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246744 06/30/15 �/ ,€� CITY OF CARMEL, INDIANA VENDOR: 197000 ® i1 ONE CIVIC SQUARE CINTAS CHECK AMOUNT: $*******246.46* i° CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 246744 �.y`,�roN�` CINCINNATI OH 45263-1025 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239012 5003204515 246.46 SAFETY SUPPLIES 1 ----------------- • .s FAS Svc/Billing Questions: 317-264-5103 FAX: 317-264-5119 Indianapolis, IN 46239 Payment Inquiry: 888-994-2468 ROUTE # Loc #0388 Route 0005 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE BROOKSHIRE GOLF CLUB INVOICE # 5003204515 12120 BROOKSHIRE PKWY DATE 6/17/15 CARMEL, IN 46033-3314 PO # N/A 317-846-7431 CUSTOMER # 0010069450 PAYER # 0010087731 SVC ORDER # 8010293954 CREDIT TERMS NET 10 DAYS UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 466844 PRO SHOP 00594670 110 CABINET CLEANED 1 $0 .00 $0.00 120 CABINET ORGANIZED 1 $0.00 $0 .00 130 EXPIRATION DATES CHECKED 1 $0 .00 $0 .00 132 BBP KIT CHECKED 1 $0 .00 $0 .00 400 SERVICE CHARGE 1 $9 .95 $9 .95 43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96 44249 XPECT ELASTIC STRIP SMALL 1 $6.61 $6.61 55556 DISINFECTANT WIPE 1 $5.95 $5 .95 100039 TRIPLE- ANTIBIOTIC OINT SM 1 $8.86 $8.86 100439 HYDROCORTISONE CREAM SM 1 $7 .63 $7 .63 100639 HAND LOTION, SMALL 1 $6.88 $6 .88 102640 BIOFREEZE MUSCLE RLF SM 1 $9 .25. $9 .25 111329 ACETAMINOPHEN SM 1 $9 .98 $9 .98 111529 PAIN AWAY X-STRENGTH SM 1 $10 .88 $10 .88 111989 IBUPROFEN TABS MEDIUM 1 $18.85 $18.85 121220 ALEVE SMALL 1 $7 .59 $7.59 UNIT SUBTOTAL $113.39 46.6845 -MAIN-T --- - - -- 00594663 - - - 110 CABINET CLEANED 1 $0 .00 $0 .00 120 CABINET ORGANIZED 1 $0 .00 $0.00 130 EXPIRATION DATES CHECKED 1 $0.00 $0 .00 132 BBP KIT CHECKED 1 $0 .00 $0 .00 31029 1X3 PLASTIC BANDAGE SM 1 $6 .17 $6 .17 55556 DISINFECTANT WIPE 1 $5 .95 $5.95 61029 ANTISEPTIC PUMP 2 OZ 1 $9.66 $9 .66 61109 ITCH RELIEF SPRY 2 OZ 1 $8.55 $8.55 101239 XPECT FIRST AID CREAM, SM 1 $7.58 $7.58 102435 LIPAID SMALL 1 $7 .92 $7.92 111989 IBUPROFEN TABS MEDIUM 1 $18.85 $18.85 119250 ANTI-DIARRHEAL CAPLETS SM 1 $14 .12 $14 .12 121220 ALEVE SMALL 1 $7.59 $7.59 • �' 5 -_{ FAS Svc/Billing Questions: 317-264-5103 1435 Brookville Way FAX: 317-264-5119 Indianapolis, IN 46239 Payment Inquiry: 888-994-2468 ROUTE # Loc #0388 Route 0005 UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 130000 THERA TEARS, SMALL 1 $9 .92 $9 .92 164010 COOL&SOOTHE 6/BOX 1 $16 .06 $16 .06 280020 LENS/SCREEN PADS 100/BX 1 $20 .70 $20 .70 UNIT SUBTOTAL $133.07 REMIT TO CINTAS CORPORATION SUB-TOTAL $246 .46 PO BOX 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $246 .46 SIGNATURE: ------------------------------ DATE: ------------------ NAME: ------------------------------ VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation IN`SUM OF$ P.O. Box 631025 Cincinnati, OH 45263-1025 $246.46 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 5003204515 I 42-390.12 I $246.46 I hereby certify that the attached invoice(s), or 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 Thursday, June 18, 2015 Director, Brookshire olf Club I Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 06/17/15 5003204515 Safety Supplies $246.46 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance W ith IC 5-11-10-1.6 20 Clerk-Treasurer