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238669 10/28/14 (9, CITY OF CARMEL, INDIANA VENDOR: 364573 ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $*******192.47* CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 238669 SHELBYVILLE IN 46176 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2459856 192.47 OTHER EXPENSES CITY OF CARMEL UTIITIES Invoice# 2459856 �'. 9609 HAZEL DELL PKWY (800)553-2661 INDIANAPOLIS, IN 46240 Date 10/22/2014 T.�„u. .- www. I mate.com Cust# 2256 _ yi $� t P Y POye��am� 2, r 819 Elston Drive Stop 150 ,._ ..�,.�,.._ '°n,a4` Shelbyville, IN 46176 Jeff Cooper P,brkplaceApparel$Floor PAat Programs RT 17 �i Line .Man Item# ` Name'L bescription" =b, ,.° Sizes Amount:u "Inv. 'Qt 1,�-a2 3 42 500 7705 TARA WASHINGTON SCRUB SHIRT-CIEL BLUE MD RG $1.98 11 11 43 500 7710 TARA WASHINGTON SCRUB PANT-CIEL BLUE MD RG $1.97 11 11 Service Charge $9.95 Subtotal $192.47 ;Dee4,jz/liacy#am rud camuzee Tax �---- --------- -- Total $192.4 Thanks for your business. ! i Your Service Rep-Daae eox � l Past Due Amounts 30 Days 60 Days 90 Days Customer Signature $ 0.00 $ 0.00 $ 0.00 RT 17 01, 73(o. oa o c)2 0 1 .736a_ �s -73 0(- Page fPage 2 of 2 CITY OF CARMEL UTIITIES Invoice# 2459856 '7. 9609 HAZEL DELL PKWY Date 10/22/2014 „. (800)553-2661 INDIANAPOLIS, IN 46240 _ = a�.�.` www.plymate.com Cust# 22563; b 819 Elston Drive @� 1t� .; Stop 150 _ hhw< Shelbyville, IN 46176 Jeff Cooper Vkrkplace Apparel Floor Mat Programs RT 17 Line Man,. Item#• I Name'/-Description [. Size" Amount,-..:Inv. Qty. 1 2 3 4 ° 5 1 290 MICRO RIBBED TERRY TO $20.00 100 60 40 40 40 40 60 2 290 MICRO RIBBED TERRY TO $2.84 100 2 3 476 SHOP TOWEL RED $18.00 300 100 100 100 100 50 50 4 476 SHOP TOWEL RED $8.55 300 15 5 477 SHOP TOWEL WHITE $24.00 300 50 50 50 6 477 SHOP TOWEL WHITE $8.55 300 15 8 5 6937 MICAH BECK PANT RK UTILITY JEAN 3230 $3.03 11 3 2 6 2 4 3 9 22 6937 PETER BRENNAN PANT RK UTILITY JEAN 3234 $3.03 11 10 25 6937 KEVIN BUHMANN PANT RK UTILITY JEAN 4430 $3.64 11 2 4 5 1 2 3 11 25 6610S KEVIN BUHMANN SHIRT KH BLACK SS MICROCHE 2X 00 $3.34 11 5 1 12 19 6925 JOE CAPELAND PANT DENIM JEAN 3630 $3.03 11 13 13 6925 BART CHAFIN PANT DENIM JEAN 3230 $3.03 11 14 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.03 11 15 18 6925 JEFF COOPER PANT DENIM JEAN 3830 $3.03 11 5 - 4 4 4 4 2 16 501 6863 DAVE DYE LAB COAT WHITE 3X RG $4.22 11 1 1 1 1 1 1 17 14 6925 LARRY EIDSON PANT DENIM JEAN 4032 $3.03 11 18 14 6610S LARRY EIDSON SHIRT KH BLACK SS MICROCHE .3X OT $3.34 11 19 15 6925 GREG EPP PANT DENIM JEAN 3230 $3.03 11 20 17 6925 TONY HARVEY PANT DENIM JEAN 3634 $3.03 11 3 3 2 6 1 21 27 6937 DUANE JARVIS PANT RK UTILITY JEAN 3830 $3.03 11 1 2 1 22 27 6610L DUANE.JARVIS SHIRT KH BLACK LS MICROCHE 1X RG $0.51 2 1 23 27 6610S DUANE JARVIS SHIRT KH BLACK SS MICROCHE 1X 00 $2.27 9 1 1 24 26 6925 ROBBIE KINKEAD PANT DENIM JEAN 3630 $3.03 11 25 28 6937 MATT LAFOLLETTE PANT RK UTILITY JEAN 3230 $3.03 11 3 3 5 2 3 26 28 6610S MATT LAFOLLETTE SHIRT KH BLACK SS MICROCHE LG 00 $2.78 11 1 5 2 3 27 12 6925 CURT MANIFOLD PANT DENIM JEAN 4030 $3.03 11 1 1 1 1 1 28 6 6937 RANDY MASSINGILL PANT RK UTILITY JEAN 3630 $3.03 11 1 29 21 6925 GARY MERRILL PANT DENIM JEAN 3432 $3.03 11 30 21 6610S GARY MERRILL SHIRT KH BLACK SS MICROCHE 1X 00 $2.78 11 31 1 6937 BRAD OLIVER PANT RK UTILITY JEAN 3630 $3.03 11 3 3 5 4 2 3 32 24 6937 LONNIE PATTON PANT RK UTILITY JEAN 3634 $3.03 11 33 23 6937 ERIC ROBINSON PANT RK UTILITY JEAN 3232 $3.03 11 5 4 3 4 5 2 34 2 6937 DENNIS RUSS PANT RK UTILITY JEAN 3630 $3,03 11 3 2 3 3 2 2 35 8 6937 JASON STEWART PANT RK UTILITY JEAN 3634 $3.03 11 2 5 36 29 6937 JEFF TRAGESSER PANT RK UTILITY JEAN 3634 $3.03 11 - 37 29 6610L JEFF TRAGESSER SHIRT KH BLACK LS MICROCHE 1X LN $1.52 6 38 29 6610S JEFFTRAGESSER SHIRT KH BLACK SS MICROCHE 1X 00 $1.26 5 39 7 6937 DAVID TURNER - PANT RK UTILITY JEAN 3630 $3.03 11 5 5 3 --5 2 -- 40 4 6937 MIKE TURNER PANT RK UTILITY JEAN 3232 $3.03 11 3 1 1 2 41 500 6863 TARA WASHINGTON LAB COAT WHITE LG RG $1.28 4 1 1 Page 1 of 2 VOUCHER # 145821 WARRANT # ALLOWED 364573 IN SUM OF $ PLYMATE 819 ELSTON DRIVE SHELBYVILLE, IN 46176 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2459856 01-7360-02 $60.99 2459856 01-7362-05 $40.08 2459856 01-7362-06 $91.40 Voucher Total $192.47 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 364573 PLYMATE Purchase Order No. 819 ELSTON DRIVE Terms SHELBYVILLE, IN 46176 Due Date 10/23/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/23/201, 2459856 $192.47 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 ��/Z-�/, � C��(✓"-`-nom-a ---'�— ', Date Officer