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222986 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1 ONE CIVIC SQUARE HILLYARD/INDIANA CARMEL, INDIANA 46032 P 0 BOX 672361 CHECK AMOUNT: $1,227.48 KANSAS CITY MO 64187-2361 CHECK NUMBER: 222986 CHECK DATE: 8/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 600794891 1, 227 . 48 OTHER MAINT SUPPLIES HILLYARD Remit To: www hill and com HILL YARD/lND/ANA Information P.O Box:872361 Customer Number 256298 THE CLEANING RESOURCE® Kansas City, MO 64187-2361 3 Invoice Number 600794891 Plant: 1350 J Phone: 765 378 3766 Invoice Date 08/05/2013 Fax: 765 378 6671 Purchase Order No. ISA-08/02/2013 Packing List Number 85726572 Ship CITY OF CARMEL TO ATTN: JEFF BARNES Sales Order Number 21 275806 ONE CIVIC SQUARE Payment Terms Net due in 30 days CARMEL IN 46032 II IIII IIIIII II II ll IIIIIIIIIIfIIIIIIIIIIl1IIlIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1 Bill CITY OF CARMEL 600794891 To ATTN: JEFF BARNES ONE CIVIC SQUARE CARMEL IN 46032 Testa[AinountDue 1 227 48 PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT. 1nuc��ce Tae#a>iis -- ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT 0010 PAP38006 12 CS 46.63 559.56 TOWEL ROLL WHITE 6 630 CS 0020 PG53971 12 CS 54.41 652.92 TOWEL BOUNTY 30 RLS ---------------------------- Subtotal 1,212.48 ----------------------------- Shipping 15.00 Tax Amount 0.00 Gross Price 1,227.48 D Q � AUG 12 2013 By Invoice Number 600794891 Date 08/05/2013 Purchase Order: ISA-08/02/2013 Plant: 1350 Customer Number 256298 CITY OF CARMEL HILLYARD HILL YARD//ND/ANA Invoice P. O. Box:872361 e a©o MO 64 18 7-23 6 1 Kansas City, ® o❑m m , THANK YOU. TIIE CLEANING ESOURCE'R CUSTOMER COPY I THE SELLER REPRESENTS IT HAS FULLY COMPI IFN WITH THE PROVISIONS OF THE FAIR I AROR STANOARf1S ArT OF 1RAA AS AMFNnpn IN THE MAN[IFA(TI IF nF—n—rnV—n RV THIC I-1— VOUCHER NO. WARRANT NO. ALLOWED 20 Hillyard / Indiana IN SUM OF $ PO Box 872361 Kansas City, MO 64187-2361 $1,227.48 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 600794891 I 42-389.00 I $1,227.48 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 Monday, August 12, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor 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 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)) 08/05/13 600794891 $1,227.48 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 20 Clerk-Treasurer