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156133 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1 ONE CIVIC SQUARE CINTAS CORPORATION #018 CARMEL, INDIANA 46032 ssae PARK Davis ORive CHECK AMOUNT: $914.81 INDIANAPOLIS IN 4M5 CHECK NUMBER: 156133 CHECK DATE: 216/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 905 4356501 018206172 18.00 LAUNDRY SERVICE 1110 4356501 018215182 67.43 LAUNDRY SERVICE. 2201 4356501 018215183 338.98 LAUNDRY SERVICE 1110 4356501 018219637 76.43 LAUNDRY SERVICE 2201 4356501 018219638 413.97 LAUNDRY SERVICE dimko ORIGINAL INVOICE nEmrrnl CINTAS CORPORATION �O%8 XX'AXX 9949 PARK DAVIS DRIVE CARMEL POLICE INDIAN�POLIS, IN 46�35 GmpTO:3400 W 131ST STREET E I SOIL TKT CONTRACT NO. ACCOUNT NO, STOP SEO DELIVER COD CNT --INVOICE-DATE—' CARMEL POLICE DEPT. 3 LOC UTE DAY CUST NO. EPARTmENT CUSTOMER P.0, NO. PAGE TAX [NE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T N MB 1 `4 T "G 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x U E`Rl BB PRICE RVICE CHARG 10-6 4-1 0 50 Ni 018215182 TOTAL 0> TOPS BOTTOMS 0 EMP ITEM INVOICE NAME c I Buy m FILL mlMl L MIN 0 NAME FOR EMBLEM m x PRICE COLOR SL SIZE EMBLEM ID C m o NO. NO. 0 OR DESCRIPTION 0 BACK :E m K INV. I CHANGES QTY U R HARGE ABBREVIATIO_ N BUY BACK CODE (BB) PACKING CODES (PK) CODE DESCRIPTION B Buy Back 8 Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS 1131 Buy Back 1st Combo Item 2 String Tie CV COVERALL 132 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT PRICE EXTENSION (PR EX) OR DRESS CHANGE OVER (CO] SM SMOCK U Unit Priced JK JACKET G 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 Dental Mandatory R Rough Wear N No Program Reimbursement b Normal O Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U 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 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 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 F Fixed Quantity Exchange X Special Charge 2 SIZE CHANGE b Unit Exchange 0 Rental Item K COLOR CHANGE awke ORIGINAL INVOICE CINTAS CORpOR4T101 #O18 REMIT TO: 994P PARK DAVIS DRIVE CARMEL POLIC'E INDIANAPOLIS, IN 46235 GH|pnI34OO W 131ST STREET WESTFZELD IN 460" 317-9-90 LINT NO. STOP SEO �:�—INVOICEZATIE PAGE Li'NE MIN C ITEM DESCRIPTION OR EMP QUANTITY QUANTITY T *N'- ITEM INVOICE BEI PRICE NUMBERf CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x J i A IIAKEUP SIGNATURE FINAL TOTAI 0 -i NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE z- m 5 NO. NO. 0 OR DESCRIPTION 0 BACK n Q K INV. CHANGES OTY co U R CHARGE ABBREVIATION BUY BACK GODE�(BB) PACKING CODES (PK) CODE DESCRIPTION B Buy Back SH SHIRT B Package in Bundle BB Buy Back Both Combo Items H Package on Hanger PT PANTS 131 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 Paper SC SHOP COAT LC LAB COAT DR DRESS CHANGE OVER (CO) PRICE EXTENSION (PR EX) SM SMOCK U Unit Priced JK JACKET G No Change Over F Flat Rated 1 Standard Cha Over LP LAPEL COAT 9 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 n Linen M National Rental Mandatory R Rough Wear N No Program Reimbursement b Normal O Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U 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 FREOUENCY (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 ME) L Lease L GARMENT REQUEST -LOS? GARMENTS 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 Ouantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange Q Rental Item 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 Corporation #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)) 1129/08 1821 637 Davment for laundry services 76.43 1/22/08 18215182 payLaent for laundr services 67.43 Total 143.86 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 C iric -as Corporatoin #018 IN SUM OF 9949 Park Davis Drive Indianapolis, IN 46235 143.86 ON ACCOUNT OF APPROPRIATION FOR p olice general ufnd Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 18215182 565 -01 67.43 bill(s) is (are) true and correct and that the 1110 1821 637 565 -01 76.43 materials or services itemized thereon for which charge is made were ordered and received except January 31 20o8 f h"a�b .4 a A-- Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund c!NTAs. ORIGINAL INVOICE REMIT TO: CINTA8 CORPORATION #018 9949_PARA DAVIS DRIVE 8ROOKBHIRE GOLF CLUB INDIANAPOLIS, IN 46235 Sn/pTD:i212W BROOK8HIRE PKWY CARMEL IN 46033 30 INVOICE NO. 317-846-4706 CONTACT: ROBERT D HIGGINS DNTRACT NO ACC DELIVERY CODE S�11- TKT NT INVOICE DATE P617 D2617 1 4 �102000 1 1/08/08 BROOKSHIRE GOLF CLUB LOC �IUTI�A$CUSTNO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILLTO: 12120 BROOKSHIRE PKWY 01E3 1 2617 L DUE 2/10/08 CARMEL, IN 46033 TAX CODE EVEN BILLING TAX EXEMPT PAGE SOIL 7 MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY OUANTITY INVOICE T LINE -NT 6B PRICE REVIE By SIGNATURE FINAL 018206172 T;0TAL SHADED AREAS ARE FOR INTERNAL USE ONLY 0 EMP ITE INVOICE NAME TUT x BOTTOMS M77 MIN 0 NAME FOR EMBLEM R 'n PRICE COLOR SL SIZE EMBLEMID GRADE K NO. NO. 0 OR DESCRIPTION BACK E m K 71 --If F ABBREVIATION BUY BACK CODE (BB PACKING CODES (PPK) CODE DESCRIPTION 8 Buy Back B Package in Bundle SH SHIRT B8 Buy Back Both Combo Items H Package on Hanger PT PANTS 61 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 Paper 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 LIP 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 Vol'untary 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 L GARMENT REQUEST LOST GARMENTS METHOD (EX ME) L Lease N N,O.G. P PRICE CHANGE D Delayed Exchange P Unitense T TRANSFER EMPLOYEE E Even Exchange R Lost Replacement H HOLD F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange Rr nlal Item K COLOR CHANGE Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 3995) 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)) f O g bra'?0 Total 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 197000 IN SUM OF Cintas Corp #018 9949 Park Davis Dr Indianapolis IN 46235 If, J0 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 0,5 04,;3o 7Z 565 0 If 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 20 Od' ignatuo Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE CINTAS CO�PORATl�� #Ot� REMIT TO: 9949 PARK DAVIS DRZ\/E CARMEL STREET I)EPT INDIANAPOLIS, IN 46 SmpTO. 