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317774 10/25/2017 CITY OF CARMEL, INDIANA VENDOR: 197000 CHECK AMOUNT: $****""*495.08* e ONE CIVIC SQUARE CINTAS ? =4 CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 317774 9 CINCINNATI OH 45263-1025 CHECK DATE: 10/25/17 MION gyp• DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 5008914266 495.08 OTHER MAINT SUPPLIES m (gyp Z ....... A (7 Cn OZ => n OD 0 ' O ::: :: :: Vf 0 CD co o � O00 m aD o D ::wiz ' ' rP` 'w 00tU Rt CL p »>1 Cts (r �::::>:::z�.................:::::: 00 CD 3 cr D Co 0 °: � m N o =r CDco c X O N m -% D n � (D fn n O v �' c O w m (n Q co a =rN g co n m 3 O w W m N OD m m o v N n�. = Q a CD o n m M = n. n v m m Cl 9 CD 0 CL m 0 o � 3 o w � n. 0 r CD (p 7 =r (A N .O► (D O O 1 1 CiNrAs. 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 0089 INVOICE r pie--2- PLEASE PAY DIRECTLY FROM THIS INVOI CARMEL CLAY PARKS & RECREATION INVOICE # : 5008914266 CEIV ` CARMEL CLAY PARKS AND RECREATION DATE : 10/5/17 OCT q 201 1235 CENTRAL PARK DR E PO # : N/A CARMEL, IN 46032-4421 STORE # 317-573-5239 CUSTOMER # : 0011147887 BY: PAYER # : 0011147988 SVC ORDER # : 801698145 CREDIT TERMS: NET 30 YS Poi F((1)J CJ MATERIAL # DESCRIPTION QTY U v-/ TAX 8160195 maintenance 02102675 150 EYE STATION DATES CHECKED 1 $0.00 $0.00 400 SERVICE CHARGE 1 $12.95 $12.95 600 EYE WASH STATION SERVICE 1 $85.00 $85.00 610 EYEWASH STA CLEANED/INSP 1 $0.00 $0.00 611 TAMPER PROOF SEAL 1 $0.00 $0.00 612 PHYSICAL DAMAGE INSPECTION 1 $0.00 $0.00 614 CHECK FOR LOOSE FITTING 1 $0.00 $0.00 615 CAP THREAD CHECK 1 $0.00 $0.00 616 WALL MOUNT INSPECTION 1 $0.00 $0.00 13354 SD AQUAPRESERVE CONCENTRA 1 $68.76 $68.76 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 74589 EYEWASH FUNCTION TEST 1 $0.00 $0.00 74590 EYEWASH WATER LVL CHECKED 1 $0.00 $0.00 UNIT SUBTOTAL $173.66 8160191 pump room 02102665 150 EYE STATION DATES CHECKED 1 $0.00 $0.00 600 EYE WASH STATION SERVICE 1 $85.00 $85.00 610 EYEWASH STA CLEANED/INSP 1 $0.00 $0.00 611 TAMPER PROOF SEAL 1 $0.00 $0.00 612 PHYSICAL DAMAGE INSPECTION 1 $0.00 $0.00 614 CHECK FOR LOOSE FITTING 1 $0.00 $0.00 615 CAP THREAD CHECK 1 $0.00 $0.00 616 WALL MOUNT INSPECTION 1 $0.00 $0.00 13354 SD AQUAPRESERVE CONCENTRA 1 $68.76 $68.76 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 74589 EYEWASH FUNCTION TEST 1 $0.00 $0.00 74590 EYEWASH WATER LVL CHECKED 1 $0.00 $0.00 UNIT SUBTOTAL $160.71 8160196 water park 02100983 150 EYE STATION DATES CHECKED 1 $0.00 $0.00 600 EYE WASH STATION SERVICE 1 $85.00 $85.00 610 EYEWASH STA CLEANED/INSP 1 $0.00 $0.00 611 TAMPER PROOF SEAL 1 $0.00 $0.00 612 PHYSICAL DAMAGE INSPECTION 1 $0.00 $0.00 614 CHECK FOR LOOSE FITTING 1 $0.00 $0.00 615 CAP THREAD CHECK 1 $0.00 $0.00 616 WALL MOUNT INSPECTION 1 $0.00 $0.00 13354 SD AQUAPRESERVE CONCENTRA 1 $68.76 $68.76 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 74589 EYEWASH FUNCTION TEST 1 $0.00 $0.00 74590 EYEWASH WATER LVL CHECKED 1 $0.00 $0.00 UNIT SUBTOTAL $160.71 Page 1 of 2 INVOICE # 5008914266 PAYER # 0011147988 ciNrAs. 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 0089 REMIT TO :Cintas SUB-TOTAL $495.08 P.O. Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $495.08 SIGNATURE : DATE : NAME Page 2 of 2 INVOICE # 5008914266 PAYER # 0011147988