HomeMy WebLinkAbout238347 10/21/14 ,_CAq .
y M�. CITY OF CARMEL, INDIANA VENDOR: 197000
® i'r ONE CIVIC SQUARE CINTAS CORPORATION #018 CHECK AMOUNT: $**...**996.18*
CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 238347
A,,.,oN,�.? CINCINNATI OH 45263-0803 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356001 018681609 15.96 UNIFORMS
1207 4356001 018684462 15.96 UNIFORMS
1207 4356001 018684463 78.84 UNIFORMS
1110 4356501 018684476 93.88 LAUNDRY SERVICE
1207 4356001 018687303 15.96 UNIFORMS
1110 4356501 018687314 93.88 LAUNDRY SERVICE
2201 4356001 018687315 681.70 UNIFORMS
ciNrAs® ORIGINAL INVOICE
REMIT TO: CINTAS CORPORATION #018
LOCATION 18
SHIPTO: CITY OF CARMEL P 0 BOX 630803
3400_ W 131ST ST CINCINNATI, OH 45263-0803
STREET DEFT 888-924-6827 INVOICE NO.
CARMEL, IN 46074-8267 G E2M2 018687315
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02650 13139 14 W102000 R 10/14/14
BILL TO: CARMEL STREET DEFT
ATTN. BONNIE CALLAHAN LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
3400 W 131ST STREET 018 51 2 02650 DUE 11/10/14
WESTFIELD, IN 46074 EVEN BILLING
CONTACT: AMY LUNN TAX CODE
317-733-2001 TAX EXEMPT PAGE 1
LINE SOIL MIN CBB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CHG. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X
1 SM SHOP TWL-RED OF R 2160 20 2 . 565 11. 30 N
SM SHOP TWL-RED OF 2160 140 14 . 230 32. 20 N
3X5 SCRAPER MAT OF 2477 3 5. 500 16. 50 N
3X10 BLACK MAT E2 OF 84035 8 E 13. 297 106. 38 N
4X6 BLACK MAT E2 OF ' 84435 4 11. 760 47. 04 N
CARHARTT CARPENTER OF 1 382 11PT: . 612 6. 73 N
COMFORT SHIRT OF 1 93S IISH. 518 5. 70 N
SHAUN PRIVETT 1 SUBTOTAL 12. 43
MAKEUP CHARGE U 2 X 125 2 i. 157 2.31 N
CARHARTT 5 PKT OF 2 381 11PT. 570 6.27 N
DAVE LOVEALL 2 SUBTOTAL 8.58
._ CARHARTT 5 PKT OF 3 381 11PT: 570 6. 27 N
TERRY KILLZN 3 SUBTOTAL 6.27
11 DAMAGED GARMENTS U 4 R 394 1 24. 200 24. 20 N
12 _ NEW CINTAS JEAN OF 4 394 11PT; 572 6. 29 N
13 COMFORT SHIRT OF 4 935 11SH; 518 5. 70 N
__ ....._.._ JEFF HICKS 4 SUBTOTAL 36. 19 ..
1 CARHARTT CARPENTER OF 5 382 11PT: . 613 6. 74 N
RICK ALDEN 5 SUBTOTAL 6. 74
is CARHARTT CARPENTER OF 6 382 11PT: . 612 6. 73 N
16 COMFORT SHIRT OF 6 935 11SH; .518 5. 70 N
SAM MOFFITT 6 SUBTOTAL 12. 43
_1 CARHARTT CARPENTER OF 7 382 11PT: . 613 6. 74 N
1 COMFORT SHIR-SZ PREM OF 7 935 11SH; . 668 7. 35 N
JAMES RUNDEL 7 SUBTOTAL 14. 09
1_ MAKEUP CHARGE U 8 X 125 1 1. 157 1. 16 N
CARHARTT CARPENTER OF 8 382 11PT; 613 6.74 N
21 COMFORT SHIRT OF 8 935 11SH; . 518 5. 70 N
BRAD SCHERICK 8 SUBTOTAL 13. 60
22 MAKEUP CHARGE U 9 X 125 1 1. 157 1. 16 N
22 CARHARTT CARPENTER OF 9 382 11PT: . 612 6.73 N
JIM HOBBS 9 SUBTOTAL 7. 89
2' CARHARTT CARPENTER OF 10 382 11PT: .613 6. 74 N
CHRIS STUBBS i0 SUBTOTAL. 6. 74
2 _ CARHARTT CARPENTER OF 11 382 11PT: . 613 6.74 N
DARRELL BELL 11 SUBTOTAL 6. 74
2 MAKEUP CHARGE U 12 X 125 1 1. 157 1. 16 N
2 CARHARTT 5 PKT OF 12 381 11PT; . 570 6. 27 N
RON WILLIAMS 12 SUBTOTAL 7.43
2 CARHARTT CARPENTER OF 13 382 11PT; .613 6.74 N
ERIC RUSSELL 13 SUBTOTAL _ 6.74
2 CARHARTT CARPENTER OF 14 38211PT; . 61�2 6. 73 N
TIM BROWNING 14 SUBTOTAL 6.73
3 _ _ MAKEUP CHARGE U 15 X 125 2 i. 157 2. 31 N
31 MAKEUP CHARGE U 15 X 125 2 1. 157 2. 31 N
32 MAKEUP CHARGE U i5 X 125 2 i. 157 2.31 N
.3 . . -CARHARTT CARHARTT JACKET BRUN OF As 376 2 2. 000 4.00 N
3 CARHARTT CARPENTER OF 15 382 11PT; . 613 6. 74 N
3E COMFORT SHIRT OF 15 935 i1SH: 510 5. 61 N
ANDREW DOCKERY 15 SUBTOTAL. 23. 28
3 CARHARTT CARPENTER OF 16 382 11PT; 612 6. 73 N
TRAVIS TABAK 16 SUBTOTAL 6. 73
3 CARHARTT CARPENTER OF 17 382 11PT: .613 6. 74 N
3E COVERALL SYNTH OF 17 912 3CV; . 652 1. 96 N
35 COMFORT SHIRT OF 17 935 11SH; . 518 5. 70 N
GARY JONES 17 SUBTOTAL 14. 40
40 CARHARTT 5 PKT OF 18 381 11PT: 570 6. 27 N
BOYD PIERCY 18 SUBTOTAL 6. 27
41 CARHARTT 5 PKT OF 19 381 11PT ; . . 73S 8. 09 N
JAMES BENTLEY 19 SUBTOTAL 8.09
REVIEWED BY SIGNATURE FINAL
INVOICE # 018687315 TOTAL ##
ABBREVIATION BUY BACKSODEELB) Pj
PACKING CODEK
L -jP-
qgq� 2, F�I(L-F-LIPTION B Buy Back B Package in Bundle
BIB Buy Back Both Combo Items H Package on Hangor
SH—SHIRT B1 Buy Back I st Combo Item 2 String Tie
PT,--PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV COVERALL b No Buy Back 6 Wrap in Brown Paper
JS jumpSurr
SC SHOP COAT
LC.---LAB COAT
DR—DRESS CHANGE OVER (CO' PRICE EXTENSION (PR EX)
SM.—SMOCK 0 No Change Over U Unit Priced
JK--JACKET 11 Siandard Change Over F Flat Rated
LF --LAPEL COAT 2 Philadelphia Only
BZ BLAZER
,A SHOP APRON
VT vE,,;,r
LN UNER
SK L;KIRT DELIVERY FREQUENCY{DEL FR) SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD(EX IVIED
0 Delayed Exchange USAGE
E Even Exchange
F Fixed Quantity Exchange C Clean
b
Unit Exchange D Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Special Charge
0 Rental Item
q
ciNTAs. ORIGINAL INVOICE
� nsMITro. CINTAS CORPORATION #018
� LOCATION 18
� «mpro' CITY OF CARMEL P O BOX 630803
� 3400 W 131ST ST CINCINNATI, OH 45263-0803
�
� STREET DEPT 888-924-6827 INVOICE NO.
� CARMEL, IN 46074-8267 G E2M2 01868731S
�
CONTRACT NO. ACCOUNT NO. STOP o,uDELIVERY CODE SOIL,monr INVOICE DATE
026SO 13139 14 W102000 R 10/14/14
B/uro. CARMEL STREET DEPT
ATTN. BONNIE CALLAHAN LOC °oo`' um cu,rwu. o,mnm^,o` CUSTOMER p».NO. TERMS
3400 W 131ST STREET 018 S1 2 026SO DUE 11/10/14
WESTFIELD, IN 46074 EVEN BILLING
CONTACT: AMY LUNN TAX CODE
317-733-2001 TAX EXEMPT "=" 2
S6 CARHARTT CARPENTER UF 28 382 11PT: .612 6. 73 N
LINE SOIL MIN 1313 ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CUT CHG. Cl EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT
42 NEW CINTAS JEAN UF 20 394 IIPT; S72 6. 29
43 COMFORT SHIRT UF 20 93S IISH: SIB S. 70 N
STEVE ZELLER 20 SUBTOTAL 11. 99
44 CARHARTT CAR-SZ PREM UF 21 382 IIPT: .763 8. 39 N
BRAD HENDERSON 21 SUBTOTAL 8. 39
4r DURA PRESS COTTON SH UF 22 330 11SH: . 442 4. 86 N-
4 COVERALL SYNTH UF 22 912 SCV: . 6S2 3. 26 N
4 COMFORT SHIRT UF 22 93S 1SH: . 518 IS2 N
MIKE HENRICKS 22 1 SUBTOTAL 14 91
41 CARHARTT CARPENTER UF 23 382 IIPT : . 612 6'.73 N
ADAM TOWNS 23 SUBTOTA� 6.73 -
to CARHARTT CARPENTER UF 24 382 11PT : . 612 6. 73 N
NATHON STAPLETO 24 SUBTOTAL 6. 73
SI CARHARTT CARPENTER UF 2S 382 11PT : . 613 6. 74 N
52 COMFORT SHIRT UF 2S 93S 11SH : SIB S. 70 N
BILL HIGGINBOTH 25
SUBTOTAL 12. 44
S3 CARHARTT CARPENTER UF 26 382 IIPT : . 612 6. 73 N
54 COMFORT SHIRT UF 26 93S 11SH : Clio S. 70 N
LEE HIGGINBOTHA 26 SUBTOTA� 12. 43
-SS CARHARTT CARPENTER UF 27 382 11PT: . 612 6. 73 N
JASON WALDEN 27 SUBTOTAL 6. 73
� MARK OTTINGER 28 SUBTOTAL 6. 73 �
S7 COMFORT SHIRT UF 29 93S 11SH: SIB S. 70 N
RALPH BURKE 29 1 SUBTOTAL S. 70
SE CARHARTT CARPENTER UF 30 382 11PT : . 612 6.73 N
KEVIN SMITH 30 SUBTOTAL 6.73
S9 CARHARTT CARPENTER UF 31 382 11PT : . 613 6. 74 N
60 -COMFORT SHIRT UF 31 93S 22SH . . 260 S. 72 N
61 CARHARTT CARPENTER UF 32 382 11PT : . 612 6. 73 N
RANDY JOHNSON 32 SUBTOTAL 6. 73
62 CARHARTT CARPENTER UF 33 382 11PT : . 613 6. 74 N
63 COMFORT SHIRT UF . 33 935 11SH : SIB 5. 70 N
FRED MARTZ 33 SUBTOTAL 12. 44
6 CARHARTT CARPENTER UF 34 382 11PT : . 612 6. 73 N
ED MUIR 34 SUBTOTAL 6. 73
-6c CARHARTT CARPENTER UF 3S 382 11PT : . 612 N
6 COMFORT SHIRT UF 3S 935
SIB |
( 5. 70 N
6 CARHARTT CARPENTER UF 36 382 iIPT : . 613 6.74 -M |
| MIKE KALOGEROS 35 SUBTOTAL 12' 43
68 COMFORT SHIRT UF 36 93S 11SH : SIB S. 70 N
TIM COFFEY 36 SUBTOTAL 12. 44
69 CARHARTT CARPENTER UF 37 382 IIPT : . 613 6. 74 N
70 COMFORT SHIRT UF 37 935 11SH . SIB S. 70 N
MARK CARTER 37 SUBTOTAL 1244
71
CAMERON MASON 38 SUBTOTAL 8. 09
72 CARHARTT CARPENTER UF 39 382 11PT : . 612 6. 73 N
ARHARTT CARPENTER UF 40 382 IIPT :. . 612 6.73 N
74 COMFORT SHIRT UF 40 93S 11SH : SIB S. 70 N
WILL DAVIS 40 SUBTOTA� 12. 43
75 CARHARTT CARPENTER UF 42 382 11PT : . 612 6. 73 N
JOSH DAVIS Q SUBTOTAL 6. 73
76 CARHARTT CARPENTER UF 43 382 11PT . . 613 6.-74 N
17 COMFORT SHIR-SZ PREM UF 43 935 11SH : . 668 7AS N
NATHAN MORRIS 43 SUBTOTAL 14. 09
7 CARHARTT CARPENTER UF 44 382 11PT :l . 613 6.74 N
7 COMFORT SHIR-SZ PREM UF 44 93S 11SH : .668 7. 3S N
REVIEWED By SIGNATURE INVOICE # 01868731S FINAL
I TOTAL
/
�
�
�
�
ABBREVIATION BUY BACK CODE(BB) PACKING CODES(PSK
B Buy Back B Package in Bundle
CODE DESCRIPTION BB Buy Back Both Combo Items H Package on Hanger
SH SHIRT Bi Buy Back 1st Combo Item 2 String Tie
PT_PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV COVERALL b No Buy Back 6 Wrap in Brown Paper
JS JUMPSUIT
SC SHOP COAT
LC—_LAB COAT
DR DRESS CHANGE OVEIqACO� PRICE EXTENSION PR EX
SM--SMOCK 0 No ChanOver
9e U Unit Priced
JK JACKET I Standara Chane Over
9 F Flat Rated
LP__t.APEL COAT 2 Philadelphia Only
B7 BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY(DEL_ FIR) SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD(EX ME)
D Delayed Exchange USAGE
E Even Exchange
F Fixed Quantity Exchange C Clean
b Unit Exchange
D Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Special Charge
0 Rental Item
I
ciNrAS® ORIGINAL INVOICE
REMIT TO: CINTAS CORPORATION #018
18
SHIP TO:
CITY OF CARMEL PO0 BOXN630803
3400 W 131ST ST CINCINNATI, OH 45263-0803
STREET DEPT 888-924-6827 INVOICE NO.
CARMEL, IN 46074-8267 G E21`12 018687315
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE
02650 13139 14 W102000 R 10/14/14
BILLTO: CARMEL STREET DEPT
ATTN. BONNIE CALLAHAN LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
3400 W 131ST STREET 018 S1 2 02650 DUE 11/10/14
WESTFIELD, IN 46074 EVEN BILLING
CONTACT: AMY LUNN TAX CODE
317-733-2001 TAX EXEMPT PAGE 3
LINE SOILIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. G. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X
SCOTT TOWNSEND 44 1 SUBTOTA 14. 09
80 NEW CINTAS JEAN OF 4S 394 11PT: 572 6. 29 N
PARKS PIFER 4S SUBTOTAL 6. 29
81 SERVICE CHARGE F 1 X 106 13. 280 13. 28 N
INVOICE;TOTAL 681. 70
***NEW CUSTOMER SERVICE HOTL N NUMBER 888-924-6827 OR 888-9CINTA ##
ACCTS A-M CALL BETSE H NRY 037-237'-3760 HENRYB@ INTAS. COM
ACCTS. N-Z CALL GRETCHE4 STU G LL AT 937-630-3504 S URGILLG@CINTA . COM
WE GLADLY ACCEPT MAS ER ARD, VISA, DISCOVER 4 AMERI AN EXPR> SS
TO SERVICE OUR CUSTOIER BET E ', CIN AS CORP,LOC 01
****ACCOUNTS RECEIVA LE HAS A IlDW REMIT TO ADDRESS
***#ANY CHECK PAYMEN S 1ADE MUST IDENTIFY WHICH INV ICES AND/OR AMOUNTS
TO BE PAID. WE SUGGEST NY PAYMENTS E APPLIED TO TAE OLDESAMOUNT DUE
ON YOUR ACCOUNT. PLEASE CONTAC YOUR SERVICE;SALES REPRESENTATIVE UPON
DELIVERY OR YOUR CUS OM R SERV CE RE 'RESENTATIVE WI H ANY QUESTIONS. ****
REVIEWED BY SIGNATURE FINAL O
TOTAL
ABBREVIATION BUY BACK CODE{BBQ PACKING CODES(PK)
B Buy Back B Package in Bundle
CODE DESCRIPTION EIB Buy Back Both Combo Items H Package on Hanger
SH-SHIRT B1 Buy Back I st Combo Item 2 String Tic
PT-PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV COVERALL h No Buy Back 6 Wrap in Brown Paper
JS JUMPSUIT
SC SHOP COAT
LC LAB COAT
DR (DRESS CHANGE OVER (CO PRICE EXTENSIONJF�REX.
SM SMOCK 0 No Change Over U Unit Priced
JK 1 Standard Change Over F Flat Hated
LP LAPEL COAL 2 Philadelphia Only
BZ BLAZER
SA,--SHOP APRON
VT VEST
LN LINER
SK SF IRT DELIVERY FREQUENCY(DEL FIR) SERVICE TYPE
Na Weekly G Garment
E Every Othei Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD(EX ME)
D Delayed Exchange USAGE
E Even Exchange
F Fixed Quantity Exchange C Clean
b Unit Exchange 0 Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Special Charge
G Rental Item
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))
10/14/14 018687315 $681.70
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cintas Corporation #18
Location 18
IN SUM OF $
P. O. Box 630803
Cincinnati, OH 45263-0803
$681.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 018687315 I 43-560.01 I $681.70 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
uaoThu s 14.d,
StFIBE r
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
•
cmrk, ORIGINAL INVOICE
REMITTO: CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P 0 BOX 630803
3400 W 131ST ST CINCINNATI, OH 4263-0803
CARMEL POLICE 888-924-6827 INVOICE NO.
CARMEL, IN 46074-8267 G E2M2 018687314
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE
06824 21141 13 W102000 R 10/14/14
BILLTO: CARMEL POLICE DEPT. 3
3 CIVIC SQUARE LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARMEL, IN 46032 018 S1 2 06824 DUE 11/10/14
CONTACT: JASON OGLETAX CODE EVEN BILLING II
317-571-2500 TAX EXEMPT PAGE 1
LINE SOIL MINC BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNN CHG. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT I X
UNIFORM ADVANTAGE OF R 2 72 7 . 060 4. 321 N
5M SHOP TWL-RED OF R 2160 8 s . 539 4. 31 N
5M SHOP TWL-RED OF 2160 50 5 .230 11. 50 N
- 3X5 SCRAPER MAT OF 2477 1 1 5. 239 S. 24 N
3X10 BLACK MAT OF 84035 1 i 9.775 9. 78 N
RENTAL CARGO PANT OF 1 270 11PT: . 607 6. 68 N
IMAGE JACKET OF 1 366 2JK: 1.630 3. 26 N
COMFORT SHIRT OF 1 935 11SH: . 193 S.42 N
JASON OGLE 1 SUBTOTAL 15.36
RENTAL CARGO PANT OF 2 270 11PT: . 607 6.68 N
IMAGE JACKET OF 2 366 2JK; 1. 630 3.26 N
1f COMFORT SHIRT OF 2 935 11SH; . 493 5. 42 N
ED ALVAREZ 2 SUBTOTAL 15. 36
12 RENTAL CARGO PANT OF 3 270 11PT: .607 6. 68 N
1 IMAGE JACKET OF 3 366 2JK; 1. 630 3.26 N
1 COMFORT SHIRT OF 3 935 11SH: . 493 5.42 N
CHUCK WHITAKER 3 SUBTOTAL 15.36
1 SERVICE CHARGE F 1 X 106 12. 650 12. 65 N
INVOICE; TOTAL 93.88
1 FENDER COVER UD 1 R 2191 . 100 N
***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-924-6827 OR 888-9CINTA ##*
ACCTS A-M CALL BETSE H NRY @ 937-237-3760 HENRYB@ -INTAS. 0 M
—ACCTS. N-Z CALL GREs HE STU 'G LL AT 937-63013504 S URGILLGRCINTA . COM
WE GLADLY ACCEPT MA5 ER ARD, VSA, DISCOVER--& AMERI AN EXPRESS
TO SERVICE OUR CUSTO ER BET E ', CIN AS CORP:LOC 01
****ACCOUNTS RECEIVA LE HAS A IIDW REMIT TO AODRESS # #
****ANY CHECK PAYMEN 5 1ADE MUIST IDENTIFY WHICH INV ICES AND/OR AMOUNTS
TO BE PAID. WE SUGGE T NY PAYMENTS E APPLIED TOTE OLDEST AMOUNT DUE
ON YOUR ACCOUNT. PLE SE CONTAC" YOUR SERVICE:SALES REPRESENTATIVE UPON
DELIVERY OR YOUR CUS OMR SERV CE REPRESENTATIVE WI H ANY Q0ESTIO . ****
REVIEWED BY SIGNATURE FINAL
TOTAL
ABBREVIATION- BUY BACK CODE(BB) PACKING CODES(PK)
B Buy Back B Package in Bundle
CODE DESCRIPTlo��' BEI Buy Back Both Combo Items H Package on Hanger
SH SHIRT 131 Buy Back I st Combo Item 2 String Tic
PT PANTS 132 BUY Back 2nd Combo Item 3 Polywrap
CV COVERALL b No Buy Back 6 Wrap in Brown Paper
JS-----,.ILIMPS(JIT
SC SHOP COAT
L" LAB COAT
DR DRESS CHANGE OVER(CO) PRICE EXTENSION (PR EX)
SWI SMOCK 0 No Change Over U Unit Priced
JK ,,-,CKF'F I Standard Change Ovor F Flat Rated
LP—LAPEL COA1 2 Pniladelphia Only
Fax BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY(DEL FR) SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHODJ-M"E
D Delayed Exchange USAGE
E Even Exchange
F Fixed Quantity Exchange C Clean
b U,nil, Exchange D Direct Sale
L Lease
N N.O.G.
P Unileasp
R Lost Replacement
X Special Charge
0 Rental Item
ORIGINAL INVOICE
nomITro. CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P O BOX 630803
3400 W 131ST ST CINCINNATI, OH 45263-0803
CARMEL POLICE 888-924-6827 INVOICE NO.
CARMEL, IN 46074-8267 G E1M1 018684476
CONTRACT NO. ACCOUNT NO. STOP e,aDELIVERY CODE SOIL rmow` INVOICE DATE
06824 21141 13 W102000 R 10/07/14
a/uro: CARMEL POLICE DEPT. 3
3CIVIC SQUARE m« ROUTE DAY ovST°n. usmmucw, CUSTOMER po.NO. TERMS
CARMEL, IN 46032 018 S1 2 06824 DUE 11/10/14
EVEN BILLING
CONTACT: JASON OGLE TAX CODE
317—S71-2SOO TAX EXEMPT p^ss 1
LINE SOIL MIN C 1313 ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNI CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
-3 SIl SHOP TWL-RED UF 2160 so so . 230 ll. so N
4 3XS SCRAPER MAT UF 2477 1 1 S. 239 5. 24 N'
1-:1 3XIO BLACK MAT UF 84035 1 1 9.77S 9. 78 N
6 RENTAL CARGO PANT UF 1 270 11PT : . 607 6'68 N
7 IMAGE JACKET UF 1 366 2JK : 1. 630 3. 26 N
__8 COMFORT SHIRT UF 1 935 11SH : .. 493 S. 42 N
JASON OGLE 1 SUBTOTAL
|
IMAGE JACKET UF 2 366 2JK � 1. 630 3.26 H
11 COMFORT SHIRT UF 2 93S 11SH : . 493 S. 42 N"
SUBTOTk 15. 36
RENTAL CARGO PANT UF 3 270 11PT : . 607 6. 68 N
13- IMAGE JACKET UF 3 366 2JK � 1. 630 3.26 N
14 COMFORT SHIRT UF 3 935 ItSH :
INVOICEJOTAL 93.88
17 FENDER COVER UD I R 2191 . 100 N
***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-9�4-6827 OR 888-9ClNTAS***
� �
WE GLADLY ACCEPT MASIEREARD, VISA-, -,DISCOVER & AMERICAN- EXPRESS
/
NATURE FINAL
�
ABBPEVIATION BUY BACK CODE(BBQ PACKING CODES(PK)
a Buy Back 5 Package in Bundle
0 1)E DESCF1,11"10N 66 Ruv Back Both Combo Items H
Package on Hanger
SH—SHIRT Bi Buy Back ist Combo Item 2 String Tie
PT—PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV COVERALI b No Buy Back 6 Wrap in Brown Paper
JS UIVIPSUIT
SC SHOP COA
L.0 LAB COAT
OR DRE--SS CHANGE OVER (CO) PRICE EXTENSION (R EX)
S
SMOCK 0 No Change Over U Unit Priced
JK jraCi<FT i Standar, Change aver F Fiat Rated
LP,---t,!..PEL COP T hiladelphia Only
8Z BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY(DEL ERA SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
N1 Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOP(EX INET
D Delayed Exchange USAGE
E Even Exchange
F Fixed Orrantity Exchange C Clean
b Unit Exchange D Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Speciai Charge
0 Rental I'M
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))
10/07/14 018684476 laundry service $93.88
10/14/14 018687314 laundry service $93.88
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 #018
Location 18
IN SUM OF $
P.O. Box 630803
Cincinnati, OH 45263-0803
$187.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 018684476 43-565.01 .$93.88 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 018687314 43-565.01 $93.88
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesda October 15 014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
clNrAS® ORIGINAL INVOICE
REMIT TO:
CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P 0 BOX 630803
BROOKSHIRE GOLF CLB CINCINNATI, OH 45263-0803
13120 BROOKSHIRE PKY 888-924-6827 INVOICE NO.
CARMEL, III 46033 G E2M2 018687303
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02617 02617 2 U102000 R 1,0/14/14
BILLTO: BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARMEL, IN 46033 018 Sl 2 02617 DUE 11/10/14
CONTACT: ROBERT D HIGGINS
TAX CODE EVEN BILLING
317-846-4706 TAX EXEMPT PAGE i
LINE SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X
NEW CINTAS JEAN OF 1 394 11F'T; . 336 3. 70 N
COMFORT SHIRT OF 1 935 11SH; . 351 3. 86 N
RUSSELL PICKETT 1 SUBTOTAL 7. S6
SERVICE CHARGE F 1 X 106 1 8. 400 8. 40 N
INVOICE; TOTAL 1S. 96
***NEW CUSTOMER SERVICE HOTL"Nl NUMBER 888-924-6827 OR 888-9CINTA **
ACCTS A-M CALL BETSE H NRY ( 37-231-3760 HENRYB@ 'IN'FAS. COM
ACCTS. N-Z CALL GRET HE STU 'G LL AT 937-630-3504 S URGILLGOCINTA . COM
WE GLADLY ACCEPT MA5 ER.ARD, VSA, DISCOVER 4 AMERI AN EXPRESS
TO SERVICE OUR CUSTO IER 3 BET -El, CIN AS CORP;LOC 01
****ACCOUNTS RECEIVABLE HAS A DW REMIT TO ADDRESS
****ANY CHECK PAYMENTS 1ADE MUST IDENTIFY WHICH INV ICES AND/OR AMOUNTS
TO BE PAID. WE SUGGEST NY PAYMENTS BE APPLIED TOTE OLDEST AMOUNT DUE
ON YOUR ACCOUNT. PLEASE CONTAC- YOUR SERVICE;SALES EPRESENTATIVE UPON
DELIVERY OR YOUR CUS OMR SERV"CE REPRESENTATIVE WI H ANY QUESTIONS.****
REVIEWED BY SIGNATURE INVOICE # 018687303 FINAL
TOTAL
ABBREVIATION BUY BACK qll)DEjqq) PACKING CODES(PK)
B Buy Back B Package in Bundle
CODE DESCRIPTION BB Buy Bark Both Combo Items H Package on Hanger
SH—SI-'IRT 131 Buy Back 1 st Combo Item 2 String Tie
PT,--PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV—COVERALL b No Buy Back 6 Wrap in Brown Paper
JS—JUMPSUIT
SC SHOP COA,
LC LAB COAT
DR DRESS CHANGE QVER fCO) P910E EXTENSION (PR EX)
SM SMOCK 0 f10 Change Over U Unit Priced
K
.' ---JACKET Standard Change, 0,or F Fkat Rated
LP--LAPE1-COA7 2 Philadelphia Only
6Z BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY(DEL FR SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE NIETHOD.�k!_Q
D Delayed Exchange USAGE
E Even Exchange
IF Fixed Quantity Exchange C Clean
b Unit Exchange D Direct Sale
L Lease
N N.O.G.
