HomeMy WebLinkAbout169462 03/04/2009 `�e• CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $952.68
KANSAS CITY MO 64187 -2361
CHECK NUMBER: 169462
CHECK DATE: 3/4/2009
DEPARTMENT AC COUNT PO NUMBE INVOICE NUMBE AMOUNT DESCRIPTION
1047 4238900 2768684 297.84 OTHER MAINT SUPPLIES
651 5023990 S11514 2777487 229.74 CLEANING SUPPLIES
1047 4238900 7248331 425.10 OTHER MAINT SUPPLIES
HI L LYA D CUSTOMER COPY
Please Note New Remit Address
THE CLEAN RI SOURCE- Remit To: HILLYARD /INDIANA
Plant: 1350 P.0 Box: 872361
Phone: 765 378 3766 i ce
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER wwwhillyardcorn
TO 1411 EAST 116TH STREET
CARMEL IN 46032 -3455 lnfa
fif M
Customer Number: 265562
Invoice Number 7248331
BIII THE MONON CENTER Invoice Date 02/11/2009
TO 1411 EAST 116TH STREET Purchase Order No. VERBAL
CARMEL IN 46032 -3455
Sales Order Number 55158087
Payment Terms Net due in 30 days
Page 2 of 2
W 'w
I nvoice�Detlls�
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Subtotal 425.10
Shipping 0.00
Tax Amount 0.00
Gross Price 425.10
Purchase p 1
Desc
P #f P P
G.
SEC
Une Descr FEB .1 2009 1
Purchaser ace B 3 11
Approval Date Z
Portion with Pavment
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HILLYARD CUSTOMER COPY
RECEIVER
A,M-M Please Note New Remit Address
THE CLEANING RBSOURCI;m Remit To:
HILL YARD/ INDIANA
Plant: 1350
Phone: 765 378 3766 P.O Box: 872361 F===- i c
Fax: 765 378 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER wwwhii ardcom
TO
1411 EAST 116TH STREET
CARMEL IN 46032 -3455 I(l mtidi n F
m��
Customer Number: 265562
Invoice Number 7248331
BIII THE MONON CENTER Invoice Date 02/11/2009
TO 1411 EAST 116TH STREET Purchase Order No. VERBAL
CARMEL IN 46032 -3455
Sales Order Number 55158087
Payment Terms Net due in 30 days
Page 1 of 2
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Ofc� details
.:..:.,:.�5n.'??"'N;`��"° a ig L'"� �E r, n ':�w `s�`,
a��i� ffii la'1Q ..m,�.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
CUSTOMER STATED: SCRUB MEAD WON'T LIFT INTO TRANSPORT
POSITION.
TECHNICIAN FOUND. LIFT FRAME HAD BEEN BENT AND WAS OUT
OF ALIGNMENT.
SOLUTION: REPLACED LISTED PARTS. TESTED MACHINE FOR
PROPER OPERATION.
0010 MACHINE 1 EA
TENNANT T3 AUTOMATIC SCRUBBER
0020 TNT1037297 1 EA 253.10 253.10
FRAME
003o TNT222460 4 EA 1.00 4.00
SLEEVE
0040 TNT630188 4 EA 4.50 18.00
BEARING JOURNAL
0050 RPLABR 2.500 H 60.00 150.00
SERVICE LABOR
Purchase
Descri onGC.�
P.O. P or F
G.L FEB 1 4 2 09
Bud et
Une Descr BY:
Purchaser Date
Approval Date
Please Detach and Return Bottom Portion with Payment
HILLYARD
NXXX*X
THE CLEAMN.G RESOURCE
Please consider the environment before printing this invoice.
HILLYARD CUSTOMER COPY
r
Please Note New Remit Address FEB
THE CLEANING RESOURCE° Remit To:
Plant: 1350 HILL YARD/ INDIANA
Phone: 765 378 3766 P.O Box: 872361 Fax: 765 78 6671 Kansas City MO 64187 -2361
Ship THE MONON CENTER www.hilly
To 1411 EAST 116TH STREET 3 E� �'�s
CARMEL IN 46032 -3455 111 fa r tll�t b l
Customer Number: 265562
Invoice Number 2768684
BIII THE MONON CENTER Invoice Date 02/11/2009
TO 1411 EAST 116TH STREET Purchase Order No. WWW:11:24:43
CARMEL IN 46032 -3455
Packing List Number 82751756
Sales Order Number 21050214
PaymentpTex, 1 Net due in 30 days
d�"'*" "r c �iaEA 9 a
i�fh �t
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
polo LX386019M 4 CS 19.91 79.64
LINER 60GAL 38X58 19MIC MAG 100 /CS ULTRA
0020 LX404822M 4 CS 50.80 203.20
LINER 40 -45GAL 40X48 22MIC MAG 150 /CS UL
Subtotal 282.84
Shipping 15.00
Tax Amount 0.00
Gross Price 297.84
Purchase
Descriptio
P.O. i P F
G.L. TN, OFD
Budget j 1� 59 FEB 1 2009
Purchaser
Approval I� Date z r:
Ptaacp Ilpiarh and Return Rottom Portion_ With _Pavmant_
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of biil 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
2/11109 7248331 Cleaning supplies PO 19964 P 425.10
2/11/09 2768684 Cleaning supplies PO 19964 P 297.84
flTotal$ 722.94
l 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$
722.94
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 7248331 4238900 425.10 f hereby certify that the attached invoice(s), or
1047 2768684 4238900 297.84 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
26 -Feb 2009
rz�
Signature
722.94 Accounts Payable Coordinator
Cost distribution ledger classification if Title
I
claim paid motor vehicle highway fund
G
HILLYARD Please Note New Remit Address CUSTOMER COPY
M T M Remit To:
HILL YARD IINDIANA
THE CLEANING RESOURCE' P.0 Box 872361
Plant. 1350 Kansas City MO 64187-2361 Invoice
Phone: 765 378 3766
Fax: 765 378 6671
www.hillyard.com
Ship CARMEL W.W.T.P. -WASTEWATER UTILIT
To 9609 HAZEL DELL PARKWAY 110 r M.
INDIANAPOLIS IN 46280 Customer Number: 272994
Invoice Number 2777487
Invoice Date 02/19/2009
Bill CARMEL UTILITIES Purchase Order No. S11514
To WASTEWATER
760 THIRD AVENUE SW SUITE 110 Packing List Number 82758595
CARMEL IN 46032 Sales Order Number 11109630
Payment Terms Net due in 30 days
Page 1 of 1
Invoicam.. ;a. ails-
I
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0010204 24 QT 2.25 54.00
GERMICIDAL BOWL CLEANER QTS
0020 PAP1 0110 3 CS 45.77 137.31
TOWEL ROLL NAT WHT CONTROL GSC 80OFT 6CS
0030 HIL0014406 4 GAL 7.45 29.80
TOP CLEAN
Subtotal 221.11
Shipping 8.63
Tax Amount 0.00
Gross Price 229.74
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.
Plant: 1350 AMOUNT DUE
HILLYARD n',WITH THIS STUB
HILL YARD /INDIANA Customer No. 272994
N4#944#9
THE CLEAmr, REsOURCE' P_ O. Box: 872367 Invoice Na. 2777487
Kansas City MO 64187-2361 229.74
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
HI LLYARD/I N DIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 2/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/2009 2777487 $229.74
�)1
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
VOI:JCHER 095131 WARRANT ALLOWED
359478 IN SUM OF
HILLYARD /INDIANA
PO BOX 872361
KANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
N ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2777487 01- 7202 -05 $221.11
2777487 01- 7202 -05 $8.63
co
Voucher Total $229.74
Cost distribution ledger classification if
claim paid under vehicle highway fund