170466 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 172430 Page 1 of 1
ONE CIVIC SQUARE KAYLINE COMPANY
CARMEL, INDIANA 46032 PO BOX 603207 CHECK AMOUNT: $174.73
CLEVELAND OH 44103
CHECK NUMBER: 170466
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
2201 4232100 181626 174.73 GARAGE MOTOR SUPPIE
gf, of
E ��S AMERICAN y
rAl, ORIGINAL INVOICE 0 Professional Maintenance Products PLEASE REMIT FROM THIS INVOICE A ME !"R TheExperts
On Cleaning and Maintenance
I
B ATTN: ACCOUNTS PAYABLE S ATTN: JEFF STEWART
I CARMEL STREET DEPT H
L CARMEL STREET DEPT f
3400 W. 131 ST ST. I 3400 W. 131 ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T I
O O
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
181626 03/23/09 JEFF 1 03/23109
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. Warehouse:
10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. WHSE 3303LakesideAve.
Cleveland, Ohio 44114
1
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K224 CENTENNIAL PLUS CS 1 1 159.990 159.99
i I
Kayline HVAC cleaning products Kill 99.9% of Bacteria,
Reduces Energy, Extends A/C Unit Life, Improves Air Qual ty
I
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i
I
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S UBTOTAL 159.99
Kayline Fed. I.D. No. 34- 0325350 REMIT TO: KAYLINE COMPANY TAX 0.00
1 1/2 Charge per month past 30 days. P.O. BOX 603207 REIGHT 14.74
All freight claims must be filed by customer. CLEVELAND, OH 44103
No goods returnable without Kayline's written consent
Do not take discounts on sales tax or freight charges. PAY i
OFFICE: (216)566 -9858 (800)426 -5820 THIS
www.kaylinecompany.com FAX: (216)566 -1228 AMOUNT 174.73
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/23/09 181626 $174.73
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
VOUCH NO. WARRANT NO.
ALLOWED 20
Kayline Company
IN SUM OF
P. O. Box 603207
Cleveland, OH 44103
$174.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 181626 42- 321.00 $174.73 1 hereby certify that the attached invoice(s), or
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
F iday arch 27, 2009
Street Comsslo er
street Go mTtll
Cost distribution ledger classification if
claim paid motor vehicle highway fund