161433 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 172430 Page 1 of 1
0 ONE CIVIC SQUARE KAYLINE COMPANY
CARMEL, INDIANA 46032 PO BOX 603207 CHECK AMOUNT: $134.18
CLEVELAND OH 44103 CHECK NUMBER: 161433
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 177106 134.18 GARAGE MOTOR SUPPIE
LINE O RIGINAL INVOICE ERIUW
VISA EXPRF.55
1 Professional Maintenance Products PLEASE REMIT FROM THIS INVOICE I C MTh MBER
On Cleaning acid Maintenance
ATTN: ACCOUNTS PAYABLE S
I ATTN: JEFF STEWA,RT
CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W. 131ST ST. I 3400 W. 131 ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T
0 0
I
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
177106 06/25/08 JEFF 1 06125/08
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. warehouse:
10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. WHSE Cleveand,Ohio44114
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K300SP ECO -WORKS #300 H.D. DEGREASER EA 6 6 11.670 70.02
K310SP ECO -WORKS #310 PENETRATING OIL EA 6 6. 9. 55.02
KAYLINE GOES GREEN! ECOLOGICAL SENSITIVE PRODUCTS THAT WORK!
QUALITY AND PERFORMANCE ARE GUARANTEED!!!
i
i
UBTOTAL -125.04
Kayline Fed. I.D. No. 34- 0325350 REMIT TO: KAYLINE COMPANY rAx 0.00
1 1/2 Charge per month past 30 days. P.O. BOX 603207
All freight claims must be filed by customer. REIGH'T 9.14
No goods returnable without Kayline's written consent CLEVELAND, OH 44103
Do not take discounts on sales tax or freight charges. PAY
(216)566 -9858 (800)426 5820: THIS
www.kaylinecompany.com FAX: (216)566 -1228 134.18
AMOUNT
I
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))
06/25/08 177106 $134.18
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
Kayline Company
IN SUM OF
P. O. Box 603207
Cleveland, OH 44103
$134.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 177106 42- 321.00 $134.18 1 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
Wednesday, July 02, 2008
Street C "missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund