HomeMy WebLinkAbout216738 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $591.14
CARMEL, INDIANA 46032 P O BOX 872361
KANSAS CITY MO 64187-2361 CHECK NUMBER: 216738
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 600528101 591 . 14 OTHER EXPENSES
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo PG53971 6 CS 54.41 326.46
TOWEL BOUNTY 30 RLS
0020 LR4348150K 3 CS 37.20 111.60
LINER 56GAL 43X48 1 .5MIL BLK 1 OO/CS PAYL
0030 HIL0101 804 24 QT 3.67 88.08
SPRAY CLEAN HD
0040 HIL29920 2 DZ 25.00 50.00
URINAL SCREEN CHERRY WITH 4 OZ BLOCK
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Subtotal 576.14
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Shipping 15.00
Tax Amount 0.00
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Gross Price 591.14
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Invoice Number 600528101 Date o1/07/2013 Purchase Order:BLAINE MALLABER
Plant.- 1350 Customer Number .272994 CARMEL W.W.T.P.-WASTEWATER LITILIT
HILLYARD HILL YARD/INDIANA Invoice
P. O.Box.-872361
THE 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 1/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 600528101 $591.14
hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have J/auditt�ed same in accordance with IC 5-11-10-1.6
i /2 s//
Date Officer
VOUCHER # 126538 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
600528101 01-7202-05 $591.14
Voucher Total $591.14
Cost distribution ledger classification if
claim paid under vehicle highway fund