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Home My WebLink About331146 10/17/18 �� *. CITY OF CARMEL, INDIANA VENDOR: 197000IN ONE CIVIC SQUARE CTAS CORPORATION#18 CHECK AMOUNT: $*******673:27* jr CARMEL, INDIANA 46032 PO BOX 630803 CHECK NUMBER: 331 146 M,�TON..�. CINCINNATI OH 45263-0803 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356501 4009355981 87.61 LAUNDRY SERVICE 1110 4356501 4009616454 87.61 LAUNDRY SERVICE 1110 4356501 4009857681 39.08 LAUNDRY SERVICE 1110 4356501 4009857823 87.61 LAUNDRY SERVICE 1110 4356501 4010122828 39.08 LAUNDRY SERVICE 1110 4356501 4010123030 87.61 LAUNDRY SERVICE 651 5023990 5011991724 244.67 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 197000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CINTAS CORPORATION#18 IN SUM OF$ 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 $428.60 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 4009355981 43-565.01 $87.61 I hereby certify that the attached invoice(s),or 9/5/18 4009355981 uniforms $87.61 1110 101 1110 101 4009616454 43-565.01 $87.61 bill(s)is(are)true and correct and that the 9/11/18 4009616454 uniforms $87.61 1110 101 materials or services itemized thereon for 1110 101 4009857823 43-565.01 $87.61 9/18/18 4009857823 uniforms $87.61 1110 101 which charge is made were ordered and 1110 101 4009857681 43-565.01 $39.08 received except 9/18/18 4009857681 towels $39.08 1110 101 1110 101 4010123030 43-565.01 $87.61 9/25/18 4010123030 uniforms $87.61 1110 101 1110 101 4010122828 43-565.01 $39.08 9/25/18 4010122828 towels $39.08 1110 101 1110 101 Friday, October 12,2018 &� e-w Jim Barlow Chief 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 FOR NON-PAYMENT CORRESPONDENCE: PAYMENT INQUIRY# 937-237-3760 cilCINTAS CORPORATION#0018 0018 SERVICE QUESTIONS# 888-924-6827 9949 PARK DAVIS DR. INDIANAPOLIS,IN 46235 READY FOR THE WORKDAY" USA ACCOUNT STATEMENT CARMEL POLICE PAYER# 12156673 3 CIVIC SQUARE CARMEL,IN 46032 STATEMENT DATE 09/30/2018 USA DATE . SOLD-TO DESCRIPTION -REFERENCE AMOUNT DUE DUE DATE 09/05/2018 12145799 4009355981 $ 87.61 10/10/2018 09/11/2018 12145799 4009616454 $ 87.61 10/10/2018 09/18/2018 12146951 4009857681 $ 39.08 10/10/2018 09/18/2018 12145799 4009857823 $ 87.61 10/10/2018 09/25/2018 12146951 4010122828 $ 39.08 10/10/2018 09/25/2018 12145799 4010123030 $ 87.61 10/10/2018 CURRENT-` 1 -30DAYS 31:` 60 DAYS., 61-90 DAYS 91+DAYS TOTAL DUE $428.60 $506.76 $170.661 $0.00 $0.00 $1,106.02 Page 2 of 2 Please detach and enclnse the helow cnunnn with vnur navment Cf REMIT