308503 02/28/17 CITY OF CARMEL, INDIANA VENDOR: 353562
CHECK AMOUNT: $'******288.51'
tl ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY
CARMEL, INDIANA 46032 PO BX O NATI02 45263-1025 CHECK NUMBER: 308503
C NC
CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 5006719685 138.50 OTHER MISCELLANOUS
651 5023990 5007170241 150.01 OTHER EXPENSES
t ..
I 0
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
Indianapolisp. 3N 46239 ROUTE # : LOC #0388 ROUTE 0015
. INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CITY OF CARMEL UTILITIES INVOICE # : 5007170241
9609 HAZEL;'-DELL PKWY DATE : 2/6/17
INDIANAPOLIS', IN 46280-2935 PO # : N/A
317-571-2634 CUSTOMER # : 0010653296
PAYER # : 0010653296
SVC ORDER # : 8014797484
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6626411 BLD B MENS RESTROOM 02184701
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
44249 ELASTIC STRIP SMALL 1 $6.61 $6.61.
50030 ANTISEPTIC WIPES SMALL 1 $5.63 $5.63
55556 DISINFECTANT WIPE 1 $5.95 $5.95
112029 COLD RELIEF MAX/STR SM 1 $13.38 $13.38
121220 ALEVE SMALL 1 $7.59 $7.59
UNIT SUBTOTAL $51.11
6626412 BLD A LAB 01560338
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
113629 HONEYLMN MNTHL COUGH DR MD 1 $12.49 $12.49
573772 DAYQUIL SEVERE SMALL 1 $11.39 $11.39
UNIT SUBTOTAL $23.86
6626410 BLD E OFFICE 02184616
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
119279 COLD-EEZE LOZENGE SMALL 1 $13.72 $13.72
121220 ALEVE SMALL 1 $7.59 $7.59
573772 DAYQUIL SEVERE SMALL 1 $11.39 $11.39
UNIT SUBTOTAL $32.70
6626416 BLD E RESTROOM 02184713
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
31029 1X3 PLASTIC BANDAGE SM 1 $6.17 $6.17
55556 DISINFECTANT WIPE 1 $5.95 $5.95
111589 PAIN AWAY X-STRENGTH MED 1 $17.71 $17.71
113629 HONEYLMN MNTHL COUGH DR MD 1 $12.49 $12.49
UNIT SUBTOTAL $42.32
REMIT TO :Cintas SUB-TOTAL $150.01
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $150.01
SIGNATURE : DATE: --i
NAME
Page 1 of 1 INVOICE # 5007170241 PAYER # 0010653296
VOUCHER # 167132 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
5007170241 01-7200-01 35.69
5007170241 01-7202-05 72.17
5007170241 01-7202-06 42.15
Voucher Total 150.01
Cost distribution ledger classification if
claim paid under vehicle highway fund
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 353562 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS FIRST AID &SAFETY 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
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-1025
Payee
$138.50
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Clerk Treasurer
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5006719685 42-390.99 $138.50 1 hereby certify that the attached invoice(s),or 2/14/17 5006719685 MONTHLY SERVICE TO MEDICINE $138.50
1701 101 1701 101 CABINET 12/21/16
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, February 21,2017
cYz?�
Harvey, Linda
Chief Deputy Clerk Treasurer
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—
Clerk-Treasurer
20Clerk-Treasurer
CIS® CINTAS CORPORATION#0388 Service/Billing# (317)264-5103
1435 Brookville Way,Suite P Fax# (317)644-0870
READY FOR THE WORKDAY'" Indianapolis,IN 46239 Payment Inquiry# (877)275-4933
Invoice
Ship To CITY OF CARMEL
CLERK TREASURER Invoice#5006719685
1 CIVIC SQ Invoice Date 12/21/2016
CARMEL, IN 46032-7569 Credit Terms NET 30 DAYS
Customer# 10653293
Cintas Route LOC#0388 ROUTE 0020
Bill To CITY OF CARMEL Order#0006535146
CLERK TREASURER Payer# 10653293
1 CIVIC SQ
CARMEL, IN 46032-7569
Material# Description Quantity Unit Price Ext Price Tax
Unit 000000000006628328 Unit Description: 3rd Flr-Clerk Closet
110 CABINET CLEANED 1 EA $0.00 $0.00
120 CABINET ORGANIZED 1 EA $0.00 $0.00
130 EXPIRATION DATES CHECKED 1 EA $0.00 $0.00
400 SERVICE CHARGE 1 EA $11.95 $11.95
43059 FINGERTIP BANDAGE MED 1 BOX $11.08 $11.08
55556 DISINFECTANT WIPE 1 EA $5.95 $5.95
79191 MUCINEX SMALL 1 BAG $10.77 $10.77
82420 READY-RIP 2" 1 ROL $7.80 $7.80
82430 READY-RIP 3" 1 ROL $9.47 $9.47
111989 IBUPROFEN TABS MEDIUM 1 BOX $18.85 $18.85
112439 SINUS RELIEF DUAL ACTN MD 1 BOX $20.85 $20.85
119279 COLD-EEZE LOZENGE SMALL 1 BOX $13.72 $13.72
130000 THERA TEARS,SMALL 1 PAC $9.92 $9.92
150110 TWEEZERS,METAL IND/3PK 1 PAC $9.31 $9.31
150800 SCISSORS 4.5"LISTER BAND 1 EA $8.83 $8.83
Unit Subtotal: $138.50
Invoice Sub-total $138.50
Tax $0.00
Invoice Total $138.50
Remit To Cintas
P.O. Box 631025
CINCINNATI, OH 45263-1025
Note
Signature: n
Note:
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