166626 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
u; ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
6 CHECK AMOUNT: $102.05
CARMEL, INDIANA 46032 sv souiH KOWEBA LANE
INDIANAPOLIS IN 46201 CHECK NUMBER: 166626
CHECK DATE: 12/10/2008
D EPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 388106794 102.05 MATERIALS SUPPLIES
CINCAss
swarich Route customer
Remit To �Bill To
ij
Unit E -4
UNIT-. D 1 LAB UNIT TOTAL: 4'D. �3
I-NIT.-02 MAT
—NTENANC� UNIT TOTALf 27.50
UNIT:03 OPERATIONS UNIT TOTAL: 26.2
SUE TOTAL: 102.05
Received By:
CUSTOMER COPY TERMS NET 10 CFAS \NV
VOUCHER 086857 WARRANT ALLOWED
1497000 IN SUM OF
CINTAS FIRST AID SAFETY
50 SOUTH KOWEBA LANE
INDIANAPOLIS, IN 46201
,.Carmel Wastewater Utility
C+N ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
388106794 01- 7202 -05 $102.05
t�
Voucher Total $102.05
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
197000
CINTAS FIRST AID SAFETY Purchase Order No.
50 SOUTH KOWEBA LANE Terms
INDIANAPOLIS, IN 46201 Due Date 12!4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2008 388106794 $102.05
hereby certify that the attached invoice(s), or bill(s) is (are) true and
*rrect and I have audited same in accordance with IC 5- 11- 10 -1.6
rz
Date Officer