HomeMy WebLinkAbout302555 08/31/16 �4A+, CITY OF CARMEL, INDIANA VENDOR: 343500
J1� 4f
® ¢'r ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $"""""891.02•
a� CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 302555
9j�roN.�o` PO BOX 631025 CHECK DATE: 08/31/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5005863031 142.94 OTHER EXPENSES
2201 4239012 5005884821 263.71 SAFETY SUPPLIES
601 5023990 5005884822 318.48 OTHER EXPENSES
1207 4239012 5005884845 165.89 SAFETY SUPPLIES
VOUCHER # 162506 WARRANT# ALLOWED
343500 IN SUM OF $
CINTAS FIRST AID & SAFETY
PO BOX 631025
CINCINNATI, OH 45263
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5005884822 01-6200-06 318.48
Voucher Total 318.48
Cost distribution ledger classification if
claim paid under 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 8/26/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2016 5005884822 318.48
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
F' SVC/BILLING QUESTIONS : 317-264-5103
RE9�3/ FOlhTHEW MD"T" FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : (317)863-7300357
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL WATER UTILITIES INVOICE # : 5005884822
3450 W 131ST ST DATE : 8/23/16
WESTFIELD, IN 46074-8267 PO # : N/A
317-733-2855 CUSTOMER # : 0010652788
PAYER # : 0010652788
SVC ORDER # : 8013600994
CREDIT TERMS:NET 10 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6633129 KITCHEN
110 CABINET CLEANED 1 $0.00 $0.00
j 120 CABINET ORGANIZED 1 $0.00 $0.00
i 130 EXPIRATION DATES CHECKED 1 $0.00 $0.00 1
400 SERVICE CHARGE 1 $9.95 $9.95
43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96
50030 ANTISEPTIC WIPES SMALL 1 $5.63 $5.63
50430 ALCOHOL SWABS SMALL 1 $5.63 $5.63
51030 HAND SANITIZER SMALL 1 $6.81 $6.81
72220 ROLLER GAUZE, 2" NON-STER 1 $5.63 $5.63
100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86
103030 WOUNDSEAL POUR PACK 2/BOX 1 $17.85 $17.85
130000 THERA TEARS, SMALL 1 $9.92 $9.92
151629 FIRST AID GUIDE 1 $8.95 $8.95
170429 CPR MICRO SHIELD 1 $21.43 $21.43'
180069 TRIANGULAR BNDG UNITIZE/IBX 1 $4.95 $4.95
592242 TRAUMA PAD VACUUM SLD/4BX 1 $13.33 $13.33
UNIT SUBTOTAL $129.90
6633133 MECHANIC SHOP
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
43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96
50009 ANTISEPTIC WIPES MEDIUM 1 $8.47 $8.47
50429 ALCOHOL PREP PADS MEDIUM 1 $8.38 $8.38
55556 DISINFECTANT WIPE 1 $5.95 $5.95
72220 ROLLER GAUZE, 2" NON-STER 1 $5.63 $5.63
92019 COLD PACK, LARGE, 1/BOX 2 $5.95 $11.90
150110 TWEEZERS, METAL IND/3PK 1 $9.31 $9.31
151629 FIRST AID GUIDE 1 $8.95 $8.95
170429 CPR MICRO SHIELD 1 $21.43 $21.43
UNIT SUBTOTAL $90.98
6633134 SHOP CENTER
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
44269 ELASTIC STRIP MEDIUM 1 $10.17 $10.17
50030 ANTISEPTIC WIPES SMALL 1 $5.63 $5.63
55556 DISINFECTANT�WIPE 1 $5.95 $5.95
61029 ANTISEPTIC PUMP 2 OZ 1 $8.14 $8.14
62029 BURN CARE PUMP 2 OZ 1 $9.76 $9.76
100019 TRIPLE ANTIBIOTIC OINT MD 1 $11.55 $11.55
102640 BIOFREEZE MUSCLE RLF SM 1 $9.25 $9.25
130000 THERA TEARS, SMALL 1 $9.92 $9.92
151629 FIRST AID GUIDE 1 $8.95 $8.95
180069 TRIANGULAR BNDG UNITIZE/IBX. 1 $4.95 $4.95
592242 TRAUMA PAD VACUUM SLD/4BX 1 $13.33 $13.33
UNIT SUBTOTAL $97.60
(. 2-c6 Le
Page 1 of 2 INVOICE # 5005884822 PAYER # 0010652788
ciSVC/BILLING QUESTIONS: 317-264-5103
REO bI F0 3H�
C"DW' FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : {317}863-7300357
Indianapolis, IN 46239 ROUTE # : LOC #038$ ,ROUTE 0020
REMIT,TO :Cintas SUB-TOTAL $318.48
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $318.48
SIGNATURE : DATE:
NAME
1
Page 2 of 2 INVOICE # 5005884822 PAYER # 0010652788
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CINTAS FIRST AID & SAFETY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 631025 IN SUM OF$ 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.
$165.89 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
5005884845 42-390.12 $165.89 1 hereby certify that the attached invoice(s),or 8/25/16 5005884845 Safety Supplies $165.89
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
Thursday,August 25,2016
1 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
CNIAV.-
READY FOR JHE WOftKDY'" SVC/BILLING QUESTIONS : 317-264-5103
0388 - In ianapo S FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : (317)863-7300357
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
BROOKSHIRE GOLF CLUB INVOICE # : 5005884845
12120 BROOKSHIRE PKWY DATE : 8/25/16
CARMEL, IN 46033-3314 PO # :N/A
317-846-7431 CUSTOMER # : 0010069450
PAYER # : 0010087731
SVC ORDER # : 8013570399
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
400 SERVICE CHARGE 1 $11.95 $11.95
50030 ANTISEPTIC WIPES SMALL 1 $5.63 $5.63
55556 DISINFECTANT WIPE o 1 $5.95 $5.95
72240 ROLLER GAUZE, 4" NON-STER 1 $6.35 $6.35
80479 1/2" X 5 TAPE DISPENSER 1 $5.60 $5.60
111929 IBUPROFEN TABS SMALL 1 $11.63 $11.63
151629 FIRST AID GUIDE 1 $8.95 $8.95
163020 BURN RELIEF 4X4 DRESSING 1 $9.18 $9.18
180049 TOURNIQUET/2 BX 1 $4.95 $4.95
280020 LENS/SCREEN PADS 100/BX 1 $20.70 $20.70
592242 TRAUMA PAD VACUUM SLD/4BX 1 $13.33 $13.33
UNIT SUBTOTAL $104.22
466845 MINT 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
55556 DISINFECTANT WIPE 1 $5.95 $5.95
80489 1" X 5 TAPE DISPENSER 1 $8.00 $8.00
100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86
111929 IBUPROFEN TABS SMALL 1 $11.63 $11.63
151629 FIRST AID GUIDE 1 $8.95 $8.95
180049 TOURNIQUET/2 BX 1 $4.95 $4.95
592242 TRAUMA PAD VACUUM SLD/4BX 1 $13.33 $13.33
UNIT SUBTOTAL $61.67
REMIT TO :Cintas SUB-TOTAL $165.89
P.O. ,Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $165.89
SIGNATURE : DATE : r j
NAME
Page 1 of 1 INVOICE # 5005884845 PAYER # 0010087731.
VOUCHER # 165993 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
5005863031 01-7200-01 28.82
5005863031 01-7202-05 70.24 JJ
Yv4�
5005863031 01-7202-06 01-7202-06 43.88
Voucher Total 142.94
Cost distribution ledger classification if
claim paid under 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 8/22/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/2016 5005863031 142.94
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
SVC/BILLING QUESTIONS : 317-264-5103
READY FORnTHEnWORMAW' FAX : 317-644-0870
1435"��Brookville Way PAYMENT INQUIRY : 888-994-2468
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0015
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CITY OF CARMEL UTILITIES INVOICE # : 5005863031
9609 HAZEL DELL PKWY DATE : 8/18/16
INDIANAPOLIS, IN 46280-2935 PO # :N/A
317-571-2634 CUSTOMER # : 0010653296
PAYER # : 0010653296
SVC ORDER # : 8013570096
CREDIT TERMS:NET 10 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6626411 BLD B MENS RESTROOM
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
400 SERVICE CHARGE 1 $9.95 I $9.95
111180 ASPIRIN ORG ST 50CT 1 $13.48 $13.48
131600 EYE CUPS SMALL 6 Vial/FA +" 1
151629 FIRST AID GUIDE 1 $8.95 $8.95 %
180049 TOURNIQUET/2 BX 1 $4.95 $4.-95 I
UNIT SUBTOTAL $43.88
6626910 BLD E OFFICE
,1
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
43259 KNUCKLE BANDAGE MEDIUM 1 $11.01 $11.01
100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86
151629 FIRST AID GUIDE 1 $8.95 $8.95
UNIT SUBTOTAL $28.82
6626412 BLD A LAB
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
70010 COTTONTIP APP 3" 100/VIAL 1 $5.00 $5.00
100019 TRIPLE ANTIBIOTIC OINT MD 1 $11.55 $11.55
100639 HAND LOTION, SMALL 1 $6.88 $6.88
101239 FIRST AID CREAM SMALL 1 $7.58 $7.58 ,
151629 FIRST AID GUIDE 1 $8.95 $8.95
UNIT SUBTOTAL $39.96
6626416 > BLD E RESTROOM
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
44429 LARGE PATCH 2"X311, MED 1 $10.45 $10.45
111529 PAIN AWAY X-STRENGTH SM 1 $10.88 $10.88
151629 FIRST AID GUIDE 1 $8.95 $8.95 !"
UNIT SUBTOTAL $30.28
REMIT TO :Cintas SUB-TOTAL, $142.94
P.O. Box 631025 TAX $0.00 `
CINCINNATI, OH 45263-1025 TOTAL $142.94
SIGNATURE : DATE:
NAME
Page 1 of 1 INVOICE # 5005863031 PAYER # 0010653296
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
CINTAS FIRST AID &SAFETY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS CORPORATION IN SUM OF$ 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.
$263.71 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
5005884821 42-390.12 $263.71 1 hereby certify that the attached invoice(s),or 8/23/16 5005884821 $263.71
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,August 23, 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
S
CI
SVC/BILLING QUESTIONS : 317-264 5103
REAW f:GRcTHEaWDRKDAY- FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : (317)863-7300357
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # : 5005884821
3400 W 131ST ST DATE : 8/23/16
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2001 CUSTOMER # : 0010652787
PAYER # : 0010664222
SVC ORDER # : 8013600993
CREDIT TERMS: NET 10 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6633596 MAIN BLD MENS R 01560256
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
400 SERVICE CHARGE 1 $9.95 $9.95
44429 LARGE PATCH 2"X311, MED 1 $10.45 $10.45
50009 ANTISEPTIC WIPES MEDIUM 1 $8.47 $8.47
51030 HAND SANITIZER SMALL " 1 $6.81 $6.81
55556 DISINFECTANT WIPE 1 $5.95 $5.95
64039 BLOOD CLOTTER SPRAY 3 OZ 1 $21.13 $21.13
70010 COTTONTIP APP 3" 100/VIAL 1 $5.00 $5.00
72220 ROLLER GAUZE, 2" NON-STER 1 $5.63 $5.63
100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86
150800 SCISSORS 4.5" LISTER BAND 1 $8.83 $8.83
151629 FIRST AID GUIDE 1 $8.95 $8.95
170429 CPR MICRO SHIELD 1 $21.43 $21.43
UNIT SUBTOTAL $121.46
7235951 Office Break-room
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
111999 IBUPROFEN TABS LRG 1 $35.95 $35.95
121210 ALEVE MEDIUM 1 $43.21 $43.21
UNIT SUBTOTAL $79.16
6633597 MAINTENANCE BLD
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
51030 HAND SANITIZER SMALL 1 $6.81 $6.81
103030 WOUNDSEAL 'POUR PACK 2/BOX 1 $16.95 $16.95
130429 EYE/SKIN BUFFERED SOL 4OZ 1 $8.95 $8.95
151629 FIRST AID GUIDE 1 $8.95 $8.95
170429 CPR MICRO SHIELD 1 $21.43 $21.43
UNIT SUBTOTAL $63.09
REMIT TO :Cintas SUB-TOTAL $263.71
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $263.71
SIGNATURE : DATE:
NAME
Page 1 of 1 INVOICE # 5005884821 PAYER # 0010664222