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178713 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $3,225.90 CARMEL, INDIANA 46032 P 0 BOX 872361 KANSAS CITY MO 64187 -2361 CHECK NUMBER: 178713 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4238900 6062907 770.12 OTHER MAINT SUPPLIES 1125 4238900 22753 6062908 59.85 CLEANING SUPPLIES 651 5023990 6062917 X 445.05 OTHER EXPENSES 1047 4238900 7283332 X628.28 OTHER MAINT SUPPLIES 1047 4238900 7283674 2.60 OTHER MAINT SUPPLIES HILLYARD CUSTOMER COPY Please Note New Remit Address RECFIV THE CLEANING Rr- soURCE' Remit To: r7 HILL YARD/ INDIANA OCT O �.200J Plant: 1350 P.O Box: 872361 Phone: 765 378 3766 Invoi Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www illyard com To 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 -3455 tnformattor� E� Customer Number: 265562 Invoice Number 7283332 Bill THE MONON CENTER Invoice Date 10/07/2009 To 1411 EAST 116TH STREET Purchase Order No. 22700 CARMEL IN 46032 -3455 Packing List Number 95229319 Sales Order Number 54100090 Payment f 2 Net due in 30 days �liYQIGeQe�1�5 �a FP. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 014o TNT1016246 1 EA 81.00 81.00 FILTER ol5o TNT160401 1 EA 111.00 111.00 HOSE o16o TNT391377 1 EA 42.00 42.00 BLADE BLADE FRONT TM qM 'l°d �q� p Subtotal 613.80 O G T 2009 Shipping 14.48 yo Tax Amount 0.00 Gross Price 628.28 Yv� G o c c)5 a-1 DOSCAp� r P P.O. G.L. 13ud APP HILLYARD CUSTOMER COPY RECEIVE" Please Note New Remit Address A -XW OCT 0 8 2009 THE CLEANING RESOURCE' Remit To: HILL YARD/ INDIANA Plant. 1350 P.O Box: 872361 BY: Phone: 765 378 3766 Invoice Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www hill and com To 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 -3455 fnformat lOtl�6� Customer Number: 265562 Invoice Number 7283332 BIII THE MONON CENTER Invoice Date 10/07/2009 To 1411 EAST 116TH STREET Purchase Order No. 22700 CARMEL IN 46032 -3455 Packing List Number 95229319 Sales Order Number 54100090 PaymentPT6Sr "f 2 Net due in 30 days r °4 c fl_ �nvorceDetaiis� k ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 TNT610792 1 EA 173.90 173.90 HOSE SOLUTION 25 FT 002o TNT606334 1 EA 1.70 1.70 SPRING HANDLE o03o TNT180626 1 EA 6.00 6.00 FILTER VACUUM MOTOR PORTAPAC 0040 TNT1017462 1 EA 4.70 4.70 GUARD BLOCK 0050 TNT1015989 1 EA 3.30 3.30 PIN HITCH ooso TNT86859 1 EA 38.00 38.00 SKIRT 007o TNT390942 1 EA 19.00 19.00 BLADE REAR LINATEX FOR 7100 0080 TNT86859 1 EA 38.00 38.00 SKIRT oo90 TNT1011232 1 EA 14.00 14.00 BLADE oloo TNT1011456 1 EA 10.00 10.00 BLADE oleo HIL30800 1 EA 71.20 71.20 GUN ASSEMBLY FOR C3 Please Detach and Return Bottom Portion with Payment HILLYARD XXX&M THE CLEANFNG RESOURCE" Please consider the environment before printing this invoice. HI LLYARR CUSTOMER COPY RE C IVFn Please Note New Remit Address THE CLEANING RESOURCE' Remit To: OCT 0 9 ��09 HILL YARD/ INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 BY: n vo B Ce Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www To 1235 CENTRAL PARK DRIVE EAST� tnfo 3 CARMEL IN 46032 -3455 �A&R Customer Number: 265562 Invoice Number 07283674 Bill THE MONON CENTER Invoice Date 1 010 9 12 0 0 9 1� 0 To 1411 EAST 116TH STREET Purchase Order No. 22700 CARMEL IN 46032 -3455 Packing List Number 95229500 Sales Order Number 54100090 Payment 1 Net due in 30 days ;�.'�rs.�.. e� :_..';a...�.'—.� 3 .,:i.�......n.._ r sbs�w:. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 012o HIL30826 1 EA 17.87 17.87 WHEEL 8X21N 1/2IN DELRIN BORE FOR C3 0130 HIL30824 1 EA 4.21 4.21 PLATE 31N CASTER 3X13/16 WHEEL FOR C3 Subtotal 22.08 Shipping 0.52 Tax Amount 0.00 Gross Price 22.60 Pur haw DeSwOtion y"i P.O. s I PorF Budget T 1 3 2009 Lane Deser Purchaser Daft 1.7 o A�prflVal r_ ��r ...P.. L�- 5 Date I �CT o.... n.. s....l. n...,•.., Q..........n.,.r:.. ,.ifh Oavm.. H ILLYA R D, CUSTOMER COPY o Please Note New Remit Address THE CLEANIN(; RESOURCE' Remit_To: HILL YARD /INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 8723fi1 In Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship HE MONON CENTER p www.hillyard.com To 1427 EAST 116TH STREET CARMEL IN 46032 -3455 nformatlon Customer Number: 265562 Invoice Number L606290.8 BII1 THE MONON CENTER Invoice Date C11LOIJAL aQ9 To 1411 EAST 116TH STREET Purchase Order No. 22753 CARMEL IN 46032 -3455 Packing List Number 83046462 Sales Order Number 21065429 Payment -161 ?tf 1 Net due in 30 days �4'=k'*" Y 8.? P 8�. 1 6` B' d :X 3 'S 1, WIN �nrrotceGetails� ,r.,.w<.wr:.�.'""s3 t' v, `#...k... ...��:w. .�,w.kv .K w: haa.us� m„ .�:'a; nb ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 PAP22018 5 CS 47.11 235.55 TISSUE TOILET JR JUMBO 2PLY 1000 /RL 12CS 002o H I L0124003 2 CS 54.65 109.30 SOAP PINK PLUS HAND FOAM 1.25L 3CS Subtotal 344.85 m y"t Shipping 15.00 Tax Amount 0.00 O CT 1 6 2009 Gross Price 359:85 Purchm Vmcrotkm O OOZt(� RD.f PorF G.L. 0 Budgget Una Dasor Purchaser Elate Approval H ILLYAR D ,CUSTOMER COPY Please Note New Remit Address THE CLEANING RESOURCE° Remfe To: HILLYARD /INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 Invoi Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER www TO 1235 CENTRAL PARK DRIVE EAST E CARMEL IN 46032 -3455 1nfiQrm�tlOn K Customer Number: 265562 Invoice Number 6062907 Bill THE MONON CENTER Invoice Date 1.011.412009= TO 1411 EAST 116TH STREET Purchase Order No. 22727 CARMEL IN 46032 -3455 Packing List Number 83046295 Sales Order Number 21065427 PaymentJaM 2 Net due in 30 days ;�:s ri{�'".aa�`-# Y`s'a' JyolceD.etalfs. �A�� ME ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT Subtotal 1,755.12 Shipping 15.00 Tax Amount 0.00 Gross Price =i, 12 E a OCT 1 6 2009 Pwthwe DesaVtkM �d P.0. �e�1 a- Par F G.L 13ud Des purchaser y Date Approva i?tG 1D 'I�— HI LLYARD. CUSTOMER COPY x-N0 WA- Please Note New Remit Address THE CLEANING R ESOURC E' Remit To: HILLYARD INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 Invoice Fax: 765 378 6671 Kansas City MO 64187 -2361 Ship THE MONON CENTER TO 1235 CENTRAL PARK DRIVE EAST wwwhlll and com CARMEL IN 46032 -3455 informatiOrt Customer Number: 265562 Invoice Number 6062907 Bill THE MONON CENTER Invoice Date 10/14/2009 TO 1411 EAST 116TH STREET Purchase Order No. 22727 CARMEL IN 46032 -3455 Packing List Number 83046295 Sales Order Number 21065427 PaymenV$XEM 2 Net due in 30 days s?:i`'Hr+:'s`",..9' xr t. a v Ad.