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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