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