300940 07/25/16 i
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CITY OF CARMEL, INDIANA VENDOR: 343600
,• ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******746.18*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 300940
PO Box 631025 CHECK DATE: 07/25/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 50054943119 668.39 SAFETY ACCESSORIES
651 5023990 50054943712 77.79 OTHER EXPENSES
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
CINTAS FIRST AID & SAFETY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS CORPORATION IN SUM OF$ 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.
$668.39 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
5005494319 43-560.03 $668.39 1 hereby certify that the attached invoice(s),or 7/5/16 5005494319 $668.39
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,July 12,2016
Dave Huffman
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
CILf LV.
-
READY FOR THE WORKDAY- SVC/BILLING QUESTIONS : 317-264-5103
0388 - Indianapolis FAS FAX : 317-644-0870
1435 Brookville Way IPAYMENT INQUIRY : (888)994-2468
Indianapolis, IN 46239 IROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # : 5005494319
3400 W 131ST ST DATE : 7/5/16
WESTFIELD, IN 46074-8267 IPO # :N/A
317-733-2001 'CUSTOMER # : 0010652787
: PAYER # : 0010664222
! SVC ORDER # : 8012946452
! CREDIT TERMS: NET 10 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6633596lJ'lq;n-/P 01560255
400 SERVICE CHARGE n �2 ' 1 $9.95 $9.95
29110 EAR YELLOW NEON BLAST 1 $63.01 $63.01_
44429 LARGE PATCH 2"X3", MED 1 $10.45 $10.45
55556 DISINFECTANT WIPE 1 $5.95 $5.95
78397 SUNX SPF30 LOTION PCHS/50 2 $55.47 $110.94
100019 TRIPLE ANTIBIOTIC OINT MD 1 $11.55 $11.55
111389 ACETAMINOPHEN MED 1 $16.34 $16.34
111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45
112439 SINUS RELIEF DUAL ACTN MD 1 $20.85 $20.85
140520 IVY-X BARRIER TOWL 25/PCK. 1 $41.95 $41.95
140540 IVY-X CLEANSER TOWL 25/PK. 3 $27.05 $81.15
140560 BUG-X INSECT REPEL 25/PCK- 2 $46.30 $92.60
UNIT SUBTOTAL $484.19
7235951 Office Breakroom
43.259 KNUCKLE BANDAGE MEDIUM 1 $10.95 $10.95
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
7U010 COTTONTIP APP 3" 100/VIAL 1 $5.00 $5.00
100019 TRIPLE ANTIBIOTIC OINT MD 1 $11.55 $11.55
100419 HYDROCORTISONE CREAM MED 1 $11.90 $11.90
111999 IBUPROFEN TABS LRG 1 $35.95 $35.95
121210 ALEVE MEDIUM 2 $41.55 $83.10
UNIT SUBTOTAL $184.20
REMIT TO :Cintas SUB-TOTAL $668.39
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $668.39
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SIGNATURE : DATE :
NAME
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Page 1 of 1 INVOICE # 5005494319 PAYER # 0010664222
VOUCHER # 165749 WARRANT # ALLOWED.
343500 IN SUM OF $
CINTAS FIRST AID & SAFETY
PO BOX 631025
CINCINNATI, OH 45263
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5005494372 01-7202-05 22.69
5005494372 01-7202-06 55.10 p
-7//
Voucher Total 77.79
Cost distribution ledger classification if
claim paid under vehicle highway fund
COINTAso SVC/BILLING QUESTIONS : 317-264-5103
R dD'1( FCWT W0R1my- ;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 # : 5005494372
9609 HAZEL DELL PKWY DATE : 7/14/16
INDIANAPOLIS, IN 46280-2935 PO # : 516298
317-571-2634 CUSTOMER # : 0010653296
PAYER # : 0010653296
SVC ORDER # : 8013024741
(CREDIT TERMS:NET 10 DAYS
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MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6626412 LAB
400 SERVICE CHARGE 1 $9.95
111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71
UNIT SUBTOTAL $27.66
6626416 MAINTENANCE
111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71
130479 EYEWASH, 1/20Z MEDIUM 2 $16.21 $32.42
UNIT SUBTOTAL $50.13
REMIT TO :Cintas ,, SUB-TOTAL $77.79
P.O. Box 631025 \, TAX $0.00
CINCINNATI, OH 45263-1025TOTAL $77.79
SIGNATURE : DATE
NAME
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Page 1 of 1 INVOICE # 5005494372 PAYER # 0010653296,