170426 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032
P 0 BOX 872361 CHECK AMOUNT: $789.35
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 170426
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.1047 4238900 2783241 157.68 OTHER MAINT SUPPLIES
1047 4238900 2791887 92.38 OTHER MAINT SUPPLIES
651 5023990 2791894 169.77 OTHER EXPENSES
651 5023990 2805253 369.52 OTHER EXPENSES
I
HILLYARD CUSTOMER COPY II
ab-
mm. :0- X Please Note New Remit Address IV ED
THE CLEANING RESOURCE$ Remit To:
!NDlANA A v
,Plant: 1350 P.O Box: 872361 FEB 2 5 2008
Phone: 765 378 3766 n V O i C e
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER WW i ar com
To 1411 EAST 116TH STREET fi
CARMEL IN 46032 -3455 �?r av N N
Customer Number: 265562
Invoice Number 2783241
Bill THE MONON CENTER Invoice Date 02/25/2009
TO 1411 EAST 116TH STREET Purchase Order No. ROB
CARMEL IN 46032 -3455
Packing List Number 82766010
Sales Order Number 11114634
Payment 1 Net due in 30 days
a
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0125003 4 cs 34.92 139.68
HILLYARD PINK PLUS HAND FOAM 1.51- 2CS
Subtotal 139.68
Shipping 15.00
Tax Amount 0.00
Gross Price 154.68
Purchase
Descriptio a
P.O.
G.L. }mo o 1 nOa el
inebe ti
�A o 2009
Purchaser
Approval Date BY:
0ate_��
Dom.
HILLYARD CUSTOMER COPY j C EIVED
Please Note New Remit Address MAR Q 4 20
THE CLEANING RESOURCE' Remit To:
HILL YARD/ INDIANA
'Plant: 1350 BY:
Phone: 765 378 3766 P.O Box: 872361 n vo o ce
Fax: 765 378 6671 Kansas City MO 64187 -2361
`Ship THE MONON CENTER www.hili
TO 1411 EAST 116TH STREET
4 mat�
on
CARMEL IN 46032 -3455 �.�s..�
Customer Number: 265562
Invoice Number 2791887
BIII THE MONON CENTER Invoice Date 03/05/2009
TO 1411 EAST 116TH STREET Purchase Order No. WWW:09:05:58
CARMEL IN 46032 -3455
Packing List Number 82773252
Sales Order Number 21049725
Payment 1 Net due in 30 days
-z x r �'"w -zk. r n .t.,- a$ %�3._._..._ x' ter.,,. i.�s a T..,�...,.L.3.�r�s....
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0070822 6 EA 15.36 92.16
C2 GREEN SELECT BATHROOM CLEANER
S u btota 1 92.16
Shipping 0.22
Tax Amount 0.00
Gross Price 92.38
Purchase
Description III. t6k)
P.O. P or F T
Bud vrtniw� �U(1 lies MAR 1 0 009
Line Des
cr
purchase r Date BSI:
Date
Approval
-yt
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)) Amount
2125109 2783241 MC hand soap 154.68
315109 2791887 Cleaning supplies 92.38
Total 247.06
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
247.06
ON ACCOUNT OF APPROPRIATION FOR
404 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2783241 4238900 154.68 1 hereby certify that the attached invoice(s), or
1047 2791887 4238900 92.38' 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
2009
Signature
247.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ILA Please Note New Remit Address CUSTOMER COPY
Remit To:
H ILL YARD INDIA NA
THE CLEAMG RESOURCE A 0 Box: 872361
Plant: 1350 Kansas City MO 64 18 7 -236 1 Invoice
phone: 765 378 3766
Fax: 765 378 6671
www.hfflyard.com
Ship WA S TEWATE R U TILIT
CARMEL W.W.T.P.
arf rtn ton;
o.::::::: a
TO 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 2805253
Invoice Date 03118/2009
BIII CARMEL UTILITIES Purchase Order No. S11646
TO WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 82787800
CARMEL IN 46032 Sales Order Number 11126396
Payment Terms Net due in 30 days
Page 1 of 1
ITEM I MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL01061 6 EA 13.79 82.74
WATERLESS HAND CLEANER WIPES
0020 PAP10150 5 CS 26.73 133.65
TOWEL KITCHEN ROLL GSC 2 PLY 90 PKG 30CS
0030 LL2433100K 2 CS 24.10 48.20
LINER 12 -16GAL 24X33 .98MIL BLK 250 /CS D
0040 PAP10110 2 CS 45.77 91.54
TOWEL ROLL NAT WHT CONTROL GSC 80OFT 6CS
Subtotal 356.13
Shipping 13.39
Tax Amount 0.00
Gross Price 369.52
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
NILLYARDlINDIANA Purchase Order No.
PO SOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 2805253 $369.52
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 Officer
VOUCHER 095325 WARRANT ALLOWED
359478 IN SUM OF
HILLYARD /INDIANA
PO BOX 872361
KANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
J�
Board members
PO INV ACCT AMOUNT Audit Trail Code
2805253 01- 7202 -05 $273.39
2805253 01- 7202 -06 $82.74
2805253 01- 7202 -05 $13.39
Voucher Total $369.52
Cost distribution ledger classification if
claim paid under vehicle highway fund
HILLYARD Please Note New Remit Address CUSTOMER COPY
Q n Q r Q F6R r'
Remit To:
EI H 0 ED b HIL L YA RD INDIA NA
THE CLEANING RESOURCE P. Box: 872361
Plant 1350 Kansas City MO 64787-2361 Invoice
Phone: 765 378 3766
Fax- 7653786677
www.hq�ygrd.corn
Ship CARMEL W.W.T.P. WASTEWATER UTILIT
L
I
To 9609 HAZEL DELL PARKWAY ln
-IJEJL:
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 2791894
Invoice Date 03/05/2009
Bill CARMEL UTILITIES Purchase Order No. S11514
To WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 82772107
CARMEL IN 46032 Sales Order Number 11109630
Payment Terms Net due in 30 days
Page 1 of 1
rk+ru
S o
mmjs
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0124703 4 CS 40.85 163.40
GREEN SELECT FOAM SOAP 1250ML 3CS
Subtotal 163.40
Shipping 6.37
Tax Amount 0.00
Gross Price 169.77
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER A
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
H ILLYARD/I N DIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 3/25/2009
Invoice Invoice Description
Date dumber (or note attached invoice(s) or bill(s)) Amount
3125/2009 2791894 $169.77
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
a 4 wV
Date Officer
/OUCNER 095360. WARRANT ALLOWED
3;9478 IN SUM OF
IILLYARD /INDIANA
.'O BOX 872361
CANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
1 0# INV ACCT AMOUNT Audit Trail Code
2791894 01- 7202 -05 $169.77
Voucher Total $169.77
,ost distribution ledger classification if
1aim paid under vehicle highway fund