165707 11/12/2008 s 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: $999.25
INDIANAPOLIS IN 46235
CHECK NUMBER: 165707
CHECK DATE: 11/12/2008
DEP ARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1150 4356500 018390531 —57.21 CLOTHING SERVICES
1110 4356501 018390543 68.46 LAUNDRY SERVICE
2201 4356501 018390,544 X337.11 LAUNDRY SERVICE
1150 4356500 018394610 _20.91 CLOTHING SERVICES
1110 4356501 018394621 -68.46 LAUNDRY SERVICE
2201 4356501 018394622 447.10 LAUNDRY SERVICE
0 ORIGINAL INVOICE
REMIT TO:
-3
X'/ -Le 1 '.1..
LY P4r DAVI� Y
X v ZI
CARMEL, POLHE 3'.'ND1ANAF0LJ�,Bj 1�'%f
SHIP TO: :3,q 0 C yj 1 I r
1N INVOICE NO-
G E L tof 1 -3 S 4 3
CONTRACT NO. ACCOUNT NO. STOP SEO [DELIVERY: CODE.. SOIL:TKT CNT--- INVOICE DATE
2
W �7 0, Gk
1 p 10 'c" OF,
LOC ROUTE DAY CUST NO DEPARTMENT F P.O. NO, TERMS
CUSTOMER �T
PCI D Dl- 3
BILL TO: '�A v
i 1VIC SclUARE. 010. 51. �2 0622d "J.- 1 0 0 2
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UA-RMELe 1N 4 6 r"° -3 EV F �4 E' 1"L L I N G
TAX EXEMPT PAGE
LFNE s (3 1 ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T
NUMBERlr.! NT MI
cH 11 0. 00 B EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x
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low
C)
m TOPS BOTTOMS I I I EMP ITEM V) INVOICE NAME C BUY M l M X FILL m M L MIN
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0 5 NO. NO. 6) -n X OR DESCRIPTION 0 BACK m K INV- CHANGES QTY ca U R C HARGE
71 m
7
7
A13BREVIATION
BUY O
BACK CODE (8B) PACKING CODES (PK)
CODE DESCRIPTION
R Buy Back B Package in Bundle
SH SHIRT BB Buy Back Both Combo Items H Package on Hanger
PT PANTS 81 Buy Back t st CDmho Item 2 String Tie
CV COVERALL B2 Buy Back 2nd Combo item 3 Polyw1a.0
JS JUMPSUIT IS No Buy Back 6 Wrap in Brown Paper
SIC SHOP COAT
LC LAB COAT
DR----. DRESS CHANGE OVER (CO) PRICE EXTENSION_(PIR EX)
Sit SMOCK J11 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 Signed New Contract
B Bloodborne Pathogen
ID Direct Sales Local ROUGH WEAR (8)
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
IJ 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 FIR S Direct Sales Only
S STOP ONE ITEM FOR EMPI-OvEE
SA STOP ALL ITEMS FOR EMPLOYEE W Weekly
I INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE
R REDUCE INVENTORY OR DELIVERY M Monthly
W GARMENT REQUEST *EAR UPGRADE C Clean
X GARMENT REQUEST DESTROYED GARMENTS 0 Direct Sale
M
EXCHANGE METHOD (EX ME L Lease
L GARMENT REQUEST -LOST CARMEN] S 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
a Rental Item
K COLOR CHANCE
clNrAs. ORIGINAL INVOICE CINTAS CORPORATION
#O18
���|Tn��
9949 PARK DAVIS DRIVE
CARMEL POLICE INDIANAPOLIS, IN 46235
SHIP TO: 3400 W 131ST ST
317-571-2500 CONTACT", JASON OGLE F EFNTIAIT NO ACCOUNT NO. I STOP ab SOIL TKT CNT INVOICE DATE
1068 221141 1 14 10200011 IR 11/04/08
CARMEL POLICE DEPT. 3 LOC JROUTE�IDAY� CUSTNO. DEPARTM T CUSTOMER P.C. NO. TERMS
EN
BILLTO: 3 CIVIC SQUARE 018 51 2 06824 1 DUE 12/10/02
CARMEL, IN 46032 TAX CODE EVEN BILLING
LINE MIN ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T
INUMSERI CHG Cc BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
3X5 SCRAPER MAT 2477
3XIO BLACK MAT Ul F' 8403S 1 6 95C 6
ED ALVAREZ 2 270 3 1 P T: 5PT; 5: oc
INVOICE: TOTAL.. 68: 44
SIGNATURE FINAL
TOTAL
j SHADED AREAS ARE FOR INTERNAL USE ONLY
MIN
00 EMP ITEM INVOICE NAME 7 B Y :3 X FILL 77
0-1 NAME FOR EMBLEM R m YZ PRICE COLOR SL SIZE EMBLEM ID GRADE K
0 5 NO- NO. 0 OR DESCRIPTION 0 BACK 1W i CHANGES OTY o3 U R CHARGE
7
ABBREVIATION
BUY 13ACK CODE_ Bp) Va C
CODE DESCRIPTION
B Bud- Back B Pickaqe in Bundle
SH SHIRT BB Bliv Sack Eoth Ccmho items H Package on Hanger
PT PANTS 81 Buy Back 1,st Combo Item 2 String Tie
CV COVERALL 82 Buy Back 2rd ConiLo Item 3 PCIY'.VrFp
JS JIUMPSUIT b No Buy Back 6 Wrap in Brown Paper
SC SHOP COAT
LC LAB COAT
PRICE EXTENSION (PR EX)
DR DRESS CHANGE OVER (CO) (PF
SM SMOCK U Unit Priced JACKET a 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: Signed New Contract
a sloodborne Pathogen
D Direct Sales Local ROUGH WEAR
L Linen
M National Rental Mandatory R Rou(J) Wear
N No Program Reimbursement b Normal
0 Nomex
R Standard Unr Rental
S Direct Sales National SERVICE TYPE
U Unilease
MAINTENANCE V National Rental Voluntary G
MAINTENANCE
X Special Product Service D Dust
ACTION DESCRIPTION L bnor,
A ADD ON T Towel
C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FIR S Direct Sales Or
S STOP ONE ITEM FOR EMPLOYEE
SA STOP ALL ITEMS FOR EMPLOYEE W Weekly
I INCREASE INVENTORY DR DELIVEPY E Ever Other Week USAGE
R REDUCE INVENTORY OR �D71-NIERY M Monthly
W GARMENT REQUEST VvEAq UPGRADE C Clear,
X GAWFNT REQUEST GARMENTS D Direct Sale
EXCHANGE METHOD ESC ME L
L GARMENT REQUEST LCST GARMENTS Lease
N N.O.G.
P PRICE CHANGE D Delayed Exchange p unilea�
T TqANSFER EMPLOYEE E Even Exchange R Lost Replacement
H HOLD F Fixed Qua;=tity Exchange X Special C harge
z SIZE CHANGE b Unit Fx(:I`wp n
a Rental I!c=fn
K COLOR CHANGE
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
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))
10/28/08 18390543 payment for laundry services 68.46
11/4/08 18394621 payment for laundry services 68.46
Total 136
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
J
Cintas Corporat16n -:#018 IN SUM OF
9949 Park Davis Drive
Indianapolis, IN 46235
136.92
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 18390543 565 -01 68.46 bill(s) is (are) true and correct and that the
1110 18394621 565 -01 68.46 materials or services itemized thereon for
which charge is made were ordered and
received except
Novamher 5 20 08
Signature
Chief o fPn1 i rP
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
a 0 ORIGINAL INVOICE
REMIT TO: C CDRFf_'lRATJ.0N -4018
9949 PARK Dq�
C'ARMEL- IS DE;P 1 15,} D 1, A NA PO L. 1 11 4623
SHIP TO: 3400 W 131ST Sl
0 cl INVOICE No.
3
WE�:BTFIE_L_D, 1 46fD7`---Gl2_l'67
01-8390S44
3 1 7 7 3' -y,- 01 C 0 iq If A CT: CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE SOIL TO �CNT __INVOICE DATE-'_..
16 W1020 p
1 C) 2E3
CAR61'Et- STRIH-T DF-PT LOC ROUTE DAY CUST NO, D EPARTME NT CUSTOMER P.O. NO. TERMS
BILL TO:
AT* i j L
ETUE il'"10/08
340C3 A 131ST STRFET I AX UOUE EVLEN B_j.L.LlI`lG
PAGE
WEISITIF jl�i 460 TAX EXEMPT
ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T
NUMBER N' PRICE
MIN C 36 CHG, 1 0 1
LINE EMPLOYEE NAME NO, NO. INVENTORY INVOICED AMOUNT x
q c p y 1 E v I t1i 5 to H 3 0 7 ln� 3 6,� 9 N
3-
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4 K V I N �'M 11 T 1
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4 T
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5 E 1 5 4 H A VA r� 1 r3 i I. .1 r
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G T T F P4 Ed- 1.) 44 7
T rl
REVIEWED BY SIGNATURE FINAL
TOTAL
1
ry
-1 PRICE COLOR SL EMBLEM ID FILL m M L MIN
GRADE 9
�E OTY c U R CHARGE
o c) EMP ITEM (n INVOICE NAME NAME FOR EMBLEM C R BUY m TOPS SIZE
m 5 NO, NO. OR DESCRIPTION 0 BACK =j X rn INV.
7 7
ABBREVIATION
BUY BACK CODE (BB) PACKING CODES (PK)
QnDE DE PRIPTION
B Buy Back B Package in Bundle
SH SHIRT BB Buy BaCK 1301' Combo Items H Package on Hanger
PT PAN TS B1 Buy Bac 1st Combo Item 2 String Tie
CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap
JS -,JUMPSUiT V No Buy Back 6 Wrap in Brown Paper
SC SHOP COAT
LC LAB COAT
DR DRESS PRICE EXTE.N.-S.1-ON-T-R.-EX)
CHANGE OVIER (CO
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
1.1 Unflease
MAINTENANCE V National Rental VaLmlary
Garment
X Special Product Service D Dust
ACTION DESCRIPTION L Liner
A ADD ON T Towel
C CHANCE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FR) S Direct Sales Only
E; 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 DELIVERY M Monthly
W GARMENT REQUEST WEAR UPGRADE C Clear
D Direct Sale
X GARMFNT REQUEST DESTROYED GARMENTS EXCHANGE METHOD (EX ME) L Lease
L GARME,-ii' REQUEST LOST GARMENTS N N.Q.G.
P PRICE. CHANGE D Delayed Exchange P Unilease
T TRANSFE-R EMPLOYEE E Even Exchange R Lost Replacement
H HOLD IF Fixed Quantity Exchange X Special Charge
Z SIZE CHANCE h Unit Exchange 0 Rental Item
K COLOR CHANCE
ORIGINAL INVOICE
amka REMITTO: Clr-lTAS Cfk{a, DRA'TION *vD,1•
9949 PARK DNV,,
DEFT IN 46.'�23'
SHIP TO: 3400 W !3 EST
'WE- 4607402�, 1 0 9 G r z 'D'd r-, NVOICE -NO.
-I
G E 1H Z3 0ia:3?
CONTRACT E LINT NO. STOP SEO DELIVERY CODE SOIL TKT CNT ________INVOI(;E [)ATE__,_
f. 0 28 00,
f) 2 6 S 1 Wi02000
M
'E I T =LOCROUTF DAYST NO. ACCOUNT
CUSTOMER P.O. NO,
BILL M -3: P E. DEP
ATTN'. DONINIF. CALLAHAN' 0.18 S I DIJI:: 11/10/oa
3400 W iati"T STREET TAX CODE EVEN 8"i'l-LING
TAX EXEMPT PAGE
SOIL
MIN 7 TEM INVOICE T
LINE BB ITEM DESCRIPTION OR QUANTITY QUANTITY PRICE
CHG E M) P NO. INVENTORY INVOICED AMOUNT x
NUMBER %.3 N'T 0 EMPLOYEE NAME N
C
SERVICE CHARr"71F F 106 12. ooc 'a o c 1\
Sivs iHOP 'T'WL--RFjj 1 ,)F R_ 216C -4 0
17�
"IM SME& TWL-FEls UF �__t k2ll 6 6"')
clK 6,: OC 11
Al :3_' SCRAPER NAT 1 0r 247 3 a :3' 72 ll'! 3.E �l
"'FRIPE SWIFE i cl 11 Eir_r sc
OWE'-- UF R 2?64 0 Is,
I m 1 1 -4AL I -N PRIVE I i I EW'. P T 6 �9
DAVE. L.;0v72'i% 1 s F 4,' 8 1 1\
2 894:
tq
�TFRRY IN'll- 3 894
i I �Ssil 5FIT .5,� 4 A I"
Af 733 1
R
SAM "'1OFFITT" 6 732 i s I FIT ssi-i I c p 61� 9 N
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44 JTM HDBBr,,
Z, 09 i �7� T i
KURI KIRBY i G I I;:" i I i Sf' i IPT 5 S 6. SA to N
4 NJ S"FIEVE J0NF-cS 7 3 3 11 SH! I I p T P 6
R CIS p r
1 Q W,r L L 1 -4— rl r s 1 2 894 1 F S
REVIEWED BY SIGNATURE I NVO 1 C E :9
Z 3 4 E 4
m
0> EMP ITEM C x TOPS BOTTOMS FILL M L MIN
PRICE SIZE EMBLEM cn I NVOICE NAME C m m
NAME FOR EMBLEM R BUY 'n COLOR SL GRADE g
o 5 NO. NO. C) OR DESCRIPTION 0 BACK m K INV. CHANGES QTY m U R CHARGE
m
AS
AREVIATL
PIN
BUYBACK CODEdI3B) PACKING CODES
_(PK)
COD DIESCRIPTQN
B Buy Back 8 Package in Bundle
c
SH SHIRT BB Buy Back Both Combo Items H Package on Hanger
PT PANTS 131 Buy Back I st Combo Item 2 String Tie
CV COVERALL E12 Buy Back 2nd Combo ifern 3 Polywrap
JS _.,._._,,IUMPSJIT h No Buy Back 6 Wrap in Brown Paper
SC SHOP C0A1
LC LAB COAT
OR [)RESS PRICE EXTENSION (IR11 X
CHANGE (CO),
SM SMOCK U Unit Priced
JK JACKET a No Change Over IF 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 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
ILI 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�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 U SAGE
R REDUCE INVENTORY OR DELIVERY M Monthly
W GARMENT REQUEST WEAR UPGRADE C. Clean
D
X GARMENT REQUEST DESTROYED GARMEf,4,,S EXCHANGE METHOD (EX ME) L Direct Sale
Lease
L GARMENT RFQUESI LOST GARMENTS N N,O,G,
P 3DIiIcE CHANGE D Delayed Exchange P Unilease
T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement
H HOLD F Fixecl Quantity Exchange X Special Charge
7 SIZE CHANGE b Unit Exchange a ROnt,11 lterT)
K COLOR CHANGE
ABBREVIATION
BUY BACK CODE (88) PACKING CODES (PK)
CODE DESCRIPTION B Buy Back 6 Package in Bundle
SH SHIRT BB Buy Back Both Combo Items H Package on Hanger
PT PANTS Ell Buy Back 1st 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. Pape;
SC SHOP COAT
LC LAB COAT
DR DRESS CHANGE OVER (CO) PRICE EXTENSION (PR EX
sm SMOCK U Unit Priced
jK JACKET a No Change Over IF 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 Hough 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 VOILintary G Garment
X Special Product Service D Dust
ACTION DESCRIPTION L Linen
A ADD ON T Towel
C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL _FR) S Direct Sales Only
S 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 DELIVERY M Monthly
W GARMENT REQUEST WEAR UPGRADE C Clean
X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale
EXCHANGE METHOD EX MEN
L GARMENT REQUEST LOST GARMENTS L Lease
N N.O.G-
1P PRICE CHANGE D Delayed Exchange P Unilease
T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement
H HOLD IF Fixed Quantity Exchange X Special Charge
Z SIZE CHANGE Unit Exchange Rental Item
K COLOR CHANGE
0 ORIGINAL INVOICE
REMIT TO. A
SHIP TO: �-j f-"
INVOICE NO
's_.
N 4 16 0 7 4 —8
E F -7 E 1- V1,
-I T: Fa t a J T' CONTRA NO. ACCOUNT NO. STOP SFQ DELIVERY CODE SOIL TKT CNT INVOICE-DATE
02650 16 W1020001 IR
C'A',Rf "'3 P
DET LOG ROUTE DAY I GUST NO. DEPARTMENT CUSTOMER P.O. NO- TERMS
BILL TO:
ATT€'4. r- CALLAHAN 0 1 E 5 .1. 026 D E i
2,400 W 13 -ST REF l" TAX CODE
PAGE
WE3 Tr,' 46074. TAX EXEMPt
E30 I L
LINE 7 MIN ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T
NUMBER( CHG. 0 216 EMPLOYEE NAME
N& NO. INVENTORY INVO ICED AMOUNT X
R j
i SSELL
IfIAKEUP CHARGE 14 X
C) 4
'2 TIM BROWNING i 4 73"3 11 SH: 5 SH SP 7'
l i'EFf STEWA'.3' 1 p 41
2 TRAVIS TAEAK i6 733 d i s "1: p I-, c? S F "r 6.i
GAARY JONES 17 1 15 IL-I I, %f r��DH: SpT 6�
9
4
u A RY JONES I' sl! c v c v
2F
O.! 't PTIERCY 18 74307 I'l
26 JAMES BENTLEY 40 j 1 P T:
1, R 9 A 1 SPT: 4 81 N
31 3 p T
.2J STEVE ZELLER 2 0 S", 5- SH SPT 6 9 4 il
:2 GRAD HET` rER5----`:l-'Z 6 kcm 21 f''
1 I` 1',E3 H: 11 P T S H
21 MIKE HENR jl cw-..S 2 2 7&-:307 1 i 4: td
MIKE HENRICVS, 22 o i 18 �-1
3 2c V:
I M I K E H E N. R T 1,1� e, -A 2 gl j
32 ADAM TOWNS 231 ILI -1 I
5F
3 NATHION 2 Ar PE 9 fl I I F T p
4: 8 1
7 94 h
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34 )EFF VANWINV�L.F' i SW I, i"' T SpT
p T
13 1 SH:
JASON WAI-DEN 733 11 S-1 Ir 5p -T
316 S!H 4 rf
31, MA'RK OTTINGER 2)?3 7 3:3 4 fl 'T' i
RAPHAEL- BURKE e5� 13 1 A. 1 _j S! 3 1 SPT
SIGN j-
REVIEWED BY SIG 1, t%ivc) I C E-: FINAL
0a I S S 4 4 TOTAL
nn 77
31
TOPS Bor-roms M L
EMP ITEM INVOICE NAME FILL MIN
NAME FOR EMBLEM C R BUY PRICE COLOR SL SIZE EMBLEM ID GRACE z:
5 NO. NO. 0 OR DESCRIPTION 0 INV- /CHANGES QTY U R CHARGE
rn X m HANGES
IT =I
BACK
ex.
7 7 777
CiNEAS. ORIGINAL INVOICE
REm|TTo: CINTAS CORpORATIDN #018
9949 PARK DAVIS DRIVE
�4RMEL STREET DEPT INDIANAPOLIS, IN 462
SHIP
TO: 3400 W 131ST ST
WESTFIELD, IN 46074--8267 317-890-5000 INVOICE NO.
