HomeMy WebLinkAbout258503 05/10/16 %`.s�\\ CITY OF CARMEL, INDIANA VENDOR: 364573
ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $*******704.25*
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 258503
'M,�TON SHELBYVILLE IN 46176 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2581702 86.49 OTHER EXPENSES
1110 4353099 2581714 34.71 OTHER RENTAL & LEASES
1205 R4356001 32943 2582327 43.82 UNIFORMS
651 5023990 2582388 246.53 OTHER EXPENSES
601 5023990 2582561 106.20 OTHER EXPENSES
601 5023990 2582706 142.68 OTHER EXPENSES
1205 R4356001 32943 2583862 43.82 UNIFORMS
VOUCHER NO. WARRANT NO.
ALLOWED 20
PLYMATE
819 ELSTON DRIVE
IN SUM OF$
SHELBYVILLE, IN 46176
$87.64
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
32943 j 2582327 43-560.01 $43.82 1 hereby certify that the attached invoice(s), or
1205 Encumbered 101
32943 2583862 43-560.01 $43.82 bill(s) is (are)true and correct and that the
1205 Encumbered 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 09, 2016
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))
04/27/16 2582327 $43.82
1205 101
05/04/16 2583862 $43.82
1205 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
CARMEL CITY HALL |mmima# 2582327 —131
ONE CIVIC SQUARE Do� O4�7QO1S (O�0S53'2�1
CARK�EL. |N48�2 NP w�.p�m�avom
Cuot# 2787 ' �00�0�� �
u1SElston Drive
pO# 32043 Stop 630 Shelbyville, IN 46176
Jeff Barnes
0hrkplacE Appard&Floor[Oat Programs
RT 12
eso
2 6800 PANT NAVY COMFORT 4230
3 6800 PANT NAVY COMFORT 4430
4 OuOo PANT NAVY COMFORT 4030
o 6925 PANT DENIM JEAN uouu
6 u 6227 JEFF BARNES POLO RYUaLxCmGmAGPROOF 4X 00 $a.u* e
7 2 6816 JEFF BARNES PANT NAVY CARGO 4*30 $suo 13
8 u 6848 JEFF BARNES JACKET NAVY LGTEAM 4X RG $1.1e 1
9 u 6919 JEFF BARNES PANT NAVY CARGO SHORTS *411 $2.31 s
10 u 6504o JEFF BARNES SHIRT oLoR SS M|CROCHEC 4X OT $3.23 s
11 o 8740G JEFF BARNES SHIRT crBLUE GSEXEC 19500 $1.03 u '
12 1 6227 CLAYTON BELL POLO RYL/BU\CKOmAopROOF 3X 00 $2.87 s u
13 1 8816 CLAYTON BELL PANT NAVY CARGO 4032 $5.00 13 s 3
14 1 6848 CLAYTON BELL JACKET NAVY LSTEAM 3X LN *1.00 1
15 1 6919 CLAYTON BELL PANT NAVY CARGO SHORTS 4011 $1.92 u' 1
16 1 6504S CLAYTON BELL SHIRT aLoR8GM|CROCHsC 3X OT $6.00 13 8 1 4
Service Charge $9.95
Subtotal $43.82
Tax
Total &43.8
Building Maintenance
Thanks for your business.
Your Service Rep-��a9u%°
PaotDue Amounts
�30UDays- 6X0 }ays 90U}ays- Customer Signature
$ OU0 � O'O0 � 000
� � � RT 12
CARMEL CITY HALL Invoice# 2583852 "
ONE CIVIC SQUARE Date 05/04/2016 {$00}553-2661
CARMEL, IN 46032 k F, www.plymaite.com
Cust# 2787 819 Elston Drive
Stop 630 P ; 9teShelbyville, IN 46176
PO# 32943
Jeff Barnes V�krrlspEarp Apparel&Floor f4tAt Prograrm
RT 12
� .
ane.ittlan item# W Nam ,t'Llescrrptlon, ...„_ Saes. ' Amorlf5, tnv;;
2 6800 PANT NAVY COMFORT 4230
3 6800 PANT NAVY COMFORT 4430
4 6800 PANT NAVY COMFORT 4630
5 6925 PANT DENIM JEAN 3830
6 2 6227 JEFF BARNES POLO RYL/BLACK SNAGPROOF 4X 00 $3.35 5
7 2 6816 JEFF BARNES PANT NAVY CARGO 4430 $6.00 13
8 2 6848 JEFF BARNES JACKET NAVY LS TEAM 4X RG $1.16 1
9 2 6919 JEFF BARNES PANT NAVY CARGO SHORTS 4411 $2.31 5
10 2 6504S JEFF BARNES SHIRT BL GR SS MICROCHEC 4X OT $3.23 6
11 2 6740S JEFF BARNES SHIRT LT BLUE SS EXEC 195 00 $1.03 2
12 1 6227 CLAYTON BELL POLO RYL/BLACK SNAGPROOF 3X 00 $2.87 5 2
13 1 6816 CLAYTON BELL PANT NAVY CARGO 4032 $5.00 13 5
14 1 6848 CLAYTON BELL JACKET NAVY LS TEAM 3X LN $1.00 1
15 1 6919 CLAYTON BELL PANT NAVY CARGO SHORTS 4011 $1.92 5
16 1 6504S CLAYTON BELL SHIRT BL GR SS MICROCHEC 3X OT $6.00 13 8 1
Service Charge $9.95
$43.82 j�Q (; GA"W
Subtotal __ ' �iol
Tu j
Total $43.82 Building Maintenance i
i. _ �a32g y3
Thanks for your business. Account #i
Department# tZu,S—
Your Service Rep-%we Mqm
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $0.00 $ 0.00 RT 12
Oi ' '
MAY-092016
Clerk °rarer
VOUCHER # 165230 WARRANT # ALLOWED
364573 IN SUM OF $
PLYMATE
819 ELSTON DRIVE
SHELBYVILLE, IN 46176
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV# ACCT* AMOUNT Audit Trail Code
2582388 01-7360-02 $71.24
2582388 01-7362-05 $52.65
2582388 01-7362-06 $122.64
X1 :53 a �� •���a�o� 8�,y q
Voucher Total $246.53
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
364573
PLYMATE Purchase Order No.
819 ELSTON DRIVE Terms
SHELBYVILLE, IN 46176 Due Date 5/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2016 2582388 $246.53
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
CITY OF CARMEL UTIITIES Invoice# 2581702 Plymate's MatMan
-- 800)553-2661
9609 HAZEL DELL PKWY Date 04/26/2016 0!44"7P
il
INDIANAPOLIS, IN 46240 Cust# 22561 ��``P www•plymate.com
)S�jym;at 819 ELSTON DR
Stop 155 — 4 SHELBYVILLE, IN 46176
PAUL ARNONE Vkrkplace Apparel&Floor Mat Frograns
RT 30
Line Item* Name/Des'cn tion TI nV, Qty:'" Rental, Repi 1 2' 'a
�U
1 1045 3X4 INDUSTRIAL BLACK 2 $4.66
2 1070 4X6 INDUSTRIAL BLACK 7 $32.61
3 1424 3X4 ONYX BRUSH MAT 1 $3.54
4 1425 4X6 ONYX BRUSH MAT 1 $7.07
5 1478 3X5 COMFORT FLOW MAT 5 $23.40
6 1479 ROTATE 3X5 COM FLOW 5
7 1487 3X9 COMFORT FLOW MAT 1 $5.26
8 1488 ROTATE 3X9 COMFORT FLOW 1
Service Charge $9.95
Subtotal $86.49 �Q g aa"wow
Tax
Total 86.49
I
Thanks for your business.
Your MatMan
{ j
Past Due Amounts f
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 30
CITY OF CARMEL UTIITIES Invoice# 2582388 EV A
9609 HAZEL DELL PKWY Date 04/27/2016 (800)553-2661
A
INDIANAPOLIS, IN 46240Cust# 2256 www.plymate.com
FA"
819 Elston Drive
Stop 150 P1 Shelbyville,IN 46176
Jeff Cooper Urkplace Apparel&Floor Mat Programs
RT 17
�Line j Man-,-,,I fte�rn
Na Mescripfion""11
me,"4
1 290 MICRO RIBBED TERRY TO $20.80 100 40 40 40 40 40 40
2 290 MICRO RIBBED TERRY TO $2.84 100 2
3 476 SHOP TOWEL RED $18.72 300 50 50 50 50 50 50
4 476 SHOP TOWEL RED $8.55 300 15
5 477 SHOP TOWEL WHITE $24.96 300 50 50
6 477 SHOP TOWEL WHITE $8.55 300 15
8 5 6937 MICAH BECK PANT RK UTILITY JEAN 3230 $3.66 11 2 2 1
9 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
10 22 6937 PETER BRENNAN PANT RK UTILITY JEAN 3234 $3.66 11
11 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
12 25 6937 KEVIN BUHMANN PANT RK UTILITY JEAN 4430 $4.39 11 4 3 4 3 3 3
13 25 6610S KEVIN BUHMANN SHIRT KH BLACK SS MICROCHE 2X 00 $3.83 11
14 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
15 31 6926 TYLER CALLAHAN PANT DENIM JEAN 4032 $3.15 11
16 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
17 13 6925 BART CHAFIN PANT DENIM JEAN 3230 $3.15 11
18 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
19 16 6925 CALVIN COOPER PANT DENIM JEAN 3834 $3.15 11
20 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
21 18 6925 JEFF COOPER PANT DENIM JEAN 3830 $3.15 11 4 1 4 3 1 2
22 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
23 501 6863 DAVE DYE LAB COAT WHITE 3X RG $4.88 11 1 1 1 1 2 2
24 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
25 14 6925 LARRY EIDSON PANT DENIM JEAN 4032 $3.15 11
26 14 6610S LARRY EIDSON SHIRT KH BLACK SS MICROCHE 3X OT $4.47 11
27 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
28 15 6925 GREG EPP PANT DENIM JEAN 3230 $3.15 11
29 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
30 32 6937 GUADALUPE ESPARZA PANT RK UTILITY JEAN 3628 $3.66 11 5 5 5 5 4 5
31 32 6610S GUADALUPE ESPARZA SHIRT KH BLACK SS MICROCHE LG 00 $1.45 5 1 2 2 2 1 4
32 INSPGM GARMENT PROTECTION GARMENT PROTECTION 16 $0.96
33 3 6863 FRANK GRANNAN LAB COAT WHITE 46 RG $4.07 11 2 1
34 3 6937 FRANK GRANNAN PANT RK UTILITY JEAN 3432 $3.66 11 1 2
35 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
36 17 6925 TONY HARVEY PANT DENIM JEAN 3634 $3.15 11 5 2 3 5 3 5
37 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
38 2 6925 BRAD HAYMAKER PANT DENIM JEAN 3832 $3.15 11
39 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
40 27 6937 DUANE JARVIS PANT RK UTILITY JEAN 3830 $3.66 11 2 2 3 2 3 3
41 27 6610L DUANE JARVIS SHIRT KH BLACK LS MICROCHE 1X RG 1
Page 1 of 3
CITY OF CARMEL UTIITIES Invoice# 2582388 `
9609 HAZEL DELL PKWY Date 04/27/2016 (800)553-2661
e�tib}Fd
INDIANAPOLIS, IN 46240 - www.plymate.com
Cust# 2256 ��
PPlymat� � 819 Elston Drive
Stop 150 " Shelbyville, IN 46176
Jeff Cooper RrkpiarF Apparel&Roor Mat Programs
RT 17
ine Mari�" Item'# Named/"Descnpf�on ` Sizes Amviirtt;' . Inv. Qt ":,1. . 2 3
42 27 6610S DUANE JARVIS SHIRT KH BLACK SS MICROCHE 1X 00 $1.39 4 1
43 INSPGM GARMENT PROTECTION GARMENT PROTECTION 16 $0.96
44 26 6937 ROBBIE KINKEAD PANT RK UTILITY JEAN 3630 $3.66 11 1 2
45 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
46 28 6937 MATT LAFOLLETTE PANT RK UTILITY JEAN 3430 $3.66 11
47 28 6610S MATT LAFOLLETTE SHIRT KH BLACK SS MICROCHE LG 00 $3.19 11
48 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
49 12 6925 CURT MANIFOLD PANT DENIM JEAN 4030 $3.15 11 1
50 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
51 21 6925 GARY MERRILL PANT DENIM JEAN 3432 $3.15 11
52 21 6610S GARY MERRILL SHIRT KH BLACK SS MICROCHE 1X 00 $3.83 11
53 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
54 1 6937 BRAD OLIVER PANT RK UTILITY JEAN 3630 $3.66 11 2 2 2 2 1 2
55 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
56 24 6937 LONNIE PATTON PANT RK UTILITY JEAN 3634 $3.66 11
57 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
58 23 6937 ERIC ROBINSON PANT RK UTILITY JEAN 3232 $3.66 11 1 3 4 3 2 3
59 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
60 30 6937 KYLE SMITH PANT RK UTILITY JEAN 3830 $3.66 11
61 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
62 8 6937 JASON STEWART PANT RK UTILITY JEAN 3634 $3.66 11
63 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
64 29 6937 JEFF TRAGESSER PANT RK UTILITY JEAN 3634 $3.66 11
65 29 6610L JEFF TRAGESSER SHIRT KH BLACK LS MICROCHE 1X LN 6
66 29 6610S JEFF TRAGESSER SHIRT KH BLACK SS MICROCHE 1X 00 $1.74 5
67 INSPGM GARMENT PROTECTION GARMENT PROTECTION 22 $1.32
68 7 6937 DAVID TURNER PANT RK UTILITY JEAN- 3630 $3.66 11 5 5 4 4 3 5
69 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
70 4 6937 MIKE TURNER PANT RK UTILITY JEAN 3232 $3.66 11 5 2 3 4 3 3
71 INSPGM GARMENT PROTECTION GARMENT PROTECTION 11 $0.66
72 500 6863 TARA WASHINGTON LAB COAT WHITE LG RG $1.48 4 1 1 1
73 500 7705 TARA WASHINGTON SCRUB SHIRT-CIEL BLUE MD RG $3.55 11
74 500 7710 TARA WASHINGTON SCRUB PANT-CIEL BLUE MD RG $3.55 11
75 INSPGM GARMENT PROTECTION GARMENT PROTECTION 26 $1.56
Service Charge $9.95
Page 2 of 3
CITY OF CARMEL UTY|T]ES Invoice# 2582388
8OO8HAZEL DELL PKVVY Date 04/27/2016 (ODO)5�3'2G�i
INDIANAPOLIS, |N46240 0r www.plymmacom
Oust# 225O
810Elston Drive
Stop 150 plymate� �lffa+, Shelbyville, |N4O178
J*ffC»opo' M-rkplatmApparel&HumMat Programs
RT 17
�u4s�oo
Subtotal
Tax
Total a246.5u
Thanks for your business.
Your Service Rep-Z)a-,.e&*
Past Due Amounts
30Days -6}{Days- 180 Dav§_ Customer Signature
$ D.DO $ Q.00 $ 0D0 RT 17
Page 3 of 3
'
VOUCHER # 161343 WARRANT# ALLOWED
364573 IN SUM OF $
PLYMATE
819 ELSTON DR
SHELBYVILLE, IN 46176
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2582561 01-6360-06 $106.20
x580010
Voucher Total aggo Sg *Wi-2
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
364573
PLYMATE Purchase Order No.
819 ELSTON DR Terms
SHELBYVILLE, IN 46176 Due Date 5/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2016 2582561 $106.20
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
Date Officer
CITY OF CARMEL WATER DIST Invoice# 2582561 Plymate's MatMan
3450 W 131ST ST (100)553.2661
Date 04/28/2016
WESTFIELD, IN 46074www.plymate.com
Plymate Cust# 29341 819 ELSTON DR
Stop 1 SHELBYVILLE, IN 46176
Jerry Smith Urkplace Apparel&Roar Mat Programs
RT 50
j
Name i'De'scrip on, 3. ,t
1 1052 4X6 MIDNIGHT GREY MAT 9 $47.25
2 1077 5X8 MIDNIGHT GREY MAT 4 $36.00
3 1102 3X10 MIDNIGHT GREY MAT 2 $13.00
Service Charge $9.95
Subtotal $106.20 �
Tax
Total $106.2
Thanks for your business.
Your M atM a n
Past Due Amounts
30 Days 60 Days 90 Days- Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 50
CITY OF CARMEL WATER DIST Invoice# 2582706
3450 W 131 ST ST (800)553-2661
Date Oa 28/2016
WESTFIELD, IN 46074 4,8 n www.plymate.com
Cust# 29343h.5 819 Elston Drive
Stop 430 Plyrt� Shelbyville, IN 46176
.9e1-,-y Smith 'Abrk.plare Apparel&Floor fiat Programs
RT 12
Line `, NameYDescrip"bion tnv; Qty z 'Rental " Kepi. SetUpf
1 SHOP TOWEL RED 100 $6.00
3 1 EDDIE ALVAREZ $8.21
5 GARMENT PROTECTION 22 $1.32
6 4 JUSTIN BRANDT $7.45
8 GARMENT PROTECTION 22 $1.32
9 7 ALEX BROWN $7.45
11 GARMENT PROTECTION 22 $1.32
12 14 STEVE CALLAHAN $7.25
------ .......__ ..-..- --_- _..---.._ . . ......... __.. -_._._- .. ........
15 GARMENT PROTECTION 22 $1.32
16 9 ALDWIN CASTANEDA $7.45
19 GARMENT PROTECTION 22 $1.32
20 11 SHAWN COOKSEY $7.45
22 GARMENT PROTECTION 22 $1.32
23 2 FRAZIER JONES $8.21
25 GARMENT PROTECTION 22 $1.32
26 10 MIKE LUPER $8.20
_... ._ -.._._.__...... .. _ ............ ... -_. _ . . ---- ..... ---._..._._-_._ .._... - _ _.... -- ------- ---..__ --_._._............-.... -
29 GARMENT PROTECTION 22 $1.32
30 3 MATT MCNULTY $8.21
32 GARMENT PROTECTION 221 $1.32
33 6 JOE MERCER $7.45
35 GARMENT PROTECTION 22 $1.32
36 13 TRENT MORGAN $9.70
40 GARMENT PROTECTION 2`:, $1.50
41 12 JERRY SMITH $4.55
- - -- - - - ----- ------- ---- ._........ ........-
43 GARMENT PROTECTION 11 $0.66
44 5 BARRY THOMAS $9.70
46 GARMENT PROTECTION 22 $1.32
---
47 8 SEAN WHITLOW $7.45
49 GARMENT PROTECTION 22 $1.32
Service Charge $9.95
Page 1 of 2
/ .
CITY OF CARMEL WATER DIST Invoice# '
3450VV131STST D�e ' 02018 (800)553'3661
VVESTF|ELD` IN 46074 Nr wmmvp�n�axum
Cuot# 2934 �
81yElston Drive
Shop 430 ymat4� Shelbyville, |N46178
Jerry Smith 0brkplacmApparel&Floor Mat Programs
RT 12
Subtotal *142.68 A4q 00M da wv*xe
Tax
Total &142.68
�0-
Thanks for your busineoo. ) 116110 06
Your Service Rep-��Pa Vd&p
Past Due Amounts
30 Days -601D�vs 901Jays- Customer Signature
$ U.DD $ U.0O $ 0.00 RT 12
Page 2 of 2
\ `
,
~
VOUCHER NO. WARRANT NO.
ALLOWED 20
PLYMATE
819 ELSTON DRIVE IN SUM OF$
SHELBYVILLE, IN 46176
$34.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
I 2581714 I 43-530.99 I $34.71 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
Friday, April 29, 2016
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))
04/26/16 2581714 rug rental $34.71
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
CITY OFCARMEL POLICE DEPT |mmioo# 2581714 Plymate's MatMan
3CIVIC SQUARE DateU4��2O1O (800)553-2661
CARMEL, |N48O32 ,mvwp|ymatucom
Cuot# 7009
«m -��~ 819ELOTONDR
pO# 27019 Stop 450 ������!�~ �t-c�' GHELBYV|LLE. |N40170
BLA|NEMALLABER
0brkp|aeApoem|&Rcor0atPmgramx
RT 30
1 1050 3X4 PACIFIC BLUE MAT 1 $2.93
z 1075 4XOPACIFIC BLUE MAT 3 $17.55
8 1478 aXoCOMFORT FLOW MAT 1 $4.28
4 1479 ROTATE 3X5COM FLOW 1
GnwiceChorge $9.85
Subtotal $34.71 ffra
Tax
Total m34.7�
Thanks for your business.
YouryWatyWan-R"4%dS&&ew=
Past Due Amounts
30 Days 60DaysKD]ays— Customer Signature
$ UDO � OOO � O0O
� � � RT 30
`
`