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HomeMy WebLinkAbout323111 03/21/18 1 Coq , CITY OF CARMEL, INDIANA VENDOR: 353562 , �b it ONE CIVIC SQUARE CINTASr,FIRST AID&SAFETY CHECK AMOUNT: $ 167.15" CARMEL, INDIANA 46032 PO BOX 631025 CHECK CHECK DATE:NUMBER: 03 2111/18 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239012 5010258934 167.15 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 $167.15 c 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 5010258934 42-390.12 $167.15 1 hereby certify that the attached invoice(s),or 3/16/18 5010258934 First Aid Supplies $167.15 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 Friday, March 16,2018 7 _ 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 CiNrAs. 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 BROOKSHIRE GOLF CLUB INVOICE # : 5010258934 CITY OF CARMEL DATE : 3/16/18 12120 BROOKSHIRE PKWY PO # :N/A CARMEL, IN 46033-3314 STORE # 317-846-7431 CUSTOMER # : 0010069450 PAYER # : 0010087731 SVC ORDER # : 8017950886 CREDIT TERMS:NET 30 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 466845 MAINT 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 $0.00 135 INSPECTION STICKER REPLACED 1 $0.00 $0.00 400 SERVICE CHARGE 1 $12.95 $12.95 31029 1X3 PLASTIC BANDAGE SM 1 $4.69 $4.69 33129 QUIKHEAL F/P BANDAGES MED 1 $9.00 $9.00 50239 HYDROGEN PEROXIDE 2 OZ 1 $5.71 $5.71 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 64039 BLOOD CLOTTER SPRAY 3 OZ 1 $16.28 $16.28 82430 READY-RIP 3" 1 $7.39 $7.39 111929 IBUPROFEN TABS SMALL 1 $8.84 $8.84 121630 NAPROXEN SODIUM SM FAD 1 $7.43 $7.43 130209 INDUST EYE RELIEF 1/2 OZ 1 $6.28 $6.28 182019 STINGRELIEF WIPES 10/UNIT 1 $5.43 $5.43 UNIT SUBTOTAL $90.95 466844 PRO SHOP 00594670 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 BEP KIT CHECKED 1 $0.00 $0.00 31029 1X3 PLASTIC BANDAGE SM 1 $4.69 $4.69 43659 COMFORT 1/3 STRIP MEDIUM 1 $5.98' $5.98 44249 ELASTIC STRIP SMALL 1 $5.02 $5.02 50430 ALCOHOL SWABS SMALL 1 $4.28 $4.28 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 111989 IBUPROFEN TABS MEDIUM 1 $14.33 $14.33 115029 ANTACID FRUIT FLAVOR SM 1 $7.53 $7.53 130209 INDUST EYE RELIEF 1/2 OZ 1 $6.28 $6.28 182019 STINGRELIEF WIPES 10/UNIT 1 $5.43 $5.43 280020 LENS/SCREEN PADS 100/BX 1 $15.71 $15.71 UNIT SUBTOTAL $76.20 REMIT TO :Cintas SUB-TOTAL $167.15 P.O. Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 \ TOTAL $167.15 SIGNATURE : DATE: NAME Page 1 of 1 INVOICE # 5010258934 PAYER # 0010087731.