160298 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
o ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE CHECK AMOUNT: $144.84
INDIANAPOLIS IN 46201 CHECK NUMBER: 160298
CHECK DATE: 6/1012008
DEPARTMENT AC COUNT P NU MBER 'INVOICE NUMB AMOU DESCRIPTION
905 4239099 0388095494 29.04 OTHER MISCELLANOUS
651 5023990 0388097192 115.80::OTHER EXPENSES
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climff-At-pe
ix "m cgla p
Remit To Bill To
31 264-E
Unit Ext
UNIT.-0 I PRO SHOP UNIT TOTAL: 2 9. 0 4
UNIT.-02 MAINT UNIT TOTAL: 0.111)
SUB TOTAL: 29.04
TOTAL: 29. 04
Received BY:
CUSTOMER COPY TERMS NET 1O CFAS-(NV
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
v�/
Total 02 �7 U y
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
i IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
9vs �3�c
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Vs 038�U9sSF 390 _a ,oy 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
200
Signat4r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
L
cl...FrAma,
Terms Invoice Date
Branch Route Customer
Remit To Bill To
�317) 264-S10:3
Unit Ext
Item Qty Description Price Price Tax
I D4424 1 ELASTI'F: STRIP REFILL 6. 11 6. 1 N
1001 .1 TRIBICITIC OINTMENT SMALL 7 9.5 7.95 N
1. 1 14
UNIT:01 LAB UNIT TOTAL: 60.65
UNIT:02 MAINTENANCE UNIT TOTAL: 13.70
1 1 SERVICE CHARGE 7.95 7 .5 N
I 11 1 IBUPROFEN REFILL. 11.SS 11. 55 1\1
3046 CICCUFRESH 4/BCIX EYEWASH .5. 1 S.15 N
UNIT:03 OPERATIONS UNIT TOTAL: 41.46
SUB TOTAL: 116.80
TAX: 0.00
T AL: 115.80
RECD
CUSTOMER =OPY TERMS NET 10 CFAS-INV
i
VOUCHER 085574 WARRANT ALLOWED
1A97000 IN SUM OF
CINTAS FIRST AID SAFETY
0 SOUTH KOWEBA LANE
kIANAPOLIS, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0388097192 01- 7202 -05 $115.80
J Voucher Total $115.80
'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 5/30/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2008 0388097192 $115.80
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
Date Officer