303991 10/10/16 ® t CITY OF CARMEL, INDIANA VENDOR: 00352917
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $********39.20*
;? a': CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 303991
9y�,___./ KALAMAZOO MI 49001 CHECK DATE: 10/10/16
�rpN t�'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0930166605 39.20 CLEANING SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
DOMESTIC UNIFORM RENTAL
ALLOWED 20 . . ACCOUNTS PAYABLE VOUCHER
3401 COVINGTON ROAD IN SUM oF.$ 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.
Payee -
$39.20
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
0930166605 43-506.00 $39.20 '1 hereby certify that the attached invoice(s),or 10/3/16 0930166605 $39.20
1115 101 1115 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, October 03,2016
�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
a mmmcmv ■EM--
,,��aann++,,anna��•npA T{C��I���nE�rA� II`!V� 0�3O16Lt?E}OS YOUR LOCAL
)ONEAR 1&IT I I" iR lik�LL.,1�ITAL:3 800-43'0—OLR72 _ MAW OFFICE
3401 COVINGTON ROAD 269-388-2900 TEL#
KALAMAZOO MI 49001
�.NS0 _
;ARMEL CLAY COt'MUNIC 0
31 FIRST AVE NW 9 5 0�
'ARMEL IIS! 09 30 16
�¢ DAYOF
46032 -"
MO. DA. YR. H 2 C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT PRICE
'AYMENT DUE BY 10/30/16 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA -"
CHICAGO,IL
3 RED VY MAT 1225 2-25 ADDISON,IL
GURNEE,IL
FT.WAYNE,IN
B RED VY NAL, 2445 9,9C INDIANAPOLIS,IN
/r § SOUTH BEND,IN
BALTIMORE,MD
lo 1--'Eng'!'7A r r 1E25 62E HAGERSTOWN,MD
DETROIT,MI
r 1C `�✓ �'� ? FLINT,MI
5 SC R Ai:: R :lvt��T s ar 1 BQ o8 GRAND RAPIDS,MI
_ ¢ JACKSON,MI
(�j KALAMAZOO,MI
EIWV I ROitill�i IV+.TAI { .� S Is "� �� 100 LANSING,MI
ili SAGINAW,MI
; TROY,MI
yy�`t )y 'y s ` = " LIVONIA,MI
—I KE I�US�QI�! NEWARK/NEWYORK__I Af EBOCII w RALEIGH,NC
JWW. FACEBOOK, COM/ CANTON,OH
)OlvlESTICUN I FORI°IREN AL CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
��!��i'orm ,�ervice - `7-b j,�t meq'?7"cJ' RICHMOND,VA
MILWAUKEE,WI
t6-IDS jT IS
MADE UNDER =�
EXISTING RENTAL AGREEMENT
RT. STOP ACCOUNTpqy THIS PLEASE PAY FROM
NO. NO. NO. THIS INVOICE.NO
308 35 84 66 0 AMOUNT $ 3020 OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $
acrn av