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Home My WebLink About260130 06/28/16 Coq. `y u' CITY OF CARMEL, INDIANA VENDOR: 197000 ® 1 ONE CIVIC SQUARE CINTAS CORPORATION#18 CHECK AMOUNT: $"'"'1,856.22` ?� CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 260130 9HiTON CINCINNATI OH 45263-0803 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356001 018182981 18.18 UNIFORMS 1110 4356501 018182987 108.72 LAUNDRY SERVICE 1207 4356001 018185877 18.18 UNIFORMS 1207 4356001 018185878 96.08 UNIFORMS 1110 4356501 018185886 108.72 LAUNDRY SERVICE 2201 4356501 018185887 615.06 LAUNDRY SERVICE 1110 4356501 018188823 151.02 LAUNDRY SERVICE 2201 4356501 018188824 740.26 LAUNDRY SERVICE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) CINTAS CORPORATION#18 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 630803 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,when:performed,dates service CINCINNATI, OH 45263-0803 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $368.46 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 018182987 43-565.01 $108.72 1 hereby certify that the attached invoice(s),or 6/7/16 018182987 laundry service $108.72 1110 101 1110 101 018185886 43-565.01 $108.72 bill(s)is(are)true and correct and that the 6/14/16 018185886 laundry service $108.72 1110 1 101 1 materials or services itemized thereon for 1110 101 018188823 43-565.01 $151.02 6%21-116 018188823 laundryservice $151.02 1110 101 which charge is made were ordered and 1110 101 received except Thursday,June 23,2016 i I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ` � —� ORIGINAL INVOICE ---- --- nsmITnO: CIH70S CDR�OR�TIOH �016 LDCRTID� 18 SHIP TO: CI7Y DF CARM[L P D 05X 630803 lA11177 tT CIHC�UHATI GU 4�2��-080] � CAK�[L �OLIC[ 808-9�4-68�7 INVOICE NO. CARU[L ' IG 46O74-8267 � [1U1 31818�886 CONTRACT NO. ACCOUNT NO. STOP SEO DELImRYmD� SOIL nn'NT INVOICE DATE 0f924 ?1141 1� �1020O3 K 6/l4/1f n/uTo: C�81j[1. POLIC[ D[p7 ':f S0UAR[ mc ROUTE mw oumwu DEPARTMENT mamm�puwu r�m CAR4�i , IH 468�2 018 S1 2 06824 0U[ 7/1O/1D [V[H 0ILLIHC COHTACTJACOU D[L[ TAX CODE c!NrAS® ORIGINAL INVOICE REMIT TO: CIXTAS CORPORATION «zv1.8 LOCATION 18 SHIP TO: T'1 F;F C.tRT1E1P kBox 530U3 3 JC Fc 1.3i.-IST 5;1' C:CT;C1N1SATI RP IS263-0803 r�;fllti_L POLICE 8��5$"92 1-6t8"l� INVOICE NO. C rifiEL , .T.31 q ,07y-i:11.7 G E 2112 1i 1. ;liiit??3 CONTRACT NO.ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT - INVOICE DATE 06821 211141 9 M102000 1", 6 BILL TO, rslR:1-E'. F:1LIC1: EEEPT. ? w 5 pU R LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS ,-HIVEL, 111 IL032 01.8 51 2 96,824 DUE: gV10116 t 1 JASON EVEN B .LL?;;9 CONTACT. ASON 1j I:LE TAX CODE 1 31i-5(1-%yailli AX l:.b:UPT PAGE ; LINE t,it L 'MIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T Na yI; CHT O EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 1 UHIFORN -ADUGl1`.'-TAGE OF R 2 72 72 _?00 7. 20 it-, 2 SIS HOP TUPRED U1 " 2160 g 539 L. 31 r ._3. __ ._.__.. ____ _.____. 511-_511[11'--T1 L--R p_. _ ___ U1-- .-.. 2'16.0 .50 _ _-- - _ 040(I. ._.. 11.00 v :4 3X3 4CIIAPER NAT UF 2477 1 S. 970 S.9 N r 3X10 EMACK HAT OF 84035 1 l 11.141 11. 14 H -- — - -1:1A0200NANE Ii-- 1 X- - 124- - S- — -0a011---- 12 09 ;-- 7 rsD0200 —STD COMF U 1 X 124 6 3. 000 18. 00 H 8 MAKEUP CHARCE U 1 X 1.25 6 2. 050 12. 30 N t} RENTAL CARCO .FAi?T OF 1 270 11;-T - L�1 7. SLI �? 1i? 11'1hGE :lN=.?E OF 366 2�.1k' L 85 3. 71 N 41 — G;U111 OFT--;1i-1NT------ UF- ' 935 1ISH - E6 1 S '?7 r?- JASON, iGLE I -1t?'ta"I! 5 ;o 12 RENTAL CARGO PANT OF 2 278 '!'1FT 691 7. 60 N L3 INAGE-JACKEE. uUF 2 366 2jK ki 3.71 E 1i CUFORT SHIRT UF 2 935 :1SH . 56'i 6. 17 H ED ALVAREZ 2 SEBTUTA1' 17. 48 --.'t' - — REI rAL -S.7•iQ, �AM - OF ? 27f1- 11 T - - °691 _ _ 7 0 _ -k 16 IhhGE JACKET (1F 3 366 _IK 1 85: E 7S c 17 CUNFC�RT SNIRT OF 935 11SN � ))E : . .!❑5, L dt �1 1.7.48. - 1T SFRYICE CHARGE F 1. X 1.01 15. 660 15.66 x '_'i1U910E TOTAL. 151.02 • 7777 i REVIEWED BY SIGNATURE FINAL TOTAL C1111TAS® ORIGINAL INVOICE . REMIT TO: CI1{TAS C•OfiI'CR4TI0,� �SQ1R LOCATION 18 SHIP TO: I.`•I'r"1 OF CAF.11fL P 11' L'OR 1,30a03 3406 11 131ST Si CINCINNATI,! .011 4:,M-0303 POLICE88 CI`9.0•i_OR}� INVOICE NO. CARMEL, li{ 46174-82.61 6 E21i1 018181)587 CONTRACT NO.ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE BILL TO: 06824 21141 5 I4102000 r, 51'07116 t,'%_ •/ ,( T I i 1 '"�t',6 - LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS 4 G.:"Q U,A.R \ 0 8 ;1 2 R5e.7_�1 �3 IE ?3111"t Y •69 EVER BILLII{6 _ COI TACT' 1a"0" OGLE.tttt��11 TAX CODE q TAX EXENP 1PAGE j LINE 6,U j I MIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. n N;• CHG. O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X 1 UN jFORI'1 ALV€11{TACE OF R 2 72 '? .1QQ c ,? SEI!i'' TI1L-Rr� I '= 0 c. o 1 it Ji R 2:1.60 i' �3: 1. ., _ _S11 _SEIOP T.1#.L.-EE_D UF. 2.150 rC S 0 -.2413 1.2_OUR 3X5 SCRAIFEE MIT OF 2471 1 1 S. 970 s.°i F 3aXIO BLACK "Al Ur 3103s 1 1 11.141 11.1.4 R _ F;ENTAL CARGO PANT OF 1 270 1121' ; .691 1.60 R ( !NAGE JACKET OF 1. 355 2JE': 1..857 3.71 i{ COHEORT_-SHIP'i�_ UF._ 9-35- IISH . _ _ .561 6.11 .q. JASUIN OGLE I "UB,T07AL 17.-18 5 RFRTAL CARGO PAIN Ur f <.70 lip, ; 1691 ?.60 I{ I — _11169E.11E JACKET-..-- 1_ IIr -- -2. 3511 2JII" - - 1..85' _3.. 71 R 1.j COs1 ET SHIRT OF 2 9 3 S latah 561 6.1? ELI i LVARE? s SUGTOTA9 _._12 __-._ ___.._R�..1{:1►1L__CAR .L_{'C�; .T_. Ur.._-._ _ 3 ?70 __ i:tr�1 1691 ` 6C d_ 1 _ 111115E JACKET Ur 3 300 2Jf .. --- e't P a r 35 S v u 1� Cs.11tFLr,T Sii1.1:T Ui' ?.