222433 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
0 ONE CIVIC SQUARE HILLYARD/INDIANA
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CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $97.83
KANSAS CITY MO 64187-2361
CHECK NUMBER: 222433
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 600756121 97 . 83 OTHER EXPENSES
HILLYARD Remit To:
HILL YARD/INDIANA
pm Box:8 7236
THE CnAanNCRr0UKC8° Kansas City, »«m 64187'2361 Invoice Number 600756121
Plant: /3eo
Phone: rns3rx3rn6 Invoice Date 07/08/2013
Fax: 7653786671 Purchase Order No. VERBAL
Packing List Number 85689371
Ship CAR[NELVV.VV.T.P. WASTEWATER UT|L|T
To 9000 HAZEL DELL PARKWAY Sales Order Number 39131633
INDIANAPOLIS IN 40280 Payment Terms Net due in 30 days
111111111111 1EI 1111111111111111111111111111111111 IN Page 1 of 1
Bill CARK4ELUT|L|T|ES 600756121
To L|SAKEMPA
78O THIRD AVENUE SVV SUITE 110
CARMEL \N 46032
|
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 94.76
Shipping 3.07
Tax Amount 0.00
Gross Price 97.83
Invoice Number 600756121 Date 07/08/2013 Purchase Order:VERBAL
Plant: 1350 CustomerNumber 272994 CARMEL W.W.T.P.-WASTEWATER UTILIT
HILLYAR|
HILL YARD/mouAwm Invoice
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eu Box:nr2as/
m�oao�}� «v� n�/ar���/ CUSTOMER T88CuA&mSO�0ux�^ THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS m'THE FAIR LABOR STANDARDS ACT o,,mo,^u AMENDED..N THE MANUFACTURE o,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 7/24/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2013 600756121 $97.83
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
2
Date Officer
VOUCHER # 136051 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
600756121 01-7202-05 $97.83
I
Voucher Total $97.83
Cost distribution ledger classification if
claim paid under vehicle highway fund