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245801 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 00352917 ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $********39.20* CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 245801 '�,,�oN�r: KALAMAZOO MI 49001 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350600 0529156605 39.20 CLEANING SERVICES LINEN INVOICE DO�n'ESTIC UN��QR3I RENTAL I NV#� 0529156605 _ YOUR LOCAL SVC TEL# DCJi�1E I IC UN F. ISI RENTAL 800-430-0872 _.MAIN OFFICE 3401 COVINGTON ROAD 269-388-2900 TEL# • KALAMAZOO MI 49001 I l.�10-❑■ 5CARMEL CLAY COIINUN I C 0 zf 31 FIRST AVE NW 9 5 CARMEL /� IN1 05 29 15DAY OF NW 46032 MO. DA. YR. F1C.O.D.1 WEEK RENTAL SERVICE ITEMS BILLING UNIT AMOUNT QUANT. PRICE PAYMENT DUE BY 6/29/15 LOS ANGELES,CA ORANGE COUNTY,CA RIVERSIDE,CA SAN DIEGO,CA VENTURA CA CHICAGO,IL 3 RED VY MAT 1225 ADDISON,IL GURNEE,IL FT.WAYNE,IN T. ': .L 5 �c� INDIANAPOLIS,IN 5 RED VY MA SOUTH BEND,IN BALTIMORE,MD 10 RED Y;,I�� 1 !:,; :,a IE-25 E25 HAGERSTOWN,MD DETROIT,MI FLINT,MI 5✓SCRAP=R I`�AT` 1 80 9RV GRAND RAPIDS,MI JACKSON,MI 1i1� (1i v� i rnt li 7/. KALAMAZOO,MI j, ENV I R J l\lMtll'TAQL rE-, 5 1010 SAGSNAW,MII ,r h _ ` TROY MI LIVONIA,MI NEWARK/NEW YORK RALEIGH,NC ASS( T3 TRY A COMFORT M CANTON,OH CINCINNATI,OH . CLEVELAND,OH COLUMBUS,OH DAYTON,OH TOLEDO,OH YOUNGSTOWN,OH . HARRISBURG,PA PHILADELPHIA,PA PITTSBURGH,PA VIRGINIA BEACH,VA f7 • ti111 r` ro1i. :r . — {_ ',�,>: ". j ? '''r,,^;;' RICHMOND,VA • III 1 T MILWAUKEE,WI �4-/+✓ ����E.-!�i.,'�-.�����. �!'✓,��:•�f —. k ,)y l',',J t 7 THIS DELIVERY IS MADE UNDER EXISTING RENTALAGREEMENT RT. STOP ACCOUNT PAY THIS PLEASE PAY FROM NO. NO, NO. AMOUNT $ THIS INVOICE.NO 330n0a3 ,LL i IB�1 r� 3920 � 2 OTHER WILL BE ISSUED. ...DVi7 2c7i C7"CC�� LJ ,�9''�} ADJUSTMENT $ • NET $ REC'D BY VOUCHER NO. WARRANT NO. ALLOWED 20 DOMESTIC UNIFORM RENTAL 3401 COVINGTON ROAD IN SUM OF $ KALAMAZOO MI 49001 $39.20 ON ACCOUNT OF APPROPRIATION FOR Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 0529156605 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, May 29, 2015 Terry Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund 1 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)) 05/29/15 0529156605 $39.20 1 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