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319304 12/05/17 `qq CITY OF CARMEL, INDIANA VENDOR: 197000 ONE CIVIC SQUARE CINTAS CORPORATION#18 CHECK AMOUNT: $********13.60' 4 CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 319304 ?y. CINCINNATI OH 45263-0803 CHECK DATE: 12/05/17 t [TON ` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356001 4002483915 13.60 UNIFORMS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 197000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CINTAS CORPORATION#18 IN SUM OF$ CITY OF CARMEL PO BOX 630803 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 45263-0803 Payee $13.60 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course 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 4002483915 43-560.01 $13.60 1 hereby certify that the attached invoice(s),or -11/20/17 4002483915 Uniforms $13.60 1207 101 1207 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 Monday, November 27,2017 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer • FOR ALL RM-PAYMENT RELATED CURRESPURDELYCE: CUSTMER SUICIBILLIM 117-890-SOOO CI �-A-TAS CURPOEATIUM Nola 11.01.8 ciffft'll, FAX 11- 117-8?0-9024 N069 ln,9-19 PARK Dfliffs DR. READY FOR THE WORKDAY'" It, 423E FAYHENT INQUIRY 937-237-3760 INVOICE SHIP TO: k]ITY ff CARNEL IMICE 0 0 a 2 11 I:jl:jl fl.9 121,20 Brlloajt.,;j-lTRE M RY I ZFME DATE R,ri r L IR 4 6 0 3 33,14 SOLD TO 9 11'A q 6 2 01 PATER S- 1.2158178 MHENT TERNS NEIT 10 FUN SILL '98: CLU11, CURT 9 0018000261'? 1211.20 LDEMS-MIRE Fl-MY CXXTAS ROUTE 51 / DAY 2 CAIEHEL, IN ,EflF:D/LHCY# HATEHAL DESCRIPTION FRED EXCH PTY MIT PRICE LIFE T0114L 'TO 0010.1 X�3 9 HA I,-,/CIETTIM(11i'lE MA-SME-P! 101111 SZ' PREll 01 F 3,i 0.4io el.51 1 hl 0901 xPi5 S3INTIUNIFIM11/BLUE/MNITE/LS Y1F 3 0.340 1.62 R 000.1 Xp3 S H I R T/U!N I F 0 IRM/B L 1)FE M I T E/S S 81 F 3 0.310 P, RUSSELL PICKET! SUBTOTAL - 8.225 ,11 "H 4 VID. RTA&E 1)B T BTA 2S R "Mul(l VINAHE TAX THYAL USD 1.3.60 THM ADJUST. T110, ADJUST. MET TOTAL UPEARMN 1)UTFURN ADUAHTAH 22 pl.050 10 11 CUSTfillER MIMI- CURRENT 31.25 FMT LAM: -77.2 0 30 rt A rl), 0.fjfj 60 0.!If' 90+ DAYS: 6.00 Rll'-11.T PAWIEXT Til: c1hT0- / pfl Brix 630rdo3 ON 4527•33-0,903