300071 07/12/16 y/ \� CITY OF CARMEL, INDIANA VENDOR: 00352917
® ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $********39.20*
;) ?q CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 300071
v �foi KALAMAZOO MI 49001 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 07081666'05 39.20 CLEANING SERVICES
I
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DOMESTIC UNIFORM RENTAL
3401 COVINGTON ROAD IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
KALAMAZOO, MI 49001 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$39.20 .. Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Communications 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
0708166605 43-506.00 $39.20 1 hereby certify that the attached invoice(s),or 7/8/16 0708166605 $39.20
1115 101 1115" 101
bill(s)is(are)true and correct and that the
materials of services itemized thereon for
- --which-charge is made were ordered-and
received except
Monday,July 11,2016
—N
Terry Crockett
Director
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
LINEN INVOICE If•IV# 0708166605
DOMESTIC UNIFORM RENTAL _ You.LQCAL
3MEST I C UNIFORM RENTAL3 800-430-0872 _ MA N OFFCE
;01 -COVINGTON ROAD 269-388-2900 TEL
KALAMAZOO MI 49001
4RHEL CLAY Culri'riUNIC 0
1 FIRST AVE IOW 9 5 '
NRME:L IIw 07 .08 16
DAY
46032 MO. DA. YR. F 2 C. O.D. WE OF
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
4YMENT DUE BY 6/08/16 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY MAT 1225 2-2 ADDISON,IL
GURNEE,IL
FT.WAYNE,IN
5 RED VY MAT 445 Big 0 INDIANAPOLIS,IN
SOUTH BEND,IN
BALTIMORE,MD
10 RED +VY "MAT;' 1$25 8.25 HAGERSTOWN,MD
DETROIT,MI
" FLINT,MI
5_SCRAP"ER ,MAT'"' 1980 9;$ GRAND RAPIDS,MI
JACKSON,MI —
KALAMAZOO,MI
EIdVIROIyI`1EIVTAL FE S 1a0 LANSING,MI
�,.
? SAGINAW,MI
TROY,MI
LIVONIA,MI
4 NEWARKINEW YORK
IKE U.S__,Cliu"_-FACEBOOI _, RALEIGH,NC
4W. FACEBOOK. COM/ CANTON,OH
IMESTICUNIFORMREIV AL CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH `
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA -
r _ h RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
RT. STOP I ACCOUNT pAY THIS PLEASE PAY FROM
No. No. NO. AMOUNT $ THIS INVOICE.NO
308 35 a466 0 3520 OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $