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HomeMy WebLinkAbout333468 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 343500 r; ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $*******167.82* CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 333468 PO Box 631025 CHECK DATE: 12/14/18 CINCINNATI OH 45263-1025 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 5012374185 167.82 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 343500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CINTAS FIRST AID &SAFETY IN SUM OF$ 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 $167.82 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 5012374185 42-390.12 $167.82 1 hereby certify that the attached invoice(s),or 12/5/18 5012374185 Safety Supplies $167.82 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 Tuesday, December 11,2018 Huffman, Dave Director 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 t CiNrAs. 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 0023 INVOICE PLEASE PAY DIRECTLY FROM THIS INVOICE CARMEL STREET DEPT INVOICE # : 5012374185 3400 W 131ST ST DATE : 12/5/18 WESTFIELD, IN 46074-8267 PO # :N/A 317-733-2001 STORE # CUSTOMER # : 0010652787 PAYER # : 0010664222 SVC ORDER # : 8019935252 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 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 111230 Chewable Aspirin 81mg 1 $7.56 $7.56 111389 ACETAMINOPHEN MED 1 $12.72 $12.72 111529 PAIN AWAY X-STRENGTH SM 1 $8.47 $8.47 119279 COLD=EEZE LOZENGE SMALL 1 $10.69 $10.69 UNIT SUBTOTAL $59.34 6633596- MAIN BLD MENS R 02210342 110 SERVICE ACKNOWLEDGEMENT 1 $0.00 $0.00 c120 CABINET ORGANIZED 1 $0.00 $0.00 130 EXPIRATION DATES CHECKED 1 $0.00 $0.00 . 43729 X-LONG BANDAGE MEDIUM 1 $8.66 $8.66 ."'.44269 ELASTIC STRIP MEDIUM 1 $7.93 $7.93 ;•50030 ANTISEPTIC WIPES SMALL 1 $4.39 $4.39 .50430 ALCOHOL SWABS SMALL 2 $4.39 $8.78 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 70010 COTTONTIP APP 3" 100/VIAL 1 $5.13 $5.13 80489 1" X `5 TAPE DISPENSER 1 $6.36 $6.36 100039 TRIPLE ANTIBIOTIC OINT SM 1 $6.90 $6.90 UNIT SUBTOTAL $55.10 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 55555 HARD SURFACE DISINFEC SVC 1 $6.95 $6.95 55556 DISINFECTANT WIPE 1 $0.00 $0.00 80489 1" X 5 TAPE 'DISPENSER 1 $6.36 $6.36 100039 TRIPLE ANTIBIOTIC OINT SM 1 $6.90 $6.90 102435 LIPAID SMALL 1 $6.16 $6.16 111230 Chewable Aspirin 81mg 1 $7.56 $7.56 111989 IBUPROFEN TABS MEDIUM 1 $19.45 $19.45 UNIT SUBTOTAL $53.38 REMIT TO :Cintas SUB-TOTAL $167.82 P.O. Box 631025 TAX $0.00 CINCINNATI, OH 45263-1025 TOTAL $167.82 SIGNATURE : DATE : NAME. Page 1. of 1 INVOICE # 5012374185 PAYER # 0010664222