PAYMENT TO: CUSTOMER SVC/BILLING 888-924-6827 CINTAS CINTAS FAX# 937-6303545 ® P.O.BOX 630803 READY FOR THE WORKDAY" PAYMENT INQUIRY 937-2373760 CINCINNATI,OH 45263-0803 INVOICE SHIP TO: CITY OF CARMEL INVOICE# 4009355981 3400 W 131ST ST INVOICE DATE 09/05/2018 CARMEL,IN 46074-8267 SERVICE TICKET# 4009355981 CUSTOMER REF# CARMEL POLICE SOLD TO# 12145799 BILL TO: CARMEL POLICE PAYER# 12156673 3 CIVIC SQUARE PAYMENT TERMS NET 10 EOM CARMEL,IN 46032 SORT# 00180006824 CINTAS ROUTE 51/DAY 2/STOP 016 EMP#/LOCK# MATERIAL DESCRIPTION FREQ EXCH QTY UNIT PRICE LINE TOTAL TAX 0001 X270 CARGO PANTS/NAVY-03434 01 F 11 0.780 8.58 N 0001 X366 JCKT/IMAGE/NAVY&KHAKI-OXLLS 01 F 2 2.110 4.22 N 0001 X935 UNIFORM SHIRT/NVY CMFT LS-OXLLS 01 F 5 0.640 3.20 N 0001 X935 UNIFORM SHIRT/NVY CMFT SS-RGOXL 01 F 6 0.640 3.84 N 0001 JASON OGLE SUBTOTAL-19.84 0002 X270 CARGO PANTS/NAVY-03632 01 F 11 0.780 8.58 N 0002 X366 JCKT/IMAGE/NAVY&KHAKI-OXLLS 01 F 2 2.110 4.22 N 0002 X935 UNIFORM SHIRT/NVY CMFT SS-RGOXL 01 F 11 0.640 7.04 N 0002 ED ALVAREZ SUBTOTAL-19.84 0003 X270 CARGO PANTS/NAVY-03630 01 F 11 0.780 8.58 N 0003 X366 JCKT/IMAGE/NAVY&KHAKI-OXLLS 01 F 2 2.110 4.22 N 0003 X935 UNIFORM SHIRT/NVY CMFT SS-RGOXL 01 F 11 0.640 7.04 N 0003 BOB VANVOORST SUBTOTAL-19.84 UNIFORM ADVANTAGE 9.36 N SUBTOTAL 68.88 SERVICE CHARGE 18.73 N SUBTOTAL 87.61 TAX 0.00 TOTAL USD SPECIAL PROGRAMS BREAKDOWN UNIFORM ADVANTAGE 72 0.130 9.36 N THANK YOU FOR YOUR PARTNERSHIP! Please contact our Accounts Receivable FOR ALL NON-PAYMENT RELATED CORRESPONDENCE:CINTAS CORPORATION#0018/9949 PARK DAVIS DR./INDIANAPOLIS,IN 46235 Page 1 of 2 CUSITNER SUCIBILLING 888-921-4-6027 UNTAS FAX 4 �37-638-3S-AtS CINrAs. PATUEM-1 Imau-TRY 937-217-W SO READY FOR THE WORKDAY'" Mlvo i c E MOP TO: FIT7 M. UARM-1. INUDICE # tips 14 �:;IST 11 ICE DATE 091 MTGNIES, REF CilpfliEl' PoL.TC.1" S9LD Tl 121457" PAYER 9, 121S.6673 WHENT TERN HET 10 E011 PILL TU: CP fIr It L. POLICE:' CINTAS L-19UTE El � DAY 2 1 STUP 016 C011:11HIll, 'Thl 4A032 LOCH# H Ah,T ERTI A L DESCRIPTION7 FREQ EXCRI OTT UNIT PRICE ME TOUL TAXI ............... 19001 r'-27 0 CA90 PART 13*/X!Avy-o 3134 2 2 x -v ry D "OFN SHIRT GNFT F 5 0 r. d F -0 j. ;I n I "I. f. Tpl)"uy cNi" 01. F 6 G.6'ILI J.I'M F 01,301 JASUR ME SUBTOTAL - 19.84 0004-1 'TS. i CAR0 FAMSINIAUY L111_-_ V. OM -it U A 0 0 0121 n53 U M 1.