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245241 5 /13/2015 %�.�4f. CITY OF CARMEL, INDIANA VENDOR: 364573 ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $*******198.53* f ,: CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 245241 vy., c� SHELBYVILLE IN 46176 CHECK DATE:. 05/13/15 «ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2503410 198.53 OTHER EXPENSES CITY OF CARMEL UTIITIES Invoice# 2503410 9609 HAZEL DELL PKWY Date . 05/06/2015 �. (800)553-2661 INDIANAPOLIS, IN 46240 rba www.plymate.com Cust# 2256 " 1tC,iEb; 819 Elston Drive @gate J:. Stop 150 ._ _w w Shelbyville, IN 46176 Jeff Cooper Vbrkplace Apparel&Floor @oat Programs RT 17 ILifiel Man I item.# - ;rv;_ Name/D`escription, ",f:, ��r: Sizes Amount '_Anv: Qty.'], ;1" 2 3 -.4`, '5 42 29 6610L JEFF TRAGESSER SHIRT KH BLACK LS MICROCHE 1X LN $1.52 6 43 29 6610S JEFF TRAGESSER SHIRT KH BLACK SS MICROCHE 1X 00 $1.26 5 44 7 6937 DAVID TURNER PANT RK UTILITY JEAN 3630 $3.03 11 4 5 2 5 5 5 45 4 6937 MIKE TURNER PANT RK UTILITY JEAN 3232 $3.03 11 3 1 3 2 1 46 500 6863 TARA WASHINGTON LAB COAT WHITE LG RG $1.28 4 1 1 1 1 47 500 7705 TARA WASHINGTON SCRUB SHIRT-CIEL BLUE MD RG $1.98 11 11 48 500 7710 TARA WASHINGTON SCRUB PANT-CIEL BLUE MD RG $1.97 11 11 Service Charge $9.95 $198.53 �6woll:Ce Subtotal .d'""=— Tax [ s Total $198.53 Thanks for your business, Your Service Rep-D40e 64 I I Past Due Amounts 30 Days 60 Days 90 Days Customer Signature $ 0.00 $ 0.00 $ 0.00 RT 17 Page 2 of 2 CITY OF CARMEL UTIITIES Invoice# 2503410 9609 HAZEL DELL PKWY Date 05/06/2015 (800)553-2661 u� www.plymate.com IN 46240 .Y Cust# 2256 � w e�,��-,� •Plymate.com 819 Elston Drive ��tl!i �'3,�0 �SPf f 4. Stop 150 wrri Shelbyville, IN 46176 Jeff Cooper 'thrkplace Hpparel&Floor haat Programs RT 17 ILinel Man I Ifem# Name[Description Sizes_ Amount Ind. Qty. 1r2 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 50 100 50 50 4 476 SHOP TOWEL RED $8.55 300 15 5 477 SHOP TOWEL WHITE $24.00 300 50 50 6 477 SHOP TOWEL WHITE $8.55 300 15 8 6925 PANT DENIM JEAN 3230 9 6925 PANT DENIM JEAN 3430 10 6925 PANT DENIM JEAN 3630 11 5 6937 MICAH BECK PANT RK UTILITY JEAN 3230 $3.03 11 2 4 1 12 22 6937 PETER BRENNAN PANT RK UTILITY JEAN 3234 $3.03 11 13 25 6937 KEVIN BUHMANN PANT RK UTILITY JEAN 4430 $3.64 11 2 2 5 3 3 4 14 25 6610S KEVIN BUHMANN SHIRT KH BLACK SS MICROCHE 2X 00 $3.34 11 3 1 4 6 4 4 15 31 6925 TYLER CALLAHAN PANT DENIM JEAN 4032 $3.03 11 16 13 6925 BART CHAFIN PANT DENIM JEAN 3230 $3.03 11 17 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.03 11 18 18 6925 JEFF COOPER PANT DENIM JEAN 3830 $3.03 11 6 4 3 3 2 4 19 501 6863 DAVE DYE LAB COAT WHITE 3X RG $4.22 11 1 1 1 1 1 1 20 14 6925 LARRY EIDSON PANT DENIM JEAN 4032 $3.03 11 21 14 6610S LARRY EIDSON SHIRT KH BLACK SS MICROCHE 3X OT $3.34 11 22 15 6925 GREG EPP PANT DENIM JEAN 3230 $3.03 11 23 32 6937 GUADALUPE ESPARZA PANT RK UTILITY JEAN 3428 $3.03 11 4 24 17 6925 TONY HARVEY PANT DENIM JEAN 3634 $3.03 11 4 5 1 2 4 3 25 27 6937 DUANE JARVIS PANT RK UTILITY JEAN 3830 $3.03 11 3 2 3 3 2 2 26 27 6610L DUANE JARVIS SHIRT KH BLACK LS MICROCHE 1X RG $0.51 2 27 27 6610S DUANE JARVIS SHIRT KH BLACK SS MICROCHE 1X 00 $2.27 9 3 2 4 3 2 2 28 26 6925 ROBBIE KINKEAD PANT DENIM JEAN 3630 $3.03 11 2 29 28 6937 MATT LAFOLLETTE PANT RK UTILITY JEAN 3430 $3.03 11 30 28 6610S MATT LAFOLLETTE SHIRT KH BLACK SS MICROCHE LG 00 $2.78 11 31 12 6925 CURT MANIFOLD PANT DENIM JEAN 4030 $3.03 11 2 32 6 6937 RANDY MASSINGILL PANT RK UTILITY JEAN 3630 $3.03 11 1 2 33 21 6925 GARY MERRILL PANT DENIM JEAN 3432 $3.03 11 34 21 6610S GARY MERRILL SHIRT KH BLACK SS MICROCHE 1X 00 $2.78 11 35 1 6937 BRAD OLIVER PANT RK UTILITY JEAN 3630 $3.03 11 2 1 1 4 3 2 36 24 6937 LONNIE PATTON PANT RK UTILITY JEAN 3634 $3.03 11 37 23 6937 ERIC ROBINSON PANT RK UTILITY JEAN 3232 $3.03 11 2 2 5 3 5 2 38 2 6937 DENNIS RUSS PANT RK UTILITY JEAN 3630 $3.03 11 2 4 2 3 39 30 6937 KYLE SMITH PANT RK UTILITY JEAN 3630 $3.03 11 5 5 5 5 4 5 40 8 6937 JASON STEWART PANT RK UTILITY JEAN 3634 $3.03 11 2 1 4 1 2 41 29 6937 JEFF TRAGESSER PANT RK UTILITY JEAN 3634 $3.03 11 1 Pagel of 2 VOUCHER # 155465 WARRANT# ALLOWED 364573 IN SUM OF $ PLYMATE 819 ELSTON DRIVE SHELBYVILLE, IN 46176 i Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i II Board members PO# INV# ACCT# AMOUNT y Audit Trail Code , 2503410 01-7360-02 $66.80 2503410 01-7362-05 $40.08 2503410 01-7362-06 $91.65 a i i I Voucher Total $198.53 Cost distribution ledger classification if f claim paid under vehicle highway fund f 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. l Payee 364573 PLYMATE Purchase Order No. 819 ELSTON DRIVE Terms SHELBYVILLE, IN 46176 Due Date 5/6/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/6/2015 2503410 $198.53 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 Officer