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155249 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1 is ONE CIVIC SQUARE CINTAS FIRST AID SAFETY CHECK AMOUNT: $88.45 CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE INDIANAPOLIS IN 46201 CHECK NUMBER: 155249 CHECK DATE: 111012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 388091523 88.45 388091523 :rte CiNrAs. Term s Invoice Date Branch Route UNITzfJ2 MAINTENANCE UNIT TOTALt CUSTOMER COPY TERMS NET 10 CFAS-INV V0 UCHER 077005 WARRANT ALLOWED 157000 (�6` IN SUM OF CiNTAS FIRST AID SAFETY 50 SOUTH KOWEBA LANE ,RIfINDIANAPOLIS, IN 46201 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code i 388091523 01- 7202 -05 $88.45 Voucher Total $88.45 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, t price per unit, etc. Payee 197000 CINTAS FIRST AID SAFETY Purchase Order No. 50 SOUTH KOWEBA LANE Terms INDIANAPOLIS, IN 46201 Due Date 12/29/2007 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/200, 388091523 $88.45 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 Date Officer