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Home My WebLink About326902 06/29/18 ,e CITY OF CARMEL, INDIANA VENDOR: 353562 ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******159.77* r ate; CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 326902 °M,iTON CINCINNATI OH 45263-1025 CHECK DATE: 06/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239012 5010910992 159.77 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 353562 CINTAS FIRST AID&SAFETY IN SUM OF$ 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 $159.77 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 5010910992 42-390.12 $159.77 1 hereby certify that the attached invoice(s),or 6/15/18 5010910992 First Aid Supplies $159.77 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 Monday,June 18,2018 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CI READY FOR THE WORKDAY- SVC/BILLING QUESTIONS : 317-2 64-5103 REMIT TO: Cintas FAX : 317-644-0870 P.O. Box 631025 PAYMENT INQUIRY : (469)248-4769 CINCINNATI, OH 45263-1025 ROUTE # : LOC #0388 ROUTE 0020 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE BROOKSHIRE GOLF CLUB INVOICE # : 5010910992 CITY OF CARMEL DATE : 6/15/18 12120 BROOKSHIRE PKWY PO # : N/A CARMEL, IN 46033-3314 STORE # 317-846-7431 CUSTOMER # : 0010069450 PAYER # : 0010087731 SVC ORDER # : 8018585618 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 $0.00 400 SERVICE CHARGE 1 $12.95 $12.95 25552 ZANTAC 150 SM 2 $5.29 $10.58 33129 QUIKHEAL F/P BANDAGES MED 1 $9.23 $9.23 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 111329 ACETAMINOPHEN SM 1 $7.77 $7.77 111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06' 130479 EYEWASH, 1/20Z MEDIUM 1 $12.86 $12.86 132990 HONEYWELL EYE SALINE 320Z 1 $18.08 $18.08 UNIT SUBTOTAL $87.48 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 BBP KIT CHECKED 1 $0.00 $0.00 25552 ZANTAC 150 SM 2 $5.29 $10.58 43658 WATERPROOF CLEAR STRIPS 1 $7.90 $7.90 44249 ELASTIC STRIP SMALL 1 $5.15 $5.15 50030 ANTISEPTIC WIPES SMALL 1 $4.39 $4.39 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 102640 BIOFREEZE MUSCLE RLF SM 1 $8.38 $8.38 111329 ACETAMINOPHEN SM 1 $7.77 $7.77 119260 ALLERGY RELIEF TABLET MED 1 $15.26 $15.26 121220 ALEVE SMALL 1 $5.91 $5.91 UNIT SUBTOTAL $72.29 REMIT TO :Cintas SUB-TOTAL $159.77 P.O. Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $159.77 SIGNATURE : DATE : NAME Page 1 of 1 INVOICE # 5010910992 PAYER # 0010087731.