HomeMy WebLinkAbout324221 04/18/18 CITY OF CARMEL, INDIANA VENDOR: 3535621
�bONE CIVIC SQUARE CINTAS FIRST.AID &SAFETY CHECK AMOUNT: S""""""" 96.10"
CARMEL, INDIANA 46032 Po'BOX 631025 CHECK NUMBER: 324221
CINCINNATI OH 45263-1025 CHECK DATE: 04/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 5010426271 96.10 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 353562
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
$96.10
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
5010426271 42-390.12 $96.10 1 hereby certify that the attached invoice(s),or 4/17/18 5010426271 First Aid Supplies $96.10
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
Tuesday,April 17,2018
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
CINEASO
READY FOR THE WORKDAY`"' SVC/BILLING QUESTIONS : 317-264-5103
REMIT TO: Cintas FAX : 317-644-0870
P.O. Box 631025 PAYMENT INQUIRY : (888)994-2468
CINCINNATI, OH 45263-1025 ROUTE # : LOC #0388 ROUTE 0020
INVOICE
PLEASE PAY DIRECTLY FROM THIS INVOICE
BROOKSHIRE GOLF CLUB INVOICE # : 5010426271
CITY OF CARMEL DATE : 4"/17/18
12120 BROOKSHIRE PKWY PO # :N/A
CARMEL, IN 46033-3314 STORE #
317-846-7431 CUSTOMER # : 0010069450
PAYER # : 0010087731
SVC ORDER # : 8018165067
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
966895 MAINT 00599663
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
33129 QUIKHEAL F/P BANDAGES MED 1 $9.23 $9.23
43729 X-LONG BANDAGE MEDIUM 1 $8.66 $8.66
50430 ALCOHOL SWABS SMALL 1 $4.39 $4.39
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100039 TRIPLE ANTIBIOTIC OINT/ SM 1 $6.90 $6.90
102835 DENTAL RELIEF, SMALL ! 1 $6.21 $6.21
121220 ALEVE SMALT 1 $5.91 $5.91
I UNIT SUBTOTAL $61.20
966899 PRO SHOP ! 00599670
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
44249 ELASTIC STRIP SMALL 1 $5.15 $5.15
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100639 HAND LOTION; SMALL 1 $5.36 $5.36
102640 BIOFREEZE MUSCLE RLF SM 1 $8.38 $8.38
111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06
UNIT SUBTOTAL $34.90
REMIT TO :Cintas SUB-TOTAL $96.10
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $96.10
SIGNATURE : DATE :
NAME
Page 1 of 1 INVOICE # 5010426271 PAYER # 0010087731.