252599 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 00352917
CHECKAMOUNT: S"""""39.20"
(9,
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTALCARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 252599
KALAMAZOO MI 49001 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 1211156605 39.20 CLEANING SERVICES
LINENKNVONCE
INV# 1211-156 605
DOMESTIC _ ,ou mo^
DOMESTIClUJIF{}R�—RENTAL 8OO-43O—OB72 MAINOF_ �o�me
3401 COVINGTON ROAD 269-388-2 goo TEL
KALAMAZOO MI 49001
WEEK
RENTAL SERVIC E ITEMS BILLING UNIT A
QUANT. PRICE MOUNT
LOS ANGELES,CA
PAYMENT DUE BY 1/11/16
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY NAT 1225 20.5 ADDISON,IL
GURNEE,IL
FT.WAYNE,IN
SOUTH BEND,IN
BALTIMORE,MD
HAGERSTOWN,MID
10 RFD 1B25 812 5
DETROIT,MI
FLINT,MI
GRAND RAPIDS,MI
SAGINAW,MI
TROY,MI
LIVONIA,MI
NEWARKINEW YORK
LIKE -US�-Ol\l FACED OOK RALEIGH,NC
CINCINNATI,OH
DOMESTICUNIFORM13ENTAL CLEVELAND,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDERR
I EXISTING RENTAL AGREEMENT-
PLEASE PAY FROM
RT. STOP ACCOUNT PAYTHIS
NO. NO. NO. AMOUNT $ THIS INVOICE.NO
30e 20' 1 e466 D 3920 OTHER WILL BE ISSUED.
ADJUSTMENT $
RECD BY
,=
VOUCHER NO. WARRANT NO.
ALLOWED 20
DOMESTIC UNIFORM RENTAL
IN SUM OF$
3401 COVINGTON ROAD
KALAMAZOO, MI 49001
$39.20
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
1211156605 I 43-506.00 I $39.20 1 hereby certify that the attached invoice(s), or
1115 101
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
Monday, December 14, 2015
i
�N
Terry Crockett, Director
t
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/11/15 I 1211156605 I I $39.20
1115 101
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
, 20
Clerk-Treasurer