162296 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE CHECK AMOUNT: $89.35
INDIANAPOLIS IN 46201
CHECK NUMBER: 162296
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AM OUNT DESCRIPTION
651 5023990 388100637 89.35 MATERIALS SUPPLIES
I
I
aNrAs..
E� LN
Terms Invoice Date
C 1 16 Ff 3:<;1.1- 1 1i6- -,:.3 -1 1 -7 t
IJ 'J C
Branch Route Customer
141. T
0 03 8 0 1
Remit To Bill To
CINTAS FIRST AID 8,. !:'iAFE CARMEL- t..I'T'ILI
50 S01iTH KOWEBA LANE 960 HAZEL DEL-L. F-`•*WY
I ND I ANAPCIL- I S, IN 4-6:;_O 1 INDIANAF IN 4-6,
(317) 2-
Unit Ext
Item Qty Description Price Price Tax
04323 1 •.NL1C1%".L-1: REFILL 6.45 45 1\1
I F-I 0 0 3 1 TRIBICITIC 011'QTMENT SHALL. 7 E 7.9-5 N
I I 1 1-11-8 1 ISUPR OF` t'.N 'I ABS ME L 35 1 a �5 1\1
UNIT: 131 LAB UNIT TOTAL: 32-75
IJ Li. 3 2-13 1 V.*.NL1(:'.V."1-E F'k'EF:- 61. -4. 46 1\1
T I F MENT SMALL 7 S N
.10 0 0:3 1. TR I S 10 01 1\1 T
11.14-8 1 IBL.IPROFEN TA B S 1yJ Ell 1 Sws n :NSF I 1\1
UNIT;02 MAINTENANCE UNIT TOTAL: 32.75
0 04 0 0 1 SERVI "."l-IARGE 9-S 7.96 1\1
-7, 1 95 1\1
4 1 C I
I 1 36” 7.9S
10 ],"J 0". 1 T R I BI C1 I'l C I N T M E i\i "r S tyl A L- L. 7,,'�S 1k,1
UNITtG3 OPERATIONS UNIT TOTAL: 23.8S
SUB TOTAL: 89.35
TAX: 0.013
TOTAL: 89.36
Received By. CUSTOMER COPY TERMS NET 10 CFAS-INV
VOUCHER 085983 WARRANT ALLOWED
197000 IN SUM OF
CINTAS FIRST AID SAFETY
50 SOUTH KOWEBA LANE
INDIANAPOLIS, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
388100637 01- 7202 -05 $89.35
Voucher Total $89.35
�,,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. Y
y
Payee
197000
CINTAS FIRST AID SAFETY Purchase Order No.
50 SOUTH KOWEBA LANE Terms
INDIANAPOLIS, IN 46201 Due Date 7/28/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2008 388100637 $89.35
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
l
Date Officer