257140 04/05/16 ,� CITY OF CARMEL, INDIANA VENDOR: 00352917
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
= CHECK AMOUNT: $********39.20*
s ;i CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 257140
.;; ® �+
9M,'oN,�• KALAMAZOO MI 49001 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0318166605 39.20 CLEANING SERVICES
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))
03/18/16 I 0318166605 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
DOMESTIC UNIFORM RENTAL
3401 COVINGTON ROAD.: ..
IN SUM OF $
KALAMAZOO, MI 49001
$39.20
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I 0318166605 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
Friday, March 18,.2016
y: N
Terry Crockett, Director
Cost distribution ledger classification if
claim;paid motor vehicle highway fund
L-1rye11 111vvl0E I NV#h 0318166603
YOUR LOCAL
w
D �9 ICI��)QiE� 0M T7N7AL 800-430`0872 _
SVC_ OFFICE
3401 COVINGTON ROAD 269•-388-2400 TEL#
KALAMAZOO Iii 1 49001
%6L
:ARMEL CLAY COMMUNIC 0
31 FIRST AVE NW 9 5
:ARMEE Ih! 03 18 16 Wo
4.6032 P < DAY K -
t7 W MO. DA. YR. r�C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE -
'AYMENT DUE BY 4/18/16 LOS ANGELES,CA
ORANGE COUNTY,CA
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VENTURA CA
CHICAGO,IL
3 RED VY MAT 1225 22E ADDISON,IL
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5_SCRAI'ER _'JYJp,T7 1980
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EtSV LR ONIYiNTAL FBS, 5�; r ,� 100 LANSING,MI
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CLEVELAND,OH `
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HARRISBURG,PA -
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i —���'� —t- • =�!^%°� ' .:.•L •i f 7fJ.1� THIS DELIVERY IS I
MADE UNDER
EXISTING RENTAL AGREEMENTFIT —'
NO. NOP AC NO.NT PAYTHIS PLEASE PAY FROM �
308 ''`- 1 8466 0 AMOUNT $ 3420 THIS INVOICE. U
�� OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $
RMID BY