HomeMy WebLinkAbout196294 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1
ONE CIVIC SQUARE CINTAS CORPORATION #018 CHECK AMOUNT: $4,366.22
CARMEL, INDIANA 46032 PO BOX 630803
CINCINNATI OH 45263 -0803 CHECK NUMBER: 196294
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 018112634 1912.35 OTHER MAINT SUPPLIES
1093 4238900 018116038 --815.64 OTHER MAINT SUPPLIES
1093 4238900 018119426 X 870.77 OTHER MAINT SUPPLIES
1207 4356001 018119782 -20.10 UNIFORMS
1110 4356501 018119798 j73.14 LAUNDRY SERVICE
2201 4356501 018119799 /354.91 LAUNDRY SERVICE
1093 4238900 018122936 OTHER MAINT SUPPLIES
1207 4356001 018123272 X50.52 UNIFORMS
2201 4356501 018123289 413.22 LAUNDRY SERVICE
ORIGINAL INVOICE
REMITTO: CINTAS CORPORATION 44018
LOCATION 18
SHIP TO: CITY OF CAFi tEL r 0 BOX 630803
3400 W 131ST ST CINCINNATI, OH 45263 -OP03
STREET DEPT 888- INVOICE NO,
WESTFIEL D, IN 46074-8267 f E2M o 81.2-3289
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
026 13139 19 W102000 R 41 i
BILLTO: f,ARMEL STREET DEPT
AT I F`I. DONNIE CALLAHAN LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
4400 W 131ST ST IiIWET 018 5:L 2 02650 DUE S/10/11
WEST!" IELD, IN 46074 EVEN FILLING
CONTACT: BONNIE CALLAHAN TAX CODE
311 733-2001 TAX EXEMPT PAGE 2
LINE SOIL 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
ADAM IOQRG 5.
39 PANT -DENIM CARGO WOO OF 24 74308 11PT 453 S.04 ICE
NATHON ST'APLETO 24 SUBTOTAL S'. 04
40 NEW CINTAS JEAN OF 25. 394 2PT 428 86 N
41 SHIRT SYNTHETIC OF 25 935 11SH .385 4.24 N
JE FF VANW NKLE 2E SUBTOTAI' S.10
42 PANT -DENIM CARGO WA OF 26 74308 11PT :4S8 5. 04 11
LEE HIGGINBOTHA 26 SUBTOTAL 5.04
43 PANT- -DENIN CARGO WOR OE' 27 �74 308 11PT 458 S O4 N
JASON 'WAL DF.N SUBTOTAL 5. 04
44 PANT-DENIM CARGO WOR OF 28 74308 11PT 4r,8 5.04 N
MARK OTTINGER 28 S1;3BT0T'Fa4a x.04
45 CARHARTT CARPtNTEF OF 29
11FT X45° 5. 05_ .N._
46 SHIRT SYNTHETIC OF 29 935 11SH .36E 4.24 N
RAPHAEL BURKE s 9 SUBTOTAL'. 9.29
-47-- a. COVERALL SYNTH OF 30 912 5CV 488 2: 44 'N
4E PANT DENIM CARGO WOR OF 30 74308 11PT 45e8 5.04 N
KEVIN SMITH 30 SUBTOTAL 7.48
49 CARHAI T'T CARPEN OF' 31 382 1 IPT 4 55' 0S N
50 SHIRT SYNTHETIC OF 31 935 22SH 385 8.47 N
DAMIAN DEL.PH 31 SUBTOTAL 3.3.52
PANT- DENIM WOW OF 32 74308 11PT X458 5 :04 N
RANDY JOHNSON 32 SUBTOTAL~ 5. G4
5L EW C:INTAS JEAN IJF 33 394 11PT 420 4. 71 N
�7 SHIRT SYNTHETIC OF 33 11SH 38S 4.24 N
FRED MARTZ 33 SUBTOTk
54 PANT -DENIM CARGO WOR OF 34 74306 11F'T .458 5. 04 N
ED MUIR 34 SUBTOTAL 5.04
55 SHIRT SYNTHETIC OF 35 935 11 H 459 S. IDS N
56 _w PANT' DEh4IM CARGO WOR OF 3S 74308 11PT 45#3 S. 434 N
MIKE KALOGF.ROS 3E SUBTOTAL 10.
57 SHIRT SYNTHETIC OF 36 935 11SH 385 4.24 H
58 PANT -DENIM CARGO WOR OF 36 74308 11PT 458 S,04 N
al.1k�
TIM COFFEY 36 S UBTOTAL TOTA4;.
9;
SHI SYN THETIC OF 37 935 3.1SH 385 4; 24 N
60 PANT -DENIM CARGO WOR OF 37 74308 11PT 45=8 5.04 11
MARK CARTER 37 1 SUBTOTAtr
61 CARHARTT 5 PKT JEAN OF 36 361 11PT x`,50 6. OS N
CAMER014 MASON 38 SUBTOTAL 0.05
6�' w_ PANT- DENIM CARGO" WOR OF 74308 1.1P'f .458 5.04
MIKE C LARK 39 SU BTOTAL E. 04
63 SHIRT SYNTHETIC I_ {F 40 X35 115H 8S'S 4.24 N
64--_ F` ANT DENIM CAI r tT WOR I:IF 40 74•:308 11PT. 458 5. 04_ N.
WILL.. DAVIS 40 SUBTOTAL. 9,28
65 CARHARTT CARPENTER OF 41 382 1 1PT; 459 S.05 N
66 .SHIRT SYNTHETIC_____ OF 41 935 11SF1 355 �4: 2 4 N
MIKE WILLIAMM- N 41 SUBTOTAL 9.29
67 SHIRT SYNTHETIC OF 42 935 SSH .385 1.93 'N
KRISTI _SNYDER 42 SUBTOTAI 1.93
68 PANT--OENIM CARGO WEIR OF 4U 74306 11PT 4J8 5.04 N
NATHAN MORRIS 4a SUBTOTAL 5.04
65' I` PA PZDENIN' CARGO OF OF 44 (43(38 11PT i 4S8
SCOTT TOWNSEND 44 SUBTOTAL `5. Q4
?tt 1�4EW CIidTAS JEA4 01 45 J94 1 428 4.71 N
F
NARKS PIFE b SURTOTALs 4 71
71 SERVICE CHARGE F 1 K 106 8.400 6.40 N
INVOICE;TOTA_ 413.22
*NEW _CUSTOlME'R SERVICE HOTL N NUMB R 88 24 -6827 "OR,_888 ClNT'AS
tt�•�•x���c �a�tt�ttx���r�•�u�. a��• .n•��� ����•>i ��•��a>:u��;as•>r�a�ae� :�������•�•��•�c�t•��� -�3E
FOR ACCTS, RECEIVABLE QU STIO S COr4TA T CHANDA HA14SE L 937 -2 -374
REVIEWED BY SIGNATURE
INVOICE 0 018123285' TOTAL #a�� #t?•�
ABBREVIATION BUY BACK COUABS) PACKING CODES (PK)
B Buy Back B Package in Bundle
CODE DESCRIPTION BB Buy Back Both Combo Items H Package on Hanger
SH SHIRT BI Buy 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
DR DRESS CHANGE OVER _(CAO PRICE EXTENSION (PR EX)
SM SMOCK a No Change Over U Unit Priced
JK JACKET 1 Standard Change Over F Flat Rated
LP LAPEL COAT 2 Philadelphia Only
BZ BLAZER
SA SHOP APRON
VT VEST
LN LINER
SK SKIRT DELIVERY FREQUENCY �L FR) SERVICE TYPE
W Weekly G Garment
E Every Other Week D Dust
M Monthly L Linen
T Towel
S Direct Sales Only
EXCHANGE METHOD JE�ME
0 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
a Rental Item
cowuk ORIGINAL INVOICE
nsmnTo. CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P O BOX 630803
3400 W 131ST ST CINCINNATI, OH 4S263-0803
GTR[ET DEPT 888-924-6827 INVOICE NO.
WESTFIELD, IN 46074-8267 G E2M2 018123289
CONTRACT xv ACCOUNT NO. STOP ^e* DELIVERY CODE SOIL ,mcw, INVOICE DATE
02650 13139 19 W102000 R 4/05/11
BILL TO: CARMEL STREET DEPT
ATTN. BONNIE CALLAHAM us ROUTE o^, ooSTwv- oc"^mo,wr CUSTOMER ,uNO. rcpmo
3400 W 131ST STREET 018 S1 2 026SO DUE 5/10/11
WESTFIELD, IN 46074 EVEN BILLING
CONTACT: BONNIE CALLAHAN TAX CODE
317-733-2001 TAX EXEMPT mor 1
LINE SOIL MIN C l BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNT CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
100 100 .193 19,30 N
Of 3XS SCRAPER MAT UF 2477 3 3 3.914 11.74 14
T 3XIO'BLACK MAT E2 UF 8403S '0 47. 2E N
TEkkY'_KILLZN :3 SUBTOTA� 4 70
10 SHIRT SYNTHETIC UF 4 93S 115H .38S 4.24 N
JEFF�_ HICKS SUBTOTAL 9. _28
12 PANT-DENIM CARGO lJOR UF S 74,308 11 PT .4r8 5.04 N
RICK, ALDEN
5 SUBTOTAL 5.04
SHIRT SYNTHETIC UF 6 93S IISH: 38S 4.24 N
v CRYSTAL MONTGOM 7 SUBTOTAL 4. 24
16 NEW CINTAS'JEAN UF 8, 394 11PT .428 4 71 IN
JIM HOBBS 5� SUBTOTAL S,04
_18 DURA COTTON PT UF 10 340 11PT 3.'96 N
SUBTOTAL 8.20
KURT KIRBY 10 1
STEVE JONES 11 SUBToTiv: 5.04
RON WILLIAMS 12 SUBTOTAL 5. 04'
22 PANT-DENIM CARGO WOR UF 13 74308 11PT .458 5.04 N
TIM BROWNING 14 SUBTOTAL S.04
PANT-RELAXED FIT-DEN UF 15 '74307, 11 .427 470 N
S.04 N
2.5 PANT-DENIM CARGO WOR UF 16 74308 11PT .4S8
TRAVIS TABAM 16 SUBTOTAL 5.04
27 SHIRT SYNTHETIC UF 17 935 IISH .38S 4. N
26 PANT-DENIM CARGO UOR UF 17 74308 11PT
"GARY JONES 17 SUBTOTAL 11 72
ag
PANT7RELAXED-FIT-DEN UF 18 74307 11 4.70 N
TAr
jAMES BENTLEY ty SUBTOTAL S'.04
32 NEW__CINTAS`_ _JEAN UF 20' 394 11PT 428
33 T.,:, SHIRT SYNTHETIC UF 20 935 IISH
STEVE ZELLER 20 SUBTOTAL 10,95
BRAD HENDERSON 21 'Al:
SUBTOIA, 6.15
COVERALL SYNTH 22y 91 5CV
37 PANT--RELAXED- FIT-DEN UF 22 7 11 .427 +70 N
MIKE HEWRICKS 22 SUBTOTAi 10,-713
IGNATURE INVOICE tt 0181-03289 FINAL
REVIEWED BY I TOTAL
CINrAs ORIGINAL INVOICE
REMIT T O: C.CNTAS CORPORATION 0 018
LOCATION 18
SHIPTO: CITY OF CARMEL P O BOX 630803
3400 W DEP ST CINCINNATI, OH 45263 -0803
S TREET DEPT INVOICE NO.
WESTFIELD, IN 46074 -8267 G E1.3S1 018119799
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE OATS
02650 13139 19 W102000 R 3/29/11
BILLTO: CARMEL STREET DEFT
ATTN. BONNIE CALLAHAN LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
3400 W 131ST STREET 018 51 2 02650 DUE 4/10x`11
WESTF'IELD, IN 46074 EVEN BILLING
CONTACT: RONNIE CALLAHAN TAX CODE
317 733-2001 TAX EXEMPT PAGE 2
LINE SOIL 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
3 PANT -DENIM CARGO WOR OF 24 74 :308 11PT� .45� 0
NATHON STAPLETO 24 SUBTOTAL 5.04
39 PRE -MASH BLUE JEANS OF 25 894 2PT; .428 .8e N
40 SHIRT SYNTHETIC OF 25 935 11SH: .385 4.24 N
JEFF:VANWINKLE 2S SUBTOTAL 5.10
41 PANT CARGO WOR OF 26 74308 11PT; .4S3 5.04 N
LEE HIGGINBOTHA 26 SUBTOTAL S.04
4� PANT -DENIM CARGO WOR UF" 27 74308 11PT: .458 5.04 N
JASON WALDEN 27 SUBTOTAL. S.04
4" wPAN T DctyIff CARGO WOR OF 28 74308 11PT ..458 5.04 14
MARK OTTINGER 28 SUBTOTAL 5.04
4 CARHARTT CARPENTER OF 29 382 11PT: .4S9 S. OS N
4 SHIRT SYNTHETIC OF 29 935 11SH; ABS 4,24 N
RAPHAEL BURKE 29 SUBTOTAL. 9. 2 9
4 COVERALL SYNTH JF" 30 912 5CV .488 2,44 N
47 F'ANT= DE.NII'!':C ARGO WOR OF 30 74308 11PT: 458 S.04 H
KEVIN SMITH 30 SUBTOTAJ- 7.48
46 CARHAF_:TT CARPENTER OF 31 382 11PT .4S? S. OS N
4 SHIRT SYNTHETIC OF 31 935
22SH 385 8.47 N
DA111AN DELPH 31 SUBTOTAL 13.S2
so PANT -DENIM CARGO WOR OF 32 74308 11PT; 458 5.04 N
.,.'RANDY JOHNSON 32 SUBTOTAL S.04
51 NEW CINTAS JEAN L1F 33 394 11PT: 428 4.71 N
S 2 SHIRT SYNTHETIC OF 33 935 11SH- .385 4.24 N
_FRED MARTZ 33 SUBTOTAL 8. 95
5; PANT -DENIM CARGO WOR OF 34 74308 11PT: .4S8 S.04 N
ED MUIR :34 SUBTOTAL S.04
5 -SHIRT SYNTHETIC UE 35 93S 11SH: .459 S,05'N
5 rANT -DENIM CARGO WOR OF 35 74308 11PT .458 5.04 N
MIKE:KALOGERdS 35 SUBTOTAL 10.09
S6 SHIRT SYNTHETIC OF 36 93S 11SH .385 4.24 N
57 PANT -DENIM CARGO WOR UF 36 74308 11PT: 458 5. t4 N
TIM CdFFEY 36 SUBTOTAL. 9.28
5 SHIRT SYNTHETIC UF' 37 935 IISH" 385 4.24 N
55 PANT -DENIM CARGO WOR UI' 37 74508 11PT� 4vS 5.04 N
MARK, CARTER 37 SUBTOTAV 9.28
C "t 5 JF'KT JEAN OF ;38 361 11PT 550 S. OS N
CAMERON MASON 38 SUBTOTAL 6.OS
61 PANT -DENIM CARGO WOR UF 39 74308 11PT� 458 5.04 N
MIKE CLARK 39 SUBTOTAL 5
6' SHIRT SYNTHETIC Ui= 40 935 11 ►H .385 4.24 N
6 PANT -DENIM CARGO. WOR UF 40 74308 IPT 456 5.04 N
WILL DAVIS 40 1 SUBTOTAL 9.23
64 CARHARTT CARPENTER UF 41 382 11PT; .459 &05 N
65 SHIRT SYNTHETIC UF 41 935 118H; .38S 4.24 N
.MIKE WILLIAMSON 41 SUBTOTAL 9.29
6 SHIRT SYNTHETIC OF 42 935 5SH' .385 1.93 N
KRISTI, SNYDER 42 SUBTOTAL 1.913
61 PANT- -DENIM CARGO WOR OF 43 74308 11PT: 458 5.04 N
NATHAN MORRIS 43 SUBTOTAL 5.04
6 PANT- DENIM CARGO WOR Ut= 44 74308 11PT: .458 5.04 N
SCOTT TOWNSEND 44 SUBTOTAL 5.04
6 PRE -WASH BLUE JEANS OF 45 894 11PT; .428 4.71 N
PARKS PIPER 45 SUBTOTAL 4.71
7i SERVICE CHARGE F" 1 X 100 8.400 8.40 N
INVOICE; TOTAL 3S4,91
***NEW CUSTOMER SERV CE HOTLINE NUMBER 888 -9L�4 -6827 OR 888-- 9CINTA
FOR ACCTS. RECEIVABLE -QU- CONTACT CHANDA HANSE4 1 937 X35--37 5
REVIEWED BY SIGNATURE FINAL
TOTAL
CI NEAS. ORIGINAL INVOICE
REMIT TO: CINTAS CORPORATION #018
LOCATION 18
SHIP TO: CITY OF CARMEL P 0 BOX 630803
3400 W 131ST ST CINCINNATI, Oil 41263 -0803
STEVE DEFT 888 INVOICE NO.
