HomeMy WebLinkAbout179240 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P o BOX 872361 CHECK AMOUNT: $143.16
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 179240
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
_1047 4238900 6071780 143.16 OTHER MAINT SUPPLIES
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Please Note New Remit Address
THT CLEANING RESOURCE Remit To
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 I ®o ce
Faxq 765 378 6671 Kansas City MO 64187 -2361
Ship MONON CENTER AT CENTRAL PARK www.hilly
TO 1135 CENTRAL PARK DRIVE WEST MW �a��y�����
7, N CARMEL IN 46032 Inf01`111atlOn����
Customer Number: 265562
Invoice Number 07-f 780'
Bill THE MONON CENTER Invoice Date 610 /21/2009
TO 1411 EAST 116TH STREET Purchase Order No. 22779 NEED
CARMEL IN 46032 -3455 ASAP
Packing List Number 83054876
Sales Order Number 21065668
Page 1 of 1
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 H I L0011204 48 QT 2.67 128.16
MILD BOWL AND PORCELAIN CLEANER QTS
Subtotal 128.16
Shipping 15.00
Tax Amount 0.00
7 t
Gross Price X143:16=
OCT 2 2 2009
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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
10/21/09 6071780 Janitorial supplies 22779 F 143.16
Total 143.16
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
143.16
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 6071780 4238900 143.16 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
i materials or services itemized thereon for
which charge is made were ordered and
received except
5 -Nov 2009
Signature
143.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund