HomeMy WebLinkAbout320689 01/11/18 `{ ''• CITY OF CARMEL, INDIANA VENDOR: 343500
�b ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $*******256.95*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 320689
PO BOX 631025 CHECK DATE: 01/11/18
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5009629985 256.95 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.lssb)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 343500
IN SUM OF$ CITY OF CARMEL
CINTAS FIRST AID &SAFETY
CI NTAS CORPORATION An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 631025 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-1025
Payee
$256.95
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
5009629985 42-390.12 $256.95 1 hereby certify that the attached invoice(s),or 1/4/18 5009629985 $256.95
2201 2201 2201 2201
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,January 08,2018
Huffman, Dave
Director
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
C
I '
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 : (888)994-2468
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CARMEL STREET DEPT INVOICE # : 5009629985
3400 W 131ST ST DATE : 1/4/18
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2001 STORE #
CUSTOMER # : 0010652787
PAYER # : 0010664222
SVC ORDER # : 8017392314
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
7235951 Office Breakroom
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
111389 ACETAMINOPHEN MED 1 $12.42 $12.42
111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45
112239 DECONGEST NASAL/SINUS MED 1 $13.27 $13.27
113539 CHERRY MNTHL COUGH DRP LG 1 $15.40 $15.40
121210 ALEVE MEDIUM 1 $32.84 $32.84
280020 LENS/SCREEN PADS 100/BX 1 $15.71 $15.71
UNIT SUBTOTAL $122.04
6633596 MAIN BLD MENS R 02210342
110 SERVICE ACKNOWLEDGEMENT 1 $0.00 $0.00
1,20 CABINET ORGANIZED 1 $0.00 $0.00
1?30 EXPIRATION DATES CHECKED 1 $0.00 $0.00
43129 FINGERTIP BANDAGE XL MED 1
$9.04 $9.04
4;4249 ELASTIC STRIP SMALL 1 $5.02 $5.02
5'5555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
5:5556 DISINFECTANT WIPE 1 $0.00 $0.00
80200 ELASTIC TAPE 1" X 5'/ROLL 1 $8.80 $8.80
91019 COLD PACK, SMALL, 1/BOX 1 $4.28 $4.28
100039 TRIPLE ANTIBIOTIC OINT SM 1 $6.73 $6.73
130000 THERA TEARS, SMALL 1 $7.53 $7.53
8303456 NEW SKIN SPRAY 1 OZ 1 $10.87 $10.87
UNIT SUBTOTAL $59.22
6633597 MAINTENANCE BLD 02210497
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
43239 KNUCKLE BANDAGE SMALL 1 $5.44 $5.44
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100039 TRIPLE ANTIBIOTIC OINT SM 1 $6.73 $6.73
111389 ACETAMINOPHEN MED 1 $12.42 $12.42
111929 IBUPROFEN TABS SMALL 1 $8.84 $8.84
163020 BURN RELIEF 4X4 DRESSING 1 $8.73 $8.73
280020 LENS/SCREEN PADS 100/BX 1 $15.71 $15.71
8303456 NEW SKIN SPRAY 1 OZ 1 $10.87 $10.87
UNIT SUBTOTAL $75.69
Page 1 of 2 INVOICE # 5009629985 PAYER # 0010664222
CINTAse
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 : (888)994-2468
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0020
REMIT TO :Cintas SUB-TOTAL $256.95
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $256.95
SIGNATURE : DATE:
NAME
Page 2 of 2 INVOICE # 5009629985 PAYER # 0010664222