243791 03/31/15 0a`%'4;� CITY OF CARMEL, INDIANA VENDOR: 364573
® ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $"""'451.60'
f. _�;
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 243791
9M�fDN��` SHELBYVILLE IN 46176 CHECK DATE: 03131/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350600 2491833 228.60 CLEANING SERVICES
651 5023990 2493822 223.00 OTHER EXPENSES
i
CARMEL CITY HALL Invoice# 2491833 Plymate's MatMan
Rw ONE CIVIC SQUARE (800)553-2661
Date 03/17/2015
CARMEL, IN 46032 �- �? :''�' www.plymate.com
Cust# 7073 iE V W 819 ELSTON DR
Stop 500 ----- =� SHELBYVILLEjN 46176
JEFF BARNES Ykrkplacekparel&Floor lVat Programs
Written authorization required from the City RT 30
of Carmel to change service frequency
Line Item# 'Name/Description Inv. ` I Qty. 1, Rental ,.'Rept;.- 1'. 2 3 :`4' 5 6
1 1025 4X6 COMFORT FLOW MAT 3 $38.47
2 1069 4X6 LOGO MAT 1 $12.64
3 1074 4X6 MAHGNY BRWN MAT 5 $42.18
4 1097 ROTATE 4X6 COM FLOW
5 1208 5X15 CUSTOM MAT 1 $38.75
6 1505 75 X 76 CUSTOM MAT 2 $49.49
7 1506 7 X 10 CUSTOM MAT 1 $37.12
Service Charge $9.95
$228.60 g Adak �(tiyuoew
Subtotal _.... . __ _ D
Tax
Total $228.60
Thanks for your business.
Your MatMan-,R&&t d S&A"*
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 30
Submitted To
MAR 3 0 2015 Building Maintenance
Account # CO
Department # / Z 0 5
Clerk Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan
IN SUM OF$
819,Elston Drive
Shelbyville, IN 46176
'$228.60
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
- I
1205
2491833 I 43-506.00 I $228.60 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
Monday, March 30, 2015
Director, Administration
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 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))
03/17/15 2491833 $228.60
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
CITY OF CARMEL UTIITIES Invoice# 2493822 � -A ``
9609 HAZEL DELL PKWY (800)553-2661.
Date 03/25/2015 `.� � �
INDIANAPOLIS, IN 46240 ' ' = "ww.plymate.com
Cust# 2256
$. ;; � � c3:it3
819 Elston Drive
Stop150
Shelbyville, IN 46176
Jeff Cooper Vo'�rkplue Anparel?Y Floor Mtat Programs
RT 17
Pn6l Man `Item# - Name/Description °.. . ` Sizesje Amount Inv. Qty. 1 2 3 4-L5
1 290 MICRO RIBBED TERRY TO $20.00 100 40 40 40 40 40 20
2 290 MICRO RIBBED TERRY TO $2.84 100 2
3 476 SHOP TOWEL RED $18.00 300 100 50 50 50 100 100
4 476 SHOP TOWEL RED $8.55 300 15
5 477 SHOP TOWEL WHITE $24.00 300 50 50 100
6 477 SHOP TOWEL WHITE $8.55 300 15
8 5 6937 MICAH BECK PANT RK UTILITY JEAN 3230 $3.03 11 1 1 3
9 22 6937 PETER BRENNAN PANT RK UTILITY JEAN 3234 $3.03 11
10 25 6937 KEVIN BUHMANN PANT RK UTILITY-JEAN- 44 30 $3.64 11 4 3 2 4 3 3
11 25 6610S KEVIN BUHMANN SHIRT KH BLACK SS MICROCHE 2X 00 $3.34 11 5 3 2 5 4 3
12 31 6925 TYLER CALL4HAN PANT DENIM JEAN 4032 $3.03 C 11
13 31 6925 TYLER CALLAHAN PREP CHARGE ANC 4032 $13.75 C 11 11
14 13 6925 BART CHAFIN PANT DENIM JEAN 3230 $3.03 11
15 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.03 C 11 1
16 18 6925 JEFF COOPER PANT DENIM JEAN 3830 $3.03 11 5 4 6 2 6 4
17 501 6863 DAVE DYE LAB COAT WHITE 3X RG $4.22 L 11 2 1 1 1 1.
18 14 6925 LARRY EIDSON PANT DENIM JEAN 4032 $3.030 11
19 14 66105 LARRY EIDSON SHIRT KH BLACK SS MICROCHE 3X OT $3.34 C 11
20 15 6925 GREG EPP PANT DENIM JEAN 3230 $3.03 C 11
21 17 6925 TONY HARVEY PANT DENIM JEAN 3634 $3.03 11 3 3 3 7 2 6
22 27 6937 DUANE JARVIS PANT RK UTILITY JEAN 3830 $3.03 11 4 2 3 3 3 3
23 27 6610L DUANE JARVIS SHIRT KH BLACK LS MICROCHE 1X RG $0.51 2
24 27 6610S DUANE JARVIS SHIRT KH BLACK SS MICROCHE 1X 00 $2.27 9 3 1 2 3 3 3
25 26 6925 ROBBIE KINKEAD PANT DENIM JEAN 3630 $3.03 11 3
26 28 6937 MATT LAFOLLETTE PANT RK UTILITY JEAN 3430 $3.030, 11
27 28 6937 MATT LAFOLLETTE PREP CHARGE ANC 343.0 $13.75 C, 11 11
28 28 6610S MATT LAFOLLETTE SHIRT KH BLACK SS MICROCHE LG 00 $2.78 C 11
29 12 6925 CURT MANIFOLD PANT DENIM JEAN 4030 $3.03 11 1 1
30 6 6937 RANDY MASSINGILL PANT RK UTILITY JEAN 3630 $3.03C 11
31 21 6925 GARY MERRILL PANT DENIM JEAN 3432 $3.03 11
32 21 66105 GARY MERRILL SHIRT KH BLACK SS MICROCHE 1X 00 $2.78 11
33 1 6937 BRAD OLIVER PANT RK UTILITY JEAN 3630 $3.03 11 2 2 2 3 3 3
34 24 6937 LONNIE PATTON PANT RK UTILITY JEAN 3634 $3.03 11
35 23 6937 ERIC ROBINSON PANT RK UTILITY JEAN 3232 $3.03 11 4 3 4 4 3 4
36 2 6937 DENNIS RUSS PANT RK UTILITY JEAN 3630 $3.03 11 3 3 2 1 3 2
37 30 6937 KYLE SMITH PANT RK UTILITY JEAN 3630 $3.03 11 5 5 5 5 5 5.
38 8 6937 JASON STEWART PANT RK UTILITY JEAN 3634 $3.03C. 11 1
39 29 6937 JEFF TRAGESSER PANT RK UTILITY JEAN 36.34 $3.03 C 11
40 29 6610L JEFF TRAGESSER SHIRT KH BLACK LS MICROCHE 1X LN $1.52 C 6
41 29 6610S JEFF TRAGESSER SHIRT KH BLACK SS MICROCHE 1X 00 $1.26 C 5
Page 1 of 2
CITY OF CARMEL UTIITIES Invoice# 2493822
9609 HAZEL DELL PKWY (800)553-2661
Date 03/25/2015
INDIANAPOLIS, IN 46240Cust# 2256 �� www•plymate.com
t. `g-`'' 819 Elston Drive
Stop 150 _._._. ,. Shelbyville, IN 46176
Jeff Cooper Vbrkplace pparel door N4at Programs
RT 17
Line.Mari" item# Name/Description Sizes: Amount� Inv. Qt 1 . 2 3 �4 5
42 7 6937 DAVID TURNER PANT RK UTILITY JEAN 3630 $3.03 11 4 5 2 3 3 3
43 4 6937 MIKE TURNER PANT RK UTILITY JEAN 3232 $3.03 C 11 1
44 500 6863 TARA WASHINGTON LAB COAT WHITE LG RG $1.28 i_ 4 1 1 1
45 500 7705 TARA WASHINGTON SCRUB SHIRT-CIEL BLUE MD RG $1.98 L 11 11
46 500 7710 TARA WASHINGTON SCRUB PANT-CIEL BLUE MD RG $1.97 I. 11 11
Service Charge $9.95
Subtotal $223.00 _._.._�QeC{deh4vtt u2ugtCe
Tax
Total 223.00
i
Thanks for your business.
Your Service Rep-Daae&-x-
Past
xPast Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 17
C (o 20,63 X733
0
30.63
aa3.a®
Page 2 of 2
VOUCHER # 155224 WARRANT # ALLOWED
364573 ! IN SUM OF $
PLYMATE
819 ELSTON DRIVE
SHELBYVILLE, IN 461.76
Carl-gel 1A,"astewater Utility
ON ,^,CCOUNT OF APPROPRIATION FOR 1
I
i
I '
Board members
PO# INV# ACCT* AMOUNT l Audit Trail Code
i
I
2493822 01-7360-02 $97.33
I
2493822 01-7362-05 $40.08
2493822 01-7362-06 $85.59
1 i
l
1
,l
I
I
i
Voucher Total $223.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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 of service rendered, by whom, rates per day, number of units,
price per unit,etc.
Payee
364573
PI-MATE Purchase Order No.
819 ELSTON DRIVE Terms
SHELBYVILLE, IN 46176 Due Date 3/26/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/26/2015 2493822 $223.00
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
Date fficer