HomeMy WebLinkAbout243182 03/18/15 ,��!..4�gyf
.,;i CITY OF CARMEL, INDIANA VENDOR: 353562
'.� ® ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY
CHECK AMOUNT: $****"***32.94*
r• CARMEL, INDIANA 46032 50 S KOWEBA LANE CHECK NUMBER: 243182
9.y�TON� ' INDPLS IN 46201 CHECK DATE• 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 5002739411 32.94 SAFETY SUPPLIES
Ma ® Svc/Billing Questions: 317-264-5103
o
owe a Ijanewl FAX: 317-264-5119
Indianapolis, IN 46201 Payment Inquiry: 888-994-2468
ROUTE # Loc #0388 Route 0005
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
BROOKSHIRE GOLF CLUB INVOICE # 5002739411
12120 BROOKSHIRE PKWY DATE 3/12/15
CARMEL, IN 46033-3314 PO # N/A
317-846-7431 CUSTOMER # 0010069450
PAYER # 0010087731
SVC ORDER # 8008298751
CREDIT TERMS NET 10 DAYS
- — - — — - - UNIT - -EXT -
MATERIAL # DESCRIPTION QTY PRICE PRICE TAX
466844 PRO SHOP 00594670
110 CABINET CLEANED 1 $0 .00 $0.00
120 CABINET ORGANIZED 1 $0 .00 $0 .00
130 EXPIRATION DATES CHECKED 1 $0 .00 $0 .00
132 BBP KIT CHECKED 1 $0 .00 $0 .00
400 SERVICE CHARGE 1 $9.95 $9.95
55556 DISINFECTANT WIPE 1 $5.95 $5 .95
111329 ACETAMINOPHEN SM 1 $9 .98 $9 .98
280000 LENS/SCREEN PADS 36/BX 1 $7 .06 $7 .06
UNIT SUBTOTAL $32 .94
466845 MAINT
110 CABINET CLEANED 1 $0 .00 $0 .00
120 CABINET ORGANIZED 1 $0 .00 $0 .00
130 EXPIRATION DATES CHECKED 1 $0 .00 $0 .00
UNIT SUBTOTAL $0 .00
REMIT TO CINTAS CORPORATION SUB-TOTAL $32.94
.-'- _- - -- PO BOX 631025 _ TAX -- --_$0_00
CINCINNATI, OH 45263-1025 TOTAL $32 .94
SIGNATURE: ------------------------------ DATE: ------------------
NAME: ------------------------------
P ease Pa, From i� Is Inuoic
• Please forward to
P Departure t for payment
VOUCHER NO. WARRANT NO.
Cintas- l: 5r Aed
ALLOWED 20
'l- // -- -- � IN SUM OF$
P.G. Bex-6340245—
L/628
$32.94
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 5002739411 I 42-390.12 I $32.94 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, March 13, 2015
I �
Director, Brook ' e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OFCARMEL
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))
03/12/15 5002739411 Safety Supplies $32.94
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