 76.04
SOAP HAND PINK PLUS FOAM 1.51- 2CS
0020 HIL30411 2 PAC 9.04 18.08
GLOVE NITRILE PWDR FREE MEDIUM 100 BOX
0030 HIL30412 2 PAC 9.04 18.08
GLOVE NITRILE PWDR FREE LARGE 100 BOX
0040 PAP22014 3 CS 21.87 65.61
TOWEL C FOLD GSC WHITE 16 150 CS
0050 RUB781788WH 1 CS 102.14 102.14
LINERS FOR CHANGING STATION
Subtotal 279.95
Shipping 15.00
Tax Amount 0.00
Gross Price 294.95
Purchase
Description r I fr
P.O. Poo DLf 1 °1
G.L. 109. •4235 OC7
Budget AUG 2011
I,
Line Descr
Purchaser
Date
Approval Date a
Invoice Number 6867641 Date 08/17/2011 Purchase Order: M COO 1996
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
H ILLYARD HILLYARD /INDIANA Invoice
P. O. Box: 872361
Tff CLEANNGRESOURCE* 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
Rem To
HILLYARD HILL INDIA
�t`t'�QC13'111r1Q
P.O Box: 872361
Customer Number. 269324
THE CLEANING RESOURCE Kansas City, MO 64187 -2361
Invoice Number 6858484
P /ant: 1350
Phone: 765 378 3766 Invoice Date 08/10/2011
Fax: 7653786671 Purchase Order No. VERBAL ORDER
Packing List Number 83830096
Ship MONON CENTER AT CENTRAL PARK
To 1 195 CENTRAL PARK DRIVE WEST Sales Order Number 11685861
CARMEL IN 46032 Payment Terms Net due in 30 days
111111111111111111111111111111111111111111111111 Pa 1 of 1
Bill CARMEL CLAY PARKS RECREATI JOIN J 06858484
To ATTN: TERRY MEYERS p
H
ET ti
AUG AU
G
Z
011
G
1
427 EAST 116T STREET
1�
CARMEL IN 46032 Total Amount Due 655 I.
PLEASE DETACH AT THE PERFORATION ABOVE AND RETdR& HE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
bide. t7etaais
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Colo HIL29957 2 PAC 5.28 10.56
PAD UTILITY HD 83A BLACK 5 PAC 4 CS
0020 HIL0034007 2 PL 90.83 181.66
SEAL 340
003o HIL42720 5 EA 5.00 25.00
PAD 20 IN STRIP BLACK
004o HIL0014707 1 PL 116.08 116.08
DEVASTATOR
0050 RUB6141 3 CS 39.00 117.00
NAPKIN DISPOSABLE LINERS 250 CS
0060 HIL0125003 5 CS 38.02 190.10
SOAP HAND PINK PLUS FOAM 1.51- 2CS
Subtotal 640.40
Purchase ,2 Shipping 15.00
Description ,�ODI�YI Tax Amount 0.00
p F I'
