HomeMy WebLinkAbout319122 11/30/2017 Cqq
CITY OF CARMEL, INDIANA VENDOR: 353562
j ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $********67.89*
;Q CARMEL, INDIANA 46032 PO Box 631025 CHECK NUMBER: 319122
CINCINNATI OH 45263-1025 CHECK DATE: 11/30117
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 5009431325. . 67.89 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 353562 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS FIRST AID &SAFETY IN SUM OF$ 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
$67.89
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.
5009431325 42-390.99 $67.89 1 hereby certify that the attached invoice(s),or 11/29/17 5009431325 DOS:11/28/17 $67.89
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
Wednesday, November 29,2017
Quinn,Jacob
Deputy Clerk of City Business
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
CI
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
CITY OF CARMEL INVOICE # : 5009431325
CLERK TREASURER DATE : 11/28/17
1 CIVIC SQ PO # :N/A
CARMEL, IN 46032-7569 STORE #
317-571-2414 CUSTOMER # : 0010653293
PAYER # : 0010653293
SVC ORDER # : 8017114215
CREDIT TERMS:NET 30 DAYS
MATERIAL If DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6628328 3rd Flr - Clerk Closet 02212906
110 SERVICE ACKNOWLEDGEMENT 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 $12.95 $12.95
43259 KNUCKLE BANDAGE MEDIUM. 1 $10.95 $10.95
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100639 HAND LOTION, SMALL 1 $5.23 $5.23
111389 ACETAMINOPHEN MED 1 $12.42 $12.42
119250 ANTI-DIARRHEAL CAPLETS SM 1 $10.73 $10.73
573772 DAYQUIL SEVERE SMALL 1 $6.66 $8.66
UNIT SUBTOTAL $67.89
REMIT TO :Cintas SUB-TOTAL $67.89
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $67.89
SIGNATURE : DATE :
NAME
O\V
Page 1 of 1 INVOICE 4 5009431325 PAYER # 0010653293