HomeMy WebLinkAbout221543 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
`.` ONE CIVIC SQUARE HILLYARD/INDIANA
CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $359.33
KANSAS CITY MO 64187-2361 CHECK NUMBER: 221543
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 600707276 174 . 48 OTHER MAINT SUPPLIES
651 5023990 600731086 184 . 85 OTHER EXPENSES
HRemit To:
ILLYARD
����■,�a HILL YARD/ www.hill ard.com
■�■ti®i e
P.O Box:872361 Inf01171atlOn
The Cleaning Resource.
Kansas City, MO 64187-2361
Plant: 1350 Customer Number: 265562
Phone:765 378 3766 Invoice Number 600707276
Fax: 765 378 6671 C EIVED Invoice Date 05/29/2013
MAY 2 8 2013 Purchase Order No. MC004172
Ship THE MONON CENTER
TO ATTN: MATTHEW Packing List Number 85641543
1235 CENTRAL PARK DRIVE E p-P—• - Sales Order Number 21261328
CARMEL IN 46032
Payment Terms Net due in 30 days
Page 1 of 1
BIII CARMEL CLAY PARKS & RECREATION ADM
TO ATTN: DAWN KOEPPER
1411 EAST 116TH STREET
FT otal Amount Due 174.48:
CARMEL IN 46032-3455
----------------------------------------------------Please Detach and Return Upper Portion with Payment----—--------------------------------__---------------------
Invoice Details. :
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0018306 4 GAL 28.50 114.00
DEFOAMER II
0020 HIL0091406 2 GAL 22.74 45.48
HD EXTRACTION
Subtotal 159.48
Shipping 15.00
Tax Amount 0.00
Gross Price 174.48
---------------------------
Purchase �� LG
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P r F
G.L.# /093—�2�✓�900_
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Line bescr
Purchase rd Date 0
Approval Date
Plant: 1350 Invoice Number 600707276 Date 05/29/2013 Purchase Order: MC004172
H I L LYA R D Customer Number 265562 THE MONON CENTER
■
HILLYARD/INDIANA Invoice
■ P.O.Box:872361 CUSTOMER COPY
The Cleaning Resource- Kansas City, MO 64187-2361
Ar 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.
Terms
359478 Hillyard
P.O. Box 872361
Kansas City, MO 64187-2361
Invoice Invoice Description Amount
Date Number
or note attached invoice(s) or bill(s)) PO #
5/29/13 600707276 Carpet cleaning supplies
$ 174.48
Total $ 174.48
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 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$
$ 174.48
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1093 600707276 4238900 $ 174.48 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
20-Jun 2013
$ 174.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
—
HILLYARD Remit To:
HILL YARD/INDIANA
P.o Box:o723o/ Customer l4umber: 272994
THECLEAMIGRESOURCE6 Kansas City, MO *4187'2361 Invoice Number 600731086
Plant: ,3nn
pxuno: 765 378 3766 Invoice Date 06/17/2013
noc 76537e6671 Purchase Order No. BLAINE MALLABER
Packing List Number 85664861
Ship CAR[NELVV.VV.T.P. VVASTEVVATERUT|L|T
To 8O0S HAZEL DELL PARKWAY Sales Order Number 39125675
INDIANAPOLIS IN 40280 Payment Terms Net due in 30 days
11111111111111111111111111111 IN Page 1 of 1
Bill CARMELUT|L|T|ES 600731086
To L|SAKEMPA
70O THIRD AVENUE SVV SUITE 110
I.Arnount Lie:
CARK8EL (N 46032
�
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. �
XX
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
TISSUE OPTICORE GSC 2 PLY 36 865 CS
002o LR4348150K 2 CS 40.91 81.82
Subtotal 177.60
Shipping 7.25
Tax Amount 0.00
Gross Price 184.85
Invoice Number 600731086 Date 06/17/2013 Purchase Order:BLAINE MALLABER
Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEVIATER-LITICIT
N#9N§§N9 Kansas City, MO 64187-2361
Tff CLEANNc REsoURCE* CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS"HAS FULLY COMPLIED WITH THE PROVISIONS vpTHE FAIR LABOR STANDARDS ACT o,.o38,AS AMENDED,."THE MANUFACTURE or GOODS COVERED a,THIS INVOICE. �
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I
I 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 Yr. Signature Title
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.
Mo. Day Yr. fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA
` 1 Favor Of
Po Box 81931ol
I�IdAJsns Cj , ,N10 64 81-x361
Total Amount of Voucher $
Deduct' s
Amount of Warrant $
Month of Yr
VOUCHER RECORD Acc
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325