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Home My WebLink About257122 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 343500 I; ® ! ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $*******301.81* CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 257122 F;ETON_ PO BOX 631025 CHECK DATE: 04/05/16 CINCINNATI OH 45 26 3-1 025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012- 5004524691 53.26 SAFETY SUPPLIES 2201 4239012 5004712707 248.55 SAFETY SUPPLIES 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)) 03/10/16 5004524691 first aid supplies $53.26 1110 101 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CINTAS FIRST AID&SAFETY PO BOX 631025 IN SUM OF$ CINCINNATI, OH 45263-1025 $53.26 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members I 5004524691 I 42-390.12 I $53.26 1 hereby certify that the attached invoice(s), or 1110 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, March 14, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund Cintas First Aid&Safety 0388 Service/Billing (317)264-5103 1435 Brookville Way,Suite P Fax# (317)644-0870 Indianapolis,IN 46239 nvoice Payment Inquiry (888)994-2468 I Ship To CARMEL POLICE 3 CIVIC SQ Invoice#5004524691 CARMEL, IN 46032-2584 Invoice Date 03/10/2016 Credit Terms NET 10 DAYS Customer# 10652785 Cintas Route Loc#0388 Route 0020 Bill To CARMEL POLICE Order#0004091631 3 CIVIC SQ Payer# 10652785 CARMEL, IN 46032-2584 Material# _ Description.. .__ Quantity .Unit Price Ext Price Tax Unit 000000000006633723 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 $9.35 $9.35 72240 ROLLER GAUZE,4"NON-STER 1 EA $6.35 $6.35 592242 TRAUMA PAD VACUUM SLD/4BX 1 BOX $13.33 $13.33 592243 SPLINT 24" 1 EA $14.28 $14.28 Unit Subtotal: $53.26 Invoice Sub-total $53.26 Tax $0.00 Invoice Total $53.26 Remit To CINTAS CORPORATION PO BOX 631025 CINCINNATI, OH 45263-1025 Note Signature: Note: Page 1 of 1 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)) 03/14/16 5004712707 $248.55 2201 201 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CINTAS FIRST AID&SAFETY CINTAS CORPORATION IN SUM OF$ PO BOX 631025 CINCINNATI, OH 45263-1025 $248.55 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member I 5004712707 I 42-390.12 I $248.55 1 hereby certify that the attached invoice(s), or 2201 201 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 Tijes y, Mal-A/15,## U" Street Commissioner Cost distribution ledger classification if claim paid motor vehicle highway fund • CI 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 40388 Route 0020 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CARMEL STREET DEPT INVOICE # 5004712707 3400 W 131ST ST DATE 3/14/16 WESTFIELD, IN 46074-8267 PO # N/A 317-733-2001 CUSTOMER # 0010652787 PAYER # 0010664222 SVC ORDER # 8012133088 -CREDIT TERMS NET 10 DAYS UNIT EXT MATERIAL # DESCRIPTION QTY PRICE PRICE TAX ---------- --------------------------- --- ------ -------- --- 6633596 MAIN BLD MENS R 01560255 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 50429 ALCOHOL PREP PADS MEDIUM 1 $8 .38 $8 . 38 55556 DISINFECTANT WIPE 1 $5 . 95 $5 . 95 71019 GAUZE PADS 41IX4" SMALL 1 $8 .54 $8 .54 72220 ROLLER GAUZE , 2" NON-STER 1 $5 . 63 $5 .63 72240 ROLLER GAUZE, 4" NON-STER 1 $6 .35 $6 . 35 180069 TRIANGULAR BNDG UNITIZE/IBX 1 $4 . 95 $4 .95 UNIT SUBTOTAL $49 .75 6633597 MAINTENANCE BLD 01560256 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 33129 QUIKHEAL F/P BANDAGES MED 2 $8 .47 $16 . 94 44269 ELASTIC STRIP MEDIUM 1 $9 .35 $9 .35 55556 DISINFECTANT WIPE 1 $5 . 95 $5 . 95 70010 'COTTONTIP APP 3" 100/VIAL 1 $5 . 00 $5 .00 111399 ACETAMINOPHEN LRG 1 $30 .63 $30 .63 112039 COLD RELIEF MAX/STR MED 2 $21 . 22 $42 . 44 112249 DECONGEST NASAL/SINUS LG 1 $33 . 45 $33 . 45 112449 SINUS RELIEF DUAL ACTN LG 1 $40 . 17 $40 . 17 130000 THERA TEARS , SMALL 1 $9 . 92 $9 . 92 180069 TRIANGULAR BNDG UNITIZE/IBX 1 $4 . 95 $4 . 95 UNIT SUBTOTAL $198 .80 ClNrAsa READY FOR THE WORKDAY" Page 2 INVOICE # 5004712707 PAYER # 0010664222 0388 - Indianapolis FAS Svc/Billing Questions : 317-264-5103 1435 Brookville Way FAX : 317-644-0870 Indianapolis , IN 46239 Payment Inauiry : 888-994-2468 ROUTE # Loc #0388 Route 0020 REMIT TO CINTAS CORPORATION SUB-TOTAL $248 . 55 PO BOX 631025 TAX $0 . 00 CINCINNATI, OH 45263-1025 TOTAL $248 . 55 SIGNATURE : DATE : --------------------- NAME : �`q0 ��MOIUV--