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HomeMy WebLinkAbout256884 03/31/16 Gr CITY OF CARMEL, INDIANA VENDOR: 343500 ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT. $*******422,54* CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 256884 PO BOX 631025 025 CHECK DATE: 03/31/16 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5004712746 422.54 OTHER EXPENSES 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 CINTAS FIRST AID & SAFETY Purchase Order No. PO BOX 631025 Terms CINCINNATI, OH 45263 Due Date 3/28/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/28/2016 5004712746 $422.54 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 3/2 9//G Cc—'W pig Date Officer i VOUCHER # 165011 WARRANT# ALLOWED 343500 1 IN SUM OF $ CINTAS FIRST AID & SAFETY PO BOX 631025 CINCINNATI, OH 45263 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5004712746 01-7200-01 $135.91 5004712746 01-7202-05 $189.40 5004712746 01-7202-06 $97.23 r i i f I Voucher Total $422.54 Cost distribution ledger classification if claim paid under vehicle highway fund READY FOR THE WORKDAY- Page 1 0388 - Indianapolis FAS Svc/Billing Questions : 317-264-5103 1435 Brookville Way FAX : 317-644-0870 Indianapolis, IN 462.39 Payment Inauiry : 888-994-2468 ROUTE # Loc #0388 Route 0020 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CITY OF CARMEL UTILITIES INVOICE # 5004712746 9609 HAZEL DELL PKWY DATE 3/23/16 INDIANAPOLIS, IN 46280-2935 PO # 3232016F� 317-571-2634 CUSTOMER # 0010653296 PAYER # 0010653296 SVC ORDER # 8012216057 CREDIT TERMS NET 10 DAYS UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 6626411 COLLECTION MENS 01560337 400 SERVICE CHARGE 1 $9 .95 $9 .95 12221 LIQUID BANDAGE SMALL 1 $12 . 16 $12 . 16 55556 DISINFECTANT WIPE 1 $5 . 95 $5 .95 79191 MUCINEX SMALL 2 $10 . 36 $20 . 72 102640 BIOFREEZE MUSCLE RLF SM 2 $9 .25 $18 .50 111589 PAIN AWAY X-STRENGTH MED 1 $17 .71 $17 .71 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 115089 ANTACID FRUIT FLAVOR MED 1 $16 .15 $16 .15 119260 ALLERGY RELIEF TABLET MED 1 $10 .50 $10 . 50 119310 PEPTUM TABS SMALL 1 $14 .69 $14 . 69 180069 TRIANGULAR BNDG UNITIZE/IBX 1 $4 .95 $4 . 95 UNIT SUBTOTAL $196 .03 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 12221 LIQUID BANDAGE SMALL 1 $12 .16 $12 .16 55556 DISINFECTANT WIPE 1 $5 . 95 $5 .95 72220 ROLLER GAUZE, 2 " NON-STER 1 $5 . 63 $5 . 63 72240 ROLLER GAUZE, 4 " NON-STER 1 $6 . 35 $6 . 35 82420 MEDI-RIP 2" 1 $7 .50 $7 .50 102640 BIOFREEZE MUSCLE RLF SM 2 $9 . 25 $18 . 50 111180 ASPIRIN ORG ST 50CT 1 $13 . 48 $13 . 48 111589 PAIN AWAY X-STRENGTH MED 1 $17 . 71 $17 . 71 112039 COLD RELIEF MAX/STR MED 1 $24 . 45 $24 . 45 119260 ALLERGY RELIEF TABLET MED 1 $10 . 50 $10 . 50 • ClNrAs. READY FOR THE WORKDAY" Page 2 INVOICE # 5004712746 PAYER # 0010653296 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 UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 574143 SORE THROAT CHERRY/SMALL 1 $10 .36 $10 . 36 UNIT SUBTOTAL $132 . 59 6626416 MAINTENANCE 01560342 72220 ROLLER GAUZE , 2" NON-STER 1 $5 . 63 $5 . 63 72240 ROLLER GAUZE , 4" NON-STER 1 $6 .35 $6 . 35 100439 HYDROCORTISONE CREAM SM 1 $7 .63 $7 .63 101239 FIRST AID CREAM SMALL 1 $7 .58 $7 .58 112249 DECONGEST NASAL/SINUS LG 1 $33 . 45 $33 . 45 119260 ALLERGY RELIEF TABLET MED 1 $10 .50 $10 .50 573772 DAYQUIL SEVERE SMALL 2 $11 . 39 $22 . 78 UNIT SUBTOTAL $93 . 92 REI°IIT TO CINTAS CORPORATION SUB-TOTAL $422 . 54 PO BOX 631025 TAX $0 . 00 CINCINNATI, OH 45263-1025 TOTAL $422 . 54 SIGNATURE : ------------------------------ DATE : ------------------ NAME : -------------------------------