HomeMy WebLinkAbout325865 05/31/18 CITY OF CARMEL, INDIANA VENDOR: 197000
ONE CIVIC SQUARE CINTAS CORPORATION#18 CHECK AMOUNT: $*****1,267.31*
CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 325865
93j,�toN`p/ CINCINNATI OH 45263-0803 CHECK DATE: 05/31/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 1900176802 299.85 UNIFORMS
2201 4356501 4006072254 275.97 LAUNDRY SERVICE
1207 4356001 4006104546 14.89 UNIFORMS
2201 4356501 4006104677 399.34 LAUNDRY SERVICE
2201 4356501 4006272915 277.26 LAUNDRY SERVICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 197000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS CORPORATION#18 IN SUM OF$ CITY OF CARMEL
PO BOX 630803 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 45263-0803
Payee
$14.89
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
4006104546 43-560.01 $14.89 1 hereby certify that the attached invoice(s),or 5/22/18 4006104546 Uniforms $14.89
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,May 29,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Fm ALL RRR-PAYHENT RELATED CR eRESPOUDENCE: C9�STOOER:SiFC1BILLIiEG ' I-�3BB-92�-68 7
CICINrAS CORPORATION #0018 �ao1s CIKTAS FAx :1 1-937-630-354S� 9949 PARK DAVIS DR.
READY FOR THE WORKDAY- INDIANAPOLIS, IN 46235 PAa11E#�T IiiDUIRY 937-237-3760
INVOICE
SHIP Tll: CITY OF 'CARMEL IRVOICE # 4006104546
1.2120 BRUORSHIRE PKMY INVOICE DATE 0S/22/2018
CARMEL, IN 46033-3314
SOLD T® # 12146201
PAYER # 1-9158178
PAYMENT TERNS NET 10 EOM
BILL TQ: BROOKSHIRE GOLF CLUB SORT # 00180002617
12120 BROOKSHIRE PKWY CINTAS ROUTE 51 1 DAY 2 STOP 001
CARMEL, IN 46033
ENP11LOCRO NATERI.AL DESCRIPTIQR FRED ERCH QTY UNIT PRICE LIRE TOTAL TAx
0001 X394 JEAN/COTTON/PRE GASHED DENIM - SZ PRE" 01 F 11 4.84 '
0001 X935 SHIRT/Ut3IFaf{;91C{LU£/UHITE/LS 01 F 3 0.350 1.08 H
0001 X935 SHIRT/UNIFOR€9/"BLUE/WHITE/SS 01 F $ 0.360 2..88 N
RUSSELL. PICKETT SUBTETAL - 8.8O
UNIFORM ADVANTAGE 1.54 N
SUBTOTAL 10. 34
SERVICE CHARGE 4.55 N
SUBTOTAL 14.89
TAIL (0.00)
TOTAL USD 14.89
TOTAL ADJUST.
TAS ADJUST.
NET TOTAL
SPECIAL PRUGRAOS BREAKDO9H
UNIFORM ADVANTAGE ii 0.070 1.54 N
THIS IS A REMINDER THAT IN THE MONTH OF MAY CINTAS HILL PASS ON AN ANNUAL PRICE ADJUSTMENT OF SOME OF OUR SERVICABLE
ITEMS TO HELP MAINTAIN FAIR PRICING VS COST. THIS HILL BE THE ONLY PRICE ADJUSTMENT FOR THE YEAR. PLEASE DON'T HESITATE
TO ASK YOUR SERVICE RCPRES£NTATIVE ABOUT HHETHER OR NOT YOU HAVE ITEMS BEING ADDRESSED. THANK YOU FOR YOUR PARTNERSHIP.
