HomeMy WebLinkAbout320794 01/17/18 •11:uf.Cgq�f
a CITY OF CARMEL, INDIANA VENDOR: 197000
d 1 ONE CIVIC SQUARE CINTAS CORPORATION#18 CHECK AMOUNT: $*******225.53*
CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 320794
9ai�oN_�o. CINCINNATI OH 45263-0803 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER:. AMOUNT DESCRIPTION
651 5023990 5009773660 225.53 OTHER EXPENSES
VOUCHER NO. 177142 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 197000 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
CINTAS CITY OF CARMEL
PO BOX 630803 An invoice or bill to be properly itemized must show: kind of service,where performed,
LOCATION 18 dates service rendered, by whom, rates per day, number of hours,rate per hour,
CINCINNATI, OH 45263-0803 numbers of units, price per unit,etc.
Payee
225.53 197000 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CINTAS Terms
Carmel Wasterwater Utility PO BOX 630803 Due Date
BOARD MEMBERS LOCATION 18
I hereby certify that that attached invoice CINCINNATI, OH 45263-0803
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5009773660 01-7200-01 $45.70 and received except 1/11/2018 5009773660 $45.70
5009773660 01-7202-05 $106.67 1/11/2018 5009773660
$106.67
5009773660 01-7202-06 $73.16 1/11/2018 5009773660
$73.16
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
cl NIA
o
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 : (937)237-3760
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0015
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
CITY OF CARMEL UTILITIES INVOICE # : 5009773660
CITY OF CARMEL DATE : 1/5/18
9609 HAZEL DELL PKWY PO # :N/A
INDIANAPOLIS, IN 46280-2935 STORE #
317-571-2634 CUSTOMER # : 0010653296
PAYER # : 0010653296
SVC ORDER # : 8017400373
CREDIT TERMS: NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
6626411 BLD B MENS RESTROOM 02184701
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
9$249 ELASTIC STRIP SMALL 1 $5.02 $5.02
82420 READY-RIP 2" 1 $5.93 $5.93
:100039 TRIPLE ANTIBIOTIC OINT SM 1 $6.73 $6.73
11989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45
'115089 ANTACID FRUIT FLAVOR MED 1 $16.15 $16.15
121220 ALEVE SMALL 1 $5.77 $5.77
8303456 NEW SKIN SPRAY 1 OZ 1 $10.87 $10.87
UNIT SUBTOTAL $82.87
6626412 BLD A LAB 02464455
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
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
112029 COLD RELIEF MAX/STR SM 1 $10.17 $10.17
130000 THERA TEARS, SMALL 1 $7.53 $7.53
163050 �.' BURN RELIEF PACKET/ 6 PK 1 $10.21 $10.21
573772 f�� DAYQUIL SEVERE SMALL 1 $8.66 $8.66
UNIT SUBTOTAL, $43.52
'6626410 BLD E OFFICE 02184616
3-10 SERVICE ACKNOWLEDGEMENT 1 $0.00 $0.00
'120 CABINET ORGANIZED 1 $0.00 $0.00
130 EXPIRATION DATES CHECKED 1 $0.00 $0.00
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
111529 �\\ PAIN AWAY X-STRENGTH SM 1 $8.27 $8.27
111929 IBUPROFEN TABS SMALL 1 $8.84 $8.84
115029 ANTACID FRUIT FLAVOR SM 1 $7.53 $7.53
8303456 NEW SKIN SPRAY 1 OZ 1 $10.87 $10.87
UNIT SUBTOTAL $42.46
-
6626416 BLD E RESTROOM 02184713
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
44269 ELASTIC STRIP MEDIUM 1 $7.73 $7.73
72220 ROLLER GAUZE, 2" NON-STER 1 $4.28 $4.28
111529 PAIN AWAY X-STRENGTH SM 1 $8.27 $8.27
121220 ALEVE SMALL 1 $5.77 $5.77
130000 THERA TEARS, SMALL 1 $7.53 $7.53
130429 EYE BUFFERED SOL 40Z 1 $6.79 $6.79
8303456 NEW SKIN SPRAY 1 OZ 1 $10.87 $10.87
UNIT SUBTOTAL $56.68
Page 1 of 2 INVOICE # 5009773660 PAYER # 0010653296.
CINEAS.-
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 : (937)237-3760
Indianapolis, IN 46239 ROUTE # : LOC #0388 ROUTE 0015
REMIT TO :Cintas SUB-TOTAL $225.53
P.O. Box 630803 TAX $0.00
CINCINNATI, OH 45263-0803 TOTAL $225.53
SIGNATURE • DATE :
NAME
Page 2 of 2 INVOICE # 5009773660 PAYER # 0010653296.