218083 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
Q � ONE CIVIC SQUARE HILLYARD/INDIANA
CARMEL, INDIANA 46032 P O BOX 872361 CHECK AMOUNT: $1,662.20
M,row KANSAS CITY MO 64187-2361 CHECK NUMBER: 218083
CHECK DATE: 3/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 600590854 1, 662 . 20 OTHER MAINT SUPPLIES
Remit To: ...:.:.....:..:......:.:;:.;: ,www.hill ard.com
HILL YARD/INDIANA HILLYARD
aol~ma ion : :
P.O Box:872361
Customer Number: 256298
THE CLEAMG RESOURCE° Kansas City, MO 64187-2361
Invoice Number 600590854
Plant: 1350
Phone: 7653783766 p Invoice Date 02/25/2013
Fax: 7653786671 J o J Purchase Order No. ISA-02/19/2013
Packing List Number 85531468
Ship CITY OF CARMEL
To ATTN: JEFF BARNES Sales Order Number 21241833
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
111111111111111111111111111 1E1 11111111111111111 IN Page 1 of 1
BIII CITY OF CARMEL 600590854
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
u :r 6fr22.,:
TafaI'\ o r t.G................... ... .... Q.........................:.
CARMEL IN 46032 »;»:.:.::::.: ....
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 KIM04007 10 CS 63.68 636.80
TISSUE TOILET CORELESS SCOTT 36 RL/CS
0020 PAP38006 10 CS 46.63 466.30
TOWEL ROLL WHITE 6 630 CS
0030 PG53971 10 CS 54.41 544.10
TOWEL BOUNTY 30 RLS
/L1\ a Subtotal 1,647.20
D -----------------------------
MAR 11 2013 Shipping 15.00
I Tax Amount 0.00
By Gross Price 1,662.20
---------------------------
Invoice Number 600590854 Date 02/25/2013 Purchase Order:ISA-02119/2013
Plant. 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILL YARD//ND/ANA Invoice
3 P. O.Box:872361
Tff CLEANING dREsoURRCE' 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
$1,662.20
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1205 I 600590854 I 42-389.00 I $1,662.20 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
Mo day, March 11, 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))
02/25/13 600590854 $1,662.20
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