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Home My WebLink About256274 03/15/16 CITY OF CARMEL, INDIANA VENDOR: 197000 ® 31 ONE CIVIC SQUARE CINTAS CHECK AMOUNT: $*******359.02* CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 256274 9yiTON CINCINNATI OH 45263.1025 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5004524626 359.02 OTHER EXPENSES VOUCHER # 157316 WARRANT # ALLOWED 197000 IN SUM OF $ CINTAS PO BOX 630803 LOCATION 18 CINCINNATI, OH 45263-0803 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5004524626 01-7200-01 $76.82 5004524626 01-7202-05 $109.86 5004524626 01-7202-06 $172.34 Voucher Total $359.02 Cost distribution ledger classification if claim paid under vehicle highway fund i 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 197000 CINTAS Purchase Order No. PO BOX 630803 Terms LOCATION 18 Due Date 2/29/2016 CINCINNATI, OH 45263-0803 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/29/2016 5004524626 $359.02 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 Date Officer cikrAs. READY FOR THE WORKDAY' Page 1 0388 - Indianapolis FAS Svc/Billing Questions : 317-264-5103 1435 Brookville Way FAX : 317-644-0870 Indianapolis, IN 46239 Payment Inquiry : 888-994-2468 ROUTE # Loc #0388 Route 0020 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CITY OF CARMEL UTILITIES INVOICE # 5004524626 9609 HAZEL DELL PKWY DATE 2/24/16 INDIANAPOLIS , IN 46280-2935 PO # 515878 317-571-2634 CUSTOMER # 0010653296 PAYER # 0010653296 SVC ORDER # 8012102145 -- . CREDIT TERMS NET 10 _DAYS UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 6626410 COLLECT OFFICE 01560334 110 CABINET CLEANED 1 $0 .00 $0 .00 120 CABINET ORGANIZED 1 $0 .00 $0 . 00 130 EXPIRATION DATES CHECKED 1 $0 .00 $0 . 00 400 SERVICE CHARGE 1 $9 .95 $9 .95 55556 DISINFECTANT WIPE 1 $5 .95 $5 . 95 100039 TRIPLE ANTIBIOTIC OINT SM 1 $8 . 86 $8 .86 112039 COLD RELIEF MAX/STR MED 1 $24 . 45 $24 .45 592242 TRAUMA PAD VACUUM SLD./4BX 1 $13 . 33 $13 .33 592243 SPLINT 24" 1 $14 . 28 $14 . 28 UNIT SUBTOTAL $76 . 82 6626411 COLLECTION MENS 01560337 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 55556 DISINFECTANT WIPE 1 $5 .95 $5 . 95 111989 IBUPROFEN TABS MEDIUM 1 $19 .45 $19 .45 112039 COLD RELIEF MAX/STR MED 1 $24 .45 $24 .45 112439 __ SINUS RELIEF DUAL ACTN MD 1 $20..85 $20 .85_. 163050 BURN RELIEF PACKET/ 6 PK 1 $11 .55 $11 .55 592242 TRAUMA PAD VACUUM SLD/4BX 1 $13 . 33 $13 . 33 592243 SPLINT 24" 1 $14 .28 $14 .28 UNIT SUBTOTAL $109 .86 6626416 MAINTENANCE 01560342 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 55556 DISINFECTANT WIPE 1 $5 . 95 $5 . 95 111180 ASPIRIN ORG ST 50CT 1 $13 . 48 $13 . 48 C NrM. READY FOR THE WORKDAY- Page 2 INVOICE # 5004524626 PAYER # 0010653296 0388 - Indianapolis FAS Svc/Billins Questions : 317-264-5103 1435 Brookville Way FAX : 317-644-0870 Indianapolis, IN 46239 Payment Inauiry : 888-994-2468 ROUTE # Loc #0388 Route 0020 UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- -----=--------------------- --- ------ -------- --- 111389 ACETAMINOPHEN MED 1 $16 .45 $16 .45 111589 PAIN AWAY X-STRENGTH MED 1 $17 .71 $17 .71- 111989 17 .71111989 IBUPROFEN TABS MEDIUM 1 $19 . 45 $19 . 45 112039 COLD RELIEF MAX/STR MED 1 $24 .45 $24 . 45 112239 DECONGEST NASAL/SINUS MED 1 $18 . 60 $18 .60 113629 HONEYLMN MNTHL COUGH DR MD 1 $12 . 49 $12 .49 115089 ANTACID FRUIT FLAVOR MED 1 $16 .15 $16 .15 592242 TRAUMA PAD VACUUM SLD/. 4BX 1 $13 .33 $13 . 33 592243 SPLINT 24" 1 $14 . 28 $14 .28 UNIT SUBTOTAL $172 .34 REMIT TO CINTAS CORPORATION SUB-TOTAL $359 . 02 PO BOX 631025 TAX $0 . 00 CINCINNATI, OH 45263-1025 TOTAL $359 .02 SIGNATURE : ------------------------------ DATE : ------------------ NAME : ------------------------------