C4 E-2M4 013394622
317-733-2001 CONTACT: BONNIE CALLAHAN CONTRACT NO. ACCOUNT NO STOP SEO DELIVERY CODE SOIL TO cNT --JNVOICE DATE
%S0 15 �W102
CARMEL STREET DEPT LOC ROUTE DAY Cs No, DEPARTMEN7 CUSTOMER P.0, NO. TE RMS
3400 W 131ST STREET TAX CODE EVEN BILL-ING
WESTFIELD, IN 46074 TAX EXEMPT PAGE 4
ITEM DES RIPTION OR
LINE MIN C C EMP ITEM QUANTITY QUANTITY INVOICE T
NUMBERICN CHO, 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x
REVIEWED BY SIGNATURE
TOTAL
SHADED AREAS ARE FOR INTERNAL USE ONLY
0 0 EMP ITEM INVOICE NAME c BUY m p X FILL 77 MIN
NAME FOR EMBLEM 7 =BOTTOMS m
R PRICE COLOR SL SIZE EMBLEM iD K
GRADE
INV. CHANGES co
A
13 Y BACK GC3 E_(8B) PACKING CODES
CODE DE SCRIPTION
B Buy Rai% B Package in Eundle
SH SHIRT 13B Buy BacK No Cqqibo jrerrbs H Package on Hanger
PT PANTS 131 Buy BacK I st Cmrbo keff) 2 String Tie
CV COVERALL B2 Buy Bq( 2nd Combo Iteir, 3 polywr'lip
JS JUMPSU11 ti No Buy Back 6 Wrap in Brown Paper
SC SHOP COAT
LC LAD COAT
DR DRESS CHANGE OVER PRICE EXTENSION (PR EX)
SM SMOCK U Unit Priced
JK JACKET a No Change Over F Flat Rated
LIP LAPEL COAT I Standard Change Over
6Z BLAZER 2 Philadelphia Only
SA SHOP APRON RENEWAL CODE
VT VEST
LIN LINER CONTRACT TYPE A Automatic Renewal
SK SKIRT C Signed Nevv Contract
B Bloodtaorne Pathogen
D Direct Sales Local ROUGH WEAR (R)
L Linen
M National Renta[ Mandatory R Rough Wear
N No Program Reirnburs6rrrent b Normal
0 Non
R Standard Uniform Rental
S Direct Safes National SERVICE TYPE
U Unilease
MAINTENANCE V National Repta� Voluntary G
Garment
X Special Pr(AAUG, Service D Dust
ACTION DESCRIPTION Linen
A ADD ON T Towel
C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FR S Direct Sales Only
S ST OP ONE ITEM FOR EMPLOYEE
SA STOP ALL ITEMS FOR EMPLOYEE W Weekly
I INCREASE INVENTORY OR DEU.VERY E Every Other Week USAGE
R REDUCE INVENTORY OR DELIVERY M Monthly
W GARMENT REQUEST WEAR UPGRADE C Clean
X --'�ARMENT REQUEST DESTROYED GARMENTS EXCHANGE METH O D D Direct Sala
EX Mq) L Luse
L GARMENT REQUEST LOST GARMENTS N N.C.G.
P PRICE CHANGE D [)played Exchange P Unileatc
T TRANSFER EMPLOYEE E Even Exchange R Lost RF.olaccment
H HOLD F Fixed Quantity Exchange X Special Charge
SIZE CHANGE ae a Rental Item
Z b Unit E
K (,,HA.N(-,E
ABBREVIATION
BUY BACK CODE _(BB
PACKING CODES (PK)
CODE DESCRIPTION B Buy Back B Package in Bundle
SH --SHIRT 13113 Buy Back Both Combo (terns H Package on Hanger
PT PANTS B1 Buy Back 1st Combo Item 2 String Tie
CV COVERALL B2 Buy Back 2nd Combo ftcrn 3 Polywrap
JS JUMPSUIT h No Buy Back 6 Wrap in Brown Paper
SC— SHOP COAT
LC LAB COAT PRICE EXTENSION (PH EX)
DR DRESS CHANGE OVER (CO)
SM SMOCK U Unit Priced
JK JACKET 0 No Change Over F Rat Ratea
LP LAPEL COAT 1 Standard Change Over
8Z BLAZER 2 Philacleiphia Only
SA SHOP APRON RENEWAL CODE
VT VEST
LN LINER CONTRACT TYPE A Automatic 'Renevial
SK SKIRT C Signed New Contract
B Bloodborne Pathogen
D Direct Sales Local ROUGH WEAR (R)
L Linen
M National Rental Mandatory R Hough Wear
N No Prograrn Reimbursement b Normal
0 Nomex
R Standard Uniform Rental
S Direct Sale, National SERVICE TYPE
U Unilease
MAINTENANCE V National Rental Voluntary G Garment
X Special Product Service 0 Dust
ACTION DESCRIPTION L UnLr
T Towel
A ADD ON
C CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY FR) S Direct Sales Only
S STOP ONE ITEM FOR EMPILOYEE
SA STOP ALL ITEMS FOR EMPLOYEE w Weekly
I INCREASE INVENTORY 09 DELIVERY E Every Other Week USAGE
R REDUCE INVENTORY OR DELIVERY Monthly C CIcar,
w GARMENT REQUEST WEAR UPGRADE D Direct Sale
X GARMENT REQUEST DESTROYED GARMENTS EXCHANGE METHOD (EX ME) L Lase
L GARMENT REQUEST LOST GARMENTS N N.
P PRICE CHANGE D Delayed Exchange P UnNease
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
CINTMO OR|
CINTAS CORPORATION #018
REMIT TO:
9949 PARK DAVIS DRIVE
CARMEL STREET DEPT INDIANAPOLIS, IN 46235
SHIP TO: 3400 W 1316T ST
WESTFIELD IN 46074–,9267 31.7 -89C)–S00,0 INVOICE NO-
G
02650 !:31391 15 W1 020001 IR il/04/0e
CARMEL STREET DEPT LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P NO, TERMS
BILL TO
ol Ise:
3400 W 131ST STREET TAX CODE EVEN BILL-ING
WESTFIELD, IN 4607/4- TAX EXEMPT PAGE 3
SOIL
LINE CNT MIN BB ITEM DESCRIPTION EMP ITEM QUANTITY QUANTITY PRICE INVOICE T
NUMBER CHG 00 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X
42 KEVIN SMITH 30 912 scvi Q; v 2� 32
4z RANDY JOHNSON
UAMLNUN MASON
REVIEWED BY SIGNATURE Im"101GE w— FINAL
018.lq4622 TOTAL
SHADED AREAS ARE FOR INTERNAL USE ONLY
=MTN 7
rn PRICE COLOR SL SIZE EMBLEM ID GRADE M E
NO. NO. OR DESCRIPTION NAME FOR EMBLEM 0 R BACK K INV. I CHANGES CITY
T
dNrAs- ORIGINAL INVOICE
nsM|TTo� CINTAS CORPORA �IDN #018
9949 PARK DAVIS DRIVE
CAAMEL STREET DEPT INDIANAPOLIS' IN 46235
SHIP TO: 3400 W 131ST 8T
WESTFIELD, '1"N 46074 317-890-5000 INVOICENO,
G E2114 01839462
TT i26SO 13139 IS W10200 R 11/04/08
CARMEL STREET DEPT LOC ROUTE DAY GUST NO. DEPARTMENT CUSTOMER P.O. NO,
BILL TO:
3400 W 131ST STREET TAX CODE EVEN BILL-ING
WESTFIELD, 46074 TAX EXEMPT PAGE 2
SOIL
BB D EMP ITEM QUANTI QUANTITY ----F—,RICE INVOICE
LINE MIN C ITEM ESCRIPTION OR T
NUMBERI CHG. 0 EMPLOYEE NAME NO NO. INVENT Ry INVOICED AMOUNT x
JIM HOBBS 9 C394 SP T:
=7C HILIN WILLiAM.S 1 21
2� ERIC RUSSELL 13 FS94 14 PT: SP T 4: 81 I\
2 JEFF STEWART I
V12 v
21 STEVE ZELLER
SHADED AREAS ARE FOR INTERNAL USE ONLY
M m
0 NAME FOR EMBLEM R PRICE SL SIZE EMBLEM ID GRADE 9
m c NO. NO. G) OR DESCRIPTION 0 BACK M K INV. CHANGES OTY U R CHARGE
7
Imi
AE.BREVIATION
BUY BACK CODE _(l PACKING CODES (PK)
CODE ')FSCRiPT O
SH SHIRT B Buy Back B Pr-ickaqe il- BLJF!dle
l Buy Back Uo 'AlMho Items H Package on Hanger
PT PANTS B1 Buy Back 1st Cxr [tern 2 Stqra Tie
CV COVERALL 132 Buy ?rj Combo Item 3 Polywrap
JS _JUMPSUIT b N o Bj v B ack ck 6 Wrap in Brown Paper
SC SHOP COAL
LC LAB COAT
DR DRESS CHANGE OVER (CO) PRICE EATENISPON (PR-EX)
SM SMOCK U Unit Priced
JK -.jACKET G No Change over IF Flat Rated
LIP LAPEL COAT 1 Standard Char go fiver
BZ BLAZER 2 Philadelphia Only
SA SHOP APRON RENEWAL CODE
VT VEST
LN LINER CONTRACT TYPE A Automatic Ronowal
SK SKIRT C Signed New Contract
B Bloodborre Pathogen
D Direct Sales Local ROUGH E
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 Urtilease
MAINTENANCE V National Rental Voluntary G
Garment
X Special Product Service D Dust
ACTION DESCRIPTION L Linen
A ADD ON T rowel
C CHANGE ACCOUNT LFDOER DELIVERY FREQUENCY (DEL FIR j S Direct Sales Only
STOP ONE ITEM FOR EMPLOYEE
SA STOP ALL I TEMS FOR EMPLOYEE W Weekly
I NOREASE INVENTORY OR DELIVERY E Every Other Week USAGE
R REDUCE INVENTORY OR DELIVERY M Monthly
W C:APNIENT REQUEST WEAR UPGRADE C Clean
GARMIL REQUEST DESTROYED GARmFr EXCHANGE METHOD (l Pit E� D Direct Sale
L GARMENT REOUFS r LOST GARMENTS L Lease
N N,0.03
P PRiCF CHANISF D Delayed Fxr,han e P Unilease
T RANSIFFR. EMPLOYEE E Even Exchange P Lost Replacement
H HOLD F Fixed Quantity ExcInange x Special ch-3rg
Z SIZE CHANGE Unit Ex&ange 4 Rental lipm
K COLOR CHANGE
ABBREVIATION
BUY BACK CODE (BB PACKING CODES (P €4
CODE DESCRIPTION
SH SHIRT B Buy Back B P,,ckage in Bundle
BB Buy Back Both Combo items H P on Hanger
PT PANTS 131 Buy Back 1st Gomt)o 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 (CO} PRICE EXTENSION fPfj
SM SMOCK U unit Priced
JK --JACKET a No Change Over IF Fl��,I r'�ted
LP LAPEL COAT 1 Standard Change Over
8Z BLAZER P Phiiadplph[a Only
SA SHOP APRON RENEWAL CODE
VT VEST