CUSTDHER TOTAL CURRENT: 44.67 PAST DUE: 13.60 30 DAYS: 0.00 60 DAYS: 0.00 907 DAYS: 0.00
REMIT PAYMENT TO: CINTAS / PO LOX 630303 / CINCINNATI. OH 45263-0803
Page 1 of I
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 197000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS CORPORATION#18 IN SUM OF$ CITY OF CARMEL
PO BOX 630803 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 45263-0803
Payee
$1,252.42
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
1900176802 43-560.01 $299.85 1 hereby certify that the attached invoice(s),or 5/18/18 1900176802 $299.85
2201 2201 2201 2201
4006072254 43-565.01 $275.97 bill(s)is(are)true and correct and that the 5/21/18 4006072254 $275.97
2201 2201 materials or services itemized thereon for 2201 2201
4006104677 43-565.01 $399.34 5/22/18 4006104677 $399.34
2201 2201 which charge is made were ordered and 2201 2201
4006272915 43-565.01 $277.26 received except 5/29/18 4006272915 $277.26
2201 2201 2201 2201
Wednesday, May 30, 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
RENIT PAtiHENT TO: COSTHRER SUC28ILLINC 888-924-6827
CINEASO
CTl�1'AS CIRTAS FAX # 937-630-3544
�.U. BOX 630803
READY FOR THE WORKDAY'" CINCINNATI, ON 452063-0803 PAYtyENT INQUIRY 937-237-3768
IPti' oISCE
SHIP TO: CARREL STREET DEPT HURICE # 4006272915
3400 M 3.3.1ST ST INUOFCE DATE 0=129,'2018
CARMEL.. '►_'H 46074-8267
SOLD TO # 12147003
PAVER # 12156723
PAYMENT TERNS NET 10 EON
BILL TO: CIO BONNIE CALLAHAN SORT # O01,80007880
CARMEL STREET-DEFT CIHTAS RHUTE 33 r' DAi 1 r' STOP 014
34v0 a 131;T ST
MESTrIELD, IN 46074
101116 1 nOTERIAL DESCRIPTION FREA EXC€3 OTY BRIT PRICE LIRE T6TAL TAX
X2160 SH SHOP TML—RED 01 F 140 0.270 37.80 9
X2160 SH SHOP TML—RED L 03. F 24 0.620 3.4.88 is
X2477 3X5 SCRAPER HAT 01 1" 3 6.880 20.64 is
X2650 MET HOP LARGE 01 F 2 1.820 3.64 N
X2963 TEA TMLS—MHITE 01 F 20 0.640 22.80 R
X2963 TEA TMLS-MHITE L 01 F 1 2.400 2.40 9
X2964 STRIPE SMIPE TOMEL 02 F 1 0.360 0.36 a
X2964 STRIPE SMIFE TOMEL L 02 F 1 0.930 0.93 'r,'
- -X84035 - 3XIO BLACK CTAT -- - — 01 F 8 15.070 :1.20.56 P-
84435 06 BLACK CTAT 01 F 5 12.650 63.25 X
SUDTgTAL 277.26
SUBTOTAL 277.26
TAX (0.00)
TOTAL USD 277.26
TOTAL ADJUST.
TAX ADJUST. �..
NET THTAL
THIS IS A REHINDER THAI IN THE MONTH OF HAY CIHTAS MILL PASS 11N AN ANNUAL PRICE ADJUSTMENT OF SOflE OF OUR SERUICABLE
ITEflS TO HELP HAINTAIN FAIR PRICING US COST. THIS MILL BE THE ONLY PRICE ADJUSTHERT FOR THE YEAR. PLEASE DON'T HESITATE
TO ASK YOUR SERVICE REPRESENTATIUE ABOUT MHETHER OR NOT YOU HAVE ITERS BEING ADDRESSED. THANV YOU FOR YOUR PARTNERSHIP.
