219346 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 359476 Page 1 of 1
ONE CIVIC SQUARE HILLYARD/INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $72.00
KANSAS CITY MO 64187.2361 CHECK NUMBER: 219346
CHECK DATE: 4124/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 600641628 72 . 00 OTHER EXPENSES
www.hillyard.com
HILLYARD R
HILL YARD/INDIANA Information
P.0 Box:872361 Customer Number: 272994
THE CLEANING REsoURCE* Kansas City, MO 64 18 7-236 1
Invoice Number 600641628
Plant: 1350
Phone: 765 378 3766 Invoice Date 04/05/2013
Fax: 7653786671 Purchase Order No. BLAINE MALLABER
Packing List Number 85580052
Ship CARMEL W.W.T.P. - WASTEWATER UTILIT
TO 9609 HAZEL DELL PARKWAY Sales Order Number 39084633
INDIANAPOLIS IN 46280 Payment TermIIsIIII NIIetII due in 30 days
IIVI IWIIIIIII VIII VIII IVI uII Iu II Page 1 or 1
Bill CARMEL UTILITIES 600641628
TO LISA KEMPA
760 THIRD AVENUE SW - SUITE 110 Total;Amount Due ..::' 72.00
CARMEL IN 46032
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
lnvoice Details
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Colo HIL0107554 12 EA 4.75 5700
AEROSOL CINNAMON METERED 7 OZ
Subtotal 57.00
--------------------------
Shipping 15.00
b`.'l�aa •05
Tax Amount 0.00
Gross Price 7200
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Invoice Number 600641628 Date 04/0512013 Purchase Order:BLAINE MALLABER
Plant., 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER UTILIT
HILLYARD HILLYARD/INDIANA Invoice
P. O. Box:872361
THE CLEkXINGRESOURCE' 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 9Y 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 4/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/17/2013 600641628 $72.00
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
yl 9//" r-,- p
Date Officer
VOUCHER # 135338 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
600641628 01-7202-05 $72.00
Voucher Total $72.00
Cost distribution ledger classification if
claim paid under vehicle highway fund