P "imlease
R Lost Repiacernent
X Special Charge
0 Rental Item
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))
10/14/14 I 018687303 I Uniforms I $15.96
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 #018
Location 18 IN SUM OF $
P.O. Box 630803
Cincinnati, OH 45263-0803
$15.96
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1207 I 018687303 I 43-560.01 I $15.96 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
Friday, October 17, 2014
Director, Brookshire off Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
clNrAs®
ORIGINAL INVOICE
REMITTO: CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P 0 BOX 630803
BROOKSHIRE GOLF CLB CINCINNATI, OH 4263-0803
12120 BROOKSHIRE PKY 888-924-6827 INVOICE NO.
CARMEL, IN 46033 G E21`14 018681609
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE
02617 02617 2 W102000 R 9/30/14
BILL TO: BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARMEL, IN 46033 018 S1 2 02617 DUE 10/10/14
CONTACT: ROBERT D HIGGINS TAX CODE EVEN BILLING
317-846-4706 TAX EXEMPT PAGE 1
LINE SOIL MIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNT CHG. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x-
1 NEW CINTAS JEAN OF 1 394 11PT ; . 336 3. 70 N
2 COMFORT SHIRT OF 1 93S 11SH ; . 351 3. 86 N
RUSSELL PICKETT 1 SUBTOTAL. - 7.S6
3- SERVICE CHARGE F 1 X 106 1 8. 400 8. 40 N
INVOICE:TOTAL 15. 96
***NEW CUSTOMER SERVICE HOTLINI NUMBER 888-924-6827 OR 8884CINTAS #*
ACCTS A-M CALL BETSE HENRY 37-23-i-3760 HENRYBTINTAS. COM
ACCTS. N-Z CALL GRET HE STU G LL AT 937-630-*3SO4 S URGILLGTCINTAS COM
WE-GLADLY ACCEPT MAS EFi ARD, VSA, DISCOVER I AMERICAN EXPR�SS
TO SERVICE OUR CUSTOPERS BETE , CIN AS CORP ;LOC 0113
****ACCOUNTS RECEIVA LE HAS DW REMIT TO ADDRESS # #
REVIEWED BY SIGNATURE INVOIGE # 018681609 FINAL
TOTAL
ABBREVIATION BUY BACK CODE(IBB) PACKING CODES(PK)
B Buy Back B Package in Bundle
9-991E (DESCRIPTION BB Buy Back Both Combo Items H Package on Hanger
SH—SHIRT 131 Buy Back 1st Combo Item 2 String Tie
PT—PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV—COVERALL b No Buy Back 6 Wrap in Brown Paper
JS—JUMPSUIT
SC—SHOP COAT
LC—LAB COAT
DR—DRESS CHANGEOVER (CO) PRICE EXTENSION(PR EX)
SM—SMOCK 0 No Change Over U Unit Priced
JK--.,),:,CKFT I Standard Change Over IF Flat Rated
LP LAPEL COAT 2 Philadelphia Only
BZ BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY DEL FR) SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD (EX MQ
D Delayed Exchange USAGE
E Even Exchange
IF Fixed Quantity Exchange C Clean
b Unit Exchange D Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Special Charge
0 Rental Item
((�' Luk® ORIGINAL INVOICE
V� L REMIT TO: CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P 0 BOX 630803
BROOKSHIRE GOLF CLB CINCINNATI, OH 45263-0803
12120 BROOKSHIRE PKWY 888-924-6827 INVOICE NO.
CARMEL, IN 46033 D ElMl 018684463
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02617 02543 3 E102000 R 1.0/07/14
BILLTO: BROOKSHIRE GOLF COURSE
121.20 BROOKSHIRE PARKWAY LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARMEL, IN 46033 018 51. 2 02543 DUE 11/10/14
EVEN BILLING
CONTACT: PAM LISTER TAX CODE
317-846--7431 TAX EXEMPT PAGE 1
LINE SOIL MINC BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CN'T' CHG. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X
1 TEA TWLS••-WHITE OF R 2963 3 3 1. 000 3. 00 N
2 TEA TWLS-WHITE OF 2963100 100 . 100 10. 00 N
3 4X6 BROOKSHIRE U= 84401 10 5 11. 487 57. 44 N
4 SERVICE CHARGE F 1 X 106 1 1 8. 400 8. 40 N
INVOICE;TOTAL 78. 84
***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-924-6827 OR 888-9CINTAS **
ACCTS A-M CALL BETSE HINRY Q 537-23-1-3760 HENRYB@ INTAS. COM
ACCTS. N-Z CALL GRETCHE14 STU G LL AT 937-6303504 S URGILLG@CINTAS COM
WE GLADLY ACCEPT MA5 ER ARD, VSA, DISCOVER I AMERICAN EXPRrSS
TO SERVICE OUR CUSTO ER BETE : CIN AS CORP ;LOC 0113
***ACCOUNTS RECEIVA LE HAS It 0W REMIT TO ADDRESS # #
1
REVIEWED BY SIGNATURE FINAL
INVOICE # 018684463 TOTAL
/
�
�
�
�
�
�
�
ABBR!�VIATION BUYBACK CODE 13B) PACKING CODES PK)
B Buy Back a Package mBundle
BEI Buy Back Both Combo Items n Package on Hanger
� ax__-omnr 61 Buy Back 1st Combo Item 2 String Tie
� pr__PAmYS eo Buy Back 2ndCornbo Item 3 polywmp
�
CV COVE' h ' NoBuy Back 8 ' Wrap inBrown Paper
Jo_-_'xumpomr
nuSHOP COAT
�
L'- ��000 r� -__' �
OR DRESS CHANGE OYER<C01 PRICE EXTENSION (PR EX)
swamoc�
--- n wnChange Over u ' Unit Priced
�x `^uncr
----` I Standard Change Over IF Fiat Rated
LP__-I-A/cL Co�/ Philadelphia Only
3Z BLAZER
sx__-pnopxpRow
vr-__vsar
LN LINER
sx amnr
DELIVERYSERVICE TYPE
W vveomy G Garment
E Every Other Week o ovot
| rill Monthly L Linen
T Towel
/ S Direct Sales Only
EXCHANGE METHOD_(EXWE)�
D Delayed Exchange USAGE
E ' Even Exchange
F Fixed QuandtvExchange
C Clean
w Unit Exchange
D ' Direct Sale
| L Lease
� w N.O.G.
