173401 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 172430 Page 1 of 1
ONE CIVIC SQUARE KAYLINE COMPANY CHECK AMOUNT: $348.32
CARMEL, INDIANA 46032 PO BOX 603207
CLEVELAND OH 44103 CHECK NUMBER: 173401
CHECK DATE: 6/10/2009
DEPA RTMENT ACCOUNT PO NU MBER INVOICE NUMBER A MOUNT DESCRIPTION
2201 4232100 182721 348.32 GARAGE MOTOR SUPPIE
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j
VISA a° .EXPRESS
ril ORIGINAL INVOICE
TPAVLINE
PLEASE REMIT FROM THIS INVOICE I/� MEMBER
Professional Maintenance Products J On Cleaning and Maintenance
13 ATTN: ACCOUNTS PAYABLE S ATTN: JEFF STEWART
I CARMEL STREET DEPT H CARMEL STREET DEPT
L 3400 W. 131 ST ST. I 3400 W. 131 ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T
O O
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
182721 05/29/09 JEFF 1 05/29/09
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. Warehouse:
10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. WHSE 3303 Lakeside Ave.
Cleveland, Ohio 44114
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K224 CENTENNIAL PLUS CS 2 2 159 .990 319.98
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KEEP IT CLEAN! Kayline offers uniquely versatile cleaners
available in the container best for you.
i
I
t
I
I
S UBTOTAL 319.98
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 FREIGHT 28.34
All freight claims must be filed by customer. CLEVELAND, OH 44103
No goods returnable without Kayline's written consent PAY
Do not take discounts on sales tax or freight charges. OFFICE: (216)566 -9858 (800)426 -5820
www.kaylinecompany.com FAX: (216)566 -1228 THIS 348.32
7 AMOUNT
4
i
Prescribed by State Board of Accounts I 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))
05/29/09 182721 $348.32
I 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
VOU NO. W ARRANT N O.
ALLOWED 20
Kayline Company
IN SUM OF
P. O. Box 603207
Cleveland, OH 44103
$348.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 182721 42- 321.00 $348.32 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
y, June 05, 2009
Stree? met pnFn{poner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund