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Home My WebLink About209182 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 0 ONE CIVIC SQUARE HILLYARD INDIANA CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $569.91 KANSAS CITY MO 64187 -2361 CHECK NUMBER: 209182 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 600231664 252.50 OTHER MAINT SUPPLIES 1125 4238900 600231665 317.41 OTHER MAINT SUPPLIES HILLYARD Remit To: www.hillyard.com HILLYARD/ INDIANA %MWX P.O Box: 872361 Information THE CLEANING RESOURCE' Kansas City MO 64187 2361 Customer Number: 265562 ant: 1350 lone: 765 378 3766 Invoice Number 600231665 ix: 765 378 6671 Invoice Date 05/14/2012 Purchase Order No. ISA- 05/09/2012 hip CARMEL CLAY PARKS RECREATION ADM Packing List Number 85189132 O ATTN: DAWN KOEPPER 1411 EAST 116TH STREET LB IV a s ent TermOrder Number 21189390 CARMEL IN 46032 -3455 4 201 Pay s Net due in 30 days Page 1 of 1 CARMEL CLAY PARKS RECREAT ATTN: DAWN KOEPPER 1411 EAST 116TH STREET Total Amount Due 317.41 CARMEL IN 46032 -3455 Please Detach and Return Upper Portion with Payment Invoice Details ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 HIL0070522 2 EA 13.38 26.76 CC RE- JUV -NAL 1/2 GAL 0020 HIL0083322 1 EA 17.47 17.47 ARSENAL SUPROX 1/2 GALLON 0030 LR3860150K 6 CS 35.74 214.44 LINER 60GAL 38x58 1.5MIL BLK 100 /CS 0040 PAP22014 2 CS 21.87 43.74 TOWEL C FOLD GSC WHITE 20OPKG 12CS Subtotal 302.41 Shipping 15.00 Tax Amount 0.00 Gross Price 317.41 Purchase Description I 0o P.O. �G�' (,D F;t�.dget Linn Descr Date Purchaser Date Approval [ILLYARD Plant: 1350 Invoice Number 600231665 Date 05/14/2012 Purchase Order: ISA- 05/09/2012 Customer Number 265562 CARMEL CLAY PARKS RECREATION AD HILLYARD /INDIANA r„ /O P. O. Box: 872361 CUSTOMER COPY 9 Y {E CLEANING RESOURCE' Kansas City, MO 64187 -2361 LA 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 5/14/12 600231665 Restroom cleaning supplies 30771 317.41 Total 317.41 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 359478 Hillyard Allowed 20 P.O. Box 872361 Kansas City, MO 64187 -2361 In Sum of 317.41 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1125 600231665 4238900 317.41 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 3 -May 2012 �A�&M Signature 317.41 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund www.hfflyard.com Remit To: INDIANA HILLYARD HILL YARD /N o... 11 P.O Box: 872361 Customer 25629 Number: 8 THE CLEANING RESOURCE' Kansas City, MO 64187 -2361 Invoice Number 600231664 Plant: 1350 Phone: 765 378 3766 Invoice Date 05/14/2012 Fax: 765 378 6671 D Purchase Order No. ISA- 05/07/2012 1 2p s Packing List Number 85189134 Ship CITY OF CARMEL TO ATTN: JEFF BARNES Sales Order Number 21 188726 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1 Bill CITY OF CARMEL 600231664 To ATTN: JEFF BARNES O NE CIVIC SQUARE Tat t.:.....: e.......::.::...:..:... CARMEL IN 46032 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 PAP10150 10 CS 23.75 237.50 TOWEL KITCHEN ROLL GSC 2 PLY 90RL 30CS Subtotal 237.50 Shipping 15.00 Tax Amount 0.00 Gross Price 252.50 Invoice Number 600231664 Date 05/14/2012 Purchase Order: ISA- 05/07/2012 Plant: 1350 Customer Number 256298 CITY OF CARMEL H ILLYARD HILL YARD /INDIANA Invoice P. O. Box: 872361 Tff CLEAMING RESOM E' Kansas City, MO 64187 -2361 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. 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)) 05/14/12 600231664 $252.50 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 VOUCHER N O. WARRANT NO. ALLOWED 20 Hillyard Indiana IN SUM OF PO Box 872361 Kansas City, MO 64187 -2361 $252.50 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1205 600231664 42- 389.00 $252.50 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 Mo day, May 21, 2012 Director, Adm Title Cost distribution ledger classification if claim paid motor vehicle highway fund