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HomeMy WebLinkAbout258115 04/29/16 CITY OF CARMEL, INDIANA VENDOR: 343500 ® ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $*******341.74* 9� =a; CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 258115 ,,,ETON PO BOX 631025 CHECK DATE: 04/29/16 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5004857673 341.74 OTHER EXPENSES VOUCHER # 165178 WARRANT # ALLOWED 343500 IN SUM OF $ CINTAS FIRST AID & SAFETY PO BOX 631025 CINCINNATI, OH 45263 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5004857673 01-7200-01 $159.00 5004857673 01-7202-05 $110.89 5004857673 01-7202-06 $71.85 I f I Voucher Total $341.74 Cost distribution ledger classification if claim paid under 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 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 4/21/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/21/2016 5004857673 $341.74 hereby certify that the attached invoice(s), or bill(s) is (are)true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer 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 #0388 Route 0020 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CITY OF CARMEL UTILITIES INVOICE # 5004857673 9609 HAZEL DELL PKWY DATE 4/20/16 INDIANAPOLIS, IN 46280-2935 PO # 516041 317-571-2634 CUSTOMER # 0010653296 PAYER # 0010653296 SVC ORDER # 8012419781 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 43059 FINGERTIP BANDAGE MED 1 $10 .95 $10 . 95 72220 ROLLER GAUZE, 2" NON-STE'R 1 $5 . 63 $5 . 63 72240 ROLLER GAUZE , 4" NON-STER 1 $6 . 35 $6 .35 112439 SINUS RELIEF DUAL ACTN MD 1 $20 . 85 $20 . 85 UNIT SUBTOTAL $53 . 73 6626410 COLLECT OFFICE 01560334 - 44269 ELASTIC STRIP MEDIUM 1 $9 .35 $9 .35 111589 PAIN AWAY X-STRENGTH MED 1 $17 .71 $17 . 71 112039 COLD RELIEF MAX/STR MED 1 $24 .45 $24 . 45 112439 SINUS RELIEF DUAL ACTN MD 1 $20 . 85 $20 . 85 1'40560 BUG-X INSECT REPEL 25/PCK 1 $46 . 30 $46 . 30 150060 TWEEZER, DISP PLASTIC 1 $3 . 05 $3 .05 8302241 SUN-X BOX 25 (63291 ) 1 $34 .80 $34 .80 UNIT SUBTOTAL $156 .51 6626412 LAB 01560338 43059 FINGERTIP BANDAGE MED 1 $10 . 95 $10 .95 6202.9 BURN CARE PUMP 2 OZ 1 $9 . 76 $9 . 76 100039 TRIPLE ANTIBIOTIC OINT SM 1 $8 .86 $8 .86 180069 TRIANGULAR BNDG UNITIZE/IBX 1 $4 . 95 $4 :95 592242 TRAUMA PAD VACUUM SLD/4BX 1 $13 . 33 $13 . 33 592243 SPLINT .24 " 1 $14 :28 $14 .28 UNIT SUBTOTAL $62 .13 6626416 MAINTENANCE 01560342 55556 DISINFECTANT WIPE 1 $5 . 95 $5 . 95 112039 COLD RELIEF MAX/STR MED 1 $24 . 45 $24 . 45 130479 EYEWASH, 1/ OZ MEDIUM 2 $16 . 21 $32 . 42 131600 EYE CUPS SMAL 6 Vial/EA 1 $6 . 55 $6 . 55 UNIT SUBTOTAL $69 . 37 ti • CUM READY FOR THE WORKDAY'M Page 2 INVOICE # 5004857673 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 REMIT TO CINTAS CORPORATION SUB-TOTAL $341 .74 PO BOX 631025 TAX $0 .00 CINCINNATI, OH 45263-1025 TOTAL $341 . 74 SIGNATURE : ------------------------------ DATE : ------------------ NAME : ------------------------------