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319367 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 0035291.7 it ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $******'*39.20* CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK NUMBER: 319367 KALAMAZOO MI 49001 CHECK DATE: 12/05/17 DEPARTMENT ACCOUNT_ PO NUMBER_ INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350600 1125176605 39.20 CLEANING SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) . ALLOWED 20 . . ACCOUNTS PAYABLE VOUCHER Vendor#. .00352917. IN SUM OF,$ DOMESTIC UNIFORM RENTAL CITY OF CARMEL ,3401 COVI NGTON ROAD 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. KALAMAZOO,:MI 49001 : Payee .. $39.20. . ON ACCOUNT OF:APPROPRIATION FOR Purchase Order# Terms Communications Date Due PO# . : ACCT# DATE. INVOICE# DESCRIPTION DEPT# INVOICE#:: Fund#. AMOUNT Board Members _ DEPT# FUND'# (or note attached invoice(s)or bill(s)) AMOUNT All 25176606 43-506:00 $39.20 1 hereby,certify that the attached invoice(s),or 12/1/17 1125176605 $39.20 1115 101 1115 101 bill(s)'is(are)true and correct and that the materials or services itemized thereon.for which charge is made were ordered and received except Friday,December 1,2017 � V Arnone,Janet. Admin Assistant : :. I hereby certify that the attached irvoice(s),or bill(s),is(are)true and correct and lhave s accordance I 6 audited same in - dance with C 5-11-10-1. 20 Cost distribution ledger classification.if claim paid motor vehicle.highway fund. Clerk_Treasurer DOMESTIC UNIFORM RENTAL 800-430-0872 -YOUR LQCAL SVC TEL d 3401 COVINGTON ROAD 269-388-2900 -TME"i'.$°tFILE KALAMAZOO MI 49001 •� 0• TQM CARMEL CLAY COMMUNIC 0 31 FIRST AVE NW 9 5 � • CARMEL IN 11 25 17 46032 r- DAY OF MO. DA. YR, r�GOD. WEEK RENTAL SERVICE ITEMS BILLING UNIT AMOUNT QUANT PRICE PAYMENT DUE BY 12/25/17 LOS ANGELES,CA ORANGE COUNTY,CA RIVERSIDE,CA 3 RED VY MAT 1225 2SAN DIEGO,CA125 VENTURA CA CHICAGO,IL ADDISON5 RED VY MAT 2 GURNEE 5 8 9 0 . IL URNE ,fL FT.WAYNE,IN 10 RED V :kF :x _ 18 5 8;25 INDIANAPOLIS,IN s � `> SOUTH BEND,IN BALTIMORE,MD SCRAR \ �� HAGERSTOWN,MD 5 `"r� '� .. 1980 9;8 0 DETROIT,MI FLINT,MI N } s F GRAND RAPIDS,MI EiYIROI�f��'IAL E� 10;0 0 JACKSON,MI �� � v It i�cCia ar � zYSii i¢"y` c KALAMAZOO,MI LANSING,MI y . s _sI 107 TATE MENT SAGINAW,MI CO TROY. Ml s. ..._-.:,.Y-.����'?'� e.�s� � ,t e 2 �• � UVONIA,MI NEWARKINEW YORK a:, �_. .� • RALEIGH,NC CANTON,OH CINCINNATI,OH CLEVELAND,OH I COLUMBUS,OH DAYTON,OH TOLEDO,OH YOUNGSTOWN,OH HARRISBURG,PA PHILADELPHIA,PA PITTSBURGH,PA _ VIRGINIA BEACH,VA RICHMOND,VA R MILWAUKEE,WI N'trf���3C Y �.iazi �`�I✓i�? THIS DELIVERY IS MADE UNDER EXISTING RENTALAGREEMENT RT STOP ACCOUNTPAY THIS ' PLEASE PAY FROM NO. NO. NO. AMOUNT$ THIS INVOICE.NO OTHER WILL BE ISSUED. 308 3 5 8466 ADJUSTMENT$ 3 92 0 NET$ 1 RECD BY