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Home My WebLink About327365 07/10/18 `/ �• CITY OF CARMEL, INDIANA VENDOR: 197000 ONE CIVIC SQUARE CINTAS CORPORATION#18 CHECK AMOUNT: $*****1,205.48" q• ,r�, CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 327365 CINCINNATI OH 45263-0803 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356501 4007226190 275.97 LAUNDRY SERVICE 2201 4356501 4007304838 401.90 LAUNDRY SERVICE 2201 4356501 4007426039 277.26 LAUNDRY SERVICE 601 5023990 5011144665 130.42 OTHER EXPENSES 651 5023990 5011144665 119.93 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 197000 CINTAS CORPORATION#18 IN SUM OF$ 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 $955.13 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 4007226190 43-565.01 $275.97 1 hereby certify that the attached invoice(s),or 7/2/18 4007226190 $275.97 2201 2201 2201 2201 4007304838 43-565.01 $401.90 bill(s)is(are)true and correct and that the 7/3/18 4007304838 $401.90 2201 2201 materials or services itemized thereon for 2201 2201 I 4007426039 I 43-565.01 I $277.26 7/9/18 4007426039 $277.26 2201 2201 which charge is made were ordered and 2201 2201 received except Monday,July 09, 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer • RERSIT FAYNENT TU:CIRCUMBER SOMILLIN&3 888-924-,6827 CINEA6. 11.9.tar CINTAS FAX S 937-630-3545 1'.0. MI-A I, ?(' PAYMENT YUMMY ?37-237-3760 READY FOR THE WORKDAY` CI;NC.T.i4l�idiT:C, 1.1(4 �263•-GSi73 INVOICE SHIP TSI: (11-17 OF CARMEL 1t UDICE 0 40073011838 MOB H 131.ST ST 1HURICE PATE 07!0.;!2018 CAiei!f L, :1:,11 46074-3267 4rUST'6AER REF # STREET" DEPT SOLA TO 11: i91°'1633 PAYER S 12156723 BILL TO: C/0,' i ORRIE CALLARAN PAYUENT'TERUS PET 10 EOH �.A+�1;LL U 1 Rr uT 4=f_ SORT S a 0 1 011G216 1U '3400 >7 1315"C STCIf1TAS ROUTE 'Sl ! DAY 2 1 STOP 01.6) MESTFIELD, IN' 46071 {j!E P MLUM HA;i ERIAL ... AESCSIPTI'ON FOE@ EXCH QTY UNIT FFJCE LINE TOTAL TA�� iT00:1. `x1382 JEAMIChEMARTT CARPENTERIDEC,If1 01 F 11 i1.?fiG i. 31 is SHAUP PPIUETT SUBTOTAL - 8.36 0063 ?38i 1EA14!CARHART!RcL F'ST'!l1!i i i:i411'1 0`1. F :.1 0.710 7.£1 v TERRY KILLER SUBTOTAL - 7.81 0004 y3sf JEAHICARHART; CIAMPEFTE;;fr1Lf?Cri 0.c F t .0.760 6.08 H G004 ;�32w JEA'id!Ci1"fT(714!3'RE MfiSi4E1# i1Ei4"yii - Sc'. PRE€1 0:1. F ? 0.pip :?.61. i JEFF HICKS. SUBTOTAL - 8.69 fiGGJ r;382 JEA'tiiCARi4ARTT IARPEI':TERIC1E1rCti Gi F i.1 8.36 1 RICK ALDER SUBTOTAL - 8.36 0006 X382 J!=AR/CARWARTT 4;MPEFTER!GEMIr! 91 F 11 0.760 8. 36 ?4 SAN RIEFFITT SUBTOTAL- 8.36 0007 ;;382 JEAERICARHARTT' F 11 0.760 S. 36 H JAPIES RUNNEL SUBTOTAL - 8.34 0008 :h: 1?2 JEAi!CARHA:"1117' CfERPEi1'CERII:+E:yI1f 0'! F i 0.760 1. 0008 :'s�E2 JE:.Ai'ICARHART7' CARC'E1?TEF:IGE15In 01 F 9 Cc.760 _.84 0 BRAD SCHEKICK SUBTOTAL. - 8.36 0009 X JEAN/CARHARTT CARPET RTER!13E1?IM EJ?. F" :E1 A.1160 8. 31 R JIBI UMS SUBTATAL - 8.36 0010 X382 _;EAMMARMARfT s_:APPENTE !DERIN ?? F I1 G.7b? 3.7L N CHRIS STUBBS SUBTOTAL - 8.36 0011 -382 JEA1~ii!CARHARTT CARPEHTERl1'EWIii 0i F a.1 0.160 8. 36 11 DARRELL BELL SUBTOTAL - 8.36 0012 4?281 JEAMCARHARTIREi_iy FIT/DR i}EitiIM 71 i 7 0.7I+; 41.9; H 01:112 2-81 JEWCARHART/FM F'IT!DV 1011:19 L1 F 0.?'?,U 2.84 ;4 RON MILLIANS SUBTOTAL - 7.11. 001.3 n=a2 JEAMICARE ECT CARIE RTER/DE191IM - -Z E EEM 0 i F 0 9 2G 1. 0 H +SIC RUSSELL SUBTOTAL - 4.60 GO X,382 JEAR. Cd?RHA> TT CARPEt'jf4.R/ ERIM 01 F :s.1 E?.e >v 8. 36 F. TIN BRUSMING SUBTOTAL - 8.36 Bois 2::83 JEEa14l+ARHART i i.11i'srL ei l l fti-Lt1'sii.!'E =.1 0.7 6 U 8. 3- 14 ANDREM DOCKERY SUBTGTAL - 8.36 FOR hL1. ROH-PAYMENT FELATED CORRE;:r 1.:110= ME- : CIPTAS C1?1?PURATILU .11018 i rM PAR! DAVIT, DR. ! IRDIt:?E1:P11LIS, I:: 46'23: P i G r RE0I[ PNYNE0T TO: I8QUICE # 4007]04OUR 8 ciNrAs. CIKTAC � IN-VOICE DATE 0710312010 P.U. BOX 6]080] READYFORTHEVVORKDAy- CMUIHHATI, UH 4-:1266}-080] I N#0ICE JES1111LIC14 NAMIIML DESCRIPTION FRE9 EXCH QTY UNIT PRICE LINE TOTAL :FiA] 0016 X-182 J[AH/CARHAKTT.CAKPEHT[R/0[HI1 - SZ PO[U 01 F 1i 0.920 10.12 H TRAVIS TA@AK SUBTOTAL - 10'12 0017 X3814J[AH/CARHAKTT CAKP[HT[R/0[HIU 01 F 11 0.16p, 8. 36 H CHRIS 0@RRE SUBTOTAL - 8'36 0018 X381 FIT/0K DEHID 01 F 11 if. 781 K RUYD PIERCY SUBTOTAL - 7'81 0019 1411-81 J[AH/CAR8ART/R[LX FIT/0'. 0[HIU 01 F 11 0.920 10.12 U JONES BEUTL[Y SUBTOTAL - 10'12 0020 94 J[&H/CDTTOH/PRE 1411ASU[0 0[HIM U1 F 11 0.710 7.8l H STEVE 3ELLER SUBTOTAL - 7.3I 0021 X382 J[AH/CAKHAKTT CAKP[H7[R/0[11I1"' - �Z PK[U 01 F 11 0.920 10.12 H BRAD 0ENDER%0N SUBTOTAL - 10'12 0022 X 0 UHF SHT/HAVY/DP CTTK/LC - SZ PREU U1 F 11 0.710 7.81 H ` 0022 J[AH/CMRHAKT/K[LX FIT/0K 0[HIU - SZ PK[U 01 F 11 0.870 9.57 H 0022 X912 COVERALL./MME, TUILL - CZ PR[M 01 F I 1.000 5.0U H HIRE 0E@0ICKS SUBT0TAL - .22.38 002-3 X382 J[AH/CAKHAKTT CARP[HT[R/0[HI11 01 F 1l 0.760 8. 36 H ADAH THERS SUBTOTAL - 8.3 6 0.924 X382 J[AH/CARHARTT CARP[HT[R/D[HIM O1 F 11 U76 8. ]6 H HELP0 MWE SUBTOTAL - 836 0025 X382 J[HH/CARHAKTT CARP[HT[K/0[HIU 01 F 2 0.760 1.52 U 0025 X 3 8 2 J[AH/CARHARTT CARP[HT[R/0[M 0 F Y U.760 6.84 H BILL 0IG&IRBOT0AN SUBTOTAL - 8'36 0026 X382 J[AH/CAKHARTT CARP[HT[K/0EHIM - SZ PR[U 01 F �1 0.920 10.12 K LEE HISCI8BWTHAN SUBTOTAL - 10'22 0027 X382 J[AH/CARHARTT CARP[HT[R/0[HI11 0l F Il U 760 8. 36 K JAM UPLDER SUBTOTAL - G.�� 0028 X382 J[AH/CARHAKT7 CARPEHT[M[KIM 01 F 11 0.760 8. 36 H JARED CBLE SUBTOTAL - 8.36 0029 X]82 J[AH/CARHARTT CARP[HT[R/0[HIO 0l F 11 0.76U 8.J� K RYAN 0URT SUBTOTAL - 8.36 OU]O X382 J[AH/CARHAkTT CARP[HT[R/0[HIM - SZ PR[U 01 F 11 0.920 10.12 H KEVIN SNITH CUBTUTAL - 10'12 0031 X,82 J[AH/CARHARTT CARP[HT[K/0[HIU 01 F 11 76O 8. 36 H DANIAN VELPH SUBTOTAL - 0.36 0032 X382 J[AH/CARHARTT CAKP[H7[R/0[HIM 01 F 6 0.760 4.56 H 0032 X�82 J[AH/CAR8ART� CARP[HT[R/0[HIM 01 F � 8760 ] 8U H HARDY JHUNSQM SUBTOTAL —8'36 8033 X 3 8 2 JEAH/CAKHAKTT CAKP[HT[R/0[HIM 01 F 6 0.760 4.S,6 H 0033 X:174 J[AH/COTTOH/PR[ MASHED 0[HI|i 01F � U.7lO 3.E5 H FOR ALL HOH-PAYU[H7 RELATED COKRESPOH0[HCE CIHT112, C9K9ORATIDH -�0018 / ?749 FARK DAVIS n / IU��AHAPO�IC, IH 46Jn: Paye 2 of 1 • RENIT PAYNENT TH: Imugif-Ir 4 4007304838 CMTSCINEAS. P.a. BOX 630003 11H)HICE DATE 0 7'.1 0 31. READY FOR THE WORKDAY" CINCINNATI-, UH 45263-0803 I 114va I CE EMP41LUCHO HATERIAL DESCRIPTION FREQ EMICH QTY UNIT PRICE LIKE TBTAL TA-91 FRED HARTZ SUBTOTAL - 8.11 00311 X386 JEANICARHARTT GnEVENTERrDERIN 0.1160 8. 35 ED MIR SUBTOTAL - 8.36 0035 X382 JEAMICARHARTT CARFFNT ERIDERIII C, F -1 ;:.760 S.3t. N HIKE RALOGERUS SUBTOTAL - 8.36 0036 X3814 JEWCARIJIMITT fqRPERTEE,'DEM111 - S17 PEEN oi F 1.1 PAM 112 H TIN CO FEY SUBTOTAL - 10.12 0037 %382 JEANICARHARTT "ARPENTERIDEM111111 oi F 11 t i In 8. :35 N HARK CARTER SUBMAL - 8.36 00318 X330 UNF SHYNAUMP CTMILS 01, r il 0.E-17A 6.11=; R 7 rj.. -,1 0036 X382 jEANICARHIARTT CAR' FTLE/DEiRif! F 0.760 8. 3%- IN DAVID RCCARTFEY 3UBTUTAL - 14.41 0039 .2382 JEAMCARHAP11 CAPPINTEVIDE?1111 01 F 11 0.700 8. 36 R HIRE CLARK SUBTOTAL - 8.736 0'L1110 M 3 3 21 jEA%r-'CAF.HART1f CARFENTEE/DERIN C1 E 111 760 8. 36 H DILL DAVIS SUBTOTAL - X3.35 00111 X382 juximi-mu'r CARFEMRIDERIN 01. v 11 0.760 8. 35 p JIN SPELBEIRG SUBTOTAL - 8.36 8. 36 0042 X382 jEAMWARHARTII CARPEPTER/DEM11141 il C1.76-00 .BUSH DMI11 SUBTRTAL - MS6 0013 A382 JEAHMEHARTT CARPENTEMEHY11 01. 1" 11 0.760 RAMAN NORRIS SUBTOTAL - 8.36 "33� 00114 A 14 MFICAPMARTT CARPE INT ER/D ElM 1141 C1 F I1 0.760 8. 3A 4 JORDAN RIPBERGER SUBTOTAL - 8.36 SUBTOTAL 38811.23 EIRIUICE CHAM 1t.6-7 4 SURTHTAL -101.90 TAX (0.00) TOTAL USD -101.90 THTAL ADJUST. TAX ADJUST. NET TOTAL FOR fiLL li"IF-PAYNENT REL�'M1, COPRESPOODENICE CIPTAS C0,1113RAT15", fan .,+ i 99.19 1 0 ::1 e u-V 4t ' REMIT FAVRE@T TO: ' CIHTASciN ��810E 0ATE 07/0B2018 � n��—�NN�� P.U. 8OX 6�08U� READY FOR THE WORKDAY" CIUCIHHATI, DH f,26}-08O3 INVOICE ` EMFWLHCR# HATERIAL DESCRIPTION FREQ EXCH GTY UNIT PRICE LIME TOTOL THIS IS A R[UIH0[R THAT IN THE MONTH OF MAY CIHTAS MILL PASS DH AH ANNUAL PRICE A0JDCTMEKT OF SOME OF OUR SCRVICAkL[ ITEMS TO HELP MAINTAIN FAIR PRICING VS COST. THIS WILL BE THE ONLY PRICE ADJUSTMENT FOR THE YEAR. PLEASE DON'T HESITATE TO ASK YOUR SERVICE K[PR[2[HTATIV[ ABOUT QH[TH[A DK HOT YOU HAV[ ITEMS 0[IHS A00K[S8[0. THAHK YOU FOR YOUR PARTNERSHIP. ' ` CUSTOMER TOTAL CUKK[HT: 1306. 38 PAST DUE: 0.00 0 DAYS: 0.00 60 DNS: 0.00 YU+ DAYS: 0.08 FOR ALL NON-PAYMENT RELATED CORRESPONDENCE CIHTAS COKPOOATIOK tO818 / 9949 PARK DAVIS 0Q. / IK0IAHAPDLIS, IN 46235 Poyo 4 of 4 • REHIT PAYNERT To: CIRTAS CINTAS FAX fi 937-630-35-45 CINEAS. i'.G. rsa;; {y3fj;;(; AYEhT T $TR? 937-237- 78 READY FOR THE WORKDAY'" aAT911 IS263-08133 INVOICE SHIP TO: CA IVEL TREET DEPT INUDI'"E 1 40072261.9O 400 m 1315 ' ST 1HUQICE DATE 07102/2018 CASHEL, 10 00?08267 SULD TO 0 12147003 PAYER 1 12IS6723 PAYMENT TERNS NET 10 EUM BILL Tfl: CZ9 DOiiNIE. CALLA14 H SORT t 00180007880 CARMEL STREET DEPT CIRTAS RGUTE 33 / DAY 1 STOP 015 400 M 131ST ST MES f r:.r s_D, IN 46071 EdPl110CHD_.__•HAT€RTAL-.___.-.____...._..DESCRZs TT'ON...,.._...._._-_•-_.___�._._...._.._.....__-._.__..__._.._..�__.E'EtEQ EXCH RTY...__..€4NI'T PRICE LTTE TOTAL TAX X21613 SM SHOP TML-RED 01. F 1-li0 0.2TO 37.80 X21E.0 SH SHOP TML-;:ED L 01 F 24 i,.u2 0, :i.='.8o, X X214 3X5 SCRAPER MAI' 01 F 3 6.880 20.64 X X26 S0 MET SDP i_fl{RGE 19. F 2 1.820 3.6; N ;2963 `ER TEALS-MHITE ii1 F 26 0.640 12.80 N X203 TEA TMLS•-MH17E L 01 F :L 2.400 2.40 1', X81034 3 1n BLACK HAT 01 17 8 15.070 120.56 R X8 7 34 X, BLACK nAT 01 F r 12.650 63.25 A SUBTOTAL 275.97 SUBTOTAL 075.97 TAS (0.00) TOTAL yIIS 27.97 TOTAL ADJUST. TAX ADJUST. NET TOTAL THIS IS A WINDER THAT 1?s THE NUNTH OF MAY CINTAS PILL PASS ON nN AXNUAL PRICE ADOUST{ENT DF SPNE OF DOE SERVICAILE !TENS TO HELP HAINTA:IH FAIR PRICING US COST. '{'{'IS MILL BE 1'1''E ONLY PRICE ADJUSTMENT FOP THE YEAR. PLEASE DON'T HEIITATE Td ASK YOUR SERVICE REPRESENTATIVE ABOUT MHETHER OR i;OT YOU HAVE !TENS WIG ADDEESYED. THW YoU F09 YOUR PARTNERSHIP. CUSTOMER TOTAL CURRENT: 038.0 '3 { DUE: 0.00 10 DAYI" � 0. iLDAIL 5.00 70+ DAYS: 0.0.1 FOR ALL MDR-PAY1`ENT RELATE(; CORRESPONDENCE : CINTAS CDEPLS';TIDN Bfi07.8 r 9219 PARR DAMS DR. 1 IN 4623S Page 1 of 1 11101IT PAYNENT TO: CUSTOUR SUCIBILLIH9 888-?24-,6827 ci CINTAS CINTAS FAX # '�37-X38-35�45 P.D. BOX 630803 PAYNEi#T iNOIQY 937-237-3760 READY FOR THE WORKDAY'" CINCINNATI, OH 4E263-0803 INVOICE SHIP TO: CARIMEL STREET DEPT INVOICE 4007426039 3400 W 131ST ST IRUQICE DATE 0710912018 CARMEL, IN 4607.4-8267 SOLD TO # 12147003 PAYER # 12156723 PAYNENT TERNS NET 10 EON BILL TO: C/O BONNIE CALLAHAN: SORT # 00180007880 CAWL STREET DEPT CIHTAS BRUTE 33 1 DAY 1 1 STOP 015 3400 W 131ST ST MESTFIELD, IN 46074 ENP#1LQCit# TERIAL DESCRIPTION RFREG EXCH OTT UNIT PRICE LINE T®TAB TAX �� X2160 SH SHOP TML-RED 01 F 1140 0.270 37.80 x X2160 SH SHOP THL-RED L 01 F 24 0.520 14.58 N 2477 3X1 SCRAPER HAT 01 F 3 6.880 20.64 N X2650 WET PLOP LARGE 01 F 2 1.820 3.64 N #2453 . TEA TWLS-WHITE 01 F 20 0.640 12.80 N X2963 TEA TWLS-WRITE 1. 01 F 1 2.400 2.40 N X2964 STRIPE SWIPE TOWEL 02 F 1 0.360 0. 36 N X2964 STRIPE SWIPE TOWEL L 02 F 1 0.930 0.93 N 96-923 - FIBERGLASS NET NOP HANDLE 04 F 2 0.000 0.00 H X84034 3X10 BLACK, PIAT 01 F 8 15.070 120.56 N X84435 4X6 BLACK NAT 01 F 5 12.650 63.25 F SUBTOTAL 277.26 SUBTOTAL 277.96 TAX 10.00? TOTAL USD :277.26 TOTAL ADJUST. TAX ADJUST. NET TOTAL _ THIS IS A REMINDER THAT IN THE MONTH OF MAY CINTAS WILL PASS ON AN ANNUAL PRICE ADJUSTMENT OF SOME OF OUR SERUICABLE ITEMS TO HELP MAINTAIN FAIT; PRICING US COST. THIS WILL BE THE ONLY PRICE ADJUSTMENT FOR THE YEAR. PLEASE DON'T HESITATE TO ASK YOUR SERVICE REPRESENTATIVE ABOUT HHETHER OR NOT YOU HAVE ITEMS BEING ADDRESSED. THANK YOU FOR YOUR PARTNERSHIP. FOR ALL NON•-PAYMENT RELATED CORRESPONDENCE : CINTAS CORPORATION ::0011: 1 9949 PARK DAMS DR. 1 INDIANAPOLIS, IN 4623] Page i of 2 • REDIT PAYNERT M: Iii UCE # 4007426039 ciNrAs CINTAS INVOICE DATE 07109/2018 ® P.O. BOX 630803 READY FOR THE WORKDAY' CINCINNATI, OR 45263~0803 INVOICE ENP#ILDCR# I1ATERTAL DESCRIPTI9Rt FRED ERCH QTY UNIT PRICE LINE T®TAL Thi CUSTOMER TOTAL CURRENT'. 030.49 PAST DISE: 7.00 30 DAYS: 0.07 67 DAYS: 0.00 90;. DAYS: 0.00 FOR ALL MaN-PAYMENT RELATED CORRESPONDENCE : CINTAS CORPORATION X0015 l M? PARK DAMS DR. / INDIANAPOLIS; IN 4623.5 Page 2 of 2 VOUCHER NO. 185911 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995) Vendor # 197000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CINTAS CITY OF CARMEL PO BOX 630803 An invoice or bill to be properly itemized must show: kind of service,where performed, LOCATION 18 dates service rendered, by whom, rates per day, number of hours, rate per hour, CINCINNATI, OH 45263-0803 numbers of units, price per unit, etc. Payee 250.35 197000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CINTAS Terms Carmel Wasterwater Utility PO BOX 630803 Due Date BOARD MEMBERS LOCATION 18 I hereby certify that that attached invoice CINCINNATI,OH 45263-0803 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 5011144665 01-7200-01 $51,98 and received except 6/28/2018 5011144665 $51.98 5011144665 01-7202-05 $130.42 6/28/2018 5011144665 $130.42 5011144665 01-7202-06 $67.95 6/28/2018 5011144665 $67.95 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer r clNrAs. READY FOR THE WORKDAY"" SVC/BILLING QUESTIONS : 317-264-5103 REMIT TO: Cintas FAX : 317-644-0870 P.O. Box 630803 PAYMENT INQUIRY : (937)237-3760 CINCINNATI, OH 45263-0803 ROUTE # : LOC #0388 ROUTE 0015 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CITY OF CARMEL UTILITIES INVOICE # : 5011144665 CITY OF CARMEL DATE : 6/28/18 9609 HAZEL DELL PKWY PO # :N/A INDIANAPOLIS, IN 46280-2935 STORE # 317-571-2634 CUSTOMER # : 0010653296 PAYER # : 0010653296 SVC ORDER # : 8018656888 CREDIT TERMS: NET 30 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 6626411 BLD B MENS RESTROOM 02184701 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 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 62029 BURN CARE PUMP 2 OZ 1 $7.61 $7.61 111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06 112229 DECONGEST NASAL/SINUS SM 1 $8.00 $8.00 115029 ANTACID FRUIT FLAVOR SM 1 $7.73 $7.73 121220 ALEVE SMALL 1 $5.91 $5.91 573772 DAYQUIL SEVERE SMALL 1 $8.87 $8.87 UNIT SUBTOTAL $77.66 6626412 BLD A LAB 02464455 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 25552 ZANTAC 150 SM 1 $5.28 $5.28 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 111529 PAIN AWAY X-STRENGTH SM 1 $8.47 $8.47 111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06 112029 COLD RELIEF MAX/STR SM 1 $10.42 $10.42 115029 ANTACID FRUIT FLAVOR SM 1 $7.73 $7.73 573772 DAYQUIL SEVERE SMALL 1 $8.87 $8.87 UNIT SUBTOTAL $62.08 6626410 BLD E OFFICE 02184616 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 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 111529 PAIN AWAY X-STRENGTH SM 1 $8.47 $8.47 111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06 121220 ALEVE SMALL 1 $5.91 $5.91 UNIT SUBTOTAL $48.74 6626416 BLD E RESTROOM 02184713 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 Page 1 of 2 INVOICE # 5011144665 PAYER # 0010653296, • CINEAS@ READY FOR THE WORKDAY- SVC/BILLING QUESTIONS: 317-264-5103 REMIT TO: Cintas FAX : 317-644-0870 P.O. Box 630803 PAYMENT INQUIRY : (937)237-3760 CINCINNATI, OH 45263-0803 ROUTE # : LOC #0388 ROUTE 0015 MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 25552 ZANTAC 150 SM 2 $5.29 $10.58 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 79191 MUCINEX SMALL 1 $9.56 $9.56 111529 PAIN AWAY X-STRENGTH SM 1 $8.47 $8.47 111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06 112429 SINUS RELIEF DUAL ACTN SM 1 $9.52 $9.52 115029 ANTACID FRUIT FLAVOR SM 1 $7.73 $7.73 UNIT SUBTOTAL $61.87 REMIT TO :Cintas SUB-TOTAL $250.35 P.O. Box 630803 TAX $0.00 CINCINNATI, OH 45263-0803 TOTAL $250.35 SIGNATURE : DATE: NAME Page 2 of 2 INVOICE # 5011144665 PAYER # 0010653296.