HomeMy WebLinkAbout213495 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
' ONE CIVIC SQUARE HILLYARD/INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $431.52
ti�roh�o. KANSAS CITY MO 64187-2361 CHECK NUMBER: 213495
CHECK DATE: 1019/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 600400547 78 . 64 OTHER EXPENSES
1205 4238900 600405415 352 . 88 OTHER MAINT SUPPLIES
www hdl and com
HILLYARD Remit To: InfQrmatlan.
HILL YARD/INDIANA
X11310% ®�®�� P.O Box:872361 .
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® ® ® a Customer Number: 256298
THE CLEANING RESOURCE® Kansas City, MO 64187-2361
q Invoice Number 600405415
Plant: 1350 3 S I
Phone: 765 378 3766 Invoice Date 09/24/2012
_
Fax: 7653786671 I zos" Purchase Order No. JEFF BARNES-MAYORS 0
Packing List Number 85356036
Ship CITY OF CARMEL-MAYORS OFFICE
To ATTN: JEFF BARNES Sales Order Number 11935782
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CITY OF CARMEL 600405415
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
CARMEL IN 46032 7otat AinountDue 352;88
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
In.uoce Det81[s.
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL22280 24 EA
DISP AFFINITY MNL 1.25L WH HILLYARD LOGO
0020 HIL0039403 6 CS 40.77 244.62
SOAP AFFINITY FOAM MAND CRAN 1250ML 4 CS
0030 PAP38006 2 CS 46.63 93.26
TOWEL ROLL WHITE 6 630 CS
----------------------------
Subtotal 337.88
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price 352.88
----------------------------
I�
By
Invoice Number 600405415 Date 09/24/2012 Purchase Order:JEFF BARNES-MAYORS 0
Plant: 1350 Customer Number 256298 CITY OF CARMEL-MAYORS OFFICE
HILLYARD HILLYARD/INDIANA �+
0 ®e,° ® 0 01 o�,�,,w m P. O. Box:872361 Invoice
Q ° 1 °0 °°D
THE CLE INTL GRESOURCE` Kansas City, MO 64 18 7-236 1 CUSTOMER COPY THANK YOU!
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))
09/24/12 600405415 $352.88
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 NO.
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$352.88
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 600405415 42-389.00 $352.88 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, October 08, 2012
Director, Administr tion
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.
n vt �ce Deta�>s -...:.....
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL24729 12 EA 6.39 76.68
MOP WET BLEND CUT END 4PLY WB NAT 240Z
----------------------------
Subtotal 76.68
Shipping 1.96
Tax Amount 0.00
Gross Price 78.64
Invoice Number 600400547 Date 09/19/2012 Purchase Order:513214
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P.-WASTEWATER UTILIT
HILLYARD HILL YARD/INDIANA Invoice
P. O.Box:872361
THE CLEANINGREsOURCE' 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 10/1/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2012 600400547 $78.64
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 125786 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
600400547 01-7202-05 $78.64
Voucher Total $78.64
Cost distribution ledger classification if
claim paid under vehicle highway fund