LN LINER CONTRACT TYPE A Automatic Ronovval
SK SKIRT C Signed New Contract
Bloodborric Pathogen
D Direct Sales Local ROUGH WEAR (R)
L Linen
M National Rectal Mandatory R Rough Wear
N Ne Program Reimbursement b Normal
0 Nomex
R Standard Uniform Renal
S Direct Sales National SERVICE TYPE
L) Unilease
MAINTENANCE V National Rental Voluntary G Garment
X Special Product Service D Dust
ACTION DESCRIPTION L Linen
A ADD ON T Towel
C CHANCE ACCOUNT LEDGER DELIVERY FREQUENCY (DEL FIR S Direct Sales Only
S 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 DELIVERY M Monthly
w GARMENT REQUEST WEAR UPGRADE C Clean
X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale
EXCHANGE METHOD (EX ME)
L GARMENT REQUEST LOST GARMENTS L Lease
N N.0 G,
P PRICE: CHANGc. 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 a Rental tern
K COLOR CHANGE
CINEASO ORIGINAL INVOICE REMIT TO: C IT I4TA S C CIRP D R AT' 40, 1 L-,
F
994-9 PARK DAk/IS
CARMEL STREET DEPT INDIANAPOLIS, IN i.� 2
SHIP TO: 3400 W 131ST ST
WESTFIELD, IN 46074-8267 317-890--5000 INVOICE NO
G F2M 0 1 8
317-733 CONTACT: B 1 0 PliNt I L C, AIL L A H A N' SEO CONTRACT N0. A CCOUNT INT NO STOP DELIVERY CODE [SO1 TKT ONT 1 DATE
2 9 7�
L
f-')2650 Is, wl:02000 R
CARMEL STREET DEPT OC ROIJTE
I DAY
CL)ST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
'frN N
BILL TO. �JJ
AT. BONNIE CALL N' AHA S1 2 102 5' DUE 12110106
3400 W 131ST STREET TA,CODE EVEN BILLING
WESTFIELDI IN 460741. AX EXEMP.T PAGE fi
SO I L 7
PRICE
LINE MIN ITEM DESCRIPTiON OR EMP ITEM oLIANTITY IN VOICED PRICE AMOUNT x VOICE T
NUMBERICNT B13 NO. INVENTORY IN A
CHG. 0 EMPLOYEE NAME NO.
SERVICE CHAR9L_ I T_
Ci
40 17C 6, BC t�
SNP! SHOP TWL-RED UF R 2160
SM SHOP TWL-RED U F 21 16 Q 60 to 6.:0 c h
3X5 SCRAPER MAT UF 2477 3 3 3,72r-- 11, 1 E N
STRIPE SWIPE TOWE OF R -296 1 10 1 1J 36 M c N
6 3XIO BLACK MAT E 2' UF 84035 .7 7 8� 42E 58: E ['I
4X6 BLACK MAT E2 OF 34435 3 28 21;86 N
SHAUN PRIVETT 1 733 IISHE I I FT 5 S H: 6: 9'q I\
5PT:
D Ai C v ��v E A L L 3
MAKEUP CHARGE X 125 11 6 F, C 3;3C N
I LL Z N I IPI
12 JEFF HICKS 4 7S.a 11 21H: SISH: 5PT 6;9A N
___T7 P, ALDER s 1. i PT: S'P 1": al
SAM MOFFITT 6 733 11SW i-11.P N 5,SH: SPT 6; 94
CRYSTAL MONTGOMERY 7 �-,H 56H
REVIEW BY SIGNATURE INVOICE FINAL
010394622 TOTAL
SHADED AREAS ARE FOR INTERNAL LISE,ONLY
00 EMP ITEM n INVOICE NAME
C BUY 0 BOTTOMS FILL L MIN
M T rn
TOPS COLOR GRADE
TO PS
0--i EM NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID m
I M D NO. No. OR DESCRIPTION 0 BACK M K !INV, CHANCES QTY U R CHARGE
m
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))
10128/08 018390544 $337.11
11/05/08 018394622 $447.10
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
5949 Park Davis Drive
Indianapolis, IN 46235
$784.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO## Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 018390544 43- 565.01 $337.11 1 hereby certify that the attached invoice(s), or
2201 018394622 43- 565.01 $447.10
bill(s) is (are) Prue and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, November 07, 2008
i
Street Com,mi sioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ORIGINAL INVOICE
REMIT TO: ClNTA #W1�
9949 Pf�RK D�VI�� DRIVE
8ROOKSHIRE {�OLF CL Q8 INDIAN��OLIS, IN 46235
SHIP TO: 12120 nROO'KSHIRE PKWY
CONTRACT NO..t7ACCOUNT 0. STOP SEO DELIVERY CODE I SOIL TKT JCNT INVOICEDATE
C5. E3
LOG ROUTE DAY GUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS
BILL TO:
.TAX EXEMPT PAGE
1= 30 i
MIN c ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T
LINE BB PRICE
NUMBER1 CHG 0 EMPLOYEE NAME NO. NO. INVENTORY INVO r ICED AMOUNT x
935 IsHl
TOPS BOTTOMS
EMP ITEM INVOICE NAME C BUY o m X FILL M L MIN
R PRICE COLOR SL SIZE EMBLEM 10 GRADE 9
'o NO, NO. U) OR DESCRIPTION 0 BACK m m INV. CHANGES OTY C U R CHARGE
NAME FOR EMBLEM
ABBREVIATION
BUY BACK CODE PACKING CODES (PK
CODE DE=SCRIPTION
B Buy Back B Package m Bundle
SH SHIRT BB Buy Bark Both Combo Items H Package on Hacger
PT PANTS 81 Buy Back I st Combo Item 2 String Tip
CV COVERALL B2 Buy Back 2nd Combo Item 3 Polyvvrap
JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper
SC SHOP COAT
LC LAB COAT
DR DRESS CHANGE OVER (CO) PRICE EXTENSIONk (PR EX}
SM-- SMOCK U Unit Priced
JK JACKET of No Change Over IF 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 ID Dust
ACTION DESCRIPTION L Linen
A ADD ON T Towel
0 CHANGE ACCOUNT LEDGER DELIVERY FREQUENCY (UIEL �FR S Direct Sales Only
S STOP ONE ITEM FOR EMPLOYEE
SA STOP ALL ITEMS FOR EMPLOYEE W Weekly
I INCREASE INVENTORY OR DELIVERY E Every Other Week USAGE
8 REDUCE INVENTORY OR DELIVERY M Monthly
IN GARMENT REQUEST WEAR UPGRADE C Clean
X GARMENT REQUEST DESTROYED GARMENTS D Direct Sale
EXCHANGE METHOD (EX ME) 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 IF Fixed Quantity Exchange X Special Charge
z SIZE CHANGE b Unit Exchange a Rental Item
K COLOR CHANGE
ciNTAs. ORIGINAL INVOICE CINTAS CORPOAATION #Oj8
REMIT TO:
9949 PARK DAVIS E�RIVE
8R[0K8HIRE GOLF' CLUB INDIANAPOLIS, IN 46235
SHIP TO: 12120 8ROOKSHIRE PMWY
3iT-946-4706 CONTAC RD22PT D 1-11-:�IGINS CONTRACT NO, ACEO STOP, SEQ .:.DEL.IV.ERY CODE SOIL TIT �CNT INVOICE DATE
102617 o, 3 W102000 R 11/04/08
BROOKSHIRE GOLF CLUB I LOC IROUT DAY� CUSTNO. DEPARTMENT CUSTOMER P.O. NO. TERMS
2 DUE 12/10/oe
BILLTO: 1212- BROOK5HIPE PKWY Ole Sil, fX2
CARNIEL, IN 46033 `TAX.CODE EVEN BILLING
TAX:EXEMPT PAGE
INE MIN ITEM DESCRIPTION EMP IT M INVOICE
NUMBERI CHG O EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x
BULK EMPLOYEE t I SW 5S�i 89 r
whu
BILLING MPSTER FAS�
SIGNATURE FINAL
REVIEWED BY TOTAL
SHADil) AREAS ARE FOR INTERNAL USE ONLY
TOPS 50TTONIS MIN
0 EMP ITEM INVOICE NAME C BUY m Q FILL m L
0 NAME FOR EMBLEM R :3 PRICE COLOR SL SIZE EMBLEMID GHADE K
,o NO. NO. w OR DESCRIPTION 0 BACK :E m K INV. CHANGES OTY C3 U R CHARGE
L
TT
ABBREVIATION
BUYBACK CODE (BB) PACKING CODES
CODE DESORW ION
B Buy Back 6 Package in Bundle
SH SHIAT BB Buy Back Both Combo Items H Package or Hanger
PT PANTS E31 Buy Bick 1st Combo Item 2 String Tie
CV COVERALL S2 Buy Back 2nd Combo Itof 3 Folywrap
JS JUMPSUIT b No Buy Back 6 Wrap in Browr Flapor
SC SHOP COAT
LC LAB COAT
DR DRESS CHANGE OVER (CO) PRICE EXTENSION (PR EX
SM SMOCK U Unit Priced
JK JACKET 0 No Change Over F Flat Rated
LP LAPEL COAT 1 Standard Change Over
13Z 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 Bioodborne Pathogen
D Direct Sales Local ROUGH WEAR (R
L Linen
M National Rental Mandatory R Rough Wear
N No Program Reimbursement Normal
0 Nomex
R Standard Uniform Rental
S Direct Sales National SERVICE TYPE
U Unflease
MAINTENANGE 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 FIR 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
REDUCE INVENTORY OR DELIVERY M Monthly
W GARMENT REQUEST WEAR UPGRADE C Clean
X GARMENT REQUEST DESTROYED GARMENTS 0 Direct Sale
EXCHANGE METHOD _(EX ME L Lease
L GARMENT REQUEST LOST GARMENTS
IN N.O.G,
P PRICE CHANGE D Delayed Exchange P Uri;pase
T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement
H HOLD F Fixed Quantity Exchange X Special Charge
7 SIZE CHANGE b Unit Exchange 0 Rental Item
K COLOR CHANCE
Prescrt> 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
/,✓7� 5 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
115 a 7 at bill(s) is (are) true and correct and that the
1 016 39y4.i materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature 91�A.
Cost distribution ledger classification if Title Director of Golf
claim paid motor vehicle highway fund