216068 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $826.04
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187-2361 CHECK NUMBER: 216068
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 600509661 474 .24 OTHER MAINT SUPPLIES
1205 4236500 600517329 351 . 80 SALT & CALCIUM
HILLYARD Re HILmit To:
L YARD/INDIANA www.hill yard.com
P.O Box:872361 Information
THE CLEANING RESOURCE' Kansas City, MO 64187-2361
Customer Number: 265562
ant: 1350
ione:765 378 3766 Invoice Number 600509661
ix: 765 378 6671 Invoice Date 12/1812012
Purchase Order No. 29268
hip THE MONON CENTER Packing List Number 85453848
O ATTN: MATTHEW
1235 CENTRAL PARK DRIVE EAST Sales Order Number 21229652
CARMEL IN 46032
Payment Terms Net due in 30 days
Page 1 of 1
III CARMEL CLAY PARKS & RECREATION ADM
O ATTN: DAWN KOEPPER
1411 EAST 116TH STREET Total Amount Due 474.24
CARMEL IN 46032-3455
------------------------------Please Detach and Return Upper Portion with Payment------------------------------------------------------------------
Invoice Details;
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 H I L0081622 18 EA 11.81 212.58
ARSENAL RE-JUV-NAL 1/2 GAL
0020 HIL0083322 6 EA 17.47 104.82
ARSENAL SUPROX 1/2 GALLON
0030 HIL0018306 2 GAL 27.32 54.64
DEFOAMER II
0040 HIL0091406 4 GAL 21.80 87.20
HD EXTRACTION .
----------------------------
Subtotal 459.24
oE� ----------------------------
Shipping 15.00
Tax Amount 0.00
Gross Price 474.24
Purchase
Description P u�
P.O.#
G. # lOa3 —
L.
�aor o0
Budoet o�� l
Line Desc
Purchaser
Cate
Approval Date
-
Plant:
/INDIANA Invoice
Plant: 1350 Invoice Number 600509661 Date 12/18/2012 Purchase Order: 29268
Customer Number 265562 THE MONON CENTER
P.O.Box:872361 CUSTOMER COPY
{E CLEANING RESOURCE' Kansas City, MO 64187-2361
LA Please consider the environment before printing this invoice.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
359478 Hillyard Terms
P.O. Box 872361
Kansas City, MO 64187-2361
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/18/12 600509661 Carpet cleaning supplies 29268 $ 474.24
Total $ 474.24
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.
359478 Hillyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187-2361
In Sum of$
$ 474.24
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 600509661 4238900 $ 474.24 1 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
3-Jan 2013
Signature
$ 474.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
www.hfflyard.com
Remit To:
YARD /ND/ANA
>
HILLYARD HILL ti
P.O Box:872361
o°KV NX N Customer Number: 256298
THE CLEANNGRESOURCE® Kansas City, MO 64187-2361
Invoice Number 600517329
Plant: 1350
Phone: 765 378 3766 C Invoice Date 12/26/2012
Fax: 765378 6671 �JS Purchase Order No. ISA-1 2/21/2012
f 2 0 Packing List Number 85461999
Ship CITY OF CARMEL
To ATTN: JEFF BARNES Sales Order Number 21 230939
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
IIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Bill CITY OF CARMEL 600517329
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
0 C
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CARMEL IN 46032 «<>::::::;><::<>::: »:;::;:;..;«<:,:::><:......:.
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
::._`:y4:iii?::.;: :`?:xt "`: :::,..:_.:yi> ii;::.; i3::'.''fiiiilJii ;,i ;"'y;:iii>:fiii:`'<'.:;is4i:iiiiii" i%`i'i%`'i%!2iii_:ii:i`.: ii �`..
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 OSSIM6055 10 BAG 24.58 245.80
ICE MELT PELADOW 50 LB BAG 56 PER PALLET
002o HIL29934 10 EA 9.10 91.00
HILLYARD SPEC BLEND ICE MELT 50 LB BAG
Subtotal 336.80
-----------------------------
Shipping 15.00
Tax Amount 0.00
----------------------------
Gross Price 351.80
Q Q �
JAN A 7 2013
By
Invoice Number 600517329 Date 12/26/2012 Purchase Order:ISA-12/21/2012
Plant: 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILLYARD//ND/ANA Invoice
P. O.Box:872361
Tf ECLEANINGRESOURCE' 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
$351.80
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1205 600517329 42-365.00 $351.80
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 January 07, 2013
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))
12/26/12 600517329 $351.80
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