CUSTOMER TOTAL CURPEPT: 821.20 PAST DUE: "282.93 30 DAYS: 0.00 60 DAYS: 0.00 90T DAYS: 0.00
FOR ALL RON—PAYHENT RELATED CORRESSPOVDENCE : CINTAS CORPORP.TIOP $00:1.8 1 9949 PARR DAUIS DR. / INDIANAPOLIS, IN 46235
_ FuQEt 1 Gx`• 1
0 FOR ALL MGM-PAYMENT RELATED CHRRESPHRDE E: CUSTONER SVCIBILLING 1-888-924-6827
iNrAs
CINTAS CORPORATION 00018 40018 CIRTAS FAX # 1-937-630-3545
C ® . 9549 PARI( DAUIS DR. PAYKRT INQUIRY 937-237-3760
READY FOR THE WORKDAY' INDIANAPOLIS, IN 46235
IiRVOICE
SHIP Til: CITY OF. CARNNEL IRUOICE # 4006104677
3400' M 131ST ST INVOICE DATE 05122/2018
CARMEL, IN -X16074-8267 CUSTOMER REF # STREET DEPT
SOLD TH # 12146338
PAYER # 12156723
BILL TO: C/O BONNIE CALLAHAN PAYNEOT TERNS MET 10 EOn
CARMEL STREET DEPT S®RT # 00180002650
3400 W 131ST ST CIOTAS ROUTE 51 I DAY 2 1 STOP 015
MESTFIELD, IN 46074
ENP#/LOCK# MATERIAL DESCRIPTION FREQ EXCH QTY -UHIT 'PRICE LIRE TOTAL TAX
------------
0001 X382 JEANICARHARTT CARPENTERIDENINi 01 F 11 0.760 8.36 N
SHAUfi. PRIVETT SUBTOTAL - 8.36
0003 X381 JEANICARHAR.TIRELX FITIDK DENIH 01 F 11 0.710 7.81, H
TERRY KILLER SUBTOTAL — 7.81
0004 X382- JEANICARHARTT CARPENTERIDENINi" 01 F 8 0.760 6.08 N
0004 X394 JEAN/COTTONIPRE MASHED DENIN2 — SZ PREF 01 F 3 0.870 2.61 N
JEFF HICKS SUBTOTAL - 8.6'9
0005 X382 JEANICARHARTT CARPENTERIDENIH 01 F 11 0.760 8. 36 H
RICK ALDER SUBTOTAL — 8.36
0006 X3£2 JEANICARHARTT-CARPENTERIDENNIH 01 F 11 0.760 8.36 N
SAi! 118FFITT SUBTOTAL — 8.36
0007 X382 JEARICARHARTT CARPENTERIDENIH 01 F 11 0.760 8. 36 NN
JANIIES 1UNDEL SUBTOTAL — 8.36
0008 X382 JEANICARHARTT CARPENTER/DENIn 01 F 2 0.760 1.52 N
0008 X382 JEANICARHARTT CARPENTERIDENIR 01 F 9 0.760 6.84 NN
BRAD SCRERICK SUBTOTAL — 8.36
0009 X382 JEANICARHARTT CARPEHTERIDENIPN 01 F 11 0.760 8.36 N
JIM HOBBS SUBTOTAL — 8.36
0010 X3382 JEANICARHARTT CARPENTEP,IDENINN 01 F 11 0.760 8. 36 N
CNHIS.STUBBS SUBTOTAL — 8.36
0011 X382 JEANICARHARTT CARPENTERIDENNIn 01 F 11 0.760 8.36 N
DANRRELL.BELL SUBTOTAL — 8.36
0012 X381 JEANICARHARTIRELX FIT/DK DENIM 01 F 7 0.710 4.97 H
0012 X3£1 JEANNICARHART/RELX FIT/DR DEPNINN 01 F 4 0.710 2.84 N
RUR RILLI.MS SUBTOTAL — 7.81
0013 X382 JEANICARHARTT CARPENTERIDENINN — SZ PEENS 01 F 5 0.920 4.60 N
ERIC RUSSELL .SUBTOTAL — 4.60
0014 X382 JEANICARHARTT CARPENTERIDENNIH 01 F 11 0.760 8. 36 Id
TIN BROWN SUBTOTAL — 8.36
0015 X382 JEANICARHARTT CARPENTERIDENINS 01 F 11 0.760 8.36 N
AND= DOCKERY SUBTOTAL — 8.36
REnIT PAYHENT TO: CINTAS I PO DOX 630803 I,CINCINNATI, DR 45263-0803
Page 1 of 4
FAIR ALL RUN-PAYMENT RELATED CORRESPONDENCE IRVOICE # 4006104677
ciNrAs CINTAS CORPORATION 80018 90018 1HUDICE DAR 05/2212018
9949 PARK DAUIS DR.
READY FOR THE WORKDAY" INDIANAPOLIS, IN 46235
INVOICE
E9'JP99lLIlCR t�ATERI9�L DESCRIPTION FREH EXUH OTY UNIT PRICE LIVE TOTAL TAR
0016 X382 JEANICARHARTT CARPENTERIDENIH - SZ PREP/ 01 F 11 0.920 10.12 N
MVIS TAP419 SUBTOTAL - 18.12
0017 X362 JEAN/CARHARTT CARPENTER/DENIN 01 F 11 0.760 8.36 N
CHRIS'10HRE SUBTOTAL - 8.36
0018 X381 JEANICARHARTIRELX FITIDR-DE'NIN 01 F 11 0.710 7.81 N
RHYD..'PIERCY SUBTOTAL - 7.81
0019 X361 JEAN/CARHART/RCLX FIT/DK DENIM 01 F 11 0.520 10.12 N
JANE&BENTLEY SUBTOTAL - 199.12
0020 X394 JEAN;COTTONIPRE HASHED' DENIH 01 F 11 0.710 7.81 N
STEVE ZELLE9! SUBTOTAL - 7.81
0021 X382 JEAN/CARHARTT CARPEHTER/DENIN - SZ PREM 01 F 11 0.520 10.12 N
BE-AD HENHERS99H SUBTOTAL - 14.12
0022 X330 UNF SHTINAVYIDP CTTNILS - SZ PREM 01 F 11 0.710 7.81 N
0022 X381 JEANICARHARTIRELX FIT/DK DENIn - SZ PREH 01 F 11 0.670 5.57 N
0022 X9112 COVERALLIBROMM TRILL 01 F 5 01.840 4.20 N
ONE HERRICKS SUBTOTAL - 21.58
0023 X382 JEANICARHARTT CARPENTER/DENIH 01 F 11 0.760 6.36 N
MAN Taunt SUBTsTAL - 8.36
0024 X382 - JEANICARHARTT CARPENTERIDENIN 01 F 11 0.760 8.36 N
RELPW OUNKE SUBT01TAL - 8.36
0025 X382 JEAX/CARHARTT CARPENTER/DENIN 01 F 2 0.760 1.52 N
.0025 X382 JEANICARHARTT CARPEHTERIDENIN 01 F 9 0.760 6.84 N
BILL,R. IGGIRBOTHAN SUBTOTAL - 8.36
0026 X382 JEAN/CARHARTT CARPENTER/DENIn 01 F 11 0.760 8.36 N
LEE-MI80I BUTRA® SUBTOTAL - 8.36
0027 X382 JEANICARHARTT CARPENTERIDENIH 01 F 11 0.750 8. 36 N
J9SQtV996L0EH SUBTOTAL 8.36
0028 X382 JEANICARHARTT CARPENTERIDENIN 01 F 11 0.760 8.36 N
JAREW CULE SUBTOTAL - 8.36
0029 X382 JEANICARHARTT CARPENTERIDENIn- 01 F 11 0.760 8. 36 N
RYAR HURT SUBTOTAL - 8.36
0030 X382 JEAN/CARHARTT CARPENTER/DENIK - SZ PREP! 01 F 11 0.920 10.12 N
KEVIN SHITH SUBTOTAL - 10.12
0031 9:82 1 JEANICARHARTT CARPENTERIDENIPI 01 F 11 0.760 8. 36 N
DANIA&DELPH SUBTOTAL 8.36
0032 X38/1 JEANICARHARTT CARPENTER/DENIM 01 F 6 0.760 4.56 N
0032 X302 JEANICARHARTT CARPENTERIDENIN 01 F 5 0.760 3.80 N
READY JOHNSON SUBYRTAL - 8.36
0033 X382 JEAN/CARHARTT CARPENTERIDENT" 01 F 6 0.760 4.56 N
0033 X394 JEANICOTTONIPRE HASHED DENIn 01 F 5 0.710 3.SS N
REMIT PAYPIENT TO: CINTAS / PO 00' 630803 / CINCINNATI,' Oli 45263-0803
Page 2 of 4
FOR ALL RGH-PAYNENT RELATED CORRESi ORDERCE: INOICE 0 4006104677
CINEAS CINTAS CORPORATION 90018 #0018 INOICE DATE 05,21212018
® . 9949 PARK DAVIS DR.
READY FOR THE WORKDAY'" INDIANAPOLIS, IN 46235
If+VOICE
ENP#/LGCK# �ffATERIAH DESCRIPTIffm FREQ EXCH QTY UNIT PRICE LINE TOTAL TAX
F9ED.6fi9TZ SUBTOTAL - 8.11
0034 X382 . JEAN/CARHARTT CARPENTERIDENIM 01. F 11 0.760 8.36 N
ED IWIR S 010TAL - 8.36
0035 X382 JEANICARHARTT CARPENTERIDENIi9 01 F i1 0.760 8.36 N
11IKE RALOGEROS' SUBTOTAL - x#.36
0036 X382 JEAN/CARHARTT CARPENTER/DENIM - SZ PREH 01 F 11 0:920 10.12 N
TIN C6 Y SUBTOTAL - 10.12
0037 X382 JEANICARHARTT CARPENTERIDENIN 0i F i1 0.760 8. 36 H
1191RUtARTER SUBTOTAL - 8.36
0038 14330 UNF SflT/NAVY/DP CTTH/LS 01 F 11 0.510 6.05 N
0038 X382 JEANICARHARTT CARPENTERIDENIH 01 F 11 0.760 8. 36 N
DAVID'.fIVOARTifH-'SUBTOTAL - 14.41
0039 x;382 JEAN/CARHARTT CARPENTERIDENIN 01 F 11 0.760 8.36 N
HIRE CLOR SUBTOTAL - 8.36
0040 X382 JEANICARHARTT CARPENTERIDENIN 01 F 11 0.760 8.36 N
HILL DAVIS SUBTOTAL - 8.36
0041 X382 JEAN/CARHARTT CARPENTERIDENIn 01 F 11 0.760 8.36 N
JIN_.SPELT> S S9DTOTAL - 8.36
0042 X382 7 JEANICARHARTT CARPENTERIDENIM 01 F 11 0.760 8.36 N
JOSH D'AVIS SUBTOTAL - 8:36
0043 X3382 JEAN/CARHARTT CARPENTER/DENIM 01 F 11 0.760 8.36 N
NAT'RAR 18MIS SUBTOTAL 8.3b
0044 X382 JEANICARHARTT CARPENTERIDENIM 01 F 11 0.760 8. 36 N
JffRDfiW RIFT#ER6ER. SUBTOTAL -.8.36
SUBTOTAL 381.67
SERVICE CHARGE 17.67 N
SUBTOTAL 399. 34
TAX (0.00)
TOTAL USD 39.9. 34
TOTAL ADJUST.
TAX ADJUST.
MET TOTAL
REMIT PAYMENT TO: CINTAS I PO 00X 630803 / CINCINNATI, ON 45263-0803
Page 3 of 4
FIDE ALL NON-PAYI ENT MUTED CURES DE E: INVEEC # 4006/04677
CINEAS
CINTAS CORPORATION 00018 00018 101110E DATE 05/2212019
O 9949 PARK DAVIS DR.
READY FOR THE WORKDAY" INDIANAPOLIS, IN-46235
INVOICE
€N.P.#ILBCK# RIATERIAL DES.CRIPTIM FRES EXCH' EITY UNIT PKIGE LIRE TOTAL TAX
THIS IS A REHINDER `THAT IN THE NUNTH OF MAY CINTAS HILL PASS ON AN ANNUAL PRICEADJUSTNENT OF SOME OF DUN SERUICABLE
ITEMS TO HELP..MAINTAIN FAIR PRICING US COST. THIS HILL BE THE ONLY PRICE ADJUSTMENT FOR THE YEAR. PLEASE DON`T HESITATE
TU:ASK YOUR SERVICE REPRESENTATIUE 'ABOUT RHETHER OR NOT YOU HAVE ITEMS BEING ADDRESSED. THANK YOU FOR YOUR PARTNERSHIP.
COSTUMER TOTAL CURRENT: 1245.09 PAST 'DUE: 0.00 30 DAYS: 0.00 60 DAYS: 0.00 90f DAYS: 0.00
RENIT PAYMENT TO: CINTAS I PO BOX 630803 ! CINCINNATI, ON 45263-0803
Page 4 of 4
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C
I ?9119AP CORPORATION DR T0011r �Ot1.D CYRTAS FAN � m—?37-630-3545
® i 9119 f'ARl? DAVISDAUIS On.
READY FOR THE WORKDAY- INDIANAPOLIS, 1734623S PlAYNEHT INQUIRY 937-237-3760
3 WO PC
SHIP TO: CARMEL 'STREET DEPT INVOICE f 4000'0722x4
3400 O 131-ST 'ST TR1 RICE DATE 05.'21.,201,3
CARREL, IN 46074-8267
SOLD TO 0 12147003
PAYER 9 12156723
PA`KEPT TERNS NET 10 EOn
BILL TD: C10 f.+0HNIE CALLAHAH SE"RT t 00188001,080
CARMEL S='REcT, DEPT CTNTAS ROUTE 13 r' DAY 1 r' STOP 014
3400 N 131ST ST
HESTt IELD, IN 46074
EHFOILDCRt H T ERIAL DESCRIPTTM3 1FRE0 EXCH "QTY UNIT PRICE LINE TOTAL. TAX
%2160 SH SHGP TML.—RED 01 F 140 0-278 31.811 Y
X2160 s11 si1F1p TML-EED 1. 01 24 0.520 14.88 H
X?4?7 3X5 SCRAPER HAT 01. F 3 6.880 20.64 F
X2;�a0 13ET HOP LARGE 01 F 2 3.8%'0 3.64 1;
X2963 TEA TULS-€SHIT£ X11 F' 20 0.640 12l.EO N
{2963 TEA TWLS-4HITE L 01 r 1 2.4130 2.40 1;
X84035 3%1.0 BLACK HAT 01 I" 8 15.070 1.20.56 F
%$r1�13r 4X6 BLACn PIAT 03. F 5 12.:150 63.25 X
SUBTOTAL 275.97
SUBTOTAL
TAX (0.00}
THIA. RSD 2l a.97
TOTAL ADJUST.
'TAS ADJUST.
SET TOTAL
THIS IS A R711IeDER THAT -TR THE HORTI'1 OF HAY CINTAS MILL PASS Ulf AN ANNUAL PRICE AeJUSTHENT OC SONE GqF OUR 33FRUICABLE
iT`1i1 TO HELP HAINTAIii FAIR PF;ICING OS C9ST. THIS HILL BE THE ONLY PRICE E WUSTHENT FOR THE ''1E€R. PLEASE GC' 1: HESITATE
TO ASK YO'Eii S£1+kfjCE REi' ESENTATIUr ABOUT HHETHER UR 1111T YOU HAVE yTEa<£ BEINr, A€DRI-SSED_ THANK YUU FOR YOUR PARTNERSHIP.
CUSTlIi1Efi TQTAi.. CUR€;ERIT. 553,23 f'AS1' 1?lJ£: 2'02'.93 30 C:IY : t?.k7F1 6J €�A'i"a: "u.GO ru= D'%: 0.X30
RL'11IT FAY11ENT '(O: CIH,IfS ,' PO 1311% 6308-03 ,' CIS#CTNNATI, PH 45263—O803
Page 1 of