HomeMy WebLinkAbout328754 08/14/18 CITY OF CARMEL, INDIANA VENDOR: 353562
J1/ ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******114.34*
?�; CARMEL, INDIANA 46032 PO BOX 631025 CHECK NUMBER: 328754
'° �roN:� CINCINNATI OH 45263.1025 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 5011373672 114.34 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 353562 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS FIRST AID &SAFETY IN SUM OF$ 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
$114.34
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
5011373672 42-390.12 $114.34 1 hereby certify that the attached invoice(s),or 8/7/18 5011373672 First aid supplies $114.34
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,August 07,2018
1 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
clNrAs.
READY FOR THE W®RKDAYTI SVC/BILLING QUESTIONS : 317-264-5103
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 # : 5011373672
CITY OF CARMEL DATE : 8/7/18
12120 BROOKSHIRE PKWY PO # :N/A
CARMEL, IN 46033-3314 STORE #
317-846-7431 CUSTOMER # : 0010069450
PAYER # : 0010087731
SVC ORDER # : 8019009321
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
43239 KNUCKLE BANDAGE SMALL 1 $5.58 $5.58
44249 ELASTIC STRIP SMALL 1 $5.15 $5.15
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
61109 ITCH RELIEF SPRY 2 OZ 1 $6.79 $6.79
UNIT SUBTOTAL $37.42
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
43659 COMFORT 1/3 STRIP MEDIUM 1 $6.13 $6.13
55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100439 HYDROCORTISONE CREAM SM 1 $5.95 $5.95
111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06
112029 COLD RELIEF MAX/STR SM 1 $10.42 $10.42
119250 ANTI-DIARRHEAL CAPLETS SM 1 $11.00 $11.00
130479 EYEWASH, 1/20Z MEDIUM 1 $16.94 $16.94
163050 BURN RELIEF PACKET/ 6 PK 1 $10.47 $10.47
UNIT SUBTOTAL $76.92
REMIT TO :Cintas SUB-TOTAL $114.34
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $114.34
SIGNATURE : DATE :
NAME
Page 1 of 1 INVOICE # 5011373672 PAYER # 0010087731.