HomeMy WebLinkAbout323111 03/21/18 1
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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.