HomeMy WebLinkAbout319305 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 353562
ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $****"***99.18*
CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 319305
CINCINNATI OH 45263-1025 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT DESCRIPTION
1207 4239012 5009431316 99.18 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 353562 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS FIRST AID&SAFETY IN SUM OF$ 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
$99.18
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
5009431316 42-390.12 $99.18 1 hereby certify that the attached invoice(s),or 11/28/17 5009431316 First Aid Supplies $99.18
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
Tuesday, November 28,2017
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CI
READY FOR THE WORKDAY-
SVC/BILLING QUESTIONS : 317-2 64-5103
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
BROOKSHIRE GOLF CLUB INVOICE # : 5009431316
CITY OF CARMEL DATE : 11/28/17
12120 BROOKSHIRE PKWY PO # :N/A
CARMEL, IN 46033-3314 STORE #
317-846-7431 CUSTOMER # : 0010069450
PAYER # : 0010087731
SVC ORDER # : 8017118499
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
466845 MAIIVT 00594663
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
132 BBP KIT CHECKED 1 $0.00 $0.00
400 SERVICE CHARGE 1 $12.95 $12.95
50030 ANTISEPTIC WIPES SMALL 1 $4.28 $4.28
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
80479 1/2" X 5 TAPE DISPENSER 1 $4.26 $4.26
101239 FIRST AID CREAM SMALL 1 $5.76 $5.76
111989 IBUPROFEN TABS MEDIUM 1 $14.33 $14.33
113529 CHERRY MNTHL COUGH DRP MD. 1 $9.32 $9.32
119250 ANTI-DIARRHEAS, CAPLETS SM 1 $10.73 $10.73
119260 ALLERGY RELIEF TABLET MED 1
/''•••.... $-14.89 $14.89
280020 LENS/SCREEN PADS 100/BX 1 $15.71 $15.71
UNIT SUBTOTAL $99.18
REMIT TO :Cintas SUB-TOTAL $99.18
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $99.18
SIGNATURE : DATE :
NAME
Page 1 of 1 INVOICE # 5009431316 PAYER # 0010087731.