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165050 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1 ONE CIVIC SQUARE CINTAS CORPORATION #018 CARMEL, INDIANA 46032 9949 PARK DAVIS DRIVE CHECK AMOUNT: $1,937.93 INDIANAPOLIS IN 46235 CHECK NUMBER: 165050 o� CHECK DATE: 10/16/2008 DEPARTMENT A CCOU NT PO NUMBER INVOICE NUMB AMOUNT DE SCRIPTION 1047 4238900 018361577 284.61 OTHER MAINT SUPPLIES 1047 4350900 018365917 321.36 OTHER CONT SERVICES 1047 4350900 018370119 337.11 OTHER CONT SERVICES 1150 4356500 018373913 48.99 CLOTHING SERVICES 1110 4356501 018373924 86.96 LAUNDRY SERVICE 2201 4356501 018373925 343.31 LAUNDRY SERVICE j 1150 4356500 018378155 15.13 CLOTHING SERVICES 1110 4356501 018378166 73.06 LAUNDRY SERVICE 2201 4356501 018378167 427.40 LAUNDRY SERVICE comike ORIGINAL INVOICE REMIT TO: CINT T AS CORPORATION #U18 XXXXX DUPLICAJE 9949 PARK DAVIS DRIVE C4RMEL POLICE IN DIANApO1-I6, IN 4623S 3n|Pn3: 3400 W 131ST ST OI L IKT �NT 11,41 02000 9/30/08 CARIIIEL PCAL-ICE DI-PT. 23 F �RGIJTE DAY 1 CUST NO, DEPARTMENT CUSTOMER P.O. NO. TERMS MIN ITEM DESCRIPTION (DR EMP T LINE ITEM OUANT�TY QUANTITY INVOICE NUMBER CHG I oc F BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x 9 :266 2JK 2.144 FINAL REVIEI�ED BY SIGNATURE EMP ITEM INVOICE NAME C Buy W Wn x TOPS lBo7roms FILL MIN NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEMID GRADE K NO. NO, 6) OR DESCRIPTION 0 BACK M. mm INV. I CHANGES CITY m U R C.Al.. d I ABBREVIATION BUY BACK CODE (W PACKING CODES (PK) CODE DESCRIPTION B 3uv Buck B Package m Bundle SH SHIRT BB Buy Back Both Combo Items H Package on f [anger PT PANTS B1 Buy Back 1st Combo Item 2 String Fie CV COVERALL B2 Buy Back 2nd Combo liem� 3 polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brovin Paper SC SHOP COAT LC LAB COA PRICE, EXTENSION (PR EX) DR DRESS CHANGE OVER (CO) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LIP LAPEL COAT I Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Au',ornatic Renewal SK SKIRT C Signed New Contract B Bloodbomp Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatary R Rough Wea• IN No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rentai S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Vcluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY PgLFR S Direct Sales Only S STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly E Every Oilier Week USAGE I INCREASE INVENTORY OR DEUVERY R REDUCE INVENTORY OR DELIvERY M Monthly W GARMENT RFOUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS 0 Oirect Sale EXCHANGE METHOD (Ex ME) L L GARMENT REQUEST LOS CARMEN- I'S Lease N N,O-G- P PRICE CHANGE D Delayed xchange P Unilease T TRANSFER EMPLOYE E Even Exchange R Lost Replacement H HOLD F Fixed Cuantity Exchange X Special Charge z SIZE CHANGE b U; Exchange Rental !tem K COLOR CHANGE ORIGINAL INVOICE nEMrrnI CINTAS CORPOR4TI0N #018 9949 PARK DAVIS DRIVE CARMEL POLICE INDIANAPOLIS, IN 4623� SHIP TO: 33400 W 1315T ST WESTFIEL-r.), IN 460 3 17-090—:S)O00 INVOICE NO. G E2114 0183 CONTRACT NO. ACCOUFFT��LIVERY CODE SOIL TKT CNT INVOICE DATE SON CARNEL POLICE IDEPT. 3 LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: TAX EXEMPT PAGE ITEM DESCRIPTION OR PRICE F LINE MIN C EMP ITEM QUANTITY QUANTITY INVOICE T INUMBERI CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X INVOICE: TOTAL 73 06 REVIEWED BY SIGNATURE FINAL TOTAL 0-4 ITEM INVOICE NAME C R BUY PRICE COLOR SL SIZE EMBLEMID GRADE K m 5 NO. No. c OR DESCRIPTION NAME FOR EMBLEM 0 BACK :E m K INV. CHANGES QTY co U R CHARGE 7 I ABBREVIATION BUY BACK (BB) PACKING CODES (PK) CODE DESCRIPTION B Buy Back 8 Parkage in Bundle SH SHIRT BB 1-3a,y Back Both Combo Items H Package on Hanger PT PANTS Bi Buy Rack 1st Combo Item 2 String Tie CV COVERALL 132 Bijy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS PRICE EXTENSION (PR EX) CHANGE OVER (CO) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Rat Rated LP LAPEL COAT 1 Standard Change Over 8Z BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B f3loodborne Pathogen D Direct Sales Local ROUGH _WgAR L R L Linen M National Rental Mandatory 8 Rough Wear N No Program Heim burson i Pnt b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G G= �rmpnt X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FRI S Direct Saves Only S -STOIP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Y Weekly 1 INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE REDUCE INVENTORY OR DEi-�NERY M Monthly F W GARMENT REQUEST WEAR 'UPGRADE C Clean X GARMENT REQUEST DESTIR(DYFID GARMENTS EXCHANGE METHOD (EX ItEl 0 Direct Sale L GARMENT REQUEST LOST GARM N ENTS L Lease N.O.G, P PRICE CHANGE D Delayed Exchange P unilease T TRANSFER EMPLOYEE E Ever] Exchange R Lost Replacement H HOLD F Fixed Ooant Exchange X Special Charge Z SIZE CHANCE b Unit Exrahange I Hental Item K COLOR CHANGE Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Cintas Corporatoin #018 Purchase Order No. 9949 Park Davis Drive Terms Indianapolis, IN 46235 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/30/08 18373924 payment for laundry services 86.96 10/7/08 18378166 payment for laundry services 73.06 0 Total 160.02 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 Cinras Corporation #018 IN SUM OF 9949 Park Davis Drive Indianapolis, IN 46235 160.02 ON ACCOUNT OF APPROPRIATION FOR pol ice general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 18373924 565 -01 89.96 bill(s) is (are) true and correct and that the 1110 18378166 565 -01 73.06 materials or services itemized thereon for which charge is made were ordered and received except October 9 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund comk) ORIGINAL INVOICE CINTAS CORPORATI 0118 91741 9949 PARK DAVIS DRIVE CARMEL STREET DEPT INDIANAPOLIS, IN 46235 SHIP TO: 34OO W 131ST ST G' EIM3 018373925 3 J. 