HomeMy WebLinkAbout257850 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******305.50*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 257850
•M;�roN o. PO BOX 631025 CHECK DATE: 04/26/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5004857632 305.50 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO.
ALLOWED 20
CINTAS FIRST AID &SAFETY
CINTAS CORPORATION
IN SUM OF $
PO BOX 631025
CINCINNATI, OH 45263-1025
$305.50
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member!
I 5004857632 I 42-390.12 I $305.50 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
Tuesda April 12, 016
0
ff
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/08/16 5004857632 $305.50
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
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Indianapolis, IN 46239 Payment Inquiry : 888-4994-2468
ROUTE # Loc #0388 Route 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # 5004857632
3400 W 131ST ST DATE 4/8/16
WESTFIELD, IN 46074-8267 PO # N/A
317-733-2001 CUSTOMER # 0010652787
PAYER # 0010664222
SVC ORDER # 8012331606
CREDIT-- TERMS NET -10 -DAYS. -
UNIT EXT
MATERIAL # DESCRIPTION QTY PRICE PRICE TAX
---------- --------------------------- --- ------ -------- ---
6633596 MAIN BLD MENS R
400 SERVICE CHARGE 1 $9 .95 $9 . 95
55556 DISINFECTANT WIPE 1 $5 .95 $5 . 95
62029 BURN CARE PUMP 2 OZ 1 $9 . 76 $9 .76
112239 DECONGEST NASAL/SINUS MED 2 $17 . 46 $34 .92
121629 NAPROXEN SODIUM MEDIUM 2 $10 .96 $21 .92
130479 EYEWASH, 1/202 MEDIUM 1 $16 .21 $16 .21
140560 BUG-X INSECT REPEL 25/PCK 2 $46 . 30 $92 . 60
180029 EYE DRESSINGS/2 BX 1 $4 . 95 $4 .95
180049 TOURNIQUET/2 BX 1 $4 . 95 $4 . 95
UNIT SUBTOTAL $201 . 21
6633597 MAINTENANCE BLD
55556 DISINFECTANT WIPE 1 $5 .95 $5.. 95
111989 IBUPROFEN TABS MEDIUM 1 $19 . 45 $19 . 45.
115089 ANTACID FRUIT FLAVOR MED 1. $15 . 87 $15 . 87
130479 EYEWASH , 1/202 MEDIUM 2 $16 .21 $32 . 42
1180029 EYE DRESSINGS/2 BX 1 $4 .95 $4 . 95
180049 TOURNIQUET/2 BX 1 $4 . 95 $4 . 95
280.020 LENS/SCREEN PADS 100/BX 1 $20 . 70_ $20 . 7-0
UNIT SUBTOTAL $104 .29
REMIT TO CINTAS CORPORATION . SUB-TOTAL $305 .50
PO BOX '631025 TAX $0 . 00
CINCINNATI, OH 45263-1025 TOTAL $305 . 50
SIGNATURE : ------- ----------------------- DATE : ------------------
NAME : ------------------------------
JO