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Home My WebLink About215659 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD/INDIANA CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $327.60 KANSAS CITY MO 64187-2361 CHECK NUMBER: 215659 CHECK DATE: 12118/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 600490708 84 . 08 OTHER MAINT SUPPLIES 651 5023990 600493489 243 . 52 OTHER EXPENSES w:ww.hi// ard:.:com mit To:HILLYARD HILL YARD IINDIANA Q a o : : .: : : O O E PO Box:872361 Customer Number: 256298 THE CLEAmG RESOURCE® Kansas City, MO 64 18 7-236 1 Invoice Number 600490708 Plant: 1350 /j�+ Phone: 765 378 3766 Invoice Date 11/30/2012 Fax: 7653786671 Purchase Order No. MAYOR'S OFFICE W Packing List Number 85436242 Ship CITY OF CARMEL-MAYOR'S OFFICE To ATTN: JEFF BARNES Sales Order Number 39013856 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 1111111 HI 1111111111111111111111I111111111111111111 Page 1 of 1 Bill CITY OF CARMEL 600490708 To ATTN: JEFF BARNES ONE CIVIC SQUARE Total_Aitiioarit Que.. 8:. CARMEL IN 46032 ..._...... ---------- PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. -- ;:::a1 1 5i` isi isisisis:: : ::`isi'asii:::as ias3iasisi?:`isi::`E_:i:!:i``:` i;;is psi......:::........... :.... .... i:..........::::i i i:<:::'::.:> > :::`.::� i<::i....... ':'::rrrii'i<'_!j;i? 1 r �6ce:: .:: ..... ... .... .... ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo HIL0047406 4 GAL 17.27 69.08 I-FORCE D.M.B. DESCALER METAL BRIGHTENER ---------------------------- Subtotal 69.08 ----------------------------- Shipping 15.00 aTax Amount 0.00 DGross Price 84.08 DEC 17 2012 11 ---------------------------- I By Invoice Number 600490708 Date 11/30/2012 Purchase Order: MAYOR'S OFFICE P/ant: 1350 Customer Number 256298 CITY OF CARMEL-MAYOR'S OFFICE HILLYARD HILL YARD/INDIANA Invoice q o o„q q,o„q g p q o P. O. Box:872361 THE oC'LLEEANRV"NGRESOURCE* 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 $84.08 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 600490708 42-389.00 $84.08 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, December 17, 2012 Director, Adminis ration Title f 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)) 11/30/12 600490708 $84.08 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 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. . .. ... ........ ............ ........... ....... ........ ..... ....... ........... ......1::X.X.X: .. .............................. .... ...... ... ............. ........ . .... .......... ..... -...... ... ....... .... .... ........ ..............:::: *.......'.'... ...... ... .. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo HIL0010204 36 QT 2.57 92.52 GERMICIDAL BOWL CLEANER QTS 002o HIL01 25603 2 CS 68.00 136.00 SANITIZER IHS FOAM PUSH 1 .21- 3 CS ---------------------------- Subtotal 228.52 ----------------------------- Shipping 15.00 Tax Amount 0.00 ---------------------------- Gross Price 243.52 ---------------------------- Invoice Number.600493489...Date 12104/201,2...,.Purchase Order:BLAINE-MALLABER. Plant.- 1350 Customer Number 272994 CARMEL W:W.T.P.-WASTEWATER Ub-LIT' -"- HILLYARD HILL YARD IINDIANA Invoice X#NXON�x P. O.Box.-872361 Tff CLEANNG 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 VOUCHER # 126341 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 600493489 01-7202,,0'6 6�' $243.52 Voucher Total $243.52 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 12/12/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/12/201: 600493489 $243.52 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