HomeMy WebLinkAbout226335 11/19/2013 "±y CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
0 ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $394.83
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187-2361 CHECK NUMBER: 226335
CHECK DATE: 11/1912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 600905738 394 . 83 OTHER MAINT SUPPLIES
HILLYARD Remit To: www hdl and com
HILL YARD/INDIANA .
Information
...
NOMMON P.O Box:872361 '
Customer Number 256298
THE CLEANING RESOURCE® Kansas City, MO 64 18 7-236 1
Invoice Number 600905738
Plant: 1350
Phone: 765 378 3766 Invoice Date 10/28/2013
Fax: 765378 6671 ?� 7�y� Purchase Order No. ISA-1 0/17/2013
J S Packing List Number 85832484
Ship CITY OF CARMEL �2.p
To ATTN: JEFF BARNES Sales Order Number 21292995
ONE CIVIC SQUARE Payment Terms Net due in 30 days
CARMEL IN 46032
HII 111111111 IN 11 Page 1 of 1
Bill CITY OF CARMEL 600905738
To ATTN: JEFF BARNES
ONE CIVIC SQUARE
CARMEL IN 46032 7ata..Amount Due 394 83
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
0010 HIL0039803 4 CS 59.36 237.44
SOAP AFFINITY FOAM CUC MELON 1250ML 4 CS
0020 HIL0019106 4 GAL 36.14 144.56
HIL-PHENE GAL
Subtotal 382.00
----------- ----
Shipping 12.83
Tax Amount 0.00
E ----------- -----
i� Gross Price 394.83
Invoice Number 600905738 Date 1012812013 Purchase Order: ISA-10/17/2013
Plant: 1350 Customer Number 256298 CITY OF CARMEL
HI L LYA R D HILL YARD/IND IANA
P. O. Box:872361 Invoice
Tff CLEANING RESOURCE' 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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$394.83
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 t 600905738 f 42-389.00 I $394.83 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
Monday, November 18, 2013
l�
Director, Administrat on
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))
10/28/13 600905738 $394.83
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