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CITY OF CARMEL, INDIANA VENDOR: 343500
I° ® ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $*******220.99*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 308076
PO BOX 631025 CHECK DATE: 02/13/17
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5007046965 220.99 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201 (Rev.1995)
Vendor# 343500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER_
CINTAS FIRST AID & SAFETY IN SUM of$ CITY OF CARMEL
Q., c An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-1025
Payee
$220.99
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
5007046965 42-390.12 $220.99 1 hereby certify that the attached invoice(s),or 1/31/17 5007046965 $220.99
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, January 31,2017
Huffman, Dave
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
r
CiNTAse
READY FOR THE WORKDAY*'" SVC/BILLING QUESTIONS: 317-264-5103
0388 INDIANAPOLIS IN FAS FAX : 317-644-0870
1435 Brookville Way Suite P PAYMENT INQUIRY : (877)275-4933
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # : 5007046965
3400 W 131ST ST DATE : 1/31/17
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2001 CUSTOMER # : 0010652787
'PAYER # : 0010664222
SVC ORDER # : 8014789130
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
7235951 Office Breakroom
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
112239 DECONGEST NASAL/SINUS MED 1 $17.46 $17.46
112439 SINUS RELIEF DUAL ACTN MD 1 $20.85 $20.85
113539 CHERRY MNTHL COUGH DRP LG 1 $20.26 $20.26
121210 ALEVE MEDIUM 1 $43.21 $43.21
UNIT SUBTOTAL $113.73
6633596 MAIN BLD MENS R 02210342
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
n.
31029 1X3 PLASTIC BANDAGE SM 1 $6.17 $6.17
`43658 WATERPROOF CLEAR STRIPS 1 $9.95 $9.95
;43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96
'50429 ALCOHOL PREP PADS MEDIUM 1 $8.38 $8.38
755556 DISINFECTANT WIPE 1 $5.95 $5.95
UNIT SUBTOTAL $41.41
6633597 MAINTENANCE BLD 02210497
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
43658 WATERPROOF CLEAR STRIPS 1 $9.95 $9.95
43729 X-LONG BANDAGE MEDIUM 1 $10.96 $10.96
50429 ALCOHOL PREP PADS MEDIUM 1 $8.38 $8.38
55556 DISINFECTANT WIPE 1 $5.95 $5.95
115029 ANTACID FRUIT FLAVOR SM 1 $9.91 $9.91
280020 LENS/SCREEN PADS 100/BX 1 $20.70 $20.70
UNIT SUBTOTAL $65.85
REMIT TO :Cintas SUB-TOTAL $220.99
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $220.99
SIGNATURE : DATE :
NAME
Page 1 of 1 INVOICE # 5007046965 PAYER # 0010664222