242376 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 364573
® 'r ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $"""" 192.47'
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 242376
9.y_roN,Eo SHELBYVILLE IN 46176 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2484621 192.47 OTHER EXPENSES
CITY OFCARMEL WTI0E0 Invoice# 2484621
AO0QHAZEL DELL PKWY Date 02/11/2015 (800)593'2861
INDIANAPOLIS |N4024U � vmwwpynaucnm
' Cuot# 2256 FA
�����y � »� o19s|emnDrive
Stop 150 ���m���e' ��.,�� Shelbyville, |w4s17s
Jeff Cooper 0h/kplaceApparel&Floor Mat Programs
RT 17
1 280 MICRO RIBBED TERRY TO $20.00 100 40 40 40 40 40 *U
u uoo MICRO RIBBED TERRY TO _ $284 100 e
3 47e SHOP TOWEL RED $18.00 aoo 100 *n 50 eO oO oU
4 476 SHOP TOWEL RED $8.55 880 15
5 477 SHOPTOVVELVVM|TE $2*.00 300 oU on oo
0 477 SHOP TOWEL WHITE $8.55 300 15
8 5 8937 M|CAH8ECK PANT RKUTILITY JEAN 3230 $3.03 11 2 8
| n uu 6937 pETERBRENwAw PANT RKUTILITY JEAN ' ' 3234 $3.03 11
|
10 zo soor KENNBU*M*ww PANT RKUTILITY JEAN **30 $3.84 11 4 4 n n 4 »
11 25 6910S KENwBUHMAww SHIRT KHBLACK GGM|CROCHE 2X 00 $3.34 11 5 o 4 4 ^ 4
12 13 0925 BARTCHAF|N PANT DENIM JEAN 3230 $3.03 11
13 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.03 11
14 18 8925 JEFF COOPER PANT DENIM JEAN 3030 $3.03 11 4 4 J r 1
15 501 0803 DAVE DYE LAB COAT WHITE 3X RG $422 11 2 2 1 1 1
10 14 8925 L8RRYBDGON PANT DENIM JEAN 4032 S8.03 11
17 14 6610G LARRYE|DSON SHIRT KnBLACK SSM|CR0CHE 3X OT $3.34 11
18 15 8925 GRE8EPP PANT DENIM JEAN 3230 Q3.03 11
19 17 8925 TONY HARVEY PANT DENIM JEAN 3634 $3.03 11 4 4 : 1 6
zo 27 6937 DVxwExARV|S PANT nmUTILITY JEAN 3880 $3.03 11 2 3 a z 1
21 27 6010L DUANEJARV0 SHIRT KHBLACK LGM|CROCHE 1X RG $0.51 2
22 27 8810S DuANEJARVG SHIRT KHBLACK GSM|CROCHE ix 00 $227 8 2 3 o z 1
23 26 9925 R0BB|EK|NKExD PANT DENIM JEAN 3630 $3.03 11 a 2
24 28 0837 MATT LAFOLLETTE PANT RKUTILITY JEAN 3230 $3.03 11
25 20 66108 MATTL4FOLLETTE SHIRT KHBLACK SGM|CR0CHE LG 00 $2.78 11
20 12 8825 CURT MANIFOLD PANT DENIM JEAN 4030 $3.03 11 1 2
|
27 s 6937 RAwDYMAas|NG|LL PANT RKUTILITY JEAN 3630 $3.03 11 1
28 21 oSoo G*n,MERR|u PANT DENIM JEAN 3432 33.03 11
28 21 6610S GAnvmERR|LL SHIRT K* BLACK SSm|CnOcHE ix 00 $278 11
oO 1 0837 BRAD OLIVER PANT RKUTILITY JEAN :830 %3.03 11 2 3 3 1 2
31 24 0937 LONN|EPATT0N PANT RKUTILITY JEAN 3634 $3.03 11
82 28 6937 ERIC ROBINSON PANT RKUTILITY JEAN 3232 %3.03 11 4 4 a o z z
53 2 8937' DENN|GRUO8 PANT RKUTILITY JEAN 3630 $3.03 11 2 3 2 2 2
34 aO 8937 KYLE SMITH PANT nKUTILITY JEAN 3630 $3.03 11 4 o u 1 x 4
no o 6837 JAsOmGTEvvAnT PANT RKUTILITY JEAN 3.034 $3.03 11
36 29 0937 JEFFTRAGES3ER PANT RxUTILITY JEAN 3834 $3D3 11
37 ug 6610L JEFFTRAGs8GER SHIRT KHBLACK LGM|CROCHE IX LN $1.52 0
38 uo 6610S JEFFTRaGESSER SHIRT mHBLACK 3sm|CROCME ix 00 $1.26 o
39 7 0887 DAVID TURNER PANT RKUTILITY JEAN 3830 $3.03 /1 4 n *4 3 3 3
^U - 4 6937 MIKE TURNER PANT RKUTILITY JEAN 3252 $3.03 11 1
41 500 6863 TARAVVAGH|NGTON LAB COAT WHITE LG RG $1.28 4 1 1
Page of
CITY OF CARMEL UTIITIES Invoice# 2484621
9609 HAZEL DELL PKWY Date 02/11/2015 (800)553-2661
y ntr,p�
INDIANAPOLIS, IN 46240 4tr _ www.plymate.com
Cust# 2256 ; P't«= 819 Elston Drive
��ya��1t� sr�;
Stop 150 hF� Shelbyville, IN 46176
Jeff Cooper ftliplaceApparel$floor Ntat Programs
RT 17
Lirie .Man' Item# Name/Description' '.':_: "' rSizes: Amou6t (riv. Qt "-1-'°
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 S192.47 j e l��D elf&i U04,e
Tax
Total $192.47
Thanks for your business.
Your Service Rep-Vave&x
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 17
C
L., 4o . o
Page 2 of 2
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 2/11/2015
Invoice Invoice Description
Date -Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 2484621 $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
-_113 A
Date Officer
VOUCHER # 146700 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
2484621 01-7360-02 $66.80
2484621 01-7362-05 $40.08
2484621 01-7362-06 $85.59
Voucher Total $192.47
Cost distribution ledger classification if
claim paid under vehicle highway fund