'd 'I 7 33 3 2— 0 0 1 'C'O N I A C T': BONNIE CALLAHAN CONTRACTNO. ACCOUNTNO. STOPSEO DELIVERYC ILTKT�NT% -INVOICE-DATE..------ j2 6 57 1 1020 BILL TO: CARMEL STREE"T DEPT' LOC ROUTE DAY CU T NO. DEPARTMENT CUSTOMER P.0, NO. ---TERMS�- 3 400 W TAX CODE 131SI STREET EVEN BILLING WES IN 46074. FAX EXEMP'T PAGE 3 EMP ITEM QUANTITY QUANTITY INVOICE T LINE N C ITEM DESCRIPTION OR NUMBER NT OT BB PRICE MI CHG EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x VTR W, 1 7 1-1p u REVIEWED BY SIGNATURE FINAL 346.4 TOTAL I INVO I- -v m PRICE COLOR SL SIZE EMBLEM ID rrl 0 EMP ITEM ICE NAME C BUY FILL NAME FOR EMBLEM R GRADE 9 m b NO. NO. 0 OR DESCRIPTION 0 BACK m 9 INV. CHANGES OTY U R CHARGE ABBREVIATION BUY BACK CODE (BB) PACKING CODES (PK) B Buy 3acK a Package In Bundle Sty SHIRT SEI Buy Bac. Both Combo ltoms H Package on Hanger PT PANTS Bi Buy Back 1 st Combo Item 2 Strioa Tie CV COVERALL E12 Buy Back 2nd Corriloo Item 3 P("'lywrap JS JUMPSUIT b No H1jy Back 6 Wrap in Brown Paper SO SHOP COAT LC LAB COAT DR DRESS PRICE EXTENSION (PIR EX) CHANGE OVER (CO) SIMI SMOCK U Unit Priced JK JACKET a No Charge Over F Flat Rated LIP LAPEL COAT 1 Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT.-- VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pailicger D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unflease MAINTENANCE V National Rentai Voluntanj G Garment X Special Product Service D Dust ACTIOPJ DESOWIPTION L Linen A ADD ON T Tcw, C CHANCE ACCOUNT LEDGER DELIVERY FREQUENCY tqEl- �FR S Direct Sales Only S s ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE R REDUCE !tWENTCRY OR DELIVERY M Monthly W G 3ARMENT REQUEST WEAR UPGRADE C Clean x —GARN/lENTREQUEST DES rH()YED GARMENTS EXCHANGE METHOD (EXM�i� D Direct Sale L G ARMENT RF�LFST LOST GARMENTS L Lease Q N N.O.G. P PRICE CHANGE D Delayed Fxcl;,3nge P Unilease T THANSFEq EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Oluantity Exchange x Special Charge Z SIZE CHANGE b Unit Exchange Gr Rental ltern K COLOR Cl-rANGE ABBREVIATION BUY BA CODE (BB) PACKI CODES (P CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS Bi Buy Back 1st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT U No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS CH ANGE OVER (CO) PRI EXTENSION (PR EX) SM SMOCK U Unit Priced JK JACKET 0 No Change Over 1 Standard Change Over F Flat Rated LP LAPEL COAT g BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal O Nomex R Standard Uniform Rental S Direct Sales National SERVIC TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIP L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FR) S Direct Sales Only S STOP ONE 11 EM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS EXC HANGE METHOD (EX M EN D Direct Sale L Lease L GARMENT REQUEST LOST GARMENTS N N.Q.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE ORIGINAL INVOICE �sw|T�� CINTAS CORP�RATIO� #D18 9949 PARK DAVIS DRIVE CARMEL STRE�T DEPT TNI)IANA; DLIS' I� 46235 SmpTV34OO W 131ST ST WESTFIEELD, IN 46074--(3t2''Y7 INVOICE NO, 0 CO NTRA:CT NO. ACCOU TOP ELIVERYCODE SOILTKTrNT INVOICE DATE 6.S 5 �j 0 2: 0 0 0, 9 CARI' STREET DEPT LOC ROUTE DAY� DEPARTMENT CUSTOMER P.0 No. TERMS BILL T 3400 W 1 31"T STREET ar LINE TNT MIN 0 B6 ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVCICE T NUMBER�- CHG 0 EMPLOYEE NAME NO NO. INVENTORY INVOICED --AMOUNT x "ON WILILIAMS 89 N 221 TRAVIS TABAK 1 1— 24 7' 11SH� SSH 1 6.! 9 4 i� '4ARY JONES 17 912 2CV 2.:3 N 26 30YD PIERCY 13 B94 4. 200 266. 20 FINAL 837,392S TOTAL REVIEWED BY SIGNATURE 1rivUluL. :r- EMP ITEM INVOICE NAME rn m x TOPS BOTTOMS EMBLEM D M L MIN NAME FOR EMBLEM C �RJ BUY 0 o PRICE COLOR SL SIZE GRADE K m o 0) NO. NO. 0 OR DESCRIPTION 0 BACK m K INV. I CHANGES CITY co U R �CHARGE comirka) ORIGINAL INVOICE REM17vI CINTAS CORPORATION' 016 9949 PARK DAVIS DRIVE CARMEL STREET DEPT INDIANAPOLIS, IN 46235 8mPTO:3400 W 1318T ST 317 3J J1 COINTAC Pv_)! CALL.AHf-t' CONTRkill l ,,iTT7���P SEQ DELIVERY CODE SOIL TXT �CNT INVOICE DATE 0 30 9/30/08 )2650 4102000 1 CARMEL 1 ,3TREETI DEPT ROUTE DAY CUST NO- DEPARTMENT CUSTOMER P.C. NO. -TERMS-, 0: ATTN. DONNIE CALLAHAN 018 1 )2650 DUE 10/10/08 3400 W 131ST STREET TAx CODE PAGE EVEN BILLING SOIL LINE MIN C ITEM DESCRIPTION 5 EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER�_NT CHG 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x 2 3M SHOP TWL--RED 1 2160 40 40r 1 170 6A0 N JET MOP LARGE JF 26 2 2 Nil 3TRIFE SWIPE TOWEL JF i,, 2964 10 1 1_�sso I a.: so IN PT REV I EWED BY SIGNATURE FINAL 018371392S TOTAL FILL M L MIN c x PRICE _1��BOTTDMS COLOR SL SIZE EMBLEM I D GRADE m m EMP ITEM INVOICE NAME NAME