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