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Home My WebLink About177694 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD INDIANA CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $2,914.75 KANSAS CITY MO 64.187 -2361 CHECK NUMBER: 177694 CHECK DATE: 912912009 DEPARTM ACCOUNT P O NUM BER INVOICE NUM A MOUNT DESCRIPTION 1125 4238900 2999000 428.79 OTHER MAINT SUPPLIES 1047 '4238900 6008511 2,485.96 OTHER MAINT SUPPLIES IL '11 LY ARD CUSTOMER COPY Please Note New Remit Address &6 t,to THEE CLEANING RESOURCF. IaIIl:RwY�RD f(ltNDU1N�!1? Plant. 1350 B'oJEXN IF Invoice Phone: 765 378 3765 KassGltyyiBM 6418723t3 Fax: 7653786671 Ms. www hill and com Ship To Schlaegel110 Courtney 1427 E. 116th St Customer Number: 205562 Carmel IN 46032 Invoice Number d9991)a0ffif�� Bill THE MONON CENTER Invoice Date POWWOW To 1411 EAST 116TH STREET Purchase Order No. WWW:09:03:42 CARMEL IN 46032 -3455 Packing List Number 82980526 Sales Order Number 21061349 Payment 1 Net due in 30 days m u °d R ar K P C h �y �1 y r `cx_ .:xau.nt j: ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 PAP22018 5 CS 47.11 235.55 TISSUE TOILET JR JUMBO 2PLY 10001RL 12CS 002'.0 PAP10115 4 CS 44.56 178.24 TOWEL CENTERPULL GSC 2PLY 60OFT 6CS Subtotal 413'79 Shipping 15.00 Tax Amount 0.00 t 28 75 is i ).t.jii'€ Gross Price pumbeft IF Budget L1ne r Please Detach and Return Bottom Portion with Payment HILLYAKI) Plant 1350 Customer No. 265562 HILLYARD INDIANA Invoice No. 2999000 Wxow P. o. sox: 872361 ,AMOUNT DUE f O.EANIIVCRESOURCp Kansas City MO 64187 -2361 428.79 lit REMITTANCE STUB L �r Piaacn rnncirfar tha anvirnnmo nt ha+fnra nrintinn fhic inVnIrP Hillyard, Inc. The Cleaning Resource ::'......:Df #derae Y H /LLYARD INDIA NA Number /date: 82980526 08/25/2009 14317 WEST PAINTER DRIVE DALEV/LLE, /N 47334 order number /date: 21061349 08/21/2009 PHONE NUMBER :7653783766 customer PO: WWW:09:03:42 08/21/2009 Sales Rep Name: Robert Akridge Phone Number :317- 573 -5239 Incoterms: UN Customer Freight Ship.Cond: 02 Ground Standard SOLD TO 265562 SHIP TO 265562 THE MONON CENTER Schlaegel Courtney 1411 EAST 116TH STREET 1427 E. 116th St CARMEL IN 46032 -3455 Carmel IN 46032 PO 22484 Quantity Material Quantity Quantity Delivered Description Ordered Backord Prc Weight 5 CS PAP22018 5 0 120 LB TISSUE TOILET JR JUMBO 2PLY 1000 /RL 12CS Iteml 4 CS PAP10115 4 0 86 LB TOWEL CENTERPULL GSC 2PLY 60OFT GCS Item2 SLf l 4 M 1 9 RETURNS ARE SUBJECT TO RESTOCKING FEES TOTAL SHIPMENT 9 PIECES TOTALING 206 LB LOADED BY WRITTEN BY: GACR ABOVE MATERIAL RECEIVED IN GOOD CONDITION DLVD /SHPD BY DATE: 08/25/2009 TIME: 15:29:33 BY: DEL DATE SIGNATURE: ROUTE# 135004 H ILLYAR D CUSTOMER COPY A-x■ X Please Note New Remit Address THE CLEANING RESOURCES Remit To: P,-ECFIvg' HILL YARD/ INDIANA Plant. 1350 Phone: 765 378 3766 P.O Box: 872361 S E P 0 I Voice Fax: 765 378 6671 Kansas City MO 64187 -2361 THE MONON CENTE 1411 EAST 116TH STREET �a�� CARMEL IN 46032- 3455 Informatfon To Customer Number: 265562 Invoice Number 6008511 Bill THE MONON CENTER Invoice Date 09/02/2009 To 1411 EAST 116TH STREET Purchase Order No. ISA- 09/01/2009 CARMEL IN 46032 -3455 Packing List Number 82990150 Sales Order Number 21062102 Payment TRXM 2 Net due in 30 days w .E fTEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0120 HIL0103454 24 EA 4.73 113.52 OIL STAINLESS STEEL CLEANER 15 OZ 0130 HIL0104070 6 EA 7.94 47.64 DOUBLE DOWN REFILL CARTRIDGES 0140 TNT1014505 2 PAC 13.89 27.78 BAG 3110 WITH 2 FILTERS 8 PK 0150 PAP22014 6 CS 23.73 142.38 TOWEL C FOLD WHITE 150 PKG 16 CS who JAD385820B 12 CS 26.19 314.28 LINER 38X58 LLPE ROLL 1.6ML 100 1CS Ptx Japl �arjG� 57 L�l ([i.5 Subtotal 2 ,470.96 Description m Ga 0O L (v L q- P.O. it L ZZ 5 P o Fr� C-{ Shipping 1s.00 G.L 47 1 00 �l i U1 g .g Tax Amount 