FOR EMBLEM 0 ABBREVIATION BUY BACK CODE (BB) PACKING CODES (PK) CG DE DESCRIPTlO.N a Buy 8,ac 6 Package In 131 SH SHIRT BB Buy Back Poth Combo Items H Package on Hanger PT--.. PANTS Bi Buy Back Isl Cembo [tern 2 String Tic CV COVERALL B2 Buy Bac. 2nd Combo Item 3 Polywrap JS JUMPSUIT is No Buy E'3Ck 6 Wrap in Brown Paper SC; SHOP COAT LC LAIR COAT DRESS CHANGE OVER (CO) PRICE EXTENSION (PR EX) OR SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Fiat Rated LP LAPEL COAT I Standard Chance Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKiPT C Signed New Contract a Bloodborno Flahvgert D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear N No Proararn Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL PR Direct Sales Only S STOP ONE ITEM FOR EMPLOYFF $A STOP ALL ITEMS FOR EMPLOYEE W Weekly I —INCREASE INVENTORY OR DELIVERY E Every Other Wepk USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clean X GARVIENT REQUEST DESTROYED GARMENTS D Direct Sale EXCHANGE METHOD (EX ME) L Lease L GARIVENT REQUEST t-GISTGARIAENTS N N.O.Q. P PRICE C €-iANGE D Delayed Exchange P Unileaso T TRANSFER ENIFLOYEF E Even Exohange R Lost Rep;acement H HOLD F Fixed Quantity Special Charge Z SIZE CHANGE b Unit Exchange Rental tern K COLOR CHANGE 0 ORIGINAL INVOICE REMIT TO: CINTAS CORF"CIRATIL 9949 PARV, DAVIS DRIVE INIDIANAP0 4623S "ARV F3TR)E! DEPT SHIP TO: W S"T I D IN 4 0 y INVOICE NO. E 2 M 0183'78167 3 7 7 C) I ON T A CT f"INcl'-ffE C`ALLA-HAN CONTRACT NO. ACC AC OUNT NO. STOP SEO DELIVERY CODE SOIL TKT C14T -.--INVOICE.DATE-. "3 '1 39 14 W10 (00 R 10/07/06 CARiME-1. S3 D E P T LOC ROUTE DAY �CUST NO. DEPARTMENT CUSTOMER P.O. NO, TERMS BILL TO: AT BOH' CAI-LAHAN 01 6 S I R 0 2 6 5 11/10/08 3400 W A l i 'T R E E 7' 'TAX CODE EVEN BILLING "EMPT PAGE 4 W ST F 1 z' L- D j l'4 460 74 TAX RA LD I s D EMP ITEM QUANTITY QUANTITY INVOICE T LINE MIN C ITEM D OR PRICE AMOUNT X CHG. 0 jNUMBERj(. !ki BB EMPLOYEE NAME NO. NO, INVENTORY INVOICED i 'T I ES I 1 Y 1 1 'F P S7 42 SE P-1 A H AI I'9 ci R r 1:5 73 3 i i --IH: 94 i\ 73 3 1 1, SH, -1 lFT CUTT 'TOWN'Sh 55 4 6.: 9A 1% INVC 427.: 4C 1 2" REVIEWED BY SIGNATURE FINAL TOTAL nn m m m m TOPS BOTTOMS FILL m M L MIN o r EMBLEM ID GRADE m mo EMP ITEM INVOICE NAME C BUY X NAME FOR EMBLEM R PRICE COLOR SL SIZE NO. NO. m OR DESCRIPTION 0 BACK :Z, n ::E m K INV./CHANGES OTY co U R CHARGE rn I 77 77.7 7 7 L I I EE r ABBREVIATION BUY BACK CODE (B6 PACKING CODES (PK) E'plx- Buy Rack, 8 Pa.kage in Bundle SH SHIRT BB Buy Back Bo+t Combo Items H Paclkage on Hanger PT PANTS Ell Btv Back 1st -ornbo Tern 2 String Tie CV COVERALL B2 Boy Pack 2nd Combo I tc- 3 Polywrap JS JUMPSUIT b No Guy Back 6 Wrap in Brown Paper SC --SHOP COAT LC LAB COAT PRICE EXTENSION (PR Ex DR DRESS CHANGE OVER CO) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LP LAPEL COAT 1 Standard Change Over 8Z BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN Tm LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bioodborne Pathogen 0 Direct Sales Local ROUGH WEAR (R) L. Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal 0 Nomqx R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Liner, A ADD ON T To% C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (qDEL _FR) S Direct Sales Only S STOP ONE ITEM FOR EUPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W weekiy I INCREASE INVENTORY OR DELIVERY E Every O'll Week USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Cie x GARMENT REQUEST DESTROYED GARMENT EXCHANGE METHOD (EX ME D Diiect Sa�e Lease L GARMENT HEOUEST LOST GARMENTS N N.O.G. P PRICE CHANGE D D Exchange P Unilease T TRANSFER EMPLOYEE E Fven Exchange R Lost Replacement H HOLD F Pixed Ouirw'ty Fxcn�ange x Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE ABBREVIATION BUY BACK CODE (BB) PACKIN CODES (PK) CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS B1 Buy Back 1st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT h No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS CHAN OV CO) PRICE EXTENSION (PR EX) ER SM SMOCK U Unit Priced JK JACKET 0 No Change Over 1 Standard Cha Over F Flat Rated an LP LAPEL COAT g BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUG WEAR R� L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal O Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY DE( L FR S Direct Sales Only S STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS EXCH METHOD (EX ME) D Direct Sale L Lease L GARMENT REQUEST LOST GARMENTS N N.O.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE ORkG|N4L|NVO|CE ��w|TTO� CI�T�S CORPORAI l�j�� #018 9949 PARK DAVIS DRIVE CAR TREET DEPT INDIANAP0_I5' lN 46235 SHIP TO: 340O W 1315 ST IN 4-60y —826. INVOICE NO. -)17-7-j -2001 CAL.I-Ai C NTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT �CNT INVOICE DATE 33 CONTACT: lt-:3 14 W102000 R 07/08 CARMEL STREET DEPT F�LO�C ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: BONNIE CALLAHAN 018 5-f Cj� 3 EVEN BILLING "".400 W 1 STREET TAX CODE WESTFIELD, IN 460 TAX EXEMPT PAGE 3 I F NUMBER IC NT CHG. I O T BB PRICE INVOICE T L -IN—E MIN 7C ITEM DESCRIPTION OR EMP ITEM OUANTITY OILIANTITY EMPLOYEE NAME NO. No. INVENTORY INVOICED AMOUNT X 4A KEVIN SMITH 30 733 11 SH: 11PT SSH: 5PT 6; 94 N 1.3 11PT JASON FORCE 7,33 F 33 0 18378167 TOTAL C BUY 0 ml o m FILL M L MIN NAME FOR EMBLEM R PRICE �C BOT TDM S COLOR SL SIZE EMBLEM ID GRADE m K M 0 5 NO. No. 0 OR DESCRIPTION 0 BACK m K INV. CHANGES QTY a) U R CHARGE I.T T 0 ORIGINAL INVOICE t I P4 T A S C El R RA Tf. 0 lNg 0 a REMIT TO: C949 PARK PAvlj�g DRITV'E, T 62! 