WESTFIELD. IN 46074 -8267 G 1=14'41 0181.19799
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE
02650 133139 19 W102000 Re 3/29011
BILL TO: CARMEL STREET DEFT F'
ATTN. BONNIE I ALLAHAN LOC ROUTE DAY COST N0, DEPARTMENT CUSTOMER P.O. NO. TERMS
3400 W 131ST STREET 018 :1 2 02650 DUE 4010011
WESTFIELD, IN 46074 EVEN FILLING
CONTACT. BONNIE CALLAHAN TAX CODE
317-733- TAX EXEMPT PAGE I
LINE
S OIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CUT CHG. O BB EMPLOYEE NAM NO. NO. INVENTORY INVOICED PRICE AMOUNT X
1 STRIPE SWIPE WELM1 2964
SM SHOP TWL -RED UP' R 2160 8 .651 :3 21 114
SM SHOP TWL -RED U; 2160 100 10 .192 19.30 N
3X5 S MAT uF 2477 3 3,914 1 N
STRIPE SWIPE T OWELMI OF 2964 10 5 y36 11.80 N
Y SHIRT SYNTHETIC OF 1 935 115H; 385 4.24 N
r PANT -DENIM CARGO WOR OF 1 74308 11: 458 5. 04 N
SHAUN PRIVETT 1 SIJBTOTA� 9.28 F'T
PANT-RELAXED FIT -DEN _LIF 2 74307 11 427 4.70 N
DAVE LOVEALL 2 SUB70TAL 4.70
'AN_T- RELAXiWC2 FIT DEN OF 3 74307 11 427 4.70 N
TERRY 4 <ILLZN 3 SUBTOTAL 4.70
to SHIRT SYNTHETIC IJF 4 935 IISH: .385 4.24 N
11 PANT -DENIM CARGO WOR OF 4 74308 11PT; 5.04 N
,JEFF HICKS 4 SUBTOTAL 9.28
12 PANT- -DENIM CARGO WOR OF 5 74308 11PT .458 5. 04 N
HICK ALDEN 1 SUBTOTAL 5.04
1 SHIRT SYNTHETIC UP' 6 935 11SH: .381 4.24 N
14 PANT -DENIM CARGO WOR OF 6 74300 11PT: .453 104 N
SAM MOFFITT 6 SUBTOTAL 9.28
is SHIRT SYNTHETIC OF 7 935 11SH: .385 4.24
CRYSTAL.MONTGOM 7 SUBTOTAL 4.24
16 PRE -WASH )SLUE JEANS OF 8 894 11PT .428 4.71 N
DAVE HUFFMAN 0 SUBTOTAL 4.71
17 PANT -DENIM CARGO WOR OF 9 74308 11PT 453 5.04 N
JIM HOBBS 9 SUBTOTAL 5.04
1 DURA PRESS COTTON PT OF 10 340 1IFT 360 3.96 N
1 :SHIRT SYNTHETIC OF 10 933 115H
.385 4.2 N
KURT KIRBY 10 SUBTOTAL 8.20
4r
PANT-DENIM CARGO WOR EJF 11 74308 [iPT 458 5.04 N
STEVE JONES 11 SUFTOTA� 5.04
21 PANT -DENIM CARGO WOR IJF 12 74308 lIPT 4 S 5. 04 N
RON WILLIAMS 12 SUBTOTAL 5.04
2 PANT -DENIM CARGO WOR OF 13 74348 IIPT .456 S.04 N
ERIC _RUSSELL. 13 SUBTOTAL 5.04
PANT-DENIM CARGO WOR OF 14 74308 11FT .4S8 5.04 N
TIN BROWNING 14 SUBTOTAL 5.04
2" PANT- RELAXED FIT -DEN OF 15 74307 11 .427 4.70 N
;JEFF STEWflRT 15.. SUBTOTAL 4: 70
2 PANT-DENIM CARGO WOR OF 16 74308 11FT I .4E6 1.04 N
TRAVIS TABAX 16 SUBTOTAL 5.04
3 CIJVERALL SYNTH O 48B 2.44 N
17 91z2 T CV A
?r SHIRT SYNTHETIC OF 17 935 1, iSH
.33S 4.24 N
PANT -DENIM CARGO WOR OF 17 74308 11PT; 1 #18 5. 04 N GARY JONES:. 17 SUBTOTAL 11.72
PANT- RELAXED FIT-DEN 1S 'UF 74307 11 Sl1RTQTA� .427 1 4. 70 N
B OY D 4.70
AN
3 PT -DENIM CARGO WOR OF 19 74308 11P'T; .458 5. N
JAMES BENTLEY 1.9 SUBTOTAL 5.04
3 PRE -WASH BLUE JEANS OF 20 894 11PT: .428 4. N
3• SHIR SYNTHETIC OF 20 935 11SH;65 4.24 N
STEVE:ZELLER 20 SUBTOTAL 8.91
3 CARHARTT CAR -SZ PREM OF 21 382 11PT 559 6. 1S 4fi
BRAD HENDERSON 21 SUBTOTAL. 6.15
3 DURA PRESS COTTON SH OF 22 330 '1ISH: 331 3.64 N
3 COVERALf_ SYNTH OF 22 91.2 :ACV 488 2.44 N
3 PANT�-RELAXED FIT -DEN 'UF 22 74307 11. .427 4.70 N
MIKE HENRICKS 22 SUBTOTAL. 10.78
3 r PANT-DENIM CARGO WOR t3F 23 74306 11P T 5. 041 4V
ADAM TOWNS 23 SUBTOTAL S.04
REVIEWED BY SIGNATURE INVOICE 0981197Q9 FINAL
TOTAL
VOUCHE N WARRANT N
ALLOWED 20
Cintas
IN SUM OF
P. O. Box 630803
Cincinnati, OH 45263 -0803
$768.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 018119799 43- 565.01 $354.91 1 hereby certify that the attached invoice or
2201 018123289 43- 565.01 $413.22 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
Thursdpy, April 07, 2011
10 1 Xv ..1f
Stre t Commission
ry
Street T� mission er
Cost distribution ledger classification it
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))
03/29/11 018119799 $354.91
04/05/11 018123289 $413.22
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
ORIGINAL INVOICE
cl REMIT TO: CINTAS CORPORATION 4018
LOCATION 18
SHIPTO: CARMEL CLAY PARKS RECRE P 0 BOX 630803
THE MONON CENTER CINCINNATI, OH 45263 -0803
1235 CENTRAL PARK DR 888 -924 -6827 INVOICE NO.
CARMEL, IN 46032 D E2M4 018116038
CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE
02597 02597 10 W102000 R 3/22/11
BILL TO: THE MONON CENTER
1411 E 1 16TH STREET LOG ROUTE DAY GUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
CARMEL, IN 46032 018 28 2 02597 DUE 4/10/11
EVEN BILLING
CONTACT: TERRY MYERS TAxCODE
317 573 -5239 TAX EXEMPT PAGE 1
LINE SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY OUANTfTY INVOICE T
ND. CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRIGS AMOUNT X
1 STRIPE SWIPE TOWEL U R 2964 16 1.000 16.00 N
2 WHITE MICROFIBR WIPE U R 7717 5 1.000 5.00 N
3 24" DUST MOP UP 2570 16 16 .993 15,B9 N
4 60" DUST MOP OF 2610 7 V 7 .990 6.93 N
5 STRIPE SWIPE TOWEL OF 2964 800 800 .157 125.60 N
MM AIR_FRESHENER_SVC. OF _--6_116, 4 0 40 3.4,12_ _136.48, _N
7 FIBGLS WET MOP HANDL OF 6923 4 4 N
8 FBGLS DUST MOP HANDL OF 6925 4 4 N
9 2 0 "MICROFBR MO HE OF 7000 60 60 .462 27. N
10 20 "MICROFB MOP FRAME OF 7602 4 4 .055 .22 N
11 JRT TOILET PAPER CAS OF 7702 3 3 63.000 189.00 N
12 WHITE M ICROFIBR WIPE OF 7717 120 120 257 30.84 N
13 ATR FRESHNER DISPNSR U'F 9016 34 34 N
14 URINAL SCREEN SVC OF 9210 24 24 2.060 49.44 N
15 HAIR BODY WASH RFL UD 9321 2 4 41.580 166.32 N
176 2 ANTIMCR WET MOP 6972 4'0 4 0 .99'0 3 9 -60 N
17 SERVICE CHARGE F I X 15 6.600 6.60 N
INVOICE TOTAL 81
*NEW CUSTOMER SERV CE HOTLINE NUMBaR 888 -92;4 -6827 OR 888- 9CINTAS
xxw ww wwwwxxxwww ww xw wxxw wwwwx wwwww xx;xx,twww *,kwwxxxx
FOR ACCTS.RECEIVABLE QU STIO S CONTA T CHANDR HANSEq 937 -235 -374
V
I
REVIEWED BY SIGNATURE FINAL
INVOICE 018116038 TOTAL
ORIGINAL INVOICE
caw&• REMIT TO: CINTAS CORPORATION 4018
LOCATION 18
SNIPTO: CARMEL CLAY PARKS RECRE P O BOX 630803
THE MONON CENTER CINCINNATI, OH 45263 -0603
1235 CENTRAL PARK DR 888- 924 -6827 INVOICE NO,
CARMEL, IN 46032 D FIM3 018112634
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02597 02597 9 W102000 R 3/15/11
BILL TO: THE MONON CENTER
1411 E 116TH STREET LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
CARMEL, IN 46032 018 28 2 02597 DUE 4/10/11
EVEN BILLING
CONTACT: TERRY MYERS TARCODE
317 573 -5239 TAX EXEMPT PAGE 1
LINE SOIL MIN C REM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CN`I� CHC. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT
1 STRIPE SWIPE TOWEL U R 2964 16 1.000 16.00 N
2 WHITE MICROFIBR WIPE U R 7717 5 1.000 5.00 N
3 24" DUST MOP _UP 2570 16 16 .993 15,8 N
�4� 60" DUST MOP OF 2610 7 7 .990 6.93 N
5 STRIPE SWIPE TOWEL OF 2964 800 800 .157 125.60 N
MM_AIR_FRESHENER_SVC. OF _.._6.1,16. 40, T 40 3_ T 136.48.
7 MM CINNAMON REFILLM3 OF 6124 40 40 N
8 FIBGLS WET MOP HANDL OF 6923 4 4 N
9 FBGLS DUST MOP OF 6925 4 4 N
1G 20 "MICROFBR MOP HEAD OF 7000 60 60 .462 27 .72 N
11 20 "MICROFB MOP FRAME OF 7002 4 4 .055 .22 N
12 C PULL TOWEL CASE E1 OF 7699 1 1 55.125 55.13 N
13 JRT TOILET PAPER CAS OF 7702 3 3 63.000 189.00 N
14 WHITE MICROFIBR WIPE OF 7717 120 120 .257 30.84 N
15 AIR FRESHNER DISPNSR OF 9016 34 34 N
16 URINAL` SCREEN SVC UF 92170 2 4' 24 2- 0 49 44 N
17 URINAL SCREEN RFL E1 OF 9215 14 14 N
18 HAIR BODY WASH RFL UD 932 2 5 41.580 207.90 N
19 240Z ANTIMCR WET MOP OF 6912 40 40 .990 39.60 N
20 SERVICE CHARGE F 1 X 15 6.600 6.60 N
INVOICE TOTAL 912.35
*NEW CUSTOMER SERV "CE HOTli ENE ER -9 4 -*627 OR 888-9CINTAS
*t *:rwww +w +w *wwtwwww ww wwt:t *wwwwt www +www *www +,r.� kwww *w,kwwt ww,t,t
FOR ACCTS.RECEIVABLE QU STIO S CONTA T CHANDI HANSE 93 7723 5 -374
+:w *x wwwwww *ww *w w* wwwc i,r :rwwww w *�ww w�wwwwww i:w *w,twwt *w *ww w
V
I
P.
REVIEWED BY SIGNATURE
FINAL
INVOICE 4 018112634 TOTAL
ORIGINAL INVOICE
REMIT TO: CORPORATION 44018
LOCATION IS
ax/pTo: CARMEL CLAY PARKS RECRE P O BOX 630803
THE MONON CENTER CINCINNATI, OH 4S263-0803
1235 CENTRAL PARK DR 888-924-6827 INVOICE NO.
CARMEL, IN 46032 D E1M1 018119426
CONTRACT NO. ACCOUNT NO, STOP `su DELIVERY CODE SOIL mr"w, INVOICE DATE
02S97 02997 10 W102000 R 3/29/11
ouLrn: THE MONON CENTER
1411 E 116TH STREET mo ROUTE mw ov"`wo. oEmmm,m` CUSTOMER ,».NO. an"v
CARMEL, IN 46032 018 28 2 02597 DUE 4/10/11
EVEN BILLING
CONTACT: TERRY MYERS TAX CODE
317-573—S239 TAX EXEMPT "w« 1
LINE SOILF C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNI CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
s STRIPE SWIPE TOWEL --WP 2964 000 60( I'S7 12S.60 N
20"MICROFDR HEAD OF 7000 61 27. 72 N
1 JRT-TOILET PAPER CAS U 7702 :3 63.000 1,89. 00 N,
1� WHITE MICROFIPR WIVE UF 7717 120 12( 257 30. 84 N
is URINAL SCREEN SVC 9210 24 2x 2 0 6 0 49. 44 N
ANTINCR WET NOP UF 6912 40 4C .990 39.60 114
19 SERVICE CHARGE F I x is t"). 600 6,60 N
INVOICE: TOTAL 870. "77
FRECF,1V ED
MAR 3 20 11
NA
Bud It
pmvw
Dato
REVIEWED BY SIGNATURE INVOICE 0 018119426 FINA
TTOTAL
CHH6��., ORIGINAL INVOICE
nsmnro. CINTASCORPORATIUN #018
LOCATION 18
umpro: CARMEL CLAY PARKS RECRE P D BOX 630803
THE MONON CENTER CINCINNATI, OH 45Z63-08O3
123S CENTRAL PARK DR. a88-924-6827 INVOICE NO.
CARNEL, IN 46032 0 E2M2 0 18122936
CONTRACT NO. ACCOUNT NO. STOP xa, DELIVERY CODE SOIL mnour INVOICE DATE
02S97 02S97 1O U102000 R 4/OS/i1
BILL TO: THE MONON CENTER
1411 E 116TH STREET L"x nums v^, warwo. ovmmmsxr CUSTOMER ,.o.NO. r,xmm
CARMEL^ IN 46032 018 28 2 02597 DUE S/l0/11
EVEN BILLING
CONTACF� TERRY MYERG TAX CODE
317-S73-5239 TAX EXEMPT wmc 1
LINE SIDIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T
NO. CNT CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
60" DUST MOP UF 2610 7 7 1039
5 STRIPE SWIPE TOWEL: UF C Boo .164 131. 20 N
Mil AIR FRESHENER,SVC UF 6116 40 40 3-S82 _,143. 28 N
12 UHITE 11TCROFIBR WIFE UF 7717 120 120 "P-69 3228 N
14 URINAL SCREEN' SVC UF 9 f 10
17 SERVICE CHARGE F I x 1 5 6.930 6-93 IN
INVOICEJOTAL S7
***NEW CUSTOPIER SERVICE H011 I NE NIUMEER 888-924-6827 OR 88Y
EFFECTIVE WITH THIS JNV@l]. 'TOLR PRICES HAVE :BEEN
ADJUSTED IN ACCORDANCE WITH (Ur' SERVICE AGREENENT.
Bud t
F B mp
MAST El"'li q.
REVIEWED BY SIGNATURE TFINAL
INVOICE ff 01-8122936 TOTAL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
197000 Cintas Corp. #018 Date Due
P.O. Box 630803
Cincinnati, OH 45263 -0803
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3115/11 18112634 Janitorial supplies 28063 912.35
3122111 18116038 Janitorial supplies 28063 815.64
3129/11 18119426 Janitorial supplies 28350 870.77
4/5/11 18122936 Janitorial supplies 28350 855.57
Total 3,454.33
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
Voucher No. Warrant No.
Allowed 20
197000 Cintas Corp. #018
P.O. Box 630803
Cincinnati, OH 45263 -0803 In Sum of
3,454.33
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT XTITLE AMOUNT Board Members
Dept
1093 18112634 4238900 912.35 1 hereby certify that the attached invoice(s), or
1093 18116038 4238900 815.64 bill(s) is (are) true and correct and that the
1093 18119426 4238900 870. materials or services itemized thereon for
1093 18122936 4238 855.57 which charge is made were ordered and
received except
7-Apr 2011
Signature
3,454.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4
CP ORIGINAL INVOICE
REMIT TO: CINTAS CORPORATION ##0113
LOCATION i8
7'TY O 1 E n
SHIP TO: L I LtF �;AR iC.L- G BOX 30803
BOMS1�i GCLI' CLD CI OH 4S26,303 0803
12120 2ROi7#�,SHIRE I"K 888 ?c ••S INVOICE NO.
L,Ao;::l =L, IN 40033 G c2l"32 018
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02617 02617 2 U102000 F. 4/05/11
BILL TO: BROOKSHIRE GOLF CL I U B tfy
12120 BROi3KSHII E PKWY LOC ROUTE DAY OUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
I_APMEL, IN 46033 016 51 2 02617 DUE 5/10/11
EVEN BILLING
CONTACT: RO D HIGGINS TAX CO
;1 1' 8.,41 4 706 T AX X EXE 7 is P r
PAGE 1.
LINE aUIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T
NO. CN G. T CH O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X
SHIRT SYNTHETIC HETIC Ur 93S a,ISH 4C;3 3. 33 N
RUSSELL PICKETT I SUBTOTAL: 6,S2
3 SHIRT SYNTHETIC UF 93a IISH 303 '3:.33 N..
BUL14 EMPLOYEE A 2 SUB TOTAL',
4" SHIRT SYNTHETIC UI" 3 935 IISH .303 3.,33 N
s PROKNIT NO POLO SHRT UI* 4 2S9 22SH .259 5. 70 N
BULK POLOS 4 UBTOTA(y 5. '70
PROkNIT NG POLO SHRT_ UE S 259 -11311 .259
�3 11
MEDIUN PALLS 5 SUBTOTM, 2.` 35
FROKNTAT NO POLO .SHRT OF 6 255 22SH d 251 5. 70 H
XL POLOS SUPTOTA: 71
8 PROKNIT NO POLO SHRT UF 7 25? IISH 2S9 2.85 N
LARGE POLOS 7 SUBTOTAL 2.8S
SHIRT ":SYNTHETIC UF' 8 93S IISH 303 3.33 N
BULK X1 8 SLJBTOTA� 3.33
to SHIRT SYNTHE °SZ PREM OF I? 1 ?35 5SH:,' .404 ?.0�'_ N
9 SUBTOTAL AL 2 01
11 SHIRT SYNTHETIC OF 10 93S 1. iSH 303 3.33 N
BULK XL 2 i13 supT(:l 3.33
12 SERVICE I X 106 1 I1. 5 11.56
1�1
INVOICE: TOTAL 50.52
*NEW CUSTOMER SERVICE HOTLI NUMBER R $85-924 -6327 OR 888-- 9CINTAB
�f• Y•3t•�'1FtF'.F ##31�•Y��9F3F3t:� 3fif' ?f ?E #iF#3f #:'f� #�FI�•l #�E #3f #•IF�iE3(•?t••k••�ii'1#3f #?s�k
FOR ACCTS. RECEIVABLE. Q UI STI13 S CONTACT CHANM HANSE 9374.35°-374
3Exf�?E•T43t #?t #��•if3f#rM 7f ###if xf•H•3fif# ?f?# #3f #9E#9@aF #•Jfar�# �•�3E#iF•k4•?f:l�'#:��3rh•'sf .�f
REVIEWED BY SIGNATURE
INVOICE 0 1718123272 TOTAL
VOUCHER NO. WARRA NO.
ALLOWED 20
Cintas Corporation #018
Location 18 IN SUM OF
P.O. Box 630803
Cincinnati, OH 45263 -0803
45� 5
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
i I hereby certify that the attached invoice(s), or
I 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
1207 018123272 43 560.01 $50.52
Friday, April 08, 2011
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. 1991
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))
1 Rugs
i
C
04/05/11 018123272 Uniforms $50.5
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
CI ORIGINAL INVOICE
REMIT TO: C,IN 1 f3S CORPORATION ifi018
XXXXX DUPLICATE LOCATION 16
SHIP TO: CITE' OF CARMEL P 0 BOX 630803
3400 W 131ST ST CINCINNATI, OH 45263-0003
CARMEL POLICE 888- 924 --6827 INVOICE NO.
WESTFIELD, IN 46074- -8267 C Elill 018119798
CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TKT CNT INVOICE DATE
02650 21141 18 U102000 R 3/29/11
BILL TO: C ARMEL.. POLICE DEPT. 3
3 CI VIC SQUARE LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
CARMELi IN 46032 018 Sl 2 06824 DUE 4/10/11
EVEN BILLING
CONTACT: JASON OGLE TAX CODE
31.7- 571 -2500 TAX EXEMFT PAGE 1
LINE SOIL 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
1 S I SHOP TUL. -RED OF R 2160 65 n..a
SM SHOW TWL-RED OF 2160 100 10 .193 19.30 N
FENDER i:VFt- t7FSNGE OF 2190 i.000 2. N
4. 3X5 SCRAPER MAT OF 2 477 1 1 3, 914 3.91 N
3X10 BLACK MAT UF 84135 1 1 f, 299 1.30 N
RENTAL CARGO PANT OF 1 270 11PT 477 S. 25 N
IMAGE JACKET OF 1 366 2JK 1,280 2.56 N
SHIRT SYNTHETIC LIF 1 93S 11SH; 459 S.OS N
JASON OGLE 1 SUBTOTAL 12."66
RENTAL_ CARGO PANT UF 2 270 11PT .477 S. 1 N
1 IMAGE JACKET OF 2 366 2JK 1.280 2, S6 N
l SKIRT SY NTH E TIC UF 2 935 118H .459 5.0S N
ED ALVAREZ 2 SUBTOTAL_ 12,86
12 SERVICE CHARGE F 1. X 106 8.400 8.40 N
INVOICE TOTAL 73.14
*NEW CUSTOMER SERVICE HOTLINE NUMBER 888 -9�4 -6827 OR 888- �CINTA._
FOR ACC RECEIVABLE QU STlO S CONTACT CHANDA HANSE Q 937-23S-374S
L I
REVIEWED BY SIGNATURE INVOICE 0 018119798 FINAL
TOTAL
VOUCHER NO. WARRANT NO,
ALLOWED 20
Cintas Corporation #018
Location 18
IN SUM OF
P.O. Box 630803
Cincinnati, OH 45263 -0803
$73.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 18119798 43- 565,01 $73.14 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, April 11, 2011
Chief of 'Police
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))
03/29/11 18119798 payment for laundry services $73.14
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
comko ORIGINAL INVOICE
REMIT TO: CINTAS CORPORATION #018
LOCATION 18
SHIP TO: C3TY OF CARMEL P D BOX 630803
BROOKSHIRE GOLF CLB CINCINNATI, OH 4S263-0803
12120 BROOKSHIRE PKY 888-924-6827 INVOICE NO.
CARMEL, IN 46033 G E1M1 O18119782
CONTRACT NO. ACCOUNT NO. STOP SEo DELIVERY CODE no/Lnn,wr INVOICE DATE
02617 02617 2 W102000 R 3/29/11
BILL TO: BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY mc x""rc mr w^r°o. vc,Avn^smr CUSTOMER ,uNO. TERMS
CARMEL, IN 46033 018 S1 2 02617 DUE 4/10/11
EVEN BILLING
CONTACT: ROBERT D HIGGINS TAX CODE
317-846-4706 TAX EXEMPT 1
SoiL MIN 138 ITEM DESCRIPTION OR INVOICED PRICE
CH 0 EMPLOYEE NAME NO. NO. INVENTORY AMOUNT x
RUSSELL PICKETT I SUBTOTAL &S2
INVOICE:TOTAL 20.10
REVIEWED BY SIGNATURE FINAL
INVOICE P 018119782 TOTAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cintas Corporation #018
Location 18 IN SUM OF
P.O. Box 630803
Cincinnati, OH 45263 -0803
W, /0
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
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
1207 018119782 43 560.01 $20.10
Thursday, March 31, 2011
/�12
Director, Brooks Ire 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. 199:
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))
03/29/11 018119782 Uniforms $20.1
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