HomeMy WebLinkAbout255198 02/09/16 CITY OF CARMEL, INDIANA VENDOR: 343500
.�, �• ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $ 92.88
r. sQ CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 255198
PO BOX 631025 CHECK DATE:. 02/09/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5004405030 46.44 OTHER EXPENSES
651 5023990 5004405030 46.44 OTHER EXPENSES
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VOUCHER # 154220 WARRANT# ALLOWED
343500 q IN SUM OF $
15
PO BOX 631025
CINCINNATI, OH 45263
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5004405030 01-6200-08 $46.44 ,
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Voucher Total $46.44
Cost distribution ledger classification if
claim paid under vehicle highway fund
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Cintas First Aid&Safety 0388 Service/Billing (317)264=5103
1435 Brookville Way,Suite P Fax# (317)644-0870
Indianapolis, IN 46239 Payment Inquiry (888)994-2468
Invoice
Ship To CITY OF CARMEL UTILITIES
30 W MAIN ST Invoice#5004405030
STE 220 Invoice Date 02/01/2016
CARMEL, IN 46032-1938 Credit Terms NET 10 DAYS
Customer# 10653295
Cintas Route Loc#0388 Route 0020
Bill To CITY OF CARMEL H.H.W."BILLING Order#0003875295
30 W MAIN ST Payer# 10664113
STE 220
CARMEL, IN 46032-1938
Material# Description Quantity Unit Price Ext Price Tax
Unit 000000000006625263 Unit Description:_ Breakroom
110 CABINET CLEANED 1 EA $0.00 $0.00
120 CABINET ORGANIZED 1 EA $0.00 $0.00
130 EXPIRATION DATES CHECKED 1 EA $0.00 $0.00
400 SERVICE CHARGE 1 EA $9.95 $9.95
44269 ELASTIC STRIP MEDIUM 1 BOX $9.78 $9.78
50239 HYDROGEN PEROXIDE 2 OZ 1 EA $7.51 $7.51
55556 DISINFECTANT WIPE 1 EA $5.95 $5.95
61029 ANTISEPTIC PUMP 2 OZ 1 EA $9.66 $9.66
62029 BURN CARE PUMP 2 OZ 1 EA $9.76 $9.76
103030 WOUNDSEAL POUR PACK 2/BOX 1 BOX $16.23 $16.23
119250 ANTI-DIARRHEAL CAPLETS SM 1 BOX $14.12 $14.12
130000 THERA TEARS,SMALL 1 PAC $9.92 $9.92
Unit Subtotal: $92.88
Invoice Sub-total $92.88
Tax $0.00
Invoice Total $92.88
Remit To CINTAS CORPORATION
PO BOX 631025
CINCINNATI, OH 45263-1025
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Note
Signature:
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
343500
ZEE MEDICAL INC Purchase Order No.
PO BOX 631025 Terms
CINCINNATI, OH 45263 Due Date 2/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/2/2016 5004405030 $46.44
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
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Cintas First Aid&Safety 0388 Service/Billing (317)264-6103
1435 Brookville Way,Suite P Fax# (317)644-0870
Indianapolis, IN 46239 Payment Inquiry (888)994-2468
Invoice
Ship To CITY OF CARMEL UTILITIES
30 W MAIN ST Invoice#5004405030
STE 220 Invoice Date 02/01/2016
CARMEL, IN 46032-1938 Credit Terms NET 10 DAYS
Customer# 10653295
Cintas Route Loc#0388 Route 0020
Bill To CITY OF CARMEL H.H.W."BILLING Order#0003875295
30 W MAIN ST Payer# 10664113
STE 220
CARMEL, IN 46032-1938
Material# Description Quaritity Unit Price Ext Price Tax
Unit 000000000006625263 Unit Description: Breakroom
110 CABINET CLEANED 1 EA $0.00 $0.00
120 CABINET ORGANIZED 1 EA $0.00 $0.00
130 EXPIRATION DATES CHECKED 1 EA $0.00 $0.00
400 SERVICE CHARGE 1 EA $9.95 $9.95
44269 ELASTIC STRIP MEDIUM 1 BOX $9.78 $9.78
50239 HYDROGEN PEROXIDE 2 OZ 1 EA $7.51 $7.51
55556 DISINFECTANT WIPE 1 EA $5.95 $5.95
61029 ANTISEPTIC PUMP 2 OZ 1 EA $9.66 $9.66
62029 BURN CARE PUMP 2 OZ 1 EA $9.76 $9.76
103030 WOUNDSEAL POUR PACK 2/BOX 1 BOX $16.23 $16.23
119250 ANTI-DIARRHEAL CAPLETS SM 1 BOX $14.12 $14.12
130000 THERA TEARS,SMALL 1 PAC $9.92 $9.92
Unit Subtotal: $92.88
Invoice Sub-total $92.88
Tax $0.00
Invoice Total $92.88
Remit To CINTAS CORPORATION
PO BOX 631025
CINCINNATI, OH 45263-1025
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Note
Signature:
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Note:
Page 1 of 1