HomeMy WebLinkAbout325866 05/31/18 k4� cep if!
CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE CINTAS FIRST AID &SAFETY CHECK AMOUNT: $*******188.27*
r• ;_� CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 325866
9M,��oN.-fib. PO BOX 631025 CHECK DATE: 05/31/18
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5010775262 188.27 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 343500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS.FIRST AID &SAFETY IN SUM OF$ CITY OF CARMEL
CINTAS CORPORATION An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 631025 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-1025
Payee
$188.27
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
5010775262 42-390.12 $188.27 1 hereby certify that the attached invoice(s),or 5/22/18 5010775262 $188.27
2201 2201 2201 2201
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
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
clll�
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
CARMEL STREET DEPT INVOICE # : 5010775262
3400 W 131ST ST DATE : 5/22/18
WESTFIELD, IN 46074-8267 PO # : N/A
317-733-2001 STORE #
CUSTOMER # : 0010652787
PAYER # : 0010664222
SVC ORDER # : 8018436693
CREDIT TERMS:NET 30 DAYS
MATERIAL it DESCRIPTION QTY UNIT PRICE EXT PRICE TAX
7235951 Office Breakroom
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
13119 3 SHELF WIDE EMPTY W/PK 1 $0.00 $0.00
111329 ACETAMINOPHEN SM 1 $7.77 $7.77
111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45
UNIT SUBTOTAL, $40.17
6633596 MAIN BLD MENS R 02210342
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
13063 BIOMED WASH 3 OZ 1 $10.81 $10.81
33129 QUIKHEAL, F/P BANDAGES MED 1 $9.23 $9.23
44429 LARGE PATCH 2"X311, MED 1 $10.45 $10.45
51030 HAND SANITIZER SMALL 1 $5.30 $5.30
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
70819 GAUZE PADS 31IX3" SMALL 1 $8.65 $8.65
100019 TRIPLE ANTIBIOTIC OINT MD 1 $10.98 $10.98
163050 BURN RELIEF PACKET/ 6 PK 1 $10.47 $10.47
UNIT SUBTOTAL $72.84
6633597 MAINTENANCE BLD 02210497
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
13063 BIOMED WASH 3 OZ 1 $10.81 $10.81
31029 1X3 PLASTIC BANDAGE SM 1 $4.81 $4.81
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
102435 LIPAID SMALL 1 $6.16 $6.16
111329 ACETAMINOPHEN SM 1 $7.77 $7.77
111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06
130209 INDUST EYE RELIEF 1/2 OZ 1 $8.48 $8.48
280020 LENS/SCREEN WIPES 100/BX 1 $21.22 $21.22
UNIT SUBTOTAL $75.26
REMIT TO :Cintas SUB-TOTAL $188.27
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $188.27
SIGNATURE : DATE :
NAME
Page 1 of 1 INVOICE # 5010775262 PAYER # 0010664222