3 Z' SHIP TO: 21100 W I i z T w E� F T Tfl_ NO;-- G F_2m4 01837el67 ACCOUNT N0. STOP SEC DELIVERY CODE SOIL TKT CNT 31 '1 73-SI C "'Cs ��l T A 'C T CA t- i-A CONTRACT NO, A -INVOICE -DATE._ 0 7 j2650 13 14 lw 1 020 00 'o CARMIEL 1�3'JTREET LOC ROUTE CONTRACT YCUST NO DE PARTMENT CUSTOMER P.O. NO, _TERMS- BILL TO: E ATTN. D'I"MiNHIE CALLAHAN 2 02'�` 6'50 Didr_ 11110108 3 W 131cl- S'TREE"I" TAX CODE E'v 131L.LING PAGE 1: r --lil Tyr Y--:X E PT` F 7 E 0 1 L MIN C ITEM DESCRIPTION OR EElMP­ PRICE _7 _ITEM QUANTITY QUANTITY INVOICE T JNUMSERJ C NT CHG. No 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x R 1 1CAK ALDER 5 Es �'4 1 lPT; SPT 4.; 31 1. 6 7 1 3 i I SH 1 P T T �'T 6; 9 b N M 1 F I T Sl' CRY'S"TAL rl'ONTC OMERIY 5 1 1 s:H: 4 81 N -4 k lF F M A N T ER 9 4 11. P SFT 4,: E y§ IN. D �11 v E i a J I rI i _I 0 T ES 0 1394 a. 1 F t I s p r I I C E31 K K 1, 1 R f' 1 E34'j 1 1 PT a S'i;H A IN 7 20 1/ T R D Y io I j. 'D I 1 21 NA�4,RUIP CHAP 1 6-ESC 4,' 9 S i\ 2; 'H )PIPT p 4 1 S7 !�VE JONI 1I I I 'S 6.: 9 Iq N 2 PT� 'Tj R1,31 WlLLIAMS 12 S94 5 5 1 T 1 a '994 1 P I T-_"RlC 2A I I 2 E "IM1 A 4 733;. 1 a.1 PT 51� rl _r 6, 9A N JEFT STEWART 51. 894 I II{ I SPT I 27 7 1 *13 3 I IS H I'l PT SSH 6.- 9 ff N 2 E GARY JONE'S 17 733 11 I SH T Ell SH SF"T 6, 9. N i'� zz c' 2 29 C-PiRY JONES 91� 3 c BOYD f"IEP-RCY i 8 3 fl-I-1 1 4 6. 0 C I\ 1 �1 4 JAN ES BENTL 19 Et q .4 I. 1P i SPT! i 4.: �4 I JPT 3�3 8,: 0 A 3 BRAD FIENDERS—'5 PR EM '3' 4 3A MIKE HENR__ff_' 3 l IA. EE HEENRIC"Ki c 2 3 :30 1 i SiH: !.-35H! 6'_ N REVIEWED BY SIGNATURE FINAL TOTAL Y 0.i 37 qc 8 1 6" 0 a D 0 0 EMP ITEM INVOICE NAME c BUY Om o x I TOPS BOTTOMS FILL m MILI MIN NA R 03 ME FOR EMBLEM PRICE COLOR SL SIZE EMBLEM ID GRADE m :E m OTY U R CHARGE m0 BACK X m 0 NO. NO- m OR DESCRIPTION 0 _m_ JiL INV. CHANGES 7- ABBREVIATION BUY BA C K C O.D..E... (BB- PACKING CODES fP) PESCRIPTON B Buy Raclk IS Package in Bundle SH SHIRT BB Buy ESack Boll Combo Items H Package on banger PT PANTS B1 guy Back Isi Como 2 String Tie CV COVERALL 82 Buy 2nd Cof Item 3 Poiyvvrap JS JUMPSUIT b No 15,�y B ;ck 6 Wrap in Brown Paper SC, SHOP COAT LC LAB COAT DR DRESS CHANG,E OVER (CO) PRICE EXTENSION _(P­R___E.X), SM SMOCK U Unit Priced JK ----...-JACKET a No Charge Over F Flit Rated LP LAPEL COAT 1 Standard Change Over EIZ GLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LIN LI CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodbornp Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Roi Mandatoiy R Rough Wear N No Program Reimbursement b Normal 0 Nomex R Standard Uniforrn Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental V6untary G Garment X Special Product Service D Dust ACTIO DESCRIPTION L Lmpn A iAr,D ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREOLIENCY (DEL FS S Direct Sal Cnly S STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly I INCREASE INVENTORY OR DEi IVERY E Every Other Week 'USA..G.E, R REDUCE I NVENTORY OR DELIVERY M Monthly W GARMENT REQUEST' ATAR UPGRADE C Clean x GARMENT REQUEST DESTROYED GARMENT", D Direct Sale EXCHANGE MET OD (EX IVIES L Lease L CARMENT REQUEST LOST GARIMENTS N N.O.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Ouar Exchange x Spe cial Charge Z SIZE CHANGE b Ur Exchange (Y Rental Item K CCLOR CHANGE ABBREVIATION BUY BACK CODE (SEI) PACKING CODE§_f�Kj CODE DESCRIPTION B Buy Back B Package in Rundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS Bi Buy Back 1st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 poiywrap JS JUMPSUIT b No 8uv Back 6 Wrap i n Brown Paper SC SHOP COAT LC LAB COAT PRICE EXTENSION (PR EX) DR DRESS CHANGE OVER- GO) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LP LAPEL COAT I Standard Change Over 8Z BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT' TYPE A Automatic Renewal SK SKIRT C Signed New Contra(,t B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR AR) L Linen M National Rental Mandatory R Rough Wear N No Program ReirnbLPSPMent Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D DLISt ACTION DESCRIPTjON L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FRI S Direct Sales Only S STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly INCREASE INVENTORY OR DELIVERY E Every Other V,'eek USAGE 8 REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale EXCHANGE METHOD X MEj (E L GARMENT REQUEST LOST GARMENTS L N Lease N.CG, P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLE) F Fixed Ouantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE DR|G|NAL|NVOIQE REMIT nI �I�T�S CORFO� IN #OlG �949 PARK VE CARMEL f3TREET DEPT lNDIA�APOLI��' 46�35 SHIP TO: 340O W 131ST ST INVOICE NO.: 3 17 7 33 001 CONTRACT NO. ACCOUNT NO. STOP SEC DELIVERY CODE TKT NT INVOICE DATE CARMEL STREET DEPT UTE DAY CUST NO. DEPARTMENT CUSTOMER P.D. NO. TERMS ELOZCRO gF7DE BILL TO: TAX CODE F IN E'] MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T INUMBERI lN T I CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x oc N1 STRIPE SWI Sp T 6 9 4 r%l MAKEUP Cf-14RGE REVIEWED BY SIGNATURE 4: FINAL EMP ITEM INVOICE NAME BUY o l 0-i NAME FOR EMBLEM C R T x PRICE COLOR SL SIZE EMBLEM ID GRADE rr' 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)) 09/30/08 018373925 $343.41 10/07/08 018378167 $427.40 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas IN SUM OF 9949 Park Davis Drive Indianapolis, IN 46235 $770.81 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 018373925 43- 565.01 $343.41 1 hereby certify that the attached invoice(s), or 2201 018378167 43- 565.01 $427.40 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, October 10, 2008 Stred/ ommissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE C 'POR p REMIT TO: -J A S C fu R -4 SHIP TO.. S-Z r INVOICE NO, 7 D EE 2 Cf DELIVERYCCDE INVOICE DATE Coir'l F AC CONTRACT NO ACCOUNT III SOIL TKT W10300 R 0 08 6 q 117 TERMS BILL TO: H riCJW ._)W lH'P4 T'_E R OC ROUTE E Y CUSTOMER P.O. NO, SE P 22008 L C) ".a DA CUST NO. DEPARTMENT CUST 025,-? If J. 4 i 1 E :i i 6 T Hl S Tf-_i E E 10 e, DUE i R H EEL ki 4 6 0 _V_ TAX CODE" TAX, PAGE LINE f I •,�T MI 138 ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NUMBER1 C CH G O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X 6 DI IS` _2i_ Z.) 71 60 'DUST MC LF 0 I- SW 1 IP E "If DWEEI_ c� 6 1 ook") o o c I Or h J�; v 6 116 5 Jl c J t 17� 2 Jr. Z, ANN 6?23 4 c j::­Fj(r'L,S l:AJ':5'T WDIF J Uf- 17 2 I oc Q F A D 4 ',iF �b L Fp�`IME UF 7 t:3,.•:.. I Af I o E; FiY O, C r l ­7­�, 2: Of 1. 1 0 1_2! 4 lJF L2 6 J 15 26 \7 REVIEWED BY SIGNATURE rlvi.j I 1 .t 11 FINAL TOTAL SEP 1 9 2008 c31.8 Ll" j 4 A f,, SHA&ECi AREAS ARE FOR m iZ INT'ERNAL USE ONLY m m on EMP ITEM INVOICE NAME C TOP IBOTTOMS MIN FILL m M L MIN NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE 'o 0 NO. NO, 0 O n R DESCRIPTION 0 BACK �F INV. CHANGES m CITY m U R C HARGE 1 T I ABBREVIATION BUY BACK CODE (B) PACKING CODES (PK) CODE DESCRIPTION B Buy Bark 8 P in BtFridle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS E31 Buy Back 1st Combo Item 2 String Tic CV COVERALL B2 Buy Back, 2nd Combo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS CHANGE OVER (CO) PRICE EXTENSION APREX) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LIP LAPEL COAT i Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACTTYPE A Automatic Rene�:val SK SKIRT C Sived New Contract B Bloodborne Pathogen D Direct Sales Local L Linen M National Rental Mandatory R weir N No Program Reimbursement 0 N rm I 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICa T E U Unilease 1 MAINTENANCE V National Rental Voluntary G 41 Int X Special Product Service D st ACTION DESCRIPTION L Leif A T r S Direct Sales On'�y ADD ON C CHANCE ACCOUNT LEDGER DELIVERY FREQUENCY FIR) S STOP ONE ITEM FOR EMPLOYEE L SA STOP ALL ITEMS FOR EMPLOYEE w Weekly I INCREASE INVENTORY OR DEUVERY E Every Other Week USAGE R REDUCE INVENTORY OR DELIVERY M NlontNy w GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale EXCHANGE METH M OD (EX E) L GARMENT REQUEST- I OST GARMENTS L Lease N N.O.G- P PRCF CHANGE D Delayed Exchange P Unileaso T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed (quantity Exchange X Special Charge Z SIZE CHANGE lb Unit Exchange 0 Rental Itern K COLOR CHANGE ORIGINAL INVOICE C'1�4T-A--� co REMIT TO: PARK DAViS D'R'Pv;'h TH,� hDiWit-4 462 SHIP TO: 122S C"21'lTRAL. PARK Cr" PI' ITN' 460"32 3 1 7 -2 0 -S00;) INVOICE NO. LJ '4 f"I- ET P SEO D CODE SOIL lKT JCNT 4 -7 7 3 Pt I 9 CONTR INVOICE DATE WT 2-- 3:3 IW100:30 1 r, I o/ 0 p- LOC ROUTF 0 1 s 20 THEE M&P4 C 1 R I--,- 7AYJ CUSTNC DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: LOC ROUTE I na 4 F S EP 2 20 DUL 10/4 CARIMEI-, 3 1:4 4 6 0 3 13 TAX CODE TAI EXEMPT PAGE LINE C MIN BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NUMBER CHG. O EMPLOYEE NAME NO- NO INVENTORY INVOICED AMOUNT x TiFry Uri i� E I `00 HL ES-TES"OL R F L U D 1-4,16 1 PULL "01 R F' L., 4: "s Es C u 'D 91 1 I L 7 5C P T I A i R' RFL Li El 'i v J. 0 1AIR R:PC ub 1 42 2 4 .37 DAM P FL 1 5`238 4 o r.) C6 Ca INQ m� I•TEF HAST D1. E; 3C D�YS 1, 429]64 f) D e `f 6. 0 9 0 D A Y FINAL 0 iSJ31/1- i 57 TOTAL REVIEWED BY SIGNATURE 1 1 1 1 O h :ff VC 0> M m m TOPS BOTTOMS FILL M L MIN 0 0 EMP ITEM co INVOICE NAME I x x PRICE COLOR SL EMBLEM ID GRADE G) m :E m 3: CITY J R CHARGE o NO, NO. OR DESCRIPTION x INV. CHANGES z m -0 0 NAME FOR EMBLEM R� SIZE 0 BACK I 4 m 7 ABBREVIATION BUY BACK CODE (88 PACKING CODES (PK) CODE DESCRIPTION Ei Buy Back B Package in BuncEe SH SHIRT 133 Buy Back Both Combo Items H Package on Hanger PT PANTS Bi Buy Back 1st Combo Item 2 String Tic CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT IS No Buy Back 6 VVrap in Brown Paper IC SHOP COAT LC I AA COAT DR DRESS CHANGEOVER PRIICE EXTENSION (PR EX) SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Fiat Rated LIP LAPEL COAT 1 Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed Neal Contract B Bloodhorne Pathogen 0 Direct Sales Local ROUGH WEAR 0 (R) L Linen M Nationai Rental Mandatory R RoughlWel N I No Program Reimbursement b Norma 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE 61�E U Unilease MAINTENANCE V National Rental Voluntary G G rme X Special Product Service D ACTION DESCRIPTION L Linep A ADD ON T ;i�oviel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL F �R S Direct Sales Only S STOP ONE ITEM FOR EMPLOYFE. SA STOP ALL ITEMS FOR EMPLOYEE W Week,y I INCREASE INVENTORY OR DELIVERY E Every Other VVfeek USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST VVFAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS f7 Direct Sale EXCHANGE METHOD (EX ME) L Lease L GARMENT REQUEST -OSr GARMENTS N N.O.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE ORIGINAL INVOICE c!NTAs® REMIT TO: CE ic T HE- rifile-IfOl"! ;,D.'lM'4`T,T,-f 0i (9, SEP 2 32 SHIP TO: 008 1RDS r­ Al. I r" A jA, DR TI-4 INV 17CINI BY v A.- CONTRACT NO, ACCOUNT No. STOP SEO DELIVERY CODE' SO NT ]N DICE DATE n.7 li Wif p 1`3 RO UTE DAY CUST NO. D EPARTMENT CUSTOMER P.O. NO. TERMS T THE c-!TT!:,p MLOC RD r BILL TO: I 1-U J-101 10/08 T TAX CODE ""Q! 41.6 1 L i lr`l f�� 47- PAGE A:-X TiXEMPT MIN C EMP ITEM PRICE T LINE ITEM DESCRIPTION OR QUANTITY QUANTITY INVOICE INUMBER I Ct j CHG. 0 BB EMPLOYEE NAME NO, NO._ INVENTORY INVOICED AMOUNT x D 0: ?i _L; j— 1 -U j, 6 A 7, 16 t f-INDL U 9 2 1 3 4 'r";3 I­S.3 1) E- MOR HAkIDIL ".1 4 NJ 0 0 2� j 'j j j REVIEW-ED BY SIGNATURE I 1�1: Va C- 4 44 FINAL 3 5 9 17 6 TOTAL SHADED AREAS ARE FOR INTERNAL USE ONLY EMP ITEM m INVOICE NAME EMBLEM C BUY m 33 IT FILL M L MIN A x PRICE COLOR SL SIZE EMBLEM ID GRADE om rri NO. NO, G OR DESCRIPTION NAME FOR EMB 0 BACK m K INV. I CHANGES m QTY m U R CHARGE 7 ABBREVIATION BUY BACK CODE (BB PACKING CODES (PK) I CODE DESCRIPTION B Buy Back B Package in Bundie SH SHIRT BS Buy Back Both Combo Items H Package on Hanger PT PANTS B1 Buy Back I st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUNIPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAD COAT DR DRESS CHANGE OVER (CO) PRICE EXTENSICN (PR EX) SM SMOCK U Unit Priced JK JACKET a No Change Over F Flat Rated LP LAPEL COAT 1 Standard Charge Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WE WE L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilpase MAINTENANCE V National Rental Voluntary G Garment X Specja Product Service D Dust ACTION DESCRIPTION L Linen A ADD CIN T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FA R S Direct Sales Only STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly I INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE R REDUCE INVENTORY OR DULIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clear, X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale EXCHANGE MIETHOD (EX ME) L GARMENT REQUEST LOST GARMENTS L Lease N N.O.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Quaritity Exc; -iange X Special Charge Z SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE ORIGINAL INVOICE CiN060 REMIT TO: O F" DeAvl.s Elli SHIP TO: 12­23 CEO T IiA l INVOICE NO. C t-`2 RN E L_ N 41 2'2 3 -4, 1 S 0 C� 0 4 1 8,36 CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL CNT INVOICE DATEI' R 41. jW100- DEPARTMENT N li.'IN C"ED TER RO UTE 1DAY1 OUST N0. CUSTOMER P.O. NO, TERMS i I �D/ T BILL TO: '.'E' 1. A J. E I. I CS T H Z n CARME'L, i: TAX CODE '[3 F 1_1. I W� TA X E E 0, P T PAGE 2 LINE MIN C ITEM DESCRIPTION OR E EMP ITEM QUANTITY QUANTITY INVOICE T NU B Elk CHG 0 I I BB EMPLOYEE NAME PRICE NO. NO. INVENTORY INVOICED AMOUNT x UMB 2 1 C URTI"JAL. SiCJRHEN IF- �kFf'_ f-A UT' 92 1 -m_) I C; r z1 Tcl 11'l11_ 2 1 i 36 L� t 2 S L�Q:Fj'% IA' R v L! 1 4 4: 0 C' F, I F, 1 3 Purchase I L A24 Descnptlon P.O. Bud -BY: g"l Line escx purchaser— Dato F I NAL 1 I C E fi 0 1 8 7 3 6 9 1 TOTAL REVIEW-ED BY SIGNATURE SHA AREAS ARE FOR INTERNAL USE.ONLY 1 _U m FILL L MIN COLOR SL EMBLEM ID m m X TOPS jBoT 0 c) EMP ITEM C INVOICE NAME C BUY 7 -i NAME FOR EMBLEM R PRICE SIZE GRADE T o m 5 NO, NO. 0 OR DESCRIPTION 0 BACK m K INV. i CHANGES CITY 00 U R CHARGE X m 7 I A BUY BACK CODE (1716) PACKING CODES CODE DESCRIPTION 8 Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT----- PANTS Bi Buy Back 1 st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS CHANGE OVER (qO PRICE EXTENSICINA�R_J�X� SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LP LAPEL COAT 1 Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough 'Wear N No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unifease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (gEL_ER) S Direct Sales Only S STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly I INCREASE INVENTORY 09 DELIVERY E Every Other Week USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS EXCHANGE METHOD (EX ME) D Direct Sale L GARMENT REQUEST LOST GARMENTS L Lease N N.O.G P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Ever Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special Charge z SIZE CHANGE b Unit Excl,,ange 0 Rental Item K COLOR CHANGE dwAs. ORIGINAL INVOICE RswrrTo: CINTAS CORPORATION 4018 9949 PARK DAVIS DRIVE THE MDNON CENTEP INDIANAPOLIS. IN 46235 SHIP TO: 1235 CENTRAL, PARli� DRIVE CARMEL, IN 46032 3i7-890-5000 I NV Okl�llb 31 CONTACT: TERRY 11YERS 11171ACT N11 =ACIIIINT 11 ITO, 1111 1 DELIVERY CODE f0IL TKTrNT ICE DA �259 31 W100300 9/14/08 BILL TO: 141'L 116TH STREET 018 2 —Y �02S97 DUE 10/10108 qv 3 CARMEL., IN 4603'2 TAX CODE EVEN BILLING TAX. EXEMPT PAGE I LINE M EMP