P.O. a �8C7 T P o� Gross Price 655.40
e1.L. I(�9 LI 2�$�o ir� `.J
Budge
LineD esc L
octal y1G1 I tat
Line
Purchaser Date
Approval Date
Invoice Number 6858484 Date 08/10/2011 Purchase Order: VERBAL ORDER
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
H ILLYARD HILL YARD /INDIANA Invoice
P. 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.
Remit www.hill ard.com
e t To
H ILLYARD
H /LL YARD /ND /ANA
Qrmatcon
P.O Box: 872361
Customer Number. 2
THE CLEAMNG Kansas City, MO 64187 2361
Invoice Number 6877961
Plant: 1350
Phone: 765 378 3766 Invoice Date '08/24/2011
Fax: 765378 6671 Purchase Order No. MATTHEW
Packing List Number 838501 12
Ship MONON CENTER AT CENTRAL PARK
TO 1195 CENTRAL PARK DRIVE WEST Sales Order Number 11695485
CARMEL IN 46032 Payment Terms Net due in 30 days
II' IIIIIIII��IIIIIIIIIIIIIIIIIIII "IIIIIIIIIIII Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 06877961
TO ATTN: TERRY MEYERS
1427 EAST 116TH STREET
CARMEL IN 46032 Total /tirnvUntlue 2821 .9
XXXX
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo PAP10145 2 Cs 51.78 103.56
TISSUE FACIAL GSC 2 PLY 30 160 box
0020 PAP22014 1 CS 21.87 21.87
TOWEL C FOLD GSC WHITE 16 150 CS
0030 LH24338N 2 CS 48.40 96.80
LINER 12 -16GAL 24X33 8MIC NAT 1 M /CS STEL
0040 HIL0081622 4 EA 11.24 44.96
ARSENAL RE- JUV -NAL 1/2 GAL
o fi Subtotal 267.19
N PP ii
auG 2 9
Shipping 15.00
Tax Amount 0.00
Gross Price 282.19
Purchase
Description G Erg n I ny FFmuct-5
P.O. P 0
D
Line Budget
Line Descr M/11-r&
F
Purchaser Date
Approval Date
Invoice Number 6877961 Date 08/24/2011 Purchase Order: MATTHEW
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
H ILLYARD HILL YARD /ND /ANA Invoice
qm P. O. Box: 872361
Tf, 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.
www.hfflyard.com
Remit To:
e t
A
:YARD
H ILL
YARD INDIAN j f it
P.O Box: 872361
Customer Number. 269324
THE CL EANING R ESOURCE® Kansas City, MO 64 18 7 236 1
Invoice Number 6888405
Plant: 1350
Phone: 765 378 3766 Invoice Date 08/31/2011
Fax: 765378 6671 Purchase Order No. KEVIN MC°02D5
Packing List Number 83860331
Ship MONON CENTER AT CENTRAL PARK
To 1 195 CENTRAL PARK DRIVE WEST Sales Order Number 11700227
CARMEL IN 46032 Payment Terms Net due in 30 days
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
BIII CARMEL CLAY PARKS RECREATION 06888405
To ATTN: TERRY MEYERS
1 16TH STREET T
1427EAST
Tota..t.
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
ff
.,.::::i:
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL30411 10 PAC 9.04 90.40
GLOVE NITRILE PWDR FREE MEDIUM 100 BOX
0020 HIL30412 10 PAC 9.04 90.40
GLOVE NITRILE PWDR FREE LARGE 100 BOX
0030 HIL0014707 1 PL 116.08 116.08
DEVASTATOR
0040 HIL24013 5 EA 8.06 40.30
MOP FINISH LOOPED END NB LG BLUE WHITE
Purchase Subtotal 337.18
Description 1 Ay \kThaINL.- SUPPueS
P.O. .28957 P 010 Shipping 15.00
G.L. Tax Amount 0.00
Budget
Line Desc 9",N Gross Price 352.18
Purchaser Date
Approval Date
5°'-
til 1 3
S E P 0 6 2011
Invoice Number 6888405 Date 08/31/2011 Purchase Order: KEVIN
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
H I L LY ARD HILL YARD /INDIANA Invoice
P. O. Box: 872361
Tff CL RR 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.
Terms
359478 Hillyard
P.O. Box 872361
Kansas City, MO 64187 -2361
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
28859 556.30
8/10/11 6858485 Janitorial supplies 304.90
8/10/11 6858486 Janitorial supplies 28890 294.95
8/17/11 6867641 Janitorial supplies 28881 655.40
8/10/11 6858484 Restroom supplies 28942 282.19
8/24/11 6877961 Cleaning products 28957 352.18
8/31/11 6888405 Janitorial supplies
Total 2,445.92
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
2,445.92
ON ACCOUNT OF APPROPRIATION FOR
101 Genral 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6858485 4238900 556.30 1 hereby certify that the attached invoice(s), or
1093 6858486 4238900 304.90 bill(s) is (are) true and correct and that the
1093 6867641 4238900 294.95 materials or services itemized thereon for
1093 6858484 4238900 655.40 which charge is made were ordered and
1093 6877961 4238900 282.19 received except
1093 6888405 4238900 352.18
8 -Sep 2011
Signature
2,445.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund