191180 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $53.20
CARMEL, INDIANA 46032 3401 COVINGTON ROAD
KALAMAZOO MI 49001 CHECK NUMBER: 191180
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 10186605 53.20 CLEANING SERVICES
nnnAC 9R NO. 10186605
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R l L1�S�tI Fti�}L ,�`t'`1�aA �C�� >�z} =3 �J -�z�7� MAIN DOM
MAIN OFFI
3401 OV I NG TON ROAD 269 -35S -290 TEL a
KALAMAZOO MI 49001
(:ARMEL CLAY COMMUNIC 0
31 FIRST AVE Niel 9 1 i
t_ ARMEL 10 1 S 1'J
NW
C.O
460 3" a DAY EEK
MO, DA. YR. H E .D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE BY 1 1 "18/ LOS ANGELES, CA
ORANGE COUNTY, CA
RIVERSIDE, CA
SAN DIEGO, CA
VENTURA CA
CHICAGO, IL
RED VY MAT 12 ELGIN, IL
GURNEE, IL
FT. WAYNE, IN
5 REP VY MAT 34 1 INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE, MD
b RED VY MAT; 26 40 1G9 0 HAGERSTOWN,MD
DETROIT, MI
FLINT, MI
10 RED MAT 1770 7:70 GRAND RAPIDS, MI
JACKSON, MI
KALAMAZOO, MI
MAT 1 9.1 LANSING, MI
S SAGINAW, MI
STERLING HGTS, MI
ENQIRONMENTAL 'FEES WAYNE,MI
NEWARK/NEW YORK
RALEIGH, NC
CANTON, OH
4 I S I •T OUR NEW WEBS IT j"E CINCINNATI, OH
CLEVELAND, OH
W14W. DOMESTIC ►N I FORMI. 01 COLUMBUS, OH
DAYTON, OH
TOLEDO, OH
YOUNGSTOWN, OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH, PA
NORFOLK, VA
t RICHMOND, VA
MILWAUKEE, WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTALAGREEMENT
RT. STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. No. NO. THIS INVOICE. NO
{`IS 2 0 84 66 1 AMOUNT ci�20 OTHER WILL BE ISSUED.
ADJUSTMENT
NET
RECD BY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Domestic Linen
IN SUM OF
3401 Covington Road
Kalamazoo, MI 49001
$53.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 10186605 43- 506.00 $53.20 1 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
Wednesday, October 20, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/18/10 I 10186605 I I $53.20
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