P Unxeame
R Lost Replacement
X ' Special Charge
n ' Rental Item
|
(�'��® ORIGINAL INVOICE
V REMITTO: CINTAS CORPORATION ##018
LOCATION 18
SHIP TO: CITY OF CARMEL P O BOX 630803
BROOKSHIRE GOLF CLB CINCINNATI, OH 4563-0803
13120 BROOKSHIRE PKY 888-934-6887 INVOICE NO.
CARMEL, IN 46033 G E1M1 018684462
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TJ CNT INVOICE DATE
02617 02617 2 U102000 R 1.0/07/14
BILL TO: BROOKSHIRE GOLF CLUB
..2120 BROOKSHIRE PKUy
LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARMEL, IN 46033 018 51 2 02617 DUE 11/10/14
EVEN BILLING
CONTACT: ROBERT D HIGGINS TAX CODE
317-846-••4706 TAX EXEMPT PAGE 1
LINE SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X
1 NEW CIN T AS JEAN OF 1. 394 11 PT ; . 336 3.70 N
2 COMFORT SHIRT OF 1 935 11SH ; 351 3. 86 N
RUSSELL PICKET'T 1 SUBTOTAL'. 7. 56
3 SERVICE CHARGE F i X 106 1 8. 400 8. 40 N
INVOICE;TOTAL 15. 96
�**NEW CUSTOMER SERVICE HOTLINE NUMBER 888-924-6827 OR 888-1CINTAS **
ACCTS A-M CALL BETSE HENRY Q 537-23 -3760 HENRYB@ INTAS. C@M
ACCTS. N-Z CALL GRET HEI STU G LL AT 937-6303504 S URGILLGOCINTAS COM
WE GLADLY ACCEPT MAS ER ARG, VSA, DISCOVER I AMFRI -AN EXPR> SS
TO SERVICE OUR CUSTO ER BETE , CIN AS CORP :LOC 01
***ACCOUNTS RECEIVA LE HAS 4 FDW REMIT TO ADDRESS #
I
tEVIEWED BY SIGNATURE INVOICE # 018684462 TOTAL TOTAL
ABBREVIATION BUY BACK CODE(13113) PACKING CODES(PK)
B - Buy Back o Package inBundle
CODE DESCRIPTION BB Buy Back Both Combo Items * Package onHanger
sxs�/�r
--- 131 Buy Back 1st Combo Item 2 ' String Tie
pr___PANTS eu Buy Back 2nd Combo Item n ' Po|ywrap
Cv__-COVERALL b moBuy Back o ' Wrap inBrown Paper
Ja__-Juwpuun
uo__-SHOP COAT
Lo_-_LAB COAT
DR DRESS CHANGE-OVER<CO> PRICE'EXIENSg.NL(PR EX)
sMa�oox
--- u NoChange Over u Unit Priced
Jx �xc�er
--- 1 Standard Change Over p Flat Rated
LIP-__LAPEL COAT c pm|aue|pma Only
BZ BLAZER
ox___SHOP APRON
VT VEST
LN LINER
SK emnr
--'' SERVICE TYPE
W woomy G ' Garment
E Every Other Week m ' 000t
M Monthly L ' Linen
T Towel
3 Direct Sales Only
EXCHANGE METHODjgX_ME
D Delayed Exchange USAGE
E ' Even Exchange
F Fixed Quantity Exchange
C Clean
b - Unit Exchange
D Direct Sale
L Lease
N N.O.G.
P unxoaoo
R Lost Replacement
X Special Charge
u Rental Item
|
,i-L7am
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))
09/30/14 018681609 Uniforms $15.96
10/07/14 018684463 Mats $78.84
10/07/14 I 018684462 I Uniforms I $15.96
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cintas Corporation #018
I
Location 18 N SUM OF $
P.O. Box 630803
Cincinnati, OH 45263-0803
$110.76
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 018681609 43-560.01 $15.96 1 hereby certify that the attached invoice(s), or
1207 018684463 43-560.01 $78.84 bill(s) is (are) true and correct and that the
1207 I 018684462 I 43-560.01 I $15.96
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, October 14, 2014
Director, Brooks% Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund