HomeMy WebLinkAbout174351 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
t ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $435.60
KANSAS CITY MO 64187 -2361
CHECK NUMBER: 174351
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2918246 435.60 OTHER EXPENSES
HILLYA Please Note New Remit Address CUSTOMER COPY
Remit To:
HILL YARD INDIANA
RE CLEmG RESOURCE' P.0 Box: 872361
Plant: 1350 Kansas City MO 64187-2361 Invoice
Phone: 765 378 3766
Fax: 7653786677
www.hillyard.com
I I I...,
Ship CARMEL W.W.T.P. -WASTEWATER UTILIT
To 9609 HAZEL DELL PARKWAY .0 1 I
11:0r.mal 10n
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 2918246
Invoice Date 0612412009
Bill CARMEL UTILITIES Purchase Order No. S11749
To WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 82902055
CARMEL IN 46032 Sales Order Number 11191111
Payment Terms Net due in 30 days
Page I of I
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0124703 2 CS 40.85 81.70
GREEN SELECT FOAM SOAP 1250ML 3CS
002o LR4348170K 3 CS 40.93 122.79
LINER 56GAL 43X48 1.7MIL BLK 1 001CS PAYL
0030 PAP10110 3 CS 45.77 137.31
TOWEL ROLL NAT WHT CONTROL GSC 80OFT 6CS
0040 PAP10150 3 CS 26.73 80.19
TOWEL KITCHEN ROLL GSC 2 PLY 90 PKG 30CS
Subtotal 421.99
Shipping 13.61
Tax Amount 0.00
Gross Price 435.60
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
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THIS STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
HILLYARD Plant: 1350 0
HILL YARD /INDIANA Customer No. 272994 oil=
THE CLEAMC RZOURCF P. 0- Bo- 872361 Invoice No. 2918246
Kansas City MO 64187-2367 435-60
REMITTANCE STUB*
THANK YOU!
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 6/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2009 2918246 $435.60
i
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
Date f f /wr
VOQCHER 095938 WARRANT ALLOWED
359'478 IN SUM OF
HI LLYARD/I N DIANA
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
2918246 01- 7202 -05 $421.99
2918246 01- 7202 -05 $13.61
Voucher Total $435.60
Cost distribution ledger classification if
claim paid under vehicle highway fund