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Home My WebLink About260131 06/28/16 J+u!..4Agy CITY OF CARMEL, INDIANA VENDOR: 343500 Y:I ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******910.51 CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 260131 tM�ioN PO BOX 631025 CHECK DATE: 06/28/16 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 5005171586 146.18 OTHER MISCELLANOUS 651 5023990 5005319527 314.99 OTHER EXPENSES 1207 4239012 5005428651 449.34 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CINTAS FIRST AID &SAFETY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 631025 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CINCINNATI, OH 45263-1025 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $449.34 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 5005428651 42-390.12 $449.34 1 hereby certify that the attached invoice(s),or 6/17/16 5005428651 First Aid&Safety Supplies $449.34 1207 101 1207 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 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 CINEASO SVC/BILLING QUESTIONS: 317-264-5103 RVDA& FO* �RK[YN" FAX : 317-644-0870 1435 Brookville Way PAYMENT INQUIRY : 888-994-2468 Indianapolis, IN 46239 ROUTE # : Loc #0388 Route 0005 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE BROOKSHIRE GOLF CLUB INVOICE # : 5005428651 12120 BROOKSHIRE PKWY DATE : 6/17/16 CARMEL, IN 46033-3314 PO # :N/A 317-846-7431 CUSTOMER # : 0010069450 PAYER # : 0010087731 SVC ORDER # : C@DDE9A4 CREDIT TERMS: NET 10 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 466844 PRO SHOP 00594670 110 CABINET CLEANED 1 $0.00 $0.00 120 CABINET ORGANIZED 1 $0.00 $0.00 130 EXPIRATION DATES CHECKED 1 $0.00 $0.00 132 BBP KIT CHECKED 1 $0.00 $0.00 400 SERVICE CHARGE 1 $11.95 $11.95 31069 1X3 PLASTIC BANDAGE MED 1 $9.42 $9.42 43039 FINGERTIP BANDAGE SM 1 $6.83 $6.83 43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96 44269 ELASTIC STRIP MEDIUM 1 $9.78 $9.78 55556 DISINFECTANT WIPE 1 $5.95 $5.95 61109 ITCH RELIEF SPRY 2 OZ 1 $8.55 $8.55 79191 MUCINEX SMALL 1 $10.36 $10.36 80489 1" X 5-'TAPE DISPENSER 1 $7.70 $7.70 100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86 100439 HYDROCORTISONE CREAM SM 1 $7.63 $7.63 100639 _ HAND LOTION, SMALL 1 $6.88 $6.88 111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71 111989 IBUPROFEN TABS MEDIUM 1 $18.85 $18.85 121220 ALEVE SMALL 1 $7.59 $7.59 122110 BAYER ASPIRIN SMALL 1 $7.24 $7.24 122249 LIQUID GLUCO, SMALL 1 $10.35 $10.35 130000 THERA TEARS, SMALL 1 $9.92 $9.92 280020 LENS/SCREEN PADS 100/BX 1 $20.70 $20.70 UNIT SUBTOTAL $197.23 466845 MAINT 00594663 110 CABINET CLEANED 1 $0.00 $0.00 120 CABINET ORGANIZED 1 $0.00 $0.00, 130 EXPIRATION DATES CHECKED 1 $0.00 $0.00 132 BBP KIT CHECKED 1 $0.00 $0.00 50030 ANTISEPTIC WIPES SMALL 1 $5.63 $5.63 55556 DISINFECTANT WIPE 1 $5.95 $5.95 63039 COLD SPRAY 4 OZ 1 $10.43 $10.43 64039 BLOOD CLOTTER SPRAY 3 OZ 1 $20.33 $20.33 79191 MUCINEX SMALL 1 $10.36 $10.36 82420 MEDI-RIP 2" 1 $7.50 $7.50 100439 HYDROCORTISONE CREAM SM 1 $7.63 $7.63 102435 LIPAID SMALL 1 $7.92 $7.92 111529 PAIN AWAY X-STRENGTH SM 1 $10.88 $10.88 111989 IBUPROFEN TABS MEDIUM 1 $18.85 $18.85 121220 ALEVE SMALL 1 $7.59 $7.59 122110 BAYER ASPIRIN SMALL 1 $7.24 $7.24 122249 LIQUID GLUCO, SMALL 1 $10.35 $10.35 130000 THERA TEARS, SMALL 1 $9.92 $9.92 140520 IVY-X BARRIER TOWL 25/PCK 1 '$28.46 $28.46 140540 IVY-X CLEANSER TOWL 25/PK 1 $17.75 $17.75 140560 BUG-X INSECT REPEL 25/PCK 1 $35.31 $35.31 150110 TWEEZERS, METAL IND/3PK 1 $9.31 $9.31 280020 LENS/SCREEN PADS 100/BX 1 $20.70 $20.70 UNIT SUBTOTAL $252.11 i Page 1 of 2 INVOICE # 5005428651 PAYER # 0010087731 CINEA& SVC BILLING U - / QUESTIONS: 264-5103 READY FOR1OMMOORKDW" FAX : 317-644-0870 1435 Brookvillc Way PAYMENT INQUIRY : 888-994-2468 Indianapolis, IN 46239 ROUTE # : Loc '#0388 Route 0005 REMIT TO :Cintas SUB-TOTAL $449.34 P.O. Box 5 TAX $0.00 CINCINN I OH 45263-1025 TOTAL $449.34 SIGNATURE : DATE : NAME I II Page 2 of 2 INVOICE # 5005428651 PAYER # 0010087731. VOUCHER NO. WARRANT NO. ALLOWED 20ko N IN SUM OF$ o po �x 63`(oi-,5 C) C%",L<<ut'A r LO s a 141 (QYr y C3 ^' o N ON ACCOUNT OF APPROPRIATION FOR-: ,t' s Board Members S PO#or 0� DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT e. - I hereby certify that the attached invoice(s), � � 110 Sfld5 11 t5 006 X413 q13 lU JI or bill(s) is (are) true and correct and that (Pni5 C. the materials or services itemized thereon for which charge is made were ordered and 1 — received except \ 20 4 Q tn ( Sig ture a, Cost distribution ledger classification if Tale CZ- 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 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 6/21/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/21/2016 5005319527 $314.99 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 Date Officer CI p READY FOR THE WORKDAY" SVC/BILLING QUESTIONS: 317-264-5103 0388 - Indianapolis FAS 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 CITY OF CARMEL UTILITIES INVOICE # : 5005319527 9609 HAZEL DELL PKWY DATE : 6/15/16 INDIANAPOLIS, IN 46280-2935 PO # : S16207 317-571-2634 CUSTOMER # : 0010653296 PAYER # : 0010653296 SVC ORDER # : 8012814598 zT,•r CREDIT TERMS:NET 10 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 6626411 COLLECTION MENS 01560337 400 ,SERVICE CHARGE 1 $9.95 $9.95 44269 ELASTIC STRIP MEDIUM \1 $9.35 $9.35 44429 LARGE PATCH 2"X3", MED 1--.. $10'.45 $10.45 5555.6 DISINFECTANT WIPE 1 $5.95 $5.95 111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71 111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45 UNIT SUBTOTAL $72.86 6626410 COLLECT OFFICE 01560334 44269 ELASTIC STRIP MEDIUM 1 $9:35 $9.35 44429 LARGE PATCH 2"X3", MED 1 $10.45 $10.45 115089 ANTACID FRUIT FLAVOR MED 1 $16.15 $16.15 140520 IVY-X BARRIER TOWL 25/PCK 2 $28.46 $56.92 140540 IVY-X CLEANSER TOWL 25/PK 1 $27.05 $27.05 140560 BUG-X INSECT REPEL 25/PCK 2 $46.30 $92.60 UNIT SUBTOTAL, $212.52 6626412 LAB 55556 DISINFECTANT WIPE 1 $5.95 $5.95 111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71 UNIT SUBTOTAL $23.66 6626416 MAINTENANCE 01560:342 55556 DISINFECTANT WIPE 1 $5.95 $5.95 UNIT SUBTOTAL $5.95 REMIT TO ':Cintas SUB-TOTAL $314.99 Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $314.99 SIGNATURE : DATE : NAME i Page 1 of 1 INVOICE # 5005319527 PAYER # 0010653296;