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Home My WebLink About330119 09/19/18 r Wq. J` CITY OF CARMEL, INDIANA VENDOR: 343500 j ® ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******244.99* s. �a CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 330119 9M�TpN ; PO BOX 631025 CHECK DATE: 09/19/18 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 5011662255 244.99 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 343500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CINTAS FIRST AID &SAFETY IN SUM OF$ CITY OF CARMEL CI NTAS CORPORATION An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX 631025 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CINCINNATI, OH 45263-1025 Payee $244.99 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 5011662255 42-390.12 $244.99 1 hereby certify that the attached invoice(s),or 9/12/18 5011662255 First Aid Supplies $244.99 2201 2201 2201 2201 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, September 17, 2018 Lunn,Amy Admin Assistant 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer • 4 clNrAs@ 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 CARMEL STREET DEPT INVOICE # : 5011662255 3400 W 131ST ST DATE : 9/12/18 WESTFIELD, IN 46074-8267 PO # :N/A 317-733-2001 STORE # CUSTOMER # : 0010652787 PAYER # : 0010664222 SVC ORDER # : 8019290913 CREDIT TERMS:NET 30 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 7235951 Office Breakroom 02548373 110 SERVICE ACKNOWLEDGEMENT 1 $0.00 $0.00 120 CABINET ORGANIZED 1 $0.00 $0.00 130 EXPIRATION DATES CHECKED 1 $0.00 $0.00 400 SERVICE CHARGE 1 $12.95 $12.95 25552 ZANTAC 150 SM 2 $5.29 $10.58 43959 COMFORT DOT MED 1 $7.56 $7.56 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 111389 ACETAMINOPHEN MED 1 $12.72 $12.72 111529 PAIN AWAY X-STRENGTH SM 1 $8.47 $8.47 111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45 UNIT SUBTOTAL $78.68 6633596 MAIN BLD MENS R 02210342 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 33129 QUIKHEAL F/P BANDAGES MED 1 $9.23 $9.23 43859 JUNIOR STRIP MED 1 $6.60 $6.60 43959 COMFORT DOT MED 1 $7.56 $7.56 44269 ELASTIC STRIP MEDIUM 1 $7.93 $7.93 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 82410 READY-RIP 1" 1 $4.69 $4.69 100019 TRIPLE ANTIBIOTIC OINT MD 1 $10.98 $10.98 150110 TWEEZERS, METAL IND/3PK 1 $7.49 $7.49 150620 SPLINTER-OUT DISP MED 1 $6.23 $6.23 UNIT SUBTOTAL $67.66 6633597 MAINTENANCE BLD 02210497 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 25552 ZANTAC 150 SM 2 $5.29 $10.58 33129 QUIKHEAL F/P BANDAGES MED 1 $9.23 $9.23 43959 COMFORT DOT MED 1 $7.56 $7.56 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 111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45 115029 ANTACID FRUIT FLAVOR SM 1 $7.73 $7.73 130479 EYEWASH, 1/20Z MEDIUM 1 $13.04 $13.04 280020 LENS/SCREEN WIPES 100/BX 1 $16.34 $16.34 UNIT SUBTOTAL $98.65 I Page 1 of 2 INVOICE # 5011662255 PAYER # 0010664222 { • cl READY FOR THE WORKDAY- 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 REMIT TO :Cintas SUB-TOTAL $244.99 P.O. Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $244.99 SIGNATURE • DATE : NAME Page 2 of 2 INVOICE # 5011662255 PAYER # 0010664222