191320 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK AMOUNT: $191.10
SHELBYVILLE IN 46176
CHECK NUMBER: 191320
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 26974 2145052 191.10 FLOORMATS
PO 3w T
CARMLL -CITY HALL (aCj 7 Invoice# 2145052 Plymate's MatMan
ONE CIVIC SQUARE +S' Date 10/18/2010 5877)648 -09Q3
411111111 !�'r'> www. I mate.com
CARMEL, IN 46032 I Z D Cust 7073 P y
Plymate 819 ELSTON DR
Stop 1 SHELBYVILLE, IN 46176
JEFF BARNES 4tbrkplaeeApparel Flwr Mat Programs
Written authorization required from the City RT 30
of Carmel to change service frequency
Line Item "Name /gResc�iption� alnv Qty Rental
ep z: =,1 2 3 4 5 6
1 1025 4X6 COMFORT FLOW MAT 6 3 $34.20 3
2 1074 06 MAHGNY BRWN MAT 5 $37.50
3 1097 ROTATE 4X6 COMFORT FLOW
4 1208 5X15 CUSTOM MAT 1 $34.45
5 1505 75 X 76 CUSTOM MAT 2 $44.00
6 1506 7 X 10 CUSTOM MAT 1 $33.00
Service Charge $7.95
Subtotal $191.10 Please pay from this invoice
we accept Visa, MC and Amex
Tax
Total $191.1 0
Thanks for your business.
Your MatMan- Richard Skillman
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
0.00 0.00 0.00 RT 30
U
OCi 25 2010
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan
IN SUM OF
819 Elston Drive
Shelbyville, IN 46176
$191.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO, I ACCT /TITLE I AMOUNT Board Members
26974 2145052 I 43- 501.00 I $191.10 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
Monday, October 25, 2010
Director, Administ ation
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 2145052 $191.10
1 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