ITEM INVOICE NUME3ER]CNT 0 BB EMPLOYEE NAME NO, NO. INVENTORY INVO ICED PRICE AMOUNT X STRIPE SWIPE TOWEL UF 2964 1 0 c! cl I o0c) 16 60.: 0o S MM AIR FRESHENER SVCU 6116; REVIEWED BY SIGNATURE INVOICE FINAL TOTAL SHADED AREAS ARE FOR INTERNAL USE ONLY I EMP ITEM INVOICE NAME c BUY rn rn FILL M L MIN NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE 2 INV. i CHANGES EMBLEM ID ABBREVIATION BUY BACK CODE PACKING CODES (PK) CODE DESCRIPTION B Bi( IS Pa in Bundle SH SHIRT 133 Buy Back BOV) Combo Items H Package on Hanger PT PANTS B1 BL.1v Back "Ist Combo Item 2 String Tie CV COVERALL 152 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Bro�.vn Paper SC SHOP COAT LC LAB COAT DR DRESS GRANGE OVER (CO) PRICE EXTENSIOI�L(PR_En SM SMOCK U Unit Priced JK JACKET 0 No Change Over F Flat Rated LP LAPEL COAT 1 Standard Change Over BZ BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Liner' A ADD ON T Towel C -CHANGE ACCOUNT LED() EH DELIVERY FREQUENCY S Direct Sales Only S STOP ONE ITEM FOR Liv'i ,I)YEE SA STOP ALL ITEMS FOR EMPLOYEE W Weekly INCREASE INVENTORY Cri DELIVERY E Every Other Week USAGE R REDUCE INVENTORY OR DEL IVERY M Monthly W GARMENT REQUEST VV'EAR UPGRADE C Clean D Direct Sale X GARMENT REQUEST DESTROYED GARMENTS, EXCHANGE METHOD (EX ME) L Lease L GARMENT REQUEST LOST GARMENTS N N.O.O. P PRICE CHANGE D Delayed Exchange P Uniiease T TRANSFER EMPLOYEE E Evcn Exchange R Lost Replacement H HOLD F Fixed Ouantity Exchaocje x Special Charge Z SIZE CHANGE b Unit Exchange G Rental Item K COLOR CHANGE c!NTAs. ORIGINAL INVOICE nEM/rrn: C INTAS CORPORATION #018 9949 PARK DAVIS DRIVE THE MONON CENTER INDIANAPOLIS, IN 46235 SHIP TO: 1.235 CENTRAL PARK DRIVE CARMEL, IN 46032 317-690--S000 INVOICE NO. cONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE �SOILTKT CNT .:.INVOICE DATE 317 CONTACT� TERRY MYERS NT M 4T T_ RE USTO 0 BILL TO: THE MO',* CENTER LOG IlUll ElAYCUST ENO DEPARTMENT CUSTOMER P.O. NO. TERMS CARMEL, IN 46032 IAXUUUL EVEN BILLING PAGE TAX EXEMPT 2 SOIL —TLN`E� —MJN TCTEB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NUMBERICNT CHG. 1 0 1 EMPLOYEE NAME NO- NO, INVENTORY INVOICED AMOUNT x I V PL dme vm BL Jget Inv. —7—.. 1 1 ";r"\ REVIEWED BY SIGNATURE INVOICE FINAL 018370119 TOTAL SHADED AREAS ARE FOR INTERNAL USE ONLY ,c) EMP ITEM U) INVOICE NAME BUY X ops 76377oms FILL m MIN 0 -1 NAME FOR EMBLEM R K PRICE COLOR SL SIZE EMBLEM ID GRADE K m FD NO. NO. 0 OR DESCRIPTION 0 BACK n m INV. CHANGES OTY U R CHARGE T ABBREVIATION BUY BACK CODE (BE) PACKING CODES PK) PACKING CODE DESCRIPTION B Buy Dack 8 Package in Bundle SH SHIRT 13B L'UV BaCk Both Corn )a Items H Package on HlaI get PT PANTS BI Buv Back 1 St Combo Itern 2 Stri! Tie CV COVERALL B2 Buy Back 2nd Combo llen 3 Polywmp is JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS -P-R. 1 C E EXTENSION _(FNR EX CHANGE OVER (CO) SM SN10CK U unit Priced JK JACKET 0 No Change Over F Flat Rated LP LAPEL COAT 1 Standard Change Over 8Z BLAZER 2 Philadelphia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C SigneiJ New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear IN No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Unilease MAINTENANCE V National Rental Valuntary X Special Product Service Dust ACTION DESCRIPTION L Linen A ADD ON C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FR) S Direct Sa.las Only ti STOP ONE ITEM FOR EMPLOYEE W Weekly SA STOP ALL ITEMS FOR ENW1-0YEF E Every Other Week USAGE---- I INCREASE INVENTORY 0 DELIVERY R REDUCE INVENTORY OR DELIVERY M MontNy W GARMENT REQUEST WEAR UPGRADE C Clean X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale EXCHANGE METHOD (EX ME) L Lease L GARMENT REQUEST -0Q, i CARMENTS N N.O,G, P PRICE CHANGE D Delayed ExIchange P Unilease T TRANSFER EIMPLOYEE E Lven Lxchanqo R Lost Replacement IT HOLD IF Fixed r)d, Exchange X Special Charge Z SIZE CHANGE b Unit Exrhango a Rental Item K COLOR CHANGE 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 9949 Park Davis Dr. Indianapolis, IN 46235 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/10/08 18361577 Cleaning supplies PO 19533 F 284.61 9/17/08 18365917 Cleaning supplies PO 18839 P 321.36 9/24/08 18370119 Cleaning supplies PO 18839 P 337.11 Total 943.08 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 9949 Park Davis Dr. Indianapolis, IN 46235 In Sum of 943.08 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 18361577 4238900 284.61 1 hereby certify that the attached invoice(s), or 1047 18365917 4350900 321.36 bill(s) is (are) true and correct and that the 1047 18370119 4350900 337.11 materials or services itemized thereon for which charge is made were ordered and received except 1 -Oct 2008 V Signature 943.08 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund c, ORIGINAL INVOICE REMIT TO: TN Pi OLF "'"UT; SHIP TO: 1 1``' 0 1 LD V. 4 4 1 i 1: T 7 )Al Wy T 6 -"3 t" rg�) INVOICE,NO--. 0183; ACCOUNT NO. STOP T D CONTRACT NO. SE01 DELIVERY CODE IsOILTKTICN INVOICEA)ATE— 7 2 W102000 p 10/07/06 RE '2�'04-F ,l— U-0 LOG ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: D T PKW" 2- D 12 1 10 /0 2 r =Ric, TAx CODE C A R f•' E L, I N 4 6 0'3 S E-,Vm BILLING TAX' EXEMPT PAGE PRICE INVOICE LINE MIN C ITEM DESCRIPTI OR EMP ITEM QUANTITY QUANTITY BE CME CHG. 0 EMPLOYEE N NO. NO. INVENT INVC1 AMOUNT NUMBER INVENTO CED 9,; V 1 C i- A R 0 1 X BULK k-MF'LCj 1 2 9 3 1 SH a I S H o t 2 1 2 t'-1 k-) Cl T "CHE T 0 T AL. 15 i T. FINA 3 7 C7 5 El TOTAL REVIEWED 13Y SIGNATURE E ER' EbNL�l; 77 MIN 0 0 EMP ITEM N INVOICE NAME C BUY rn X r" 0 --1 TOPS BOTTOMS FILL SL SIZE EMBLEM ID GRADE K NAME FOR EMBLEM R 7 m PRICE COLOR m Z. Q C3 m 5 NO. NO- OR DESCRIPTION 0 INV. I CHANGES G) BACK Q U R CHARGE m X M i I tt ABBREVIATION BUY BACK CODE (BB PACKING CODES (PK) CC)D DESC Buy Bark 8 Package in Bundip, SH SHIRT Buy Back Both Combo Items H Package on Hanger PT PANTS Lai Buy Back I st Combo Item 2 String Tie CV COVFRALL E12 BLY BeCK 2nd Combo Iten 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC,-. ---LAE3C(,A] DR DRESS, CHANGE OVER (CO) PRICE EXTENSION _(FIjfX) SM SMOCK U Unit Priced JK JACKET a No Change Over F Fiat Rated LP LAPEL COAT I Standard Change Over BZ BLAZER 2 Philade9phia Only SA SHOP APRON RENEWAL CODE VT VEST LN LINER CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborno Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough VVear N No Program Reimbursement b Normal 0 Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Uni"case MAINTENANCE V National Rental Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Liner A ADD ON T Towel C CHANGE ACCOUNT L EDGER DELIVERY FREQUENCY (DEL FR) S Direct Sales Only STOP ONE ITEM FOR EMPLOYEE SA STOP ALL ITEMS FOR EMPLOYEE IN Weekly I INCREASE iNVENTOR', I OR DELIVERY E Every 0 Week USAGE R REDUCE INVENTORY OR DELIVERY M Monthly W GARMENT PECUEST 1VFAR UPGRADE C Clean X GARMENT REQUEST DESTROYED G ARMENTS a Direct Sale EXCHANGE METHOD (EX ME) L Lease EXCHANGE L ----GARME LOST GAF,.'1AENFS N N.O.G. P PRICE CHANGE D Delayed Exchange P (irlilease T TRANSFER EMPLOYEE E Ever; Exchanae R Lost Replacement H HOL.D IF Fixed Ouantity FXcJ)"mcle X Special Charge z SIZE CHANCE Unit Exchange Rental Item K COLOR CHANGE INTAS CGRIPORATIUN 4016, c 0 ORIGINAL INVOICE omko REMIT TO: 0 5 4 9 PARK DAVTS I DR I VE' BROOKSHIRE' 0 COURSE lN1 IN 4622- 1 BIROOKSHTRE PKWY SHIP TO: CARMEL: 1N 46103r�-3 I I el I C, S. 00 INVOICE NO..._ D E I M3 016373913 Al ACCOUNT �NO. STOP SEG DELIVERY( INVOICE.DATE.— 12 17 8 411-1-- 7 -1. C 0 N fail T: PA�jj CONTR ODE SOIL T I KTJ CNT DP543 ?/30/08 B IR C 0K S H I R E GOU'" C* 0 l J R St E, LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO, BILL TO: DUE "0 1 BROC)'K� PA R I;Z W AL Y 1 2 3254',.:� 1 1 11 `10/OS CARMEL, I N 1- 1-6033 w TAX CODE EVEN BIL-L.11' rAX TEXAPIP T PAGE S. SOIL, LINE MI C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER, G. I o 1 8 EMPLOYEE NAME PRICE CH NO. NO. INVENTORY INVOICED AMOUNT X 2 l."X3 SIPRTt f i 7 -F C-, (D 1 4 4 -:510 6-- N 1,�aqcs 5. 6 9 N 3 -.?X.5 SICRAPER 'i*1A jF, 1 24 7 7 .4 3X5 BROWN MAT J F 3 43- 5 2 2.1 4 8 i..7 4.I C76 N s 4�1"6 !.-�R0Wfq NAT JF 344 SO S 4,! 060 24.�30 N N v 1 0 i C E I; 48.�99 Lkwe� SIGNATURE FINAL REVIEWED BY TOTAL 0 0 ma y 1 c "o m TOPS BOTTOMS FILL MIN EMP ITEM En INVOICE NAME NAME FOR EMBLEM c BUY F'l PRICE SIZE EMBLEM 9 m M L U R CHARGE 0 -1 R GRADE K m 0 NO. NO, 0 OR DESCRIPTION 0 BACK >m, INV. I CHANGES OTY C3 m 7 ABBREVIATION BUY BACK CODE I BB PACKING CODES L�K) CODE �G PESGRIP ON B Buy Back 8 Package; In Bundle SH SHIRT BB Buy Back Boil-, Combo Items H Package on Hanger PT PANTS 51 Buy Back I st Combo Item 2 String Tie cv cc)vLnALL 82 Buy Back 2rd Combo item 3 Polywrap JS —JUMPSUIT E No Buy Back 6 %NraP in BFUWn. Paper SC SHOP COAT LC I AB COAT PRICE EXTENSION (PR EX) DR CHANGE OVER (CO) SPIT SMOCK U Unit Priced JK JACKET 0 No Change Over F Fiat Rated LP LAPEL COAT 1 Standard Change Over BZ BLAZER 2 Philadetphia Only SA SHOP APRON RENEWAL CODE VT VEST LN UNFR CONTRACT TYPE A Automatic Renewal SK SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEAR (R) L Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal 0 Nornex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U Urilease MAINTENANCE V National Rentaf Voluntary G Garment X Special Product Service 0 Dust ACTION DESCRIPT;aN L Liner. A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY �DEL FR) S Dires only S STOP ONE ITEM FCR EMPLOYEE SA STOP ALL ITEMS FOR FIV1PLOYFE w Weekly I INCREASE I NVENTORY OR DFI, 'VFRY F Every Othpi Week USAGE R REDUCE INVENTORY OR DELIVERY Monthly w GARMENT REQUEST 'OiEAR UPGRADE C Clear, X GARNTENT REQUEST 'D ESTROYED GARMENTS D Direct Sale EXCHANGE METHOD (EX ME) L Lease L GARMENT RFOUES7 -L OST GARMENTS N N.0 G. P PRICE CHANGE 0 Delayed Exchange p Uniloase T TRANSFER EIMPLOYFT- E Even Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special charge SIZF CHANGE b Unit Exchange z Rental Item K CHAN Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 i 4 5 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ©18373913 99 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ��C/i Iry O s 74j V4 23 S ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or E�v 016373 9/3 '-/3S6 S bill(s) is (are) true and correct and that the 5 /8,378 /SS materials or services itemized thereon for which charge is made were ordered and received except 20 i Sign re I I AJA Cost distribution ledger classification if Title claim paid motor vehicle highway fund