{'13 111 7,111 ffl; V T C,M F T 9 XL C' F 7.10 M 0002 EV ALUREEZ SUBTOTAL - M84 0003 :1676 I:- - 02 A U, 2 ._.11>_, A.221 i? 0 fj 0.3 .1 c,r.u.S. CNFT SSS-KGOXI 64.3 6093 BUD VARVOURtT TUDTHTAL - 19.84 V101FOR11 SUBTOTAL TAX TOTAL USD TOTAL ADJUST. TM ADJUST. NET VITAL SPECIAL FroGRANS BREMDURN 71 FOR W 111OR-K-MIERT VELATED COPRESM4111-7RCE CIRTh.,7, CopjlCr%,,jTjf JF 0 IRMI.T PAYNENT Til. Ci STUD—FR SVC/818-LING 888-924-6927 CI CIRTAS CINTAS FAX 0 937-610-3545 i'.D. DC!l 630803 PAYNER;T IHQ ff 937_237_3760 READY FOR THE WORKDAY" CINCIi#WI, INVEiICE SSIP Til: CARMEL POLICE IFURICE 0 �10E798-�i'S81 P.D. BOX 1399 I?�1910E DATE 0911V2018 CARREL, IN 46032 SOLD TO 0 1.2146951 PAYER f 12156673 PAYNERT TERNS NET 10 EON BILL TO: i g �:L POLICE SORT � 001800b7883 SiIC!t19 E CINTAS 999E 51 DAY 2 STOP 001. C t83 EL. IN'46032 r Ei P IL�ztT � TEi fiL DE �iII TIiI i ilial EI{—CH T UNIT PRICE LIME TOTAL TAXI h2166 SH SHOP THL-RED 01 F D 0.270 13.so N .42160 SI'! SHOP TUL-RED L 01 F 1u 0.590 S.90 K 2477 3X-S SCRAPER MCAT 01 F 1 7.050 7.05 0 404035 31.0 BLACK rIAT 01 F 1 1141.630 12.h3 S tRiTOTAL 39.01, SUBTOTAL 39.019 TON (0.00) TTr�L €ice 39.t?0 TOTAL ADJUSY. TAX 0imir. iIET TGTAL THARK YOU FOR YOUR PARTHERSHIP! Please contact our Accounts Receivable DepartPlent for billing & {jai++yen¢ inquiries. Betsey Henry: A-F (937-237 3760) Lureana Uormel.ey: 9--!1 (1137-630-3530) Ashley Thomas: P-7, 1-9 (997-237-3781.) C U S T 911Ef11 TO T PL CUnEENT: 0.00 PAST DUE: 156.32 30 DAYS: 195. 10 n0 DAYS: 0.00 90+ DAYS: 0.00 FOR ALL tillP-PAYWIT RELATED CriRR3ESPORDENCE : fINTAS CIIRP©RATION OjO18 1 9949 PARK DAVIS DR. I I9PIANAPOL S; IN 162,5 Page 1 Of 1 • RENIiT PATENT TO: �$ CI CI1trA� ISTONEI� �.U��IL�. 9 0-914-6827 o F. S 630303 CIRTAS FAX # IY37-630-3x45 READY FOR THE WORKDAY" E:IIRClUNATI, Oli 4526;-0203 PAYNERT IMII€Y 937-2$7-3760 SHIP TO: CITY OF t HHE-L IRVOICE #I: 4309357823 3406 H 131ST ST VOICE DATE 09/18/2018 Ltthl'EL, Icl 16)07x1-3267 CUSTOHER REF # CARMEL POLICE SOLD TO 0 12145799 PAYEES 9 12156673 DIEL TO: CARREL PUL.r.CE PAYMENT TERNS NET 10 EO11 3 CIVIC SHARE SNRT # 00180005824 'CARMEL, IN 45032 CINTAS 6RRUTE Sl / DAY 2 I STOP 017 rEii# LEICERi ATEiia DESCRIPTOR F-REQ,., EXCEI QTY ^ UNIT PRICE LINE TGTAL TAXI 0001 x;270 CARGO PANTSINAVY-03434 01 F 11 0.780 8.58 11 0001. X365 JCKTi 1RASEI RAVY & KHAKI-QX11S 01 F 2 2..1.10 4.22 R 0001 AI UNIFORM SHIRT/NVY CnFT LS-OXLLS 01 F j 0.640 3.20 N 0001. X93IS UNIF90N SHIR T/iii_!Y CEiFT SS-r%GUXL 01 F 6 0.640 3.54 N 0301. JASHN OtLE SUBTOTAL - 19.84 0002 1827 0 CARGO PANTLINAVY•-03t132 01 F 11 0.780 8.58 R 0002 X366 ajCKT/lffAGE/ivRVY w KHAKI-QXLLS Q1 F 2 ?.110 4.22 ff 0002 X935 UNIFORM SHTRTIIVY CHFT SS-Horn-1 01 F 11 0.580 7.04 H O902 ED ALVAREZ Sb 3TflTAL - 19.84 0£103 ,270 CARGO PANTS/NAVY-03630 Ql F 1i 0.780 8.58 i{ 0003 X356 JCKTrIMACE/NAVY i3 KHAKI-0XLLS 0l F 2 2.110 X1.22 k 0003 ;935 UNIFORH SHIRT/I VY CNFT SS-R9011 01 F i? 0.640 7.0-1 v UNIFORM ADVANTAGE 9.35 N SUBTOTAL HRV?CE CHARGE 13.73 H SUBTOTAL 87.15i TAX ,C (0.00) Ti15TAt USD TIOTmiL ADJUST. TAX ADJUST. HU TBT& SPECIAL F"Rfl&''T S "REAKDON UNIFORH ADVANTAGE 72 0.130 9. 