`✓'�" a,': €.,7ev3„ n s;' °s app r :v', �..;+v�'crK" d Invorce::De �w t v�weF3v"✓3ff:i:'.e uE .V��. E ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL0081622 24 EA 10.69 256.56 ARSENAL RE- JUV -NAL 1/2 GAL 0020 HIL0083322 24 EA' 15.83 379.92 ARSENAL SUPROX 1/2 GALLON 0030 HIL0091406 8.000 GAL 20.76 166.08 HD EXTRACTION 0040 H I L30482 20 PAC 5.10 102.00 GLOVE VINYL PWDR FREE 100 BOX LARGE 005o H I L0103454 36 EA 4.73 170.28 OIL STAINLESS STEEL CLEANER 15 OZ 006o HIL0046604 12 QT 9.20 110.40 TAKE DOWN CHERRY 0070 HIL0125003 8 CS 34.92 279.36 HILLYARD PINK PLUS HAND FOAM 1.51L 2CS oo8o HIL0012504 12 QT 7.40 88.80 EXTRA STRENGTH CSP CLEANER oo90 RUB6141 1 CS 34.20 34.20 NAPKIN DISPOSABLE LINERS 250 CS 0100 HIL0112104 24 QT 6.98 167.52 DRAIN MAINTAINER QTS Please Detach and Return Bottom Portion with Payment HILLYARD X*:Nm N CLEANING Rnoun �Aw Plaaca enneirlar the Pnvirnnmant hafnra nrinfinrr this fnvnira 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 1017109 7283332 Repair parts for cleaning equipment 22700 p 628.28 1019109 7283674 Repair parts for cleaning equipment 22700 F 22.60 10/14/09 6062908 Cleaning supplies 22753 F 359.85 10/14/09 6062907 Cleaning supplies 22727 F 1,770.12 Total 2,780.85 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 2,780.85 ON ACCOUNT OF APPROPRIATION FOR 101 General Program 104 Program Fund PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1047 7283332 4238900 628.28 1 hereby certify that the attached invoice(s), or 1047 7283674 4238900 22.60 bill(s) is (are) true and correct and that the 22753 F 6062908 4238900 359.85 materials or services itemized thereon for 1047 6062907 4238900 1,770.12 which charge is made were ordered and received except 22 -Oct 2009 Signature 2,780.85 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund T ILLYARD Please Note New Remit Address CUSTOMER COPY Remit To: HILL YARD INDIANA THE CLEANING RESOURCE P. 0 Box: 872361 Plant: 1350 Kansas City MO 64187 -2361 I nvo i ce Phone: 765 378 3766 Fax. 765 378 6671 www.hillyard.com Ship CARMEL W.W.T.P. -WASTEWATER UTILIT 410 To 9609 HAZEL DELL PARKWAY 111fQli�lttdfl INDIANAPOLIS IN 46280 Customer Number: 272994 Invoice Number 6062917 Invoice Date 10/1412009 Bill CARMEL UTILITIES Purchase Order No. S11869 To WASTEWATER 760 THIRD AVENUE SW SUITE 110 Packing List Number 83046292 CARMEL IN 46032 Sales Order Number 11272321 Payment Terms Net due in 30 days Page 1 of 1 ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo LR4348170K 3 CS 40.93 122.79 LINER 56GAL 43X48 1 .7MIL BLK 100 /CS PAYL 0020 PAP10110 3 CS 45.77 137.31 TOWEL ROLL NAT WHT CONTROL GSC 80OFT 6CS oo3o PAP10170 2 CS 44.88 89.76 TISSUE OPTICORE GS 2 PLY 865 SH 36 RL /CS 0040 PAP10150 3 CS 26.73 80.19 TOWEL KITCHEN ROLL GSC 2 PLY 90 PKG 30CS Subtotal 430.05 Shipping 15.00 Tax Amount 0.00 Gross Price 445.05 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 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 10/20/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/20/2005 6062917 $445.05 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 cam" Date Officer VOUCHER 096618 WARRANT ALLOWED 363478 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 6062917 01- 7202 -05 $430.05 6062917 01- 7202 -05 $15.00 Voucher Total $445.05 Cost distribution ledger classification if claim paid under vehicle highway fund