207479 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA CHECK AMOUNT: $46.47
CARMEL, INDIANA 46032 P O BOX 872361
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 207479
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 600144882 46.47 MATERIALS SUPPLIES
I I I
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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::C!
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo HIL0105654 12 EA 3.70 44.40
AEROSOL SUPER HIL AIRE CITRUS 16 OZ
Subtotal 44.40
Shipping 2.07
Tax Amount 0.00
Gross Price 46.47
Invoice Number 600144882 Date 03/O6/2012 Purchase Order: S13027
Plant. 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
H ILLYARD HILL YARD INDIANA Invoice
N990NNN P. O. Box: 872361
M CLEANNG RESOURCE* Kansas City, MO 64187-2361 CUSTOMER COPY THANK YOUI
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 117031 WARRANT ALLOWED
359478 IN SUM OF
HILLYARD /INDIANA
PO BOX 872361
KANSAS CITY, MO 64187 -2361
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
600144882 01- 7202 -05 $46.47
Voucher Total $46.47
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359478
HILLYARD /INDIANA Purchase Order No.
PO BOX 872361 Terms
KANSAS CITY, MO 64187 -2361 Due Date 3121/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/21/2012 600144882 $46.47
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
Date Officer