36 H FOR ALL HDR-PAY11011-1 ATFD CORRESPONDENCE : CINTAS CLRPORATION 4C0OI-0 19949 PARK DAVIS D;". I INDIANAPOLIS, IN 41-715 Page 10� r REPPIT FAYOE ' TO: COSTUPER SMBILLIXG 988-924-6827 CI ?E;Tf:a" NrAs. r.G. G0X 630903 CI�s'Ti4S FAX � 937-630-3545 READY FOR THE WORKDAY'" '-J•},1[I�tti�T , 13F � 2n3"i'#f03 PAYHEHT IRAUIRY M-237-3760 ItnVOIE:E SHIP TO: CAHIEL FOLICE INVOICE # �POI01'??3'9 PAL BOX 131,19 INVOICE DATE 09/22?2010 CARMEL, IN 46032 SOLD TH ;# I='1�i5951 PAYER t 12156673 PAYNENT TERUS NET 10 EUM BILL TO: CMIMEL POLICE SORT t 00100007923 . 3 civic SQUARE CINTAS ROUTE Sl / DAY 2 r' STOP 001 CARPEL., IN 46032 ;EhPgYLBCK# HATERIAE DESCRIPTION FRED EXCH OTY WHIT PRICE L114E T'OT'AL TAX! 2,1.10 M SHIP TML-RED 0:z r 5Ei 0.270 13.50 P{ Y3160 sm SHLTF THL-RED L 01. 1 10 0.590 5.90 R X2477 MS SCHAFER HAT 01 P' 1 7."50 7.05 H n4 0�5 3XID BLACK MIT 01. E i 11..630 ?2l.63 r i;Cil'PITAL 39.08 SUBTOTAL 39.Ou T (0.00) TOTAL USP} TGTAL ADJUST. TAR ADJUST- NET TOTAL THAUR YEW Mill' YRUR PARTREF. iiTFE Please Contact our knounts Feceiva51e Departi'ient- for bi:(.lin;:P t, papiopt inquiries. Betsey P°ienr : A-•r 037-23T-37613) P_areana !,for:':eleg: G-iP t?37-630-3538? Ashley Thowas: F--Z, 1-17 (937•-237-37811) T,P1"aTrill ER' TDTAL CUPIR ;T: 39.013 P'Aa i GLUE: IE:6.32 30 DAYS: u.u0 60 PAYS: 0.1:0 905 DAYS: u.u0 FOR AP_L h'Pl'i;-P'fiYiPE`rtT MATED C(lR"ni SPOitDERf'P CrPPTGS C€lPiPLPipTrwN 2'13t119 f i":'; P PRok OATH'S DR. r IidDyH0141LIS, IR 162-35 i'aar- i Gr i. R611T PAMERT TO: CUSTOMER SUCIBILLIRC 888-924-6827 CINEA6 CIRT,AS CI F'.G. 1119F. {;.30823 3�Tr�S FAX # 937-630-3545 READY FOR THE WORKDAY'- CIRCIRRATI, Oil 4F,2063-0803 PAYffEKT INQUIRY 937-237-3760 I OIAGE SHIP THAT: CITY 01" CA RNE:L 1iMNOICE # 4010123030 3400 W 131ST ST 1HUDICE DATE 099,25/201.8 CARNE:L, IN 46074-8267 COSTQOER REF CARMEL POLICE PAYER # 12155673 BILL TO: CARMEL POLICE PAYNEOT TERNS MET 10 EOM 3 t:I+rIC SQUARE SORT # OOI00006u24 CARMEL, IN 46032 CINTAS RGUT€ 51 l DAY 2 / STOP 017 EMB'#fL®CR# HATERIAL� DESCRIPTION EFER €XCH OTY UNIT PRICE LINE TOTAL TA XI 0001. 