233205 06/04/14 y u,C�gMF
a; CITY OF CARMEL, INDIANA VENDOR: 353562
® if ONE CIVIC SQUARE CINTAS CORP CHECK AMOUNT: $ .....'85.14"
CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 233205
CINCINNATI OH 45263-1025 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 5001313887 85.14 SAFETY SUPPLIES
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CUSTOMER COPY TERMS NET 10 CFAS-INV
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CUSTOMER COPY TERMS NET 10 CFAS'|NV i
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))
05/29/14 5001313887 Safety Supplies $85.14
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
Cintas Corporation
IN SUM OF $
P.O. Box 631025
Cincinnati, OH 45263-1025
$85.14
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 5001313887 I 42-390.12 I $85.14 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
Thursday, May 29, 2014
12� 64
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund