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244465 4 /21/2015 Jv'f 4�`p. CITY OF CARMEL, INDIANA VENDOR: 00352917 S ® 3i ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $"`t""'39.20• ?� CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 244465 �.y`,«oN KALAMAZOO MI 49001 CHECK DATE 04/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350600 0417156605 39.20 CLEANING SERVICES LINEN INVOICE DOMESTIC UNIFORM RENTAL I NV# 041 i 5t{3E]C}5 _ YOUR LOCAL DOMESTIC UNIFORM RENTAL B00-"430-0872 _ MAN OFFICE 3401 COVINGTON ROAD 269-399-2900 TEL# • KALAMAZOO MI 49001 RE • 3CARMEL. CLAY COMMUNIC 0 31 FIRST AVE NW 9 5 ❑■ :CARMEL IN 04 17 15 Wo DAY OF , ry �¢ M0. DA. YR. �2 C.O.D. WEEK RENTAL SERVICE ITEMS BILLING UNIT AMOUNT QUANT. PRICE • PAYMENT DUE BY S/17/15 LOS ANGELES,CA ORANGE COUNTY,CA RIVERSIDE,CA SAN DIEGO,CA VENTURA CA CHICAGO,IL ADDISON3 RED VY MAT 1225 2125 GURNEE, IL URNE ,IL FT.WAYNE,IN 5 RED VY_;,IwF,aT. 2445 g9O INDIANAPOLIS,IN w, SOUTH BEND,IN s= BALTIMORE,MD 10 RED `VY PIAT 1825 gc� HAGERSTOWN,MD • DETROIT,MI FLINT,MI ,--5-=SCRAPIC'R MAT `. -_..1. 0-,- 980 GRAND RAPIDS,MI JACKSON,MI I{ / KALAMAZOO,MI • E,I ENV I R0l\lMENTALFEE 101(}0 LANSING,MI �� ;j !' — TROY,SAGINI MI ` TROY,MI I 1 F LIVONIA,MI • NEWARK/NEW YORK TIRED :F-ET'?- ..-- 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 I RICHMOND,VA • _..,. i MILWAUKEE,WI THIS DELIVERY IS MADE UNDER EXISTING RENTAL AGREEMENT—,�— RT. STOP ACCOUNTPAY THIS PLEASE PAY FROM No. No. No.. AMOUNT $ THIS INVOICE.NO OTHER WILL BE ISSUED. 308 261 8466 ADJUSTMENT $ 390 NET $ RECD BY VOUCHER NO. WARRANT NO. ALLOWED 20 DOMESTIC UNIFORM RENTAL $ 3401 COVINGTON ROAD IN SUM OF KALAMAZOO MI 49001 ' $39.20 j ON ACCOUNT OF APPROPRIATION FOR Communications PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1115 0417156605 43-506.00 $39.20 I hereby certify that the attached invoice(s), or I I I 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, April 17, 2015 /l/ereCWokett, Director 1 Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 04/17/15 0417156605 $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