206694 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD 1 INDIANA
CARMEL, INDIANA 46432 P 0 BOX 872361 CHECK AMOUNT: $824.56
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 206694
ON
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 256298 654.40 OTHER MAINT SUPPLIES
1093 4238900 600120764 170.16 OTHER MAINT SUPPLIES
HILLYARD Remit 70:
HILL YARD/ INDIANA www.hill yard.com 77
2012
P.O Sox: 872361 Informal ion:
THE mG RESOuu' Kansas City, MO 64187 -2361
CLF.
Customer Number. 26556
Plant: 1350
Phone: 765 378 3766 Invoice Number 600120764
Fax: 765 378 6671 Invoice Date 02/15/2012
Purchase Order No. MC002580
Ship THE MONON CENTER Packing List Number 85083088
To ATTN: MATTHEW
1235 CENTRAL PARK DRIVE EAST Sales Order Number 21173066
CARMEL IN 46032
Payment Terms Net due in 30 days
Page 1 of 1
BIII CARMEL CLAY PARKS RECREATION ADM
TO ATTN: DAWN KOEPPER
1411 EAST 116TH STREET Total Amount Due 1,70 16 11 CARMEL IN 46032 -3455
Please Detach and Return Upper Portion with Payment
Invdi a aefalJlS
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL52821 1 EA 6.18 6.18
FRAME DUST MOP QUICK CHANGE 5X60
0020 RUB781788WH 1 CS 102.14 102 -14
LINERS FOR CHANGING STATION
0030 RUB611277YW 4 EA 11.71 46 -84
SIGN CAUTION WET FLOOR 2 SIDED
Subtotal 155.16
Shipping 15.00
Tax Amount 0.00
Gross Price 170.16
Purchase
Descript'on
P.O. e r,r, P 00
G.L.
Budget
Line Descr
purchaser Date
Approval Dale
Plant: 1350 Invoice Number 600120764 Date 02/15/2012 Purchase Order: MC002580
HILLYARD YARD INDIANA
Customer Number 265562 THE MONON CENTER n
Invoice
P. O. Box: 872361 CUSTOMER COPY
THE CLEANMG nrs OURRcr Kansas City, MO 64187 -2361
Please consider the environment before printing this Invoice.
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)) PO Amount
2115112 600120764 Weekly supply order 170.16
Total 170.16
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
Voucher No. Warrant No.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
170.16
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1093 600120764 4238900 170.16 1 hereby certify that the attached invoice(s), or
bi11(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
23 -Feb 2012
Signature
170.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
H ILLYA R D Remit To: www h�l/ and com HILL YARD INDIA NA
In orma.�aon....
P.0 Box: 872
Customer Number. 256298
THE CLEMG RESOURCE® Kansas Cit MO 64187 2361
Invoice Number 600120763
Plant: 1350
Phone: 765 378 3766 Invoice Date 02/15/2012
Fax: 765378 6671 Purchase Order No. ISA- 02/13/2012
f Packing List Number 85083091
Ship CITY OF CARMEL
To ATTN: JEFF BARNES I Z� Sales Order Number 21173595
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
11111111111111111111111111111E IHI X11 Ell �1 Pa 1 of 1
Bill CITY OF CARMEL 600120763
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
CARMEL IN 46032 7c�ta #Aitlount.Due FiS� /�0
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 JAD385820B 20 CS 31.97 639.40
LINER 38X58 LLPE ROLL 1 .6ML 100 /CS
Subtotal 639.40
Shipping 15.00
Tax Amount 0.00
Gross Price 654.40
U
FEB 2 7 2012
By
Invoice Number 600120763 Date 0 211 512 0 1 2 Purchase Order: ISA 0 211 31201 2
Plant: 1350 Customer Number 256298 CITY OF CARMEL
H I L LYA R D HILL YARD /INDIANA
°e° P. O. Box: 872361 In
E a ®IW 19 Fd R G1 Kansas City, MO 64187-2361
THEG7.EAN[NGRESOURCE' CUSTOMER COPY THANK YOU!
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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard Indiana
IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
$654.40
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 256298 42- 389.00 $654.40 I 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
Monda y, February 27, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02/15/12 256298 $654.40
I hereby certify that the attached invoice(s), or blll(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer