241706 02/03/15 +ur C�qM
CITY OF CARMEL, INDIANA VENDOR: 00352917
b i ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $'*'**"*39.20*
f t� CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 241706
KALAMAZOO MI 49001 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0123156605 39.20 CLEANING SERVICES
LINEN INVOICE
DOMESTIC UNIFORM RENTAL IMV# 01.2315660-9 - YOUR LOCAL
DOMESTIC UNIFORM RENTAL_ 90 -430-Cle7'2 _ MAN OFFICE
3 .2 .
.-01 CSVINGTON ROAD 6,x_388-29th, TEL#
KALAMAZOO MI 4900i
ao •
'CARMEL CLAY COMMUNFC 0 �
31 FIRST AVE NW 9 S
CARMEL_ IN 01 23 iS
wW
,,qq �,�,.� �a DAY OF
'r603c. MO. DA. YR, 2 C.O.D. WEEK
UNIT •
RENTAL SERVICE ITEMS BILLING QUANT. PRICE AMOUNT
PAYMENT DUE PAY` r/22-3/15 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA •
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL
3 RELY VY MAT i- S ADDISON,IL •
GURNEE,IL
FT.WAYNE,IN
S RED VY MAT 2 4 4S �+-:C INDIANAPOLIS,IN
SOUTH BEND, IN
BALTIMORE,MD
10 RED i 2S ) '` HAGERSTOWN, MD
DETROIT,MI
FLINT,MI
- _S_ SLRiAFER `MAT, i Std 8 GRAND RAPIDS,MI
_ JACKSON,MI
KALAMAZOO,MI
ENV I RONMENTAL>--FEES \ % 1 Gti0L LANSING,MI
SAGINAW,MI
TROY,MI
LIVONIA,MI
NEWARK/NEW YORK
TIRED-`FEETc'_-- - — RALEIGH,NC
ASK TO TRY A COMFORT MAT CANTON,OH
CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA •
VIRGINIA BEACH,VA
RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
[STING RENTAL AGREEMENT-
RT. STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. NO. NO. THIS INVOICE.NO
AMOUNT $ O HER WILL BE ISSUED.
308 261 8466 a9.2G
7�DJUSTMENT $(—
NET $
REC'D BY
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i 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))
01/23/15 I 0123156605 I I $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Domestic-i�en�w� ��^ '
IN SUM OF $
3401 Covington Road
Kalamazoo, MI 49001
$39.20
ON ACCOUNT OF APPROPRIATION FOR
I '
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 0123156605 I 43-506.00 I $39.20 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
Tuesday, January 27,_2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund