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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.