334539 01/18/19 {ur C�qM
CITY OF CARMEL, INDIANA VENDOR: 343500
® ONE CIVIC SQUARE CINTAS CHECK MOUNT: $*******176.20*
CARMEL, INDIANA 46032 CINTAS CORPORATION CHECK NUMBER: 334539
PO BOX 631025 CHECK DATE: 01/18/19
CINCINNATI OH 45263-1025
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 5012679126 176.20 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 343500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CINTAS IN SUM OF$ CITY OF CARMEL
CINTAS 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
$176.20
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
5012679126 42-390.12 $176.20 1 hereby certify that the attached invoice(s),or 1/4/19 5012679126 Safety Supplies $176.20
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,January 08,2019
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
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 # : 5012679126
3400 W 131ST ST DATE : 1/4/19
WESTFIELD, IN 46074-8267 PO # :N/A
317-733-2001 STORE #
CUSTOMER # : 0010652787
PAYER # : 0010664222
SVC ORDER # : 8020154298
CREDIT TERMS:NET 30 DAYS
MATERIAL # DESCRIPTION QTY UNIT P�IICE EXT PRICE TAX
7235953 Ci vi c Square Garage - Hub
110 SERVICE ACKNOWLEDGEMENT 1 JO.00
I $0.00
UNIT SUBTOTAL) $0.00
7235951 Office Break-room 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 $ 2.95 $12.95
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
111929 IBUPROFEN TABS SMALL 1 9.06 $9.06
280020. LENS/SCREEN WIPES 100/BX 1 $11.22 $21.22
UNIT SUBTOT $57.95
6633596 MAIN BLD MENS R 02210342
110 SERVICE ACKNOWLEDGEMENT 1 0.00 $0.00
120 CABINET ORGANIZED 1 $1,0.00 $0.00
130 EXPIRATION DATES CHECKED 10.00 $0.00
7. 33129 QUIKHEAL F/P BANDAGES MED 1 $9.23 $9.23
44249 ELASTIC STRIP SMALL 1 $5.15 $5.15
44429 LARGE PATCH 2"X3", MED 1 $�0.45 $10.45
55555 HARD SURFACE DISINFEC SVC 1 6.95 $6.95
55556 DISINFECTANT WIPE 1 L$0.00 $0.00
100039 TRIPLE ANTIBIOTIC OINT SM 1 46.90 $6.90
238000 X3 CLEAN HAND SANITIZER 75 ML 1 7.58 $7.58
UNIT SUBTOT $46.26
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 1 $7.56 $7.56
55555 HARD SURFACE DISINFEC SN'r' 1 $6.95 $6.95
55556 DISINFECTANT WIPE 1 $0.00 $0.00
100039 TRIPLE ANTIBIOTIC OINT SiA 1 $6.90 $6.90
111389 ACETAMINOPHEN MED 1 $12.72 $12.72
111929 IBUPROFEN TABS SMALL 1 $9.06 $9.06
238000 X3 CLEAN HAND SANITIZER 75 ML 1 $7.58 $7.58
280020 LENS/SCREEN WIPES 100/BX 1 21.22 $21.22
UNIT SUBTOTAL $71.99
Page 1 of 2 INVOICE # 501267 126 PAYER # 0010664222
CI
READY FOR THE WORKDAY- SVC/BILLING QUESTIONS : 317-264 5103
REMIT TO: Cintas FAX _O : 317-644 0870
P.O. Box 631025 PAYMENT INQUIRY : (469)24 -4769
CINCINNATI, OH 45263-1025 ROUTE # : LOC #03 8 ROUTE 0023
REMIT TO :Cintas SUB-TOTAL $176.20
P.O. Box 631025 TAX $0.00
CINCINNATI, OH 45263-1025 TOTAL $176.20
SIGNATURE : DATE :
NAME
i
I
Page 2 of 2 INVOICE # 501267 126 PAYER # 0010664222
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