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Home My WebLink About192787 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1 ONE CIVIC SQUARE CINTAS CORPORATION #018 CHECK AMOUNT: $605.12 CARMEL, INDIANA 46032 PO BOX 630803 CINCINNATI OH 45263 -0803 CHECK NUMBER: 192787 CHECK DATE: 12/15/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356501 018810452 80.63 LAUNDRY SERVICE 1207 4356001 018813990 19.05 UNIFORMS 1207 4356001 018813991 51.85 UNIFORMS 1110 4356501 018814005 80.63 LAUNDRY SERVICE 2201 4356501 018814006 372.96 LAUNDRY SERVICE CINEAS ORIGINAL INVOICE mownro. CINTAS CORPORATION #018 LOCATION 18 SHIP To: CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 .mm/"Emo� WESTFIELD, IN 46074-8267 G E1M1 018814006 CONTRACT NO. ACCOUNT NO. STOP ",a DELIVERY CODE SOIL nno°, INVOICE DATE O2650 i2139 20 W1O2000 R 12/07/10 BILL TO! CARMEL STREET DEPT ATTN. BONNIE CALLAHAN mo ROUTE mw ova,wu. v,mmw,°r CUSTOMER ,�,NO. ,e"m, 3408 W 131ST STREET 018 S1 2 026SO DUE 1/10/11 WEGTFIELD, IN 46074 EVEN BILLING CONTACT. BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT ,m, 2 I E SOI MIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. C CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x 40 PANT-DENIM CARGO WOR UF 124 '74308 11PT: NATHON STAPLETIO 24 SUBTOTAL 5.04 .41 PRE-WASH.BLUE JEANS UF 25 894 2PT: 428 .86 N 42 SHIRT SYNTHEtIC UF 2'� 93F. 119,H: 38S 4.24 N JEFF' VANWINKE 25 SUBTOTAL 5.10 4. PANT-DENIM'CARC-O UF 27 74308 11 4CA S, 04 'N JASON WALDEN 2"? SUBTOTM._' S.04 MARX OTTINGER 28 SUBTOTAL 5.04 47 SHIRT SYNTHETIC UF 29 93S 11SH: .38S 424 N RAPHAEL BURKE SUBTOTAL 8.9s KEVIN SMITH 30 SUBTOTAL 7.46 SHIRT SYNTHETIC UF 31. 93S 22SH: .385 8, 4 7 N 5- 'PANT CARGO WOR UF 32' 74308 11PT, 4S8 5.04 N RANDY JOHNSON 32 SUBTOTAL 5.04 PRE-WASH BLUE JEANS OF 33 894 11 PT: .422 4.71 N S4 SHIRT SYNTHETIC UF 33 93S 11SH: 385 4.24 N FRED MARTZ 33 SUBTOTAi.- 8. 95 58 SHIRT SYNTHETIC UF 35 935 11SH: 4S`9 s.os N SHIRT SYNTHETIC UF ?6 935 11SH: .385 4.24IN 61 PANT-DENIM CARGO WOR UF 36 74308 11PT: 4SIR 5.04.N TIN COFFEY :36 SUBTOTA� 9.28 6 SHIRT SYNTHETIC UF 37 ?35 ITSH: .385 424 N 6 PANT-DENIM CARGO WOR UF 37 74306 11PT: .4S8 5.04 N, MARK CARTER 37 SUBTOTAL 9.28 6 PANT-DENIM CARGO WOR UF 38 74308 11PT: 5.04 N: CAMERON MASON 38 6- SHIRT SYNTHETIC UF 39 93S 11SH: .385 4.24 N MIKE CI ARK 39 SUBTOTAL 28 WILL DAVIS 40 SUBTOTA� 9.26 69 PRE-WASH BLUE JEANS UF 41, 894 11PT: I 70 SHIRT SYNTHETIC UF 41 93S 11SH: 38s 4,24 Iq MIKE WILLIAMSON 41 SUBTOTAL a. 9S 71 SHIRT SYNTHETIC UF 42 93S SSH� 1.93 N UBTOTAt- 1.93 7c PANT-DENIM CARGO WOR UF 43 74308 11PT: *8 NATHAN'MORRIS 43 SUBTOTAL S.04 7- PANT-DENIM CARGO WOR UF 44 74308 11PT: 43B S.04 N SCOTT TOWNSEND 44 SUBTOTAL S�.04 PARXS PIFER 4S SUBTOTAL. 4.71 7r SERVICE CHARGE 1: X 106 7.000 7.00 N INVOICE:TOTAL "372.96 REVIEWED BY SIGNATURE INVOICE 0 016814006 FINAL TOTAL ABBREVIATION BUY BACK CODE (136) PACKING CODES (PK) B Buy Back B Package in Bundle CODE DESCRIPTION BB Buy Back Both Combo Items H Package on Hanger SH SHIRT 61 8;iy Back 1st Combo Item 2 String Tie PT PANTS B2 Buy Back 2nd Combo Item 3 Polywrap CV COVERALL b No Buy Back 6 Wrap in Brown Paper JS JUMPSUIT SC SHOP COAT LC LAB COAT OR DRESS CHANGE CO PRICE T SON _E X -E N -1 JEI`jfx) SM SMOCK o No Change Over U Unit Priced JK JACKE!, 1 Standard Change Over F Fla' Rated LP LAPEL COAT 2 Philadelphia Only B7 BLAZER SA SHOP APRON VT VEST LN IJNFR SK SKiR F DELIVERY FREQUENCY fqf�ll- FR) SERVICE TYPE W Weekly G Garment E Every Other Week 0 Dust M Monthly L Linen T Towel S Direct Sales Only EXCHANGE METHOD _(EX ME D Delayed Exchange USAGE E Even Exchange F Fixed Quantity Exchange C Clean b Unit Exchange D Direct Sale L lease N N,O G. P Unilease R Lost Replacement X Special Charge 0 Rental Item ciNrAs ORIGINAL INVOICE asomEmm REMIT TO: CINTAS CORPORATION #018 LOCATION 13 SHIP TO: CITY OF CARMEL P O BOX 630803 3400 W 1"� 131ST ST CINCINNATI, OH 45263 -0803 D STREET T 838 924 65[2.. f 7 INVOICE NO. WESTFIELD, IN 46074 -8257 G E3M1 13314006 CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 426754 13139 20 U102000 R 12/07/10 BILL TO: CAR MEL p� -y i T 1 RE ET DEPT AWN BO CALLAHAN LOC ROUTE DAY COST NO, DEPARTMENT CUSTOMER P.O. NO. TERMS 3404 W 131ST STREET 018 51 02654 DUE 1/10/11 WESTFIELD, IN 46074 EVEN BILLING CONTACT. BONNIE CALLAHAN TAX CODE 317733 --2041 TAX EXEMPT PAGE 1 LINE SOI MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. CNT CHG. O BB EMPLOYEE NAME NO. NO, INVENTORY INVOICED PRICE AMOUNT X c. 2. 10 4 SM SHOP TWL -RED OF R 2160 E 681. 5.21 N SM SHOP TWL -•RED OF 21670 140 1t1 194 19.40 N 3X5 SCRAPER MAT OF 2477 3 3.2.00 11.40 1 STRIPE SWIPE.TOWELP11 OF 2964 50 sc 234 11.50 N SHIRT SYNTHETIC OF 1 935 115(1 388 4.24 N r PANT -DENIM CARGO WOR Ul° 1 '743023 IIPT .4SO S.04 N SHAUN PRIVETT 1 SUBTOTAL 9.28 PANT-RELAXED FIT-DEN OF 2 74307 11 .427 4.70 N DAVE L OVE ALL 2 SUBTOTAL 4.70 PANT RELAXED FIT "DEN OF 3 74347 11 427 4.70 1� TERRY KILLZN 3 SUBTOTAL 4.70 1 SHIRT SYNTHETIC OF 4 93S IISH: .385 4.24 N 1 PANT -DENIM CARGO WOR OF 4 74308 11PT .4S8 S.04 N JEFF HICKS 4 SUBTOTAL 9.28 1 1 PANT -DENIM CARGO WOR UF' S 74348 11PT: 4SO 5.04 N HICK ALDEN s SUBTOTAL. 5.04 1 SHIRT CYNTWETI:C OF 6 935 11SH 3 ;385 4.24 N 1 PANT -DENIM CARGO WOR OF 6 '74308 11PT: 458 S.04 N SAM MOFFIT'T 6 SUBTOTAL 9.28 IE SHIFT SYhtT17ETIC OF 7 935 11SH; .385 4.24 N CRYSTAL MONTCON 7 SUBTOTAL 4.24 1 PRE -WASH BLUE JEANS OF 9 894 11PT .428 4.71 N DAVE HUFFMAN a SUBTGTA� 4.71 1 PANT- DENIM CARGO WOR OF 9 74:308 11PT: 5.04 N JIB I HOBBS 9 SUBTOTAL 5. 04 1 E DURA PRESS COTTON PT OF 14 340 11PT; .360 3.96 N 19 SKIRT SYNTHE OF 10 93S IISH: .3285 4.24 N KURT KIRBY 14 SUB TOT AL. 8.20 PANT -DENIM CARGO WOR OF 1:1 74308 11PT: 450 5.04 N STEVE JONES 11 SUBTOTAL 5.44 21 PANT -DENIM CARGO WOR OF 12 7434@ 11PT; 458 S.04 N RON WILLIAMS 12 SUBTOTAL. 5.04 2 PANT -DENIM CARGO WOR OF 13 74308 1IPT .458 S.04 N ERIC RUSSELL 13 SUBTOTAL 5.04 2' PANT -DENIM CARGO_ OF 14 74308 IIP .45S 5.44 N TIM BROWNING 14 SUBTOTAL 5.04 2 WANT- RELAXED FIT -DEN OF 15 74347 11 .427 4.70 N iJEFF STEWART 15 SUBTOTAL _4.70 2 PANT -DENIM CARGO WOR OF 1.6 71308 IIPT 458 5.04 N TRAVIS TABAV 16 SUBTOTAL. 5.04 2 ED0598 -STD COMP U 17 X 124 2 1. F +00 3.00 N 2i MAKEUP CHARGE U 17 X 125 2 1,000 2.00 N 2E CO VERALL SYNTH UF" 17 712 5CV: .488 2.44 N 2 SHIRT SYNTHETIC OF 17 935 11SH; 3735 4.24 N 3( PANT- DENIM CARGG-WOR OF 17 7430F# 11PT; 4510 S. 04 1 GARY JONES 17 SUBTOTAL 16.72 31 PANT -DENIM CARGO WOR OF IS 74348 11PT .458 5.04 N BOYD PIERCY 18 SUBTOTAL. 5.04 3 PANT -DENIM CARGO WOR OF 19 74308 11PT: .4S8 5.04 N JAMES BENTLEY 19 SUBTOTAL. S.44 3 PRE- -WASH BLUE JEANS OF 20 894 11PT: 428. 4.71 N 3 SHIRT SYNTHETIC OF 2 935 11SH .38S 4.24 N STEVE ZE LLER 20 SUBTOTAL 8.95 3 CARHARTT CAR -SZ PREM OF 21 382 11PT .559 6,1S N BRAD HENDERSON 21 SUBTOTAL. 6.15 _3. DURA PRESS COTTON�SH OF 22 330 1iSH, 33 3.64 N T 3 COV ERALL SYNTH OF 22 .912 SCV 88 I- 4 N 3 PANT-RELAXED FIT -DEN OF 22 743`07 11 .x#27 4. 70 iq MIKE HENRICKS 22 SUBTOTAL. 10.78 REVIEWED BY SIGNATURE INVOICE 0 018814006 FINAL TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas IN SUM OF P. O. Box 630803 Cincinnati, OH 45263 -0803 $372.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 018814006 43- 565.01 $372.96 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 Friday, December 10, 201C J O Street Commission& V Street CG I 1 e missioner 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)) 12/07/10 018814006 $372.96 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 ciNrAs ORIGINAL INVOICE REMIT TO: CINTAS CORPORATION 4018 LOCATION 18 amprn: CITY OF CARMEL P O BOX 630803 BROOKSHIRE GOLF CLB CINCINNATI, ON 4S263-0803 12120 BROOKSHIRE PKWY 888-924-6827 INVOICE NO. CARMEL, IN 46033 D E1M1 018813991 CONTRACT WO. ACCOUNT NO. STOP osu DELIVERY CODE SOIL mrcw, INVOICE DATE 02S43 02543 S E102000 R 12/07/10 o/uru: BROOKSHIRE GOLF COURSE 1212O BROOKSHIRE PARKWAY us vo",c n^, cumxo� DEPARTMENT msmMsv,».wv r,nmv CARMEL, IN 46033 018 S1 2 02543 DUE 1/10/11 EVEN BILLING CONTACT: PAUL BLOCKOMS TAX CODE 317-846-7431 TAX EXEMPT mo, 1 LINE SOILFMIN Cl 813 1 ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T CH NO CNT CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x SERVICE CHARGE F I X is S.000 S.00 ***NE.W: CUSTOMER SERVICE HOTLINE NUMBER 608 924 OR 888-PCINTA�-*** REVIEWED By SIGNATURE INVOICE 018813991 FINAL I TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 IN SUM OF Location 18 P.O. Box 630803 Cincinnati, OH 45263 -0803 $51.85 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 018813991 43- 560.01 $51.85 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 Tuesday, December 07, 2010 Director, Brookshire Golf Club 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)) 12/07/10 018813991 Mats $51.85 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 ORIGINAL INVOICE REMIT TO: CINTAS CORPORATION 4018 LOCATION 16 SHIP TO: CITY OF CARMEL P 0 BOX 630803 3400 W 131ST ST CINCINNATI, OH 45263 -0803 CARMEL POLICE 868- 924 -6827 I NVOICE NO. WESTFIELD, IN 46074 -8267 G E2M4 018810452 CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 02650 21141 19 W102000 R 11/30/10 BILLTO: CARMEL POLICE DEPT. 3 3 CIVIC SQUARE LOC ROUTE DAY CUSTNO. DEPARTMENT CUSTOMER P,O. NO, TERMS CARMEL, IN 46032 018 51 2 06824 DUE 12/10/10 EVEN BILLING CONTACT: JASON OGLE TAX CODE 317 -571 -2500 TAX EXEMPT PAGE I LINE SOI L MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. C N I CHG, O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 1 SM SHOP TWL —RED OF R 2160 20 20 .651 13.02 N 2 SM SHOP TWL —RED OF 2160 100 100 .190 19.00 N 3 FENDER CVR —ORNGE OF 2190 5 5 1.000 5.00 N 4 3X5 SCRAPER MAT OF 2477 1 1 3.600 3.60 N 5 3X10 BLACK MAT OF 64035 1 1 7.087 7.09 N 6 RENTAL CARGO PANT OF 1 270 11PT .477 5.25 N 7 IMAGE JACKET OF 1 366 2JK' 1.280 2.56 N 8 SHIRT SYNTHETIC OF 1 935 11SH; .459 5.05 N JASON OGLE 1 SUBTOTAL 12.86 9 RENTAL CARGO PANT OF 2 270 11PT: .477 5.25 N 10 IMAGE JACKET OF 2 366 2JK1 1.280 2.56 N 11 SHIRT SYNTHETIC OF 2 935 11SHI .459 5.05 N ED ALVAREZ 2 SUBTOTAL 12.86 12 SERVICE CHARGE F 1 X 106 7.000 7.00 N INVOICE; TOTAL 80.63 *NEW CUSTOMER SERVICE HOTL N NUMB R 888 -92 :4 -6827 OR 888— �CINTAS *ww wwwwwwwwwwwwww w *www www ,tit *,t :t rt ,a ie' *w ww ww *w pw,t *w,tw FOR ACCTS.RECEIVABLE QU STIO S CONTA T CHANDA HANSENI 937 -235 -374 ww *ww *ww *wwww ww ww :t *w,t :r,tww;wwwwww wwwwwww4w,twwww ,t REVIEWED BY SIGNATURE FINAL INVOICE 018810452 TOTAL ciNrAs ORIGINAL INVOICE REMIT TO: CI#TAS CORPORATION 0018 LOCATION 18 SHIP TO: CITY OF CARMEL P a BOX 630803 3400 u 131ST ST CINCINNATI, OH 4S263-0803 CARMEL POLICE 888-924-6827 /NVwmmo. WESTFIELD, IN 46074-8267 G E1Ml 01881400S CONTRACT NO. ACCOUNT NO. STOP m* DELIVERY CODE SOIL rn"NI INVOICE DATE 026SO 21141 19 W102000 R 12/07/10 BILL TO: CARMEL POLICE DEPT. 3 CIVIC SQUARE L,C ROUTE DAY ""mw" oc,^nnm,or CUSTOMER ,.oNO. TERMS CARMEL, IN 46032 018 S1 2 06824 DUE 1/10/11 EVEN BILLING CONTACT: JASON OGLE TAX CODE 317—S71-2S0O TAX EXEMPT ,^v, 1 LINE SOIL-MIN 0 BIB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. CNT CHG. C l EMPLOYEE NAME NO. NO INVENTORY INVOICED AMOUNT x i0c .190 19.00 N 3.80 N 3XS SCRAPER MAT UF 2477 1 3.800 3X'10 BLACK MAT UF 84035 1. 1 7.087 7.09 N RENTAL CARGO PANT UF 1 VO 11PT 477 5,25 N IMAGE JACKET UF 1 366 2JV. 1, 2-90 2.56 N JASON OGLE I SUBTOTA�- 12.86 RENTAL CARGO PANT UF 2 270 11PT. .477 S,25 N IMAGE JACKET UF 2 366 2JK: 1. 280 2,56 N INVOICE:TOTAL 30. 63 ***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-9?4-6827 OR 888—�CTNTA�*** REVIEWED By SIGNATURE FINAL TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 Location 18 IN SUM OF P.O. Box 630803 Cincinnati, OH 45263 -0803 $161.26 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1110 18810452 43- 565.01 $80.63 1 hereby certify that the attached invoice(s), or 1110 18814005 43- 565.01 $80.63 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 Friday, December 10, 2010 Chief o P o li ce 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)) 11/30110 18810452 payment for laundry services $80.63 12/07/10 18814005 payment for laundry services $80.63 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 ORIGINAL INVOICE REMITTO: CINTA S CORPORATION 4018 LOCATION IS SHIP TO: CITY OF CAR €"DEL. F' D BOX 630803 BROOKSH GOLF CLT3 CINCINNATI, OH 45263. 0803 12120 BR OOKSHIRE PKY 888 INVOICE NO. CARNEL, IN 4603' G E.1Ml 01S813990 CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE 0?6. i 02617 4 W102OOO R 12/07/10 BILL TO: BROOKS'H GOLF CLUB 1L 120 BR0 0kSHIRE PKWY LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS IN 4663;3 X715 51 2 02617 DUE 1/10/11 EVEN FILLING CONTACT: ROBERT D H EXEMPT AX I TAX CODE q 31 7 G46 4 7 06 T 1 PAGE LINE SOM MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X SHIRT SYNTHETIC UF 1 935 11SH 3{? J IJ N RUSSELL PICKETT 1 SLJBT01TA 6. SHIRT SYNTHS —SZ PREM OF 9 935 5 SH; .404 2.02 N TOM L. 9 SUBTOTAL 2.02 SERVICE CHARGE F 1 X 106 1 10.510 10.51 N INVOICE: TOTAL 19.05 ***NEW CUSTOMER SERV CE HOTLIAT NUNB R 888 9i4--6827 OR 8C'.3 FOR. A CCTS RECEIV€I i E 0'3 ST'IO €S Ct3NTra T CHANDA HANSE 9.37-- REVIEWED BY SIGNATURE INVOICE 01881395'0 FINAL TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 Location 18 IN SUM OF P.O. Box 630803 Cincinnati, OH 45263 -0803 $19.05 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1207 018813990 43- 560.01 $19.05 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 Friday, December 10, 2010 s Director, Brooks hl Golf Club 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)) 12/07/10 018813990 Uniforms $19.05 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