159829 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY CHECK AMOUNT: $173.83
CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE
INDIANAPOLIS IN 46201 CHECK NUMBER: 159829
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMB 'INVOICE NUMBER AMOUNT DESCRIPTION
905 4239099 0388093949 173.83 OTHER MISCELLANOUS
c
aNrAs.
Terms Invoice Date
Branch Route Customer
Remit To Bill To
Item Qty Description Pr ice Price Tax
UNIT:01 PRO SHOP UNIT TOTAL: S.S.20
6UB TOTAL: 173.8
TAX: 0.00
TOTAL: 173.83
CUSTOMER COPY TERMS NET 10 CFAS-INV
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
,5 -o$
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 or
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
i9 20 o ,3
'gnat���
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund