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220439 05/22/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $846.55 CARMEL, INDIANA 46032 P 0 BOX 872361 KANSAS CITY MO 64187-2361 CHECK NUMBER: 220439 CHECK DATE: 5/22/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 600669197 334 . 70 OTHER MAINT SUPPLIES 651 5023990 600669201 511 . 85 OTHER EXPENSES Remit To: www.hfflVard.com rh IL L YARD HILL YARD IINDIANA P O Box:872361 `.:.< .. . o v � o o ® Customer Number: 272994 THE CLEANINGREsOURCEO Kansas City, MO 64187-2361 Invoice Number 600669201 Plant: 1350 Phone: 765 378 3766 Invoice Date 04/29/2013 Fax: 765 378 6671 Purchase Order No. ANTHONY HARVEY Packing List Number 85605518 Ship CARMEL W.W.T.P. - WASTEWATER UTILIT To 9609 HAZEL DELL PARKWAY Sales Order Number 39098382 INDIANAPOLIS IN 46280 Payment Terms Net due in 30 days 111111111111111111111111111 IN Page 1 of 1 Bill CARMEL UTILITIES 600669201 To LISA KEMPA 7 60 THIRD AVENUE W 11 SUITE 0 CARMEL IN 46032 Tate[Am©ut1t.>Que . ..:,.51,...:::... ........... PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. . .`::.::;.. .... .:....;>::; :;"::>:;:::i'i 'ii< z: ;i,i; >:>.., ::>::>::<::i :s: >:':'< ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT ooto LR4348150K 3 CS 40.91 122.73 LINER 56GAL 43X48 1.5MIL BLK 100/CS PAYL 0020 PAP10110 4 CS 48.86 195.44 TOWEL ROLL GSC NAT WHT CONTROL 6 800 CS 0030 PAP38110 1 CS 48.00 48.00 TISSUE PREM OPTICORE 2 PLY 36 800 CS 0040 HIL0103954 24 EA 2.87 68.88 GERMICIDAL FOAMING CLEANER 20 OZ oo5o HIL0010204 12 QT 2.57 30.84 GERMICIDAL BOWL CLEANER QTS 0060 HIL0014406 4 GAL 7.74 30.96 TOP CLEAN ---------------------------- Subtotal 496.85 Shipping 15.00 Tax Amount 0.00 ---------------------------- Gross Price 511.85 Invoice Number 600669201 Date 04/29/2013 Purchase Order:ANTHONY HARVEY Plant: 1350 Customer Number 272994 CARMEL W.W.T.P.-WASTEWATER UTILIT HILLYARD HILL YARD/INDIANA Invoice o�o�K%9`F P. O. Box:872361 dd�a�`''ooC``LtL``EANINNGREEsOLJRC'EE* 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 5/9/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/9/2013 600669201 $511.85 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 Date Officer VOUCHER # 135532 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 600669201 01-7202-05 $511.85 Voucher Total $511.85 Cost distribution ledger classification if claim paid under vehicle highway fund www.hfflyard.com Re mi t To: :>HILLYARD H/LLYARD/INDIANA > : P.O Box:872361 Customer Number::.> 256298::<::::... THE CLEANNNG RESOURCE° Kansas City, MO 64187-2361 Invoice Number 600669197 Plant: 1350 $ / Phone: 765 378 3766 Invoice Date 04/29/2013 Fax: 7653786671 I��S Purchase Order No. MAYOR'S OFFICE Packing List Number 85605275 Ship CITY OF CARMEL- MAYOR'S OFFICE To ATTN: JEFF BARNES Sales Order Number 39090273 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 1111111 Ell 11111111111111111111111111111111111 IN IN Page 1 of 1 Bill CITY OF CARMEL 600669197 To ATTN: JEFF BARNES ONE CIVIC SQUARE .:::. `'unt'Iaue' > :;:334 70::: CARMEL IN 46032 Total Aims..._ : PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. rioATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT AD385820B 10 CS 31.97 319.70 LINER 38X58 LLPE ROLL 1.6ML 100/CS ---------------------------- Subtotal 319.70 ----------------------------- Shipping 15.00 Tax Amount 0.00 Gross Price 334.70 ---------- --------------- D MAY 2 0 2013 By Invoice Number 600669197 Date 04/29/2013 Purchase Order:MAYOR'S OFFICE Plant: 1350 Customer Number 256298 CITY OF CARMEL-MAYOR'S OFFICE HILLYARD HILL YARD/INDIANA Invoice KNP P. O. Box:872361 THE 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 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)) 04/29/13 600669197 $334.70 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Hillyard / Indiana IN SUM OF $ PO Box 872361 Kansas City, MO 64187-2361 $334.70 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 600669197 42-389.00 $334.70 I hereby certify that the attached invoice(s), or I I 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, May 20, 2013 1 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund