303699 09/30/16 CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******146.38*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 303699
PO BOX 631025 CHECK DATE: 09/30/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5006062295 146.38 OTHER EXPENSES
VOUCHER# 162791 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
5006062295 01-6200-06 146.38
/2 7/hi
Voucher Total 146.38
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 9/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/25/2016 5006062295 146.38
hereby certify that the attached invoice(s), or bill(s) is(are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
cill
_
O
READY FOR THE WORKDAY- SVC/BILLING QUESTIONS: 317-264-5103
0388 - Indianapolis FAS 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 # : 5006062295
3450 W 131ST ST DATE : 9/19/16
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2855 CUSTOMER # : 0010652788
PAYER # : 0010652788
SVC ORDER # : 8013601113
CREDIT TERMS: NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6633129 KITCHEN
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
55556 DISINFECTANT WIPE 1 $5.95 $5.95
100039 TRIPLE ANTIBIOTIC OINT SM 1 $8.86 $8.86
182309 EMERGENCY MEDICAL GLV/8BX 1 $8.53 $8.53
UNIT SUBTOTAL $33.29
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
43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96
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
72220 ROLLER GAUZE, 2" NON-STER 1 $5.63 $5.63
82420 MEDI-RIP 2" 1 $7.80 $7.80
82430 MEDT-RIP 3" 1 $9.47 $9.47
100419 HYDROCORTISONE CREAM MED 1 $11.68 $11.68
UNIT SUBTOTAL $66.77
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
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
101219 FIRST AID CREAM, MED 1 $12.43 $12.43
UNIT SUBTOTAL $46.32
REMIT TO :Cintas SUB-TOTAL $146.38
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $146.38
SIGNATURE : DATE :
NAME
C
Page 1 of 1 1 INVOICE # 5006062295 PAYER # 0010652788