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232191 05/07/14 (9) CITY OF CARMEL, INDIANA VENDOR: 00352917 ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECKAMOUNT: $**""***"39.20* CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 232191 KALAMAZOO MI 49001 CHECK DATE: 05/07/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350600 0502146605 39.20 CLEANING SERVICES LINEN INVOICE'A DOMESTIC UNIFORM RENTAL INV#k 0502146605 - YOUR LOCAL ]DOMESTIC LINEN- KAL.AMA 7.00800-430-0872 - TTAEAL#OFFICE 3401 COVINGTON ROAR} 269-388-2900 KALAMAZOO MI 49001 NEVER] i 5CARMEL CLAY COMMUNIC O # 31 FIRST AVE Ned 9 5 �■ : CARMEL IN OS 02 14 Wo �< DAYOF 2 MO. DA. YR. F 2 C.O.D. WEEK RENTAL SERVICE ITEMS BILLING UNIT AMOUNT QUANT. PRICE LOS PAYMENT" DUE BY 6/C2/IA ORANGE COU CA ORANGE COUNTY,CA RIVERSIDE,CA SAN DIEGO,CA VENTURA CA to CHICAGO,IL 3 RED VY MAT 12252- ADDISON, IL GURNEE,IL FT.WAYNE,IN 5 RED VNI.f MAT`--`-,ti cp 5 9C INDIANAPOLIS,IN SOUTH BEND,IN yr BALTIMORE,MD 4 a HAGERSTOWN,MD 10 RED VY,44MATr [ a 1 c 2 DETROIT,MI ' FLINT,MI 5-'SCRAPER 'HAT -__ 1 80- 8 GRAND RAPIDS,MI x I JACKSON,MI €`� , I MKALAMAZOO MI r 4 ENVIRt7{�{�{IEPdTfi:L �� � LANSING,� .;.,? iQ0 SAGINAW,MI TROY,MI LIVONIA,MI NEWARK/NEW YORK n T IRL-D =FE ET o' RALEIGH,NC ASK TO TRY A C OMFOP T MPIC NCINNATOIHOH CLEVELAND,OH COLUMBUS,OH DAYTON,OH TOLEDO,OH YOUNGSTOWN,OH ' HARRISBURG,PA PHILADELPHIA,PA PITTSBURGH,PA VIRGINIA BEACH,VA RICHMOND,VA MILWAUKEE,WI int/ THIS DELIVERY IS MADE UNDER EXISTING RENTAL AGREEMENT RT STOP ACCOUNT PAY THIS I PLEASE PAY FROM NO. NO. NO. THIS INVOICE.NO AMOUNT $ OTHER WILL BE ISSUED. 308 261 8466 3920 N ADJUSTMENT $ NET $ RECD BY 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Domestic Linen IN SUM OF$ 3401 Covington Road Kalamazoo, MI 49001 $39.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 I 0502146605 43-506.00 $39.20 I hereby certify that the attached invoice(s), or I 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 Friday, May 02, 2014 Director 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)) 05/02/14 0502146605 $39.20 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