� t ISH � •5'1 h.1: SUL-T[Y A IS SERVICE CHARGE. F 3 X 106 la.16 1is INUBIMTOTAL rEVIE11nED BY SIGNATURE FINAL TOTAL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) CINTAS CORPORATION#18 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 630803 IN SUM of$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service. CINCINNATI, OH 45263-0803 rendered,by whom,rates per day,number of hours,rate per hour,"number of units,price per unit,etc. $740.26 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND#' (or note attached invoice(s)or bill(s)) AMOUNT 018188824 43-565.01 $740.26 1 hereby certify that the attached invoice(s),or 6/21/16 018188824 $740.26 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 21, 2016 s stmet UOITIM516flor 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 CINEAS. ORIGINAL INVOICE nseITro: CIKTV� CUKPU�ATIDH �01� L�CATIOH 18 SHIP TO: CITY DF CAK8[L P O 0OX 6�U�0� ]48O W 1�1ST S� CIHCIHHATI UH 4�2��-0S0� S7REEi 0[PT 8S8-Y24-�8�7 INVOICE NO. C,in M[L , IH 46U74-826/ C [282 O18188824 �� rmu ��S��,�� SOIL nnmn INVOICE DATE 0,,6S0 ��1]Y 10 W1(|2ll"tUO R 6/2�/l4 BILL TO: CA88[L S7K[[T h[PT ATTH E CkLLA8AIN' mo ROUTE mw nUSrwu DEPARTMENT CUSTOMER puNO. TERMS �4OO V 1}1CT C7R[[T 018 �l 2 O26�� 0U[ 7/10/l6 P[ TF�[LD' IK 440�4 IV[H 0IiLlK� C3H|�C7� AXy LUH� TAX CODE �17-7��-20O1 TAX [X[hP? '*GE | CINOS. ORIGINAL INVOICE nEMIrTO: CIH�0S COKPDKATIDH 0S18 LOCATIOK 18 SHIP TO: CITY UF CAOk[L P O 8OX 6]O80� �40� U 1�1ST S7 CIKCIHKATI O� 4��6�-�YS� STREE� �EFT 888-y24-68�7 w»m: *u CAKU[i' -826 CONTRACT NO.ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL nn'NT INVOICE DATE BILL TO: . 026�0 1313Y 10 W1U2000 C3;hFL �TK[[T �[PT ATTK 8�H�I[ CALLA�AH mo nom' mn CUST NO. DEPARTMENT CUSTOMER puNO. TERMS ]4SO �i 1�1ST S7R[[7 813 �1 2 026�D �U[ 7/10/16 Q[3TFIEL0, IX 4�074 [! [H 0I1,.LIH61 CDUTACT� AMy LUHH TAX CODE D,:1 l�AX [X[UPT mac � CINEAS. ORIGINAL INVOICE REMIT TO: CIH7�S COKPORATIOK �018 LOCATIDX 1� SHIP TO: CITY UF CARM[L P D 8OK 6]0�0] �400 111, 1�1ST 2T CIHCIHKATI 118 4 2 80'3 � INVOICE NO. STR[[T 0[PT 888-924-68�7 CARU[L ' IH 46874-8267 CONTRACT NO. ACCOUNT NO. STOP osuDELIVERY CODE� [2U2 ow` 0l/8188824 O266U 131'1Y 1O I'll 1O20OO R 6/21/16 e/LLro: ` �AK��i STK[[7 0[PT A7TH8UHHI[ CALLAH�H um vomz mn ooSTwu. oEP^nTMENT CUSTOMER p�NO. TERMS �40O |\ 1]1ST STK[[T 018 51 2 026�0 0U[ 7/1O/16 �[C7FI[L0, IK 461174 TAX CODE EV[H 8ILLI�C CDUTACT: ANY LUHU 17-7 - 0 X [Xm«'� 3� 281 ] VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CINTAS CORPORATION#18 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 630803 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CINCINNATI, OH 45263-0803 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $132.44 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund#. AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 018182981 43-560.01 $18.18 1 hereby certify that the attached invoice(s),or 6/7/16 018182981 Uniforms $18.18 1207 101 1207 101 018185878 43-560.01 $96.08 bill(s)is(are)true and correct and that the 6/14/16 018185878 Mats $96.08 1207 101 materials or seryices itemized thereon for 1207 101 1207 I 018185877 I 43-5600.01 I $18.18 which charge is made were ordered and 6/14/16 I 01118587701 18 207 1805877 I -Uniforms I $18.18 received except Monday,June 20,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer C'NrAs® ORIGINAL INVOICE REMIT TO: LOCATION Iii SHIP TO: UT'l Ij4 CIBCNEL it Q BU t-:10GH j.1'1?il l;h',QCll MIRE PK14Y C�idC;[HI;11Ti . QH td�ln3—DsIQ3 12120 f7ROUSHI.RE PRY INVOICE NO. S , 9 E21-41 01818 2 98�: . CONTRACT NO.ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE 92111 021 i L I1102000 11 6/01!.6 BILL TO: }IIG��:.iIl1\Er'COU CI_UD 121 z`U B i�Q Q K S H I.R E P�t�t Y LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS CAPNIIEE., IN 40033 018. S 1 2 026_17 1)UE 1110116 tt11 ..!! 17n tt77•�•{ �+•�•5�I EVEN HUM GI:Si7ACT. 15L1r�EPTO it l.GGI14S TAX CODE {n 317-846--7431 IAA EXEMPT ' PAGE LINE Q T I MINC ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. CHG. O BB EMPLOYEE NAME NO. NO.. INVENTORY INVOICED PRICE AMOUNT X I41 R CINTAS JEAN Ur j 35;x! .LIPr ; . 384 4. " '0 CHFURT SHIRT OF j. g,i, W t I �IC3 4. 43 V. .....RUSS.ELL -PICRETT . 1 .. SU15T 1'(AL __ _8. &E_ EEVICE 1HAR91-7 r 1. 1.06 1 SOO 5. SCI 14 Tti1JQUGE TQ T i-1 L. 181.18 REVIEWED BY SIGNATURE FINAL rMrIQ:tCE L '!a1.8'2SSi TOTAL CINTAS® ORIGINAL INVOICE REMIT TO: CTS'I- , RHL� RATION O:EEi L9C�,T I S H 118 SHIP TO: C.I I Y a fin:+rA.tRiliIEL rrt[ p I R Li11In�t6 300013 1.21,20 Iil DURSHIRE fl y CIP"'i[:` OTI, IAH �E263-0803 1,7120 BRIJORSHIRE FXY 888-924-6827 INVOICE NO. CA,hEL, It! 44,033-331.4 L E'�ti1 O'►fi'IEt [?7r' CONTRACT NO.ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 02617 0261.7 2 1/1102000 R 6/14116 BILLTO: PR[IO1�5Zlil [ t_llLF CLUB -I 21`0 B€?O q Its'S H I R E I]R R Y LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS C113;I:Et. _ Tr 96033 018 S1 2 026,17 DUE 7/1011.6 (��{S /� E U E H Et1LLTi;fi ' CORTOCT: ROBERT 0 HIGOMH TAX CODE 317`Q931 TAX ExEHP,r PAGE I LINE S I T L MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. T}�= CHG. O BB EMPLOYEE NAME NO. NO; INVENTORY INVOICED PRICE AMOUNT X 1 MEM 1,IRTAS JE10H IF i. 391 nix 386 9. 21 C1 NFORT SHIRT IF 5 11ali gt13 9.93 RUSSILL_t'ICRET __.___3._68._ 3 fiGl;t#?CL t:f4AE'bl i 106 i .C00 ;`.S,0 I t';IIVOICE ,TOTAL 16.13, REVIEWED BY SIGNATURE i H tl[I:I:C E01c 1.8 E8?7 TOTAL ciNrAs. ORIGINAL INVOICE nsMITnO: CIHTAS CORPDRATIOH C018 LOCATIDH 18 SHIP TO: CITY UF CARU[i P O 8OX 608f 121Z0 DKDOKSHIK[ FKUY CIHCIHKATI OHO 12120 �RDOKSHIX[ PKUY 888-Y24-�847 w,mc NO. CARX[L' IH 160]3--N 314 0 [1M1 0l818�870 CONTRACT NO. ACCOUNT NO. mOP,EQ DELIVERY CODE SOIL nn'NT INVOICE DATE 0 [l02O0� R �/l4/16 BILL TO: 0ROUKCHlK[ COLF COUkS[ 12l20 0ROOKS8IK[ PAKKWAY mo ROUTE mn xUSr^m. DEPARTMENT CUSTOMER'u.NO. TERMS CAi<M01 [L, IH 460]� 8 /1O/16 [V[H 8ILLlH� COHTACT� PAU LICT[K nmo�c �17-846-74:)1 TAX [X[UPT PAGE l VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) CINTAS CORPORATION #18 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 630803 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CINCINNATI, OH 45263-0803 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $615.06 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 018185887 43-565.01 $615.06 1 hereby certify that the attached invoice(s),or 6/14/16 018185887 $615.06 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 14,2016 ow J_ Street Commissioner 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 aNrAs. ORIGINAL INVOICE nsmITro: CIHTAS CORPOKATIOH 0O18 LOCATION 18 SHIP TO: CITY DF CARMEL P D BOX 630803 3408 W Q1ST ST CIHCIHH0TI O; 0833 STR[[Y DEPT 880-Y24-6 47 ' INVOICE NO. CARK[L ' IH 46X74-8267 C7 [1111 01318s88/ CONTRACT NO. ACCOUNT NO. STOP oEQ DELIVERY CODE SOIL nnoNT INVOICE DATE 0220 1�1]Y 11 Q182D00 O 6/14/16 auLro: STREET 0[pT ATTL 0OHHI[ CkLLAHAH mc ROUTE n^v 000rNO. ospmnWvr 000rom%,uNO. TERMS 1400 A 131ST STREET 018 S1 2 926SO 0U[ 7/10/16 W[STFI[L0, IN 46974 C [U[K 0ILLIHC DHTAC7� ANY LUHK nmcoo, 3l7-7]]0001 TAX EXEMPT mo' 1 CINEASO ORIGINAL INVOICE nsmITnO: CIXTAt CDRPOFATIUH 0018 LOCATION 18 SHIP TIM CITY DF CAKM[L P O BOX 630803 �400 U 1�1ST CT CINCINNATI , UH 45H3-H -3 DEPT 888-Y24-687 INVOICE NO. CARK[i , IH 4�O74-8267 � [1M1 01818S887 �� rou ��,��,�� o�nn'� INVOICE DATE 02650 13139 11 W102000 R 6/14/16 BILL TO: CARM[L CTR[[l 0[PT ATTH� 0OHHI[ CALLAHAH um ROUTE m^ m,mwv. DEPARTMENT CUSTOMER puNO. TERMS ]403 W 131ST ',STREET 018 51 2 02HO 0U[ 7/10/16 U[ClFI[L0, IN 46074 [V[H 0ILLIHC C|]HTACT: ANY LUHH nu000, ]17-7]3-20O1 TAX [X[UPT pma 2 ciNTAs. ORIGINAL INVOICE REMIT TO: CIHTAC COKPDRATIDH O0�8 LOCAlIDH 18 SHIP TO: CITY OF CAX3E1- P O 80K 63080� �400 A 1]1ST CT CIHCIHKATI D8 4r0] CTK[[7 0[PT 880-Y24-68 17 INVOICE NO. CAKIll[i, IH 46074-8267 � [1U1 01818�887 CONTRACT NO. ACCOUNT NO. STOP moDELIVERY CODE SOIL mrmn INVOICE DATE 026S0 13139 ll 14102800 R 4/16 BILL TO: CARh[L STR[El DEPT ATTHC0LLAH01H mv num' mn oomwu DEPARTMENT CUSTOMER^uNO. `mmo �40O N 1�1ST C7RE[T 018 S1 2 026SO 8U[ 7/10/16 U[STFI[10, IH 46074 [V[U 0ILLlX� CDUTACT: A|lY LUHk TAX CODE �17-7 '20O1 7AX [X[MPT m«' �