251350 11/04/15 a ' ;� CITY OF CARMEL, INDIANA VENDOR: 197000
® ONE CIVIC SQUARE CINTAS CORPORATION #018 CHECK AMOUNT: $```````"95.95`
,a CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 251350
y,�6H�o` CINCINNATI OH 45263-0803 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356001 0'18843336 95.95 UNIFORMS
O
ORIGINAL INVOICE
REMIT TO: CTHTAS CORPORATION #018
LOCATION iii
SHIP TO: CITY OF CARMEL P O BOX 630803
BROUKSHIRE GULF CLB CINCINNATI OH IS2b3-0803
12120 LSRiI{]KvHaf l PI{UY 888-924-684, INVOICE NO.
CARREL, IN 46033
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
0261.2 02543 3 E102000 n 1ir03fir
BILL TO: BROOKSHIRE GULFCOURSE
12120 LI R O O K S H I R E P A R K U A Y LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS
CARHEL, IN 46033 018 Si 2 02543 DUE 12110/15
CONTACT: PAM LISTER TAX CODE EVER tslLl_IH
317-846-743.2 TAX EXEMPT PAGE },
LINE SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X
1 06 BROOKSHIRE T-- E 8qqol 10 x,00 S. 00 R
2 TEA TULS-WHITE OF R 2963 3 3 1. 000 3.06 Is
3 TEA TULS-WHITE OF 2963 100 1.00 . 122 12._20 0
_4- , .. - 4X6'BROOKSHIRE' OF 8 1401 1a S . . 13'.--2'16 56 -0s .}t
S SERVICE CHARGE F i X 106 1 1 2.670 9.67 V
_. _..---. . . ..__. . -- __-- -- _. INUOICE,i_TOTAf.., '�S_._x5..__
MAiNEW CUSTOMER SERV CE HUTL. i OR 8oA8-"CINT4S4Mn�___
HE GLADLY ACCEPT MASI ER :ARDZ V' SAA DISCOVER &; AMERI 'AH TXFRESS
TO SERVICE OUR CUR-TO ER ' BEI --I CIHAS CURP �L7C- ui ,
��A44A
i
A.CCOURTS`�PECEIVA LE NO �U RE IT�10 Ai,DRES »��
A.4A
MAMMARY CHECK PAYMENI S 1ADE : U` T IDE` TIFY HlltH lRil "CES AND/UF AHOUPTS .
O-.BE-PAIQ_. b1E ,SU(:6E.`1—IRY R Y ERTS__ E.4PF_L3:UD TO T E 0.LDESs. AMOVNT. DUE
OR YOUR ACCOUNT, PLE SE CGHT C YOUR SERVILE ;SALES F.FI r.E:aCr.1 ATIVE UPO+T
DELIVERY OR YOUR ACCI Uig I'S RE( E VABLE REPRESENTATIVE WITH aUESTIONK xmMM
REVIEWED BY SIGNATURE INVOICE 618843336 -1;1
INAL
TOTAL
ABBREVIATION BUY BACK CODE(BBQ PACKING CODES PK
B Buy Back B Package in Bundle
CODE DESCRIPTION BB Buy Back Both Combo Items H Package on Hanger
SH—SHIRT Ell Buy Back 1st Combo Item 2 String Tie
PT—PANTS B2 Buy Back 2nd Combo Item 3 Polywrap
CV—COVERALL b No Buy Back 6 Wrap in Brown Paper
JS—JUMPSUIT
SC—SHOP COAT
LC—LAB COAT
DR—DRESS CHANGE OVER (CO) PRICE EXTENSION
EX
SM—SMOCK 0 No Change Over U Unit Pticad
JK—JACKET I Standard Change Over F Flat Rated
LP—LAPEL COAT 2 Philadelphia Only
BZ BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY(DELA SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD(EX ME)
D Delayed Exchange USAGE
E Even Exchange
F Fixed Quantity Exchange C Clean
b Unit Exchange D Direct Sale
L Lease
N N.O.G.
P Unilease
R Lost Replacement
X Special Charge
0 Rental Item
L
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))
11/03/15 018843336 Mats $95.95
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cintas Corporation #018
Location 18 IN SUM OF $
P.O. Box 630803
Cincinnati, OH 45263-0803
$95.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 018843336 I 43-560.01 I $95.95 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
Tuesday, November 03, 2015
Director, Brookshire 6 lub
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund