HomeMy WebLinkAbout210397 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $1,083.70
KANSAS CITY MO 64187 -2361 CHECK NUMBER: 210397
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 600267315 1,083.70 OTHER MAINT SUPPLIES
www.hi ard.com
Remit To:
HILLYARD HILLYARD INDIANA
Informati on
P.O Box: 872361
Customer Number. 256298
THE CLEANING RESOURCE" Kansas City, MO 64 18 7 -236 1
Invoice Number 600267315
Plant: 1350
Phone: 765 378 3766 Invoice Date 06/11/2012
Fax: 765 378 6671 2 &9 j e�13 Purchase Order No. JEFF BARNES MAYORS 0
`l Z Q 5 Packing List Number 85223669
Ship CITY OF CARMEL
TO ATTN: JEFF BARNES Sales Order Number 11867243
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
1111111 Ell II 1111111111111111111111111111 EI IN Pa 1 of 1
Bill CITY OF CARMEL 600267315
To ATTN: JEFF BARNES
0 N CIVIC SQUARE
E C
Iota.. Arrrount [3ue 1 0 3 74
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT. IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
Kt
inSfCi>tire 6116
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 PAP22000 10 CS 43.19 431.90
TOWEL ROLL WHITE 6 800 CS
0020 KIM04007 10 CS 63.68 636.80
TISSUE TOILET CORELESS SCOTT 36 RL /CS
Subtotal 1,068.70
Shipping 15.00
a Tax Amount 0.00
D Gross Price 1,083.70
JUL 0 2 2012
By
Invoice Number 600267315 Date 06/11/2012 Purchase Order: JEFF BARNES MAYORS 0
Plant 1350 Customer Number 256298 CITY OF CARMEL
H ILLYARD HILLYARD /INDIANA Invoice
P. O. Box: 872361
THE CLEANING RESOURCE' 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))
06/11/12 600267315 $1,083.70
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 NO. WARRANT N
ALLOWED 20
Hillyard Indiana
IN SUM OF
PO Box 872361
Kansas City, MO 64187 -2361
$1,083.70
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 600267315 42- 389.00 $1,083.70
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
Wedn day, June 27, 12
r
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund