HomeMy WebLinkAbout259503 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 343500
CHECK AMOUNT: $"""'237.78'
ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY
„ ,?Q CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 259503
+MiPUN�, PO BOX 631025 CHECK DATE: 06/14/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5005171594 237.78 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS FIRST AID &SAFETY
CINTAS CORPORATION IN SUM OF$ CITY OF CARMEL
PO BOX 631025 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45263-1025 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Payee
$237.78
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5005171594 42-390.12 $237.78 1 hereby certify that the attached invoice(s),or 6/6/16 5005171594 $237.78
2201 201 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
Tuesday,June 07, 2016
J6 . o
stmet Cul I ill
toner
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
•
CiNrAs.
SVC/BILLING QUESTIONS : 317-264-5103
IRFgDY FQKTk% lYQRKA4Y- FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : 888-994-2468
Indianapolis, IN 46239 ROUTE # : Loc #0388 Route 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # : 5005171594
3400 W 131ST ST DATE : 6/6/16
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2001 CUSTOMER # : 0010652787
PAYER # : 0010664222
SVC ORDER # : 8012722698
CREDIT TERMS:NET 10 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6633596 MAIN BLD MENS R 01560255
400 SERVICE CHARGE 1 $9.95 $9.95
55556 DISINFECTANT WIPE 1 $5.95 $5.95
78397 SUNX SPF30 LOTION PCHS/50 1 $55.47 $55.47
280020 LENS/SCREEN PADS 100/BX 1 $20.70 $20.70
292100 HL MXLTE PLGCRD LPF-30 100PR 1 $26.65 $26.65
UNIT SUBTOTAL $118.72
7235951 Office Break-room
44269 ELASTIC STRIP MEDIUM 1 $9.35 $9.35
44429 LARGE PATCH 2"X3", MED 1 $10.45 $10.45
55556 DISINFECTANT WIPE 1 $5.95 $5.95
82420 MEDI-RIP 2" 1 $7.50 $7.50
100019 TRIPLE ANTIBIOTIC OINT MD 1 $11.55 $11.55
111999 IBUPROFEN TABS LRG 1 $35.95 $35.95
112239 DECONGEST NASAL/SINUS MED 1 $17.46 $17.46
112439 SINUS RELIEF DUAL ACTN MD 1 $20.85 $20.85
UNIT SUBTOTAL, $119.06
REMIT TO :CINTAS CORPORATION SUB-TOTAL $237.78
PO BOX 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $237.78
SIGNATURE : DATE:
NAME
Page 1 of 1 INVOICE # 5005171594 PAYER # 0010664222