'X2 7 0 CARGO PANTS/NAUY-03434 01 F 1.1 0.780 8.58 N 0001 X366 JCKT/IrIAGEMAU & s!IdARI:•-QY,LLS 01 F 2 2.'110 el.22 F 0601 a? VOUCHER NO. 186664 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 244.67 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 5011991724 01-7200-01 $45.24 and received except 10/11/2018 5011991724 $45.24 5011991724 01-7202-05 $109.41 10/11/2018 5011991724 $109.41 5011991724 01-7202-06 $90.02 10/11/2018 5011991724 $90.02 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 e CI 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 # : 5011991724 CITY OF CARMEL DATE : 10/10/18 9609 HAZEL DELL PKWY PO # :N/A INDIANAPOLIS, IN 46280-2935 STORE # 317-571-2634 CUSTOMER # : 0010653296 - PAYER # : 0010653296 SVC ORDER # : 8019491715 CREDIT TERMS:NET 30 DAYS MATERIAL # DESCRIPTION QTY UNIT PRICE EXT PRICE TAX 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 BBP KIT CHECKED 1 $0.00 $0.00 400 SERVICE CHARGE 1 $12.95 $12.95 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 119279 COLD-EEZE LOZENGE SMALL 1 $10.69 $10.69 121220 ALEVE SMALL 1 $5.91 $5.91 573772 DAYQUIL SEVERE SMALL 1 $8.87 $8.87 UNIT SUBTOTAL $73.32 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 31069 1X3 PLASTIC BANDAGE MED 1 $10.80 $10.80 44269 ELASTIC STRIP MEDIUM 1 $7.93 $7.93 44429 LARGE PATCH 21IX3", MED 1 $10.45 $10.45 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 119289 COLD-EEZE LOZENGE MEDUIM 1 $18.13 $18.13 121220 ALEVE SMALL 1 $5.91 $5.91 150110 TWEEZERS, METAL IND/3PK 1 $9.73 $9.73 151119 DISP THERMOMETER 4/BG 1 $6.50 $6.50 592242 TRAUMA PAD VACUUM SLD/4BX 1 $10.38 $10.38 UNIT SUBTOTAL $86.78 6626416 BLD E RESTROOM 02184713 110 SERVICE-"P:CKNOWLEDGEMENT 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 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 119289 /\ COLD-EEZE LOZENGE MEDUIM 1 $18.13 $18.13 121220 '� ALEVE SMALL 1 $5.91 $5.91 151119 DISP THERMOMETER 4/BG 1 $6.50 $6.50 180049 TOURNIQUET/2 BX 1 $5.08 $5.08 UNIT SUBTOTAL $42.57 6626410 BLD E OFFICE 02184616 110 SERVICE ACKNOWLEDGEMENT 1 $0.00 $0.0,0 120 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 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 Page 1 of 2 INVOICE # 5011991724 PAYER # 0010653296. CiNrAs. 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 55556 DISINFECTANT WIPE 1 $0.00 $0.00 112029 COLD RELIEF MAX/STR SM 1 $10.42 $10.42 119289 COLD-EEZE LOZENGE MEDUIM 1 $18.13 $18.13 151119 DISP THERMOMETER 4/BG 1 $6.50 $6.50 UNIT SUBTOTAL $42.00 REMIT TO :Cintas SUB-TOTAL $244.67 P.O. Box 630803 TAX $0.00 CINCINNATI, OH 45263-0803 TOTAL $244.67 SIGNATURE : DATE : NAME Page 2 of 2 INVOICE # 5011991724 PAYER # 0010653296.