305110 11/14/16 f
.4�q
q`% '�• CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $***"1,185.33'
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 305110
PO BOX 631025 CHECK DATE: 11/14/16
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5006354036 1,057.70 OTHER EXPENSES
1701 4239099 5006399827 127.63 OTHER MISCELLANOUS
VOUCHER # 166470 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
5006354036 01-7202-05 1,057.70
Voucher Total 1,057.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
c i
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 0015
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CITY OF CARMEL UTILITIES INVOICE # : 5006354036
9609 HAZEL DELL -PKWY DATE : 10/25/16
INDIANAPOLIS, IN 46280-2935 PO # : S16560
317-571-2634 CUSTOMER # : 0010653296
PAYER # : 0010653296
SVC ORDER # : C@1895D23
CREDIT TERMS: NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6626412 BLD A LAB 01560338
360210 6.5 GALLON SPILL KIT 14 $75.55 $1057.70
UNIT SUBTOTAL $1057.70
REMIT TO :Cintas SUB-TOTAL $1057.70
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $1057.70
SIGNATURE : DATE:
NAME
Page 1 of 1 INVOICE # 5006354036 PAYER # 0010653296.
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED - 20
cINTAs F1 RST air& SAFETY
ACCOUNTS PAYABLE VOUCHER
IN SUM OF$
PO BOX 631025 :CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of seivice,where performed,dates service:: :.
CINCINNATI, OH.45263-1025der d;by rates per day,number of hours,rate per hour,number of units,price per unit,etc. . .
ren a whom,
Payee
$127.63 :.
ON ACCOUNT OF.APPROPRIATION.FOR Purchase Order#
Clerk Treasurer 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:
5006399827 42-390.99 .$127.63I hereby certify,that the attached invoice(s),or 10/31/16 5006399827 Cabinet Cleaning/Supplies $127.63
1701 101 1701 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
Tuesday,:November 08i 2016
• cyz� J
Linda Harvey
Chief Deputy Clerk Treasurer
I hereby certify that the attached irivoice(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
o �t 23 q0 q°t
cl
READY FOR THE WORKDAY`" SVC/BILLING QUESTIONS : 317-264-5103
0388 - Indianapolis FAS FAX : 317-644-0870
1435 Brookville Way PAYMENT INQUIRY : (877)275-4933357
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CITY-OF CARMEL INVOICE # : 5006399827
1 CIVIC SQ DATE : 10/31/16
CARMEL, IN 46032-7569 PO # : N/A
317-571-2414 CUSTOMER # : 0010653293
PAYER # : 0010653293
SVC ORDER # : 8014031249
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6628328 3rd FIr - Clerk Closet
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
51030 HAND SANITIZER SMALL 1 $6.81 $6.81
55556 DISINFECTANT WIPE 1 $5.95 $5.95
72220 ROLLER GAUZE, 2" NON-STER 2 $5.63 $11.26
72240 ROLLER GAUZE, 4" NON-STER 1 $6.35 $6.35
91019 COLD PACK, SMALL, 1/BOX 1 $5.63 $5.63
103030 WOUNDSEAL POUR PACK 2/BOX 1 $17.85 $17.85
111529 PAIN AWAY X-STRENGTH SM 1 $10.88 $10.88
121629 NAPROXEN SODIUM MEDIUM 1 $10.95 $10.95
150110 TWEEZERS, METAL IND/3PK 1 $9.31 $9.31
182309 EMERGENCY MEDICAL GLV/8BX 1 $8.53 $8.53
573772 DAYQUIL SEVERE SMALL 1 $11.39 $11.39
574143 SORE THROAT CHERRY/SMALL 1 $10.77 $10.77
UNIT SUBTOTAL $127.63
REMIT TO :Cintas SUB-TOTAL $127.63
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $127.63
S I GNATURE : DATE : / 0
-3
146
NAME
Page 1 of 1 INVOICE # 5006399827 PAYER # 0010653293
i