0.00 Budget Line Descr 47 4DO.2 -14 W R 39900 4VT 4 Gross Price 2, 485.96 Purchaser [)ate Appro val Date j 0e T r S' 1 1 5 �OQ9 Please Detach and Return Bottom Portion with Payment HILLYARD Plant: 1350 Customer No. 265562 HILL YARD/ INDIANA Invoice No. 6008591 P. O. Box: 872361 AMOUNT DUE THE CLEAMNG RESOURCE' Kansas City MO 64187 -2361 2, 485.96 REMITTANCE STUB b Please consider the environment before printing this invoice. CUSTOMER COPY HILL I RP CIEIVEYN -5 Please Note New Remit Address SE� !1 THE CLEANING RESOURCEm Remit To: ZOd9 HILL YARD /INDIANA Plant: 1350 Phone: 765 378 3766 P.O Box: 872361 ®I C G Fax: 765 378 6671 Kansas City MO 64187 -2361 G Ship THE MONON CENTER www.hilly TO 1411 EAST 116TH STREET CARMEL IN 46032 -3455 �1114f?rnaIOr1�� e Customer Number: 265562 Invoice Number 6008511 BIII THE MONON CENTER Invoice Date 09/02/2009 TO 1411 EAST 116TH STREET Purchase Order No. ISA -09/0112009 CARMEL IN 46032 -3455 Packing List Number 82990150 Sales Order Number 21062102 Payinent 2 Net due in 30 days lt1VQ CDI�S ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 GOJ965212 8 CS 66.34 530.72 SANITIZER PURELL W PUMP 8OZ 12 CS 002o H I L30482 20 PAC 5.10 102.00 GLOVE VINYL PWDR FREE 100 BOX LARGE 0030 PAP10145 2 CS 49.89 9918 TISSUE FACIAL GSC 2 PLY 160 PKG 30 CS 004o LR4048125K 12 CS 33.62 403.44 LINER 40 -45GAL 40X48 1.25MIL BLK 100 1CS oo5o LL30377K 12 CS 1877 225.24 LINER 20 -30GAL 30X37.71 MIL BLK 250 /CS D 0060 HIL0011204 24 OT 2.67 64.08 MILD BOWL AND PORCELAIN CLEANER QTS 0070 HIL0091806 4.000 GAL 25.38 101.52 DEEP ACTION oo8o PTM101532 2 PAC 26.96 53.92 DUSTER PRO o090 HIL0081422 6 EA 17:10 102.60 ARSENAL CARPET PRE SPRAY 112 GAL 0100 HIL0083322 2 EA 15.83 31.66 ARSENAL SUPROX 112 GALLON olio H I L0046604 12 OT 9.20 110.40 TAKE DOWN CHERRY Please Detach and Return Bottom Portion with Payment HILLYARD "OXON THE CLEANING RESOURCE' A W Please consider the environment before printing this invoice. Cfty INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. D03120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 22522 35- 60000372 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 45032 -2584 VOUCHER, DELIVERY MEMO PACKING SLIPS SHOPPING LABELS AND ANY CORRESPONDENCE, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/1/09 MC00446/447 janitorial /cleaning supplies Hillyard Monon Center VENDOR SHIP TO7j \lp_.. SEP 0 2 2009 CONFIRMATIGN BLANKET CONTRACT PAYMENT TERMS I FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION janitorial /cleaning supplies 2485.96 E S f f Y' 3 x I Send invoice To: 2485.96 PLEA E 1,0fCE EPA DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUnT AMOUNT 47 -100- 320- 4238900 dW"6 C 6 PAYMENT cleaning janitorial supplies A/P VOUCHER CANNOT BE APPROV -D FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND cVERY INVOICE AND VOUCHER HAS THE PROPER SWOPV AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS L� I HEREBY CERTIFY THATTHERE IS /N UNOBLIGATED BALANCE IN SNIP REPAID. �lf� r THIS APPROPRIATION SUFFICIENT 1D PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. (3RD RED BY Serra Garske PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS '945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL, NO. 22522 CL ERK-TREASURER EDR Y 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 8126109 2999000 Janitorial supplies 22484 p 428.79 912109 6008511 Janitorial supplies 22522 F 2,485.96 Total 2,914.75 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 2,914.75 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125. 2999000 4238900 428.79 1 hereby certify that the attached invoice(s), or 1047 6008511 2,485.96 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 24 -Sep 2009 Signature 2,914.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund