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222023 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $576.74 CARMEL, INDIANA 46032 P 0 BOX 872361 KANSAS CITY MO 64187-2361 CHECK NUMBER: 222023 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 600740280 197 . 27 OTHER EXPENSES 651 5023990 600748960 379 .47 OTHER EXPENSES HILLYRemit To: ARD HILL YARD/INDIANA pm Box. ar236/ Customer u**mber: 272994 Tff CLEANNG RBOURCEO Kansas City, xvo 64187-2361 Invoice Number 600740280 Plant: /zao e0000: 765 378 3766 Invoice Date 0612412013 Fax: 7653786671 Purchase Order No. BLAINE MALLABER Packing List Number 85673658 Ship CARMELVV.VV.T.P. WASTEWATER UT|L|T To 96OQ HAZEL DELL PARKWAY Sales Order Number 39125675 INDIANAPOLIS IN 48280 Payment Terms Net due in 30 days 11111 E��11111 1E1 111111111111111111111 1E 111 Page 1 of 1 Bill CARK4ELUT|L|T|ES 600740280 To L|SAKEW1PA 7GO THIRD AVENUE SVV SUITE 110 Amount Due 197.27 CARMEL |N 40032 PLEASE.DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH!YOUR PAYMENT.IT WILL INSURE PROPERCREDITING TO YOUR ACCOUNT. ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT GREEN SELECT FOAM HAND SOAP 1250ML Subtotal 189.52 Shipping 7.75 Tax Amount 0.00 Gross Price 197.27 Invoice Number 600740280 Date 06/24/2013 Purchase Order:BLAINE MALLABER Plant: 1350 CustomerNumber 272994 CARMEL W.W.T.P.-WASTEWATER LITILIT HILLYAR HILL YARD/mDmxm Invoice pu Box:uzzoo/ xvnovx��» xvm ��rnr'��, ��m�m0so�c ^ CUSTOMER COPY THANK YOU! THE SELLER REPRESENTS.,HAS FULLY COMPLIED WITH THE PROVISIONS",THE FAIR LABOR STANDARDS ACT n,."�.=AMENDED..°THE°°""FA" ,",","""""==="",THIS INVOICE www.hillyard.com com Remit To: »:;:;..I L LYA R D HILL YARD/INDIANA �rn�Qrmatlon P.O Box:872361 .. ::::;:::.......:.:>::.. Customer Number: 272994 THE CLEANNG RESOURCE® Kansas City, MO 64187-2361 Invoice Number 600748960 Plant: 1350 Phone: 765 378 3766 Invoice Date 06/28/2013 Fax: 765378 6671 Purchase Order No. VERBAL Packing List Number 85682278 Ship CARMEL W.W.T.P. - WASTEWATER UTILIT TO 9609 HAZEL DELL PARKWAY Sales Order Number 39131633 INDIANAPOLIS IN 46280 Payment Terms Net due in 30 days I IIIIIIIIIIIIIIIIIIIIIII11111IIIIIII IIIIIIIIIIIII Page 1 of 1 Bill CARMEL UTILITIES 600748960 To LISA KEMPA 760 THIRD AVENUE SW - SUITE 110 Tatal Am**ount D.ue:: : 3:79 #7;:; '.. »:::::: ;: CARMEL IN 46032 -------------- - -------- PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. ..... . .... ... . ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT oolo HIL0107554 12 EA 4.75 57.00 AEROSOL CINNAMON METERED 7 OZ 0020 PG53971 4 CS 54.41 217.64 TOWEL BOUNTY 30 RLS 003o GOJ965212 2 CS 46.45 92.90 SANITIZER PURELL IHS 8 OZ PUMP BTL 12 CS ---------------------------- Subtotal 367.54 Shipping 11.93 Tax Amount 0.00 Gross Price 379.47 ---------------------------- Invoice Number 600748960 Date 06/28/2013 Purchase Order:VERBAL Plant: 1350 Customer Number 272994 CARMEL W.W.T.P. -WASTEWATER LITILIT HILLYARD PI LYSARDI ZDIANA Invoice 0.TI-I GUNINGRESOURCE• 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 191A AS AMFNDFD IN THP MAN[IFADTI IRF OF rnnnq COVFRFn BY THIS WVnIDF VOUCHER # 135986 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 600748960 01-7202-05 $379.47 Goo?y-0a$a oi-7,3oa-©s jq-7,a7 s-76,-- Voucher Total Cost distribution ledger classification if claim paid under 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 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 7/10/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/10/2013 600748960 $379.47 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 Date Officer