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212618 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD/INDIANA CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $629.96 KANSAS CITY MO 64187-2361 CHECK NUMBER: 212618 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 600359270 18 . 15 OTHER MAINT SUPPLIES 1205 4238900 600368389 87 . 13 OTHER MAINT SUPPLIES 651 5023990 600368391 524 . 68 OTHER EXPENSES Remit To: www.hillVard.com HILLYARD HILL YA RD /ND/ANA .::: ::. .....:::::::::.:..:::.::. .. :.....:::..:::...:. P.O Box:872361 : ... . . THE CLEAmG RESOURCE° Kansas City, MO 64187-2361 Customer Number: 256298 Invoice Number 600359270 Plant: 1350 Phone: 765 378 3766 Invoice Date 08/20/2012 Fax: 765378 6671 Purchase Order No. ISA-08/14/2012 (Zo S Packing List Number 85310829 Ship CITY OF CARMEL To ATTN: JEFF BARNES Sales Order Number 21 205946 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 111 X111111111IN IN Page 1 of 1 Bill CITY OF CARMEL 600359270 TO ATTN: JEFF BARNES O ...... ONE CIVIC SQUARE Total Ain:o a�t:'.I :<>18 S.: 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 HIL0017906 1 GAL 15.56 15.56 HILLYARD LEMON DISINFECTANT Subtotal 15.56 Shipping 2.59 Tax Amount 0.00 Gross Price 18.15 D S E P 10 2012 By Invoice Number 600359270 Date 08/20/2012 Purchase Order:ISA-08/14/2012 Plant: 1350 Customer Number 256298 CITY OF CARMEL HILLYARD HILL YARD/INDIANA Invoice P. O.Box:872361 UE CLEANING RESOURCE' Kansas City, MO 64 18 7-236 1 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. www.hillVard.com Remit To: .. .. ........ ..... ... ....... H ILLYARD HILL YARD 1/ND/ANA t .......... NWA§4N43M P.O Box:872361 ..C.ustomer Number:' 256298 THE CLEAmG RESOURCE® Kansas City, MO 64187-2361 Invoice Number 600368389 Plant. 1350 Phone: 765 378 3766 Invoice Date 08/27/2012 Fax: 765 378 6671 337 Purchase Order No. ISA-08/14/2012 Packing List Number 85320494 Ship CITY OF CARMEL To ATTN: JEFF BARNES Sales Order Number 21205946 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 1111111111111111111 E IN Page 1 of 1 Bill CITY OF CARMEL 600368389 To ATTN: JEFF BARNES ONE CIVIC SQUARE ......... ... ...- CARMEL IN 46032 D :Tot X ... 0... a ....... PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. .... ........ .. . ....... I n v d c6 D.e...l.. a..*.i..I.s.. :. ............... . .... ..... ... .................................... i. .. ...... .......... ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT mo HIL001 8506 4 GAL 18.68 74.72 PINE-O-CIDE 11 DISINFECTANT ---------------------------- Subtotal 74.72 ----------------------------- Shipping 12.41 Tax Amount 0.00 ---------------------------- Gross Price 87.13 ---------------------------- D �a a SEA 1 0 2012 By Invoice Number 600368389 Date 08/27/2012 Purchase Order:ISA-08/14/2012 Plant. 1350 Customer Number 256298 CITY OF CARMEL HILLYARD HILL YARD,INDIANA P. O.Box:872361 Invoice Tff C1EANNGRB0URCE* 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Hillyard / Indiana IN SUM OF $ PO Box 872361 Kansas City, MO 64187-2361 $105.28 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 600359270 42-389.00 $18.15 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1205 600368389 42-389.00 $87.13 materials or services itemized thereon for which charge is made were ordered and received except Monday, September 10, 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)) 08/20/12 600359270 $18.15 08/27/12 600368389 $87.13 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 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. ....... ...... In pice ......- .......... ....... V !iA56t *. ..'* ..... ...... ....... ..... ........... ...... ....... ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo PG53971 4 CS 54.41 217.64 TOWEL BOUNTY 30 RLS 0020 HIL0010204 12 QT 2.57 30.84 GERMICIDAL BOWL CLEANER QTS 0030 HIL0102554 12 EA 2.72 32.64 WINDOW CLEAN + 19 OZ 0040 HIL0101804 3 QT 3.67 11.01 SPRAY CLEAN HD 0050 HIL0103954 3 EA 2.87 8.61 GERMICIDAL FOAMING CLEANER 20 OZ 0060 HIL0105254 3 EA 3.62 10.86 LEMON FURNITURE POLISH 18 OZ 007o LR4348150K 2 CS 41.34 82.68 LINER 56GAL 43X48 1 .5MIL BILK 100/CS PAYL 0080 HIL24205 24 EA 4.89 117.36 ---MOP-WET BLND-CUT-END-NB-4PLY 240Z-BLUE ---------------------------- Subtotal 511.64 ----------------------------- Shipping 13.04 Tax Amount 0.00 ---------------------------- Gross Price 524.68 ---------------------------- Invoice Number 600368391 Date 08/27/2012 Purchase Order:S13214 Plant: 1350 Customer Number 272994 CARMEL W.W.T.P.-WASTEWATER LITILIT HILLYARD HILL YARD IINDIANA Invoice DNWd3oz50X P. O.Box:872361 THE CLEANiNG RmURCE* 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. VOUCHER # 125637 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 600368391 01-7202-06 $524.68 i i Voucher Total $524.68 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 9/5/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/5/2012 600368391 $524.68 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 9//-/L Date Officer