HomeMy WebLinkAbout213039 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD/INDIANA
;'. CARMEL, INDIANA 46032 CHECK AMOUNT: $158.13
•1.
�.` P 0 BOX 872361
KANSAS CITY MO 64187-2361 CHECK NUMBER: 213039
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 600377428 22 . 03 OTHER MAINT SUPPLIES
651 5023990 600391332 136 . 10 OTHER EXPENSES
www.hillVard.com
Remit To:
HILLYARD
HILL YARD /ND/ANA In.. Irmatil
P.O Box:872361 s:..
�CLEANING RESOURCE Customer Number: 256298
Kansas City, MO 64187-2361
Invoice Number 600377428
Plant: 1350
Phone: 765 378 3766 Invoice Date 08/31/2012
Fax: 7653786671 Q�Sb Purchase Order No. ISA-08/08/2012
Packing List Number 85328072
Ship CITY OF CARMEL 2�
TO ATTN: JEFF BARNES Sales Order Number 21 204890
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CITY OF CARMEL 600377428
TO ATTN: JEFF BARNES
ONE CIVIC SQUARE
bunt>IQu!e:iii 2203> >'>`> <`
TatatArY.v....._.:.::_.:.. ..................._.................::::::.
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
............
..
....;
r., .
I'd 61 i/a7i 8.:ut: uES.....:..
ITEM MATERIAL DESCRIPTION , QUANTITY UNIT PRICE AMOUNT
ooto CSM3621966300 1 EA 21.36 21.36
BRUSH SCRUB SWIVEL PPY 48 IN HANDLE 4 CS
----------------------------
Subtotal 21.36
-----------------------------
Shipping 0.67
Tax Amount 0.00
----------------------------
Gross Price 22.03
----------------------------
D Q �
SEP 2 4 2012
By
Invoice Number 600377428 Date 08/31/2012 Purchase Order: ISA-08/08/2012
Plant: 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILL YARD/INDIANA Invoice
P. O. Box:872361
THE CLEM7NGRESOURCE' 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))
08/31/12 600377428 $22.03
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.
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$22.03
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 600377428 42-389.00 $22.03 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
Monday, S T tember 24, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
�i1`76i+CEttdiiS
_:.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0052207 2 BIB 60.55 121.10
TOP SHAPE
Subtotal 121.10
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price 136.10
----------------------------
Invoice Number 600391332 Date 09/12/2012 Purchase Order:VERBAL ORDER
P/ant: 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
HILLYARD� HILL YARD IIND/ANA Invoice
P. O.Box:872361
Tff 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 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 9/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 600391332 $136.10
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
VOUCHER # 125717 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
600391332 01-7202-06 $136.10
Voucher Total $136.10
Cost distribution ledger classification if
claim paid under vehicle highway fund