HomeMy WebLinkAbout180776 12/30/2009 .,,,f CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY CHECK AMOUNT: $51.05
i CARMEL, INDIANA 46032 PO BOX 1486
k tti, z rc ELK GROVE VILLAGE IL 60009 -1486 CHECK NUMBER: 180776
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 0388126188 51.05 OTHER CONT SERVICES
a NIT A,
Terms Invoice Date
CHG 0388126188 12/15/2009
Branch Route Customer
00388 05 02764
Remit To Bill To
CINTAS FIRST AID SAFETY BROOKSHIRE GOLF CLUB
PO BOX 1425 12120 BROOKSHIRE PKWY
ELK GROVE VILLAGE,IL 60009 CARMEL, IN 46033
(877) 278-9373
Unit Ext
Item Qty Description Price Price Tax
00110 1 CABINET CLEANED 0.00 0.00 N
00120 1 CABINET ORGANIZED 0.00 0.00 N
00130 1 EXPIRATION DATES CHECKED 0.00 0.00 N
00140 1 LABOR POSTERS COMPLIANT? 0.00 0.00 N
00145 1 NEED OSHA REQ'D TRAINING? 0.00 0.00 N
11158 1 PAINAWAY EXT/STR MED 14.95 14.95 N
UNIT:01 PRO SHOP UNIT TOTAL: 14.95
00110 1 CABINET CLEANED 0.00 0.00 N
00120 1 CABINET ORGANIZED 0.00 0.00 N
00130 1 EXPIRATION DATES CHECKED 0.00 0.00 N
00140 1 LABOR POSTERS COMPLIANT? 0.00 0.00 N
00145 1 NEED OSHA REQ'D TRAINING? 0.00 0.00 N
10063 1 HAND LOTION SMALL 5.95 5.95 N
10264 1 BIOFREEZE MUSCLE RLF 8.25 8.25 N
11158 1 PAINAWAY EXT/STR MED 14.95 14.95 N
12122 1 ALEVE PACK 6.95 6.95 N
UNIT:02 MAINT UNIT TOTAL: 36.10
SUB TOTAL: 51.05
TAX: 0.00
TOTAL: 51.06
T
Received By( V�
D
DID YOU KNOW THAT CINTAS NOW SUPPLIES AND SERVICES
FIRE EXTINGUISHERS, EMERGENCY EXIT LIGHTING, AND
OTHER FIRE SAFETY MEASURES? CALL CINTAS FIRE
PROTECTION TODAY FOR MORE DETAILS!!
317-264-5103
1 CUSTOMER COPY TERMS NET 10 CFAS-INV
Prescribed by State Board of Accounts City Form No. 201 (Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
I Payee
IJ`fHS f`c asi- Purchase Order No.
Q C�i 4/ S Terms
g lI A 1 L. 66(z)9 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/1. .sks 1,26 /0 v� 1 /9 :D )20 ss`/ D S�
Total D'
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
Clerk- Treasurer
'VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
00& izas
11K 6go,)8,-- di 11
S/, 05
ON ACCOUNT OF APPROPRIATION FOR
A.07 66/P ewise
Board Members
Po# NO. #/TITLE AMOUNT hereby certify invoice(s), r INVOICE NO ACCT I hereb certif that the attached invoices or
/7 (jsyy /.2kis 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
20 D
Si ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
a= CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
CARMEL, INDIANA 46032 PO BOX 1486 CHECK AMOUNT: $51.05
ELK GROVE VILLAGE IL 60009 -1486
CHECK NUMBER: 180776
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 0388126188 51.05 OTHER CONT SERVICES
aNrAs.
Terms Invoice Date
Ci
Remit To Bill To
I tem Qty Description Pr ice Pr ice T a. -x
UNIT:01 PRO SHOP UNIT TOTAL: 14.9S
UNIT:02 MAINT UNIT TOTAL: 36.10
Received By-i"
CUSTOMER COPY TERMS NET 18 [}FAS'|NV
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
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.
Payee
F sr— l Purchase Order No.
�•�c S" Terms
11 -vi, x()14 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
sI?19 l� S/, o s
Total
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
Clerk- Treasurer
'VOUCHER NO. WARRANT NO.
ALLOWED 20
(10i IN SUM OF
'6,
f1k
6. T.
O
ON ACCOUNT OF APPROPRIATION FOR
6
/a0`l dal ��uizs�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
7 20 D l
Sianat 1 re
,t
Cost distribution ledger classification if
T��i le
claim paid motor vehicle highway fund