203881 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
i 0 ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $402.42
CARMEL, INDIANA 46032 P O BOX 872361
o KANSAS CITY MO 64187 -2361 CHECK NUMBER: 203881
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 60004178 154.64 OTHER MAINT SUPPLIES
1093 4238900 6969946 247.78 OTHER MAINT SUPPLIES
www.hfflyard.com
Remit To:
e t
HILLYA HILLYARD lND /ANA
fZ �oiTtl la'fJa
P. O Box: 872361
Customer Number 269324
THE CLEAMG RESOURCE Kansas City, MO 64187-2361
Invoice Number 6969946
Plant. 1350
Phone: 765 378 3766 Invoice Date 11102/2011
Fax: 765378 6671 Purchase Order No. ISA -1 1/01 /2011
Packing List Number 83938763
Ship MONON CENTER AT CENTRAL PARK
TO 1195 CENTRAL PARK DRIVE WEST Sales Order Number 21 156572
CARMEL IN 46032 Payment Terms Net due in 30 days
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 06969946
To ATTN: COURTNEY SCHLAEGEL
1427 EAST 1 16TH STREET
ToaatsaaiaU# ue>> A7
CARMEL IN 46032
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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Iitly Me:* C atES°
a: a>;;::
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0125003 5 Cs 38.02 190.10
SOAP HAND PINK PLUS FOAM 1.51- 2CS
0020 PAP22014 2 CS 21.87 43.74
TOWEL C FOLD GSC WHITE 16 150 CS
Subtotal 233.84
Purchase. Shipping 13.94
bescriptiori J YLTD1 AL �u►a�uES Tax Amount 0.00
P.O. ,�OI�rJ P�r F
G.L. y7� Gross Price 247.78
Budget (1 m��,
Line Desck
Purchaser Date
Approval Date
7
0 09�
BY°
Invoice Number 6969946 Date 11/02/2011 Purchase Order: ISA -11 /01 /2011
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
H ILLYARD HILL YARD INDIANA Invoice
P. O. Box: 872361
TEIE 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:
e
HILLYARD RD INDIA
NA
HILL YARD
P.O Box: 872361
Customer Number 269324
THE CLEANWG RESOURCE Kansas City, MO 64 18 7 236 1
Invoice Number 600004178
Plant: 1350
Phone: 765 378 3766 Invoice Date 11/09/2011
Fax: 765378 6671 Purchase Order No. 30179
Packing List Number 83947400
Ship MONON CENTER AT CENTRAL PARK
TO 1195 CENTRAL PARK DRIVE WEST Sales Order Number 21157904
CARMEL IN 46032 Payment Terms Net due in 30 days
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CARMEL CLAY PARKS RECREATION 600004178
To ATTN: COURTNEY SCHLAEGEL
1427EAST 1 16TH STREET
TotalAiroan.. 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.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo RUB6141 2 CS 35.40 70.80
NAPKIN DISPOSABLE LINERS 250 CS
0020 HIL0125003 2 CS 38.02 76.04
SOAP HAND PINK PLUS FOAM 1.5L 2CS
Subtotal 146.84
0 Shipping 7.80
i NOV 1 2011 L' Tax Amount 0.00
BY Gross Price 154.64
Purchase
Description W
P.O. LJ rF
G. L. a
Budget (11 at lA$.
Line Descr
Purchaser Date Date Invoice Number 600004178 Date 11/09/2011 Purchase Order: 30179
Plant: 1350 Customer Number 269324 MONON CENTER AT CENTRAL PARK
ILLYARD HILL YARD /INDIANA Invoice
P. 0. Box: 872361
CL>;.ar�c Resource•
Kansas City, MO 64187 -236
CUSTOMER COPY THANK YOU!
THE SE�`Ep,FEPtIESENtS�t �pSFVL`V COMPl1ED Y'IRH THE KCJG\ONS OF THE FAIR IASOR STANDARDS ACT OF 1938, AS AMENDED. IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
1 I
I
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
11/2/11 6969946 Janitorial supplies 30165 247.78
11/9/11 600004178 Weekly supply order 30179 154.64
Total 402.42
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
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
402.42
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6969946 4238900 247.78 1 hereby certify that the attached invoice(s), or
1093 600004178 4238900 154.64 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 -Nov 2011
Signature
402.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund