HomeMy WebLinkAbout228022 1 /14/2014 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $1,659.75
CARMEL, INDIANA 46032 P 0 BOX 872361
KANSAS CITY MO 64187-2361
CHECK NUMBER: 228022
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 600966492 1, 659 . 75 OTHER MAINT SUPPLIES
HILLYARDRemit To:
www. ; ar .com
HILL YARD/INDIANAo
an:ormation . ;, ; . .;
W��, P.O Box:872361
° ' Customer Number: 256298
THE CLEAMNG RESOURCE® Kansas City, MO 64187-2361
Invoice Number 600966492
Plant: 1350
Phone: 765 378 3766 Invoice Date 12/16/2013
Fax: 7653786671 Purchase Order No. MAYORS OFFICE
Packing List Number 85889729
Ship MAYORS OFFICE
To ATTN: JEFF BARNES Sales Order Number 21305523
ONE CIVIC SQUARE22 Payment Terms Net due in 30 days
CARMEL IN 46032 �15C[E� �D
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Bill CITY OF CARMEL 8`500v600966492
To ATTN: JEFF BARNES
ONE CIVIC SQUARE /'z gs ...
CARMEL IN 46032 Total:Amount'Due::; <: 1,.659.75::`.. '_
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 PAP38006 10 CS 46.63 466.30
TOWEL ROLL WHITE 6 630 CS
0020 PAP38110 10 CS 45.71 457.10
TISSUE PREM OPTICORE 2 PLY 36 800 CS
0030 PG53971 10 CS 54.41 544.10
TOWEL BOUNTY 30 RLS
0040 KIM41041 5 CS 35.45 177.25
WIPER WYPALL X 80 BLUE 160 SHEETS PER CS
----------------------------
Subtotal 1,644.75
-----------------------------
Shipping 15.00
Tax Amount 0.00
Gross Price 1,659.751
Submitted To
j.3
JAN V 2014
Clerk Treasurer
i
Invoice Number 600966492 Date 12/16/2013 Purchase Order: MAYORS OFFICE
Plant: 1350 Customer Number 256298 MAYORS OFFICE
HILLYARD HILL YARD/INDIANA Invoice
qp si P. O. Box:872367
Tff CLEANING RES un'- 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. -.-
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))
12/16/13 600966492 $1,659.75
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard / Indiana
IN SUM OF $
PO Box 872361
Kansas City, MO 64187-2361
$1,659.75
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 600966492 I 42-389.00 I $1,659.75 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, January 13, 2014
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund