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Home My WebLink About328235 07/31/18 `��,q,,f. CITY OF CARMEL, INDIANA VENDOR: 372633 ® `I ONE CIVIC SQUARE CINTAS FIRE PROTECTION CHECK AMOUNT: $*****1,057.80* s. ?� CARMEL, INDIANA 46032 P.O.Box 636525 CHECK NUMBER: 328235 9�'��fori�°' CINNCINNATI OH 45263-6525 CHECK DATE: 07/31/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239012 OF86511697 1,057.80 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 372633 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CINTAS FIRE PROTECTION IN SUM OF$ CITY OF CARMEL P.O. BOX 636525 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. CINNCINNATI, OH 45263-6525 Payee $1,057.80 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 OF86511697 42-390.12 $1,057.80 1 hereby certify that the attached invoice(s),or 7/16/18 OF86511697 Fire Safety Equipment $1,057.80 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 Wednesday,July 25,2018 J , 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer • i CIN&to mmy-rmp, *** INVOICE CUSTOMER COPY *** Lo_........-- ----•---- ---- ION Invoice # : OF86511697 Inv Date : 7/16/2018 Customer 3959 Loc : F86 Type . . : CHG-S Route . : 88 PO Number : Acct # 03959 WO Number : Acct Zip 46033 Service Visit 5080683 Remit to: Bill to: CINTAS FIRE 636525 BROOKSHIRE GOLF CLUB P.O. BOX 636525 12120 BROOKSHIRE PKWY CINCINNATI, OH 452636525 CARMEL, IN 46033 (317)264-5103 Serviced: BROOKSHIRE GOLF CLUB _ 1212 0_BR_OOK_SHI_RE. PKWY CARMEL, IN 46033 Unit Net Item Qty Description Price Amount Tx B21103 1 EXTINGUISHER, 15# CO2 397.16 397.16 Y B22435 2 EXTINGUISHER, 5# ABC, ALUMINUM VALVE 60.99 121.98 Y B22603 3 EXTINGUISHER, 10# ABC, ALUMINUM VALVE 93.09 279.27 Y DC10 1 RECHARGE; 10# DRY CHEMICAL 19.50 19.50 Y DC5 2 RECHARGE, 5# DRY CHEMICAL 14.50 29.00 Y EEOR 3 0 RING ASSEMBLY 2.50 7.50 Y EESEAL 12 FLAG SEAL/TAMPER INDICATOR 1.64 19.68 Y EEVSC 3 VERIFICATION SVC -COLLAR 1.50 4.50 Y EEVSTEM 3 VALVE STEM ASSEMBLY 9.25 27.75 Y HST 1 HYDROTEST 11.00 11.00 Y IN 12 INSPECTION, EXTINGUISHER ANNUAL 3.50 42.00 N SY 1 6 YEAR MAINTENANCE 7.50 7.50 N THE GOODS AND/OR SERVICES PROVIDED BY CINTAS HAVE BEEN OR WILL BE PROVIDED EXPLICITLY SUBJECT TO CINTAS'S FIRE PROTECTION SERVICES GENERAL TERMS AND CONDITIONS ("THE TERMS"),A COMPLETE COPY OF WHICH HAS BEEN PROVIDED TO YOU,AND ADDITIONAL COPIES OF WHICH ARE AVAILABLE FROM YOUR CINTAS REPRESENTATIVE OR ONLINE AT CINTAS.COM/FIRECONTRACT.CERTAIN EXCERPTS OF THE TERMS ARE ALSO PRINTED ON THE BACK OF THIS PAGE.,BY SIGNING THIS DOCUMENT AND/OR ACCEPTING THE GOODS AND/OR SERVICES PROVIDED,YOU(1)ACKNOWLEDGE THAT YOU HAVE RECEIVED,READ,AND UNDERSTAND THE TERMS IN THEIR ENTIRETY,(2)AGREE TO BE BOUND BY THE TERMS,(3) REPRESENT AND WARRANT THAT YOU HAVE THE AUTHORITY TO ENTER INTO THIS AGREEMENT,AND(4)ACKNOWLEDGE THAT ALL WORK HAS BEEN COMPLETED. TERMS NET 10 FIRE-LASERINV • CiNrAs, � *** INVOICE CUSTOMER COPY *** Lo=------ = =-- ---- ---I rioN Invoice # : OF86511697 Inv Date : 7/16/2018 Customer 3959 Loc : F86 Type . . : CHG-S Route . : 88 PO Number : Acct # 03959 WO Number : Acct Zip 46033 Service Visit 5080683 Remit to: Bill to: CINTAS FIRE 636525 BROOKSHIRE GOLF CLUB P.O. BOX 636525 12120 BROOKSHIRE PKWY CINCINNATI, OH 452636525 CARMEL, IN 46033 (317)264-5103 Serviced: BROOKSHIRE GOLF CLUB - -12120- BROOKSHIRE-PKWY - CARMEL, IN 46033 Unit Net Item Qty Description Price Amount Tx SC 1 SERVICE CHARGE 25.00 25.00 Y SUB-TOTAL : 991.84 TAX : 65.96 TOTAL : 1,057.80 BY SIGNING THIS DOCUMENT,I HEREBY REPRESENT I HAVE THE AUTHORITY TO APPROVE ON BEHALF OF MY EMPLOYER. FOR YOUR CONVENIENCE, WE ACCEPT ALL MAJOR CREDIT CARDS: VISA, MASTER CARD, AMERICAN EXPRESS &IT DISCOVER. PLEASE CALL A/R @ 570-891-0428 THANK YOU FOR YOUR BUSINESS' THE GOODS AND/OR SERVICES PROVIDED BY CINTAS HAVE BEEN OR WILL BE PROVIDED EXPLICITLY SUBJECT TO CINTAS'S FIRE PROTECTION SERVICES GENERAL TERMS AND CONDITIONS("THE TERMS"),A COMPLETE COPY OF WHICH HAS BEEN PROVIDED TO YOU,AND ADDITIONAL COPIES OF WHICH ARE AVAILABLE FROM YOUR CINTAS REPRESENTATIVE OR ONLINE AT CINTAS.COM/FIRECONTRACT.CERTAIN EXCERPTS OF THE TERMS ARE ALSO PRINTED ON THE BACK OF THIS PAGE.BY SIGNING THIS DOCUMENT AND/OR ACCEPTING THE GOODS AND/OR SERVICES PROVIDED,YOU(1)ACKNOWLEDGE THAT YOU HAVE RECEIVED,READ,AND UNDERSTAND THE TERMS IN THEIR ENTIRETY,(2)AGREE TO BE BOUND BY THE TERMS,(3) REPRESENT AND WARRANT THAT YOU HAVE THE AUTHORITY TO ENTER INTO THIS AGREEMENT,AND(4)ACKNOWLEDGE THAT ALL WORK HAS BEEN COMPLETED. TERMS NET 10 FIRE-LASERINV