244775 4 /29/2015 -.�,�i��E�B,yff CITY OF CARMEL, INDIANA VENDOR: 364573
r ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $*******212.28*
: + CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 244775
�'�iros"�°' SHELBYVILLE IN 46176 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2500292 212.28 OTHER EXPENSES
CITY OF CARMEL UTIITIES Invoice# 2500292 �
9609.HAZEL DELL PKWY r (800)553-2661
Date 04/22/2015 h,:
INDIANAPOLIS, IN 46240 Cust# 2256 4.`,4 vvww.plymate.com
, `,;t� 819 Elston Drive
a--���'�2�rL Jf( 4
Stop 150 * Shelbyville, IN 46176
Jeff Cooper b,kp1acaP,pparel a Rnor hkt Programs
RT 17
Line Man'-1 Item#. 1, Name/Description . !,'Size" 1,.Am6urit�r Inv.I Qt "1 2.. 3- 4 ` 5
1 290 MICRO RIBBED TERRY TO $20.00 100 40 40 40 40 40 40
2 290 MICRO RIBBED TERRY TO $2.84 100 2
3 476 SHOP TOWEL RED $18.00 300 50 100 50 50 -100 50
4 476 SHOP TOWEL RED $8.55 300 15
5 477 SHOP TOWEL WHITE $24.00 300 50 50 50
6 477 SHOP TOWEL WHITE $8.55 300 15
8 5 6937 MICAH BECK PANT RK UTILITY JEAN 3230 $3.03 11 4 1 1
9 22 6937 PETER BRENNAN PANT RK UTILITY JEAN 3234 $3.03 11 -
10 25 6937 KEVIN BUHMANN PANT RK UTILITY JEAN 4430 $3.64 11 5 3 3 4 4 3
11 25 6610S KEVIN BUHMANN SHIRT KH BLACK SS MICROCHE 2X 00 $3.34 11 4 6 4 4 5 3
12 31 6925 TYLER CALLAHAN PANT DENIM JEAN 4032 $3.03 11
13 13 6925 BART CHAFIN PANT DENIM JEAN 3230 $3.03 11
14 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.03 11
15 18 6925 JEFF COOPER PANT DENIM JEAN 3830 $3.03 11 3 3 2 4 5 4
16 501 6863 DAVE DYE LAB COAT WHITE 3X RG $4.22 11 1 1 1 1 2 1.
17 14 6925 LARRY EIDSON PANT DENIM JEAN 4032 $3.03 11
18 14 6610S LARRY EIDSON SHIRT KH BLACK SS MICROCHE 3X OT $3.34 11
19 15 6925 GREG EPP PANT DENIM JEAN 3230 $3.03 11
20 32 6937 GUADALUPE ESPARZA PANT RK UTILITY JEAN 3428 $3.03 11
21 32 6937 GUADALUPE ESPARZA PREP CHARGE ANC 3428 $13.75 11 11
22 17 6925 TONY HARVEY PANT DENIM JEAN 3634 $3,03 11 1 2 4 3 3 3
23 27 6937 DUANE JARVIS PANT RK UTILITY JEAN 3830 $3.03 11 3 3 2 2 4 2
24 27 661 OL DUANE JARVIS SHIRT KH BLACK LS MICROCHE 1X RG $0.51 2
25 27 6610S DUANE JARVIS SHIRT KH BLACK SS MICROCHE iX 00 $2.27 9 4 3 2 2 3 1
26 26 6925 ROBBIE KINKEAD PANT DENIM JEAN 3630 $3.03 11 2
27 28 6937 MATT LAFOLLETTE PANT RK UTILITY JEAN 3430 $3.03 11 -
28 28 6610S MATT LAFOLLETTE SHIRT KH BLACK SS MICROCHE LG 00 $2.78 11
29 12 6925 CURT MANIFOLD PANT DENIM JEAN 4030 $3.03 11 2 1
30 6 6937 RANDY MASSINGILL PANT RK UTILITY JEAN 3630 $3.03 11 2
31 21 6925 GARY MERRILL PANT DENIM JEAN 3432 $3.03 11
32 21 6610S 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 1 4 3 2 2 2
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 5 3 5 2 4 3
36 2 6937 DENNIS RUSS PANT RK UTILITY JEAN 3630 $3.03 11 2 4 2 3 3 3
37 30 6937 KYLE SMITH PANT RK UTILITY.JEAN 3630 $3.03 11 5 5 4 5 5 5
38 8 6937 JASON STEWART PANT RK UTILITY JEAN 3634 $3.03 11 4 1 2
39 29 6937 JEFF TRAGESSER PANT RK UTILITY JEAN 3634 $3.03 11 1
40 29 661 OL JEFF TRAGESSER SHIRT KH BLACK LS MICROCHE 1X LN $1.52 6
41 29 6610S JEFF TRAGESSER SHIRT KH BLACK SS MICROCHE 1X 00 $1.26 5
Page 1 of 2
CITY OF CARMEL UTIITIES Invoice# 2500292
9609 HAZEL DELL PKWY (800)553-2661
Date 04/22/2015
INDIANAPOLIS, IN 46240 ' -: �,;r."_ www.plymate.com
Cust# 2256 - -: :� a;.�>�: 819 Elston Drive
Stop 150 ,..,.,_....,n _..__._ Shelbyville, IN 46176
Jeff Cooper ybrkplaceApparel&Floor Nfat Programs
RT 17
Line Man' .jtem# � 'NamerDescription�� `� `� � �� �- �� Sizes Amount �= Inv. �Qt- 1�`�= 2'� � 3 4 `'..�5,
42 7 6937 DAVID TURNER PANT RK UTILITY JEAN 3630 $3.03 11 2 5 . 5 5 4 5
43 4 6937 MIKE TURNER PANT RK UTILITY JEAN 3232 $3.03 11 3 2 1 1
44 500 6863 TARA WASHINGTON LAB COAT WHITE LG RG $1.28 4 1 1 1
45 500 7705 TARA WASHINGTON SCRUB SHIRT-CIEL BLUE MD RG $1.98 11 11
46 500 7710 TARA WASHINGTON SCRUB PANT-CIEL BLUE MD RG $1.97 11 11
Service Charge $9.95
A00*
$212.28 "wow
Subtotal , f��Qde. . ___ --I_-- -------------I
Tax I
Total $212.28
i
Thanks for your business. I
Your Service Rep-Daae az
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Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 17
01?
Page 2 of 2
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VOUCHER # 155386 WARRANT # ALLOWED
364573 ,
IN SUM OF $
PLYMATE
819 ELSTON DRIVE
SHELBYVILLE, IN 46176 I
S '
l�
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
2500292 01-7360-02 $66.80 1
2500292 01-7362-05 $40.08
2500292 01-7362-06 $105.40
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Voucher Total $212.28
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
f
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 I Purchase Order No.
819 ELSTON DRIVE 4` Terms
SHELBYVILLE, IN 46176 Due Date 4/22/2015
}
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Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/22/2015 2500292 $212,28
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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
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Date Officer