3 4gO W 13 18T STREET 1 /29106 BILLTO: ATTN. DONNIE CALLAHAN. 26-50 DUE 2/10/08 3400 W 131ST STREET TAX CODE SOIL �,?,��LINE NT MIN _F_cT BEI ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T PRICE NUMBERI CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X FINAL SIGNATURE TOTAI REVIEWED BY EMP ITEM INVOICE NAME C BUY m Q TOPS Troms c FILL L MIN 0 NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEMID GRADE m FBO O��VN&�|NV�� CINTAS CORPORATI0W ��|B REMIT TO: 99 PA�� DA�IS DRIVE C��MEL STREET DEPT N rip []LIS' IN 462�5 34O� W 1�iST S�REET SHIP TO, �l� D c) INVOICE 7C ROIJTE DAY N 0.. DEPARTMENT CUSTOMER RO. NO. TERMS-' BILLTO: ATTN. 1-i LINE MIN 1313 ITEM DESCRIPTION OR QUANTITY QUANTITY INVOICE T EMP ITEM PRICE 7 32#�'l It 's H T 63 1 Nj RED MAPTZ FINAL REVIEWED BY SIGNATURE L j,v NAL USE ONLY SHADED AREAS ARE EMP ITEM INVOICE NAME C Buy m X TOPS ms FILL 'n 0-4 NAME FOR EMBLEM R m PRICE COLOR SL SIZE EMBLEMID GRADE m m m INV. CHANGES I 7 7 7 ul ORIGINAL INVOICE REMIT TO: CI�4TAS CORPORATION #D18 9949 PARK DAVIS DRIVE CARMEL STREET DEPT INDlAN�POLlS, It4 46235 8mpTO:34OO W 131ST STREET CARMEL ESTREET DEPT LOC 1 �CAY 1 CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS—:—"— WHSTF'IEiL-D7 IN 46074 PAGE N T EMP ITEM QUANTITY QUANTITY INVOICE T M BB PRICE NUMBER CHG EMPLOYEE NAME iA NO. N: I NO. INVENTORY INVOICED AMOUNT x 141 JE"F'F HICKS 7:773 6 1, iN 22 lif-KEUP CHARGE 7E =ts 14 REVIEWED BY SIGN�JLIRE IN lllj I FINAL 21963-9, TOTAL FILL M L MIN PRICE COLOR S L SIZE EMBLEM ID GRADE T m o l I EMP ITEM (n INVOICE NAME c BUY NAME FOR EMBLEM R m Z NO, BACK INV. I CHANGES ORIGINAL INVOCE C��TAS CORPO�4TION �O1� REMIT TO: 9949 PARK DAVIS DRIVE CAQMEL STREET DEPT INDIANAPOLIS. IN 46�35 34OO W 1318T STREET SHIP TO, �q ACT ND. DELIVE ONTR 4T No sT CARMEL DEPT UTE DAY CUST NO. DEPARTMENT CUSTOMER P-0- NO. TERMS��Ji -"L I N EiN T MIN Be ITEM DESCRIPTION OR EMP QUANTITY QUANTITY PRICE INVOICE T ITEM AMOUNT x NUMBER CHG O EMPLOYEE NAME NO, NO. INVENTORY INVOICED 41 3 X 'SCRAPER MAT 2AF 77 :3 3 =100 1W 1 310 4X6 BL 34435 N FINAL REVIEWED BY SIGNATURE r- Tf 0 0 1 EMP ITEM INVOICE NAME C Buy o m m al X TOPS BOTTOMS FILL L m N NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEMID GRADE r K n M 11 05 NO. NO. 0 OR DESCRIPTION 0 BACK INV. I CHANGES C 7NA M FfO R E M 5 L E >1 o AN ORIGINAL INVOICE n�mrrTO� CINTAS CORPORATION #01LI 9949 PARK DAVIS DRIV'E" CARMB- STREET DEPT INDIANAPOLIS, IN 46235 Sn|pTD:3400 W 131ST STREET WESTFIELD, IN 46074 3t7890-5000 -INVOICE CARMEL STREET DEPT LOC OUTl�lAYj DEPARTMENT CUSTOMER P.O. NO. �JERMS BILL TO: 34-00 W 131ST STREET EV'EN PAGE F LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTI QUANTITY INVOICE T NUMBER]NT CJG. 0 BS EMPLOYEE NAME NO, NO. INVENTORY INVOICED PRICE AMOUNT X 361 _EE HIGGINBOTHN11 S: 37 73,3 IGH IARK 01 REVIEWED BY SIGNATURE FINAL TOTAL 0 m _u TOPS BOTTOMS 0 0 EMP ITEM INVOICE NAME �a m FILL m M L MIN 0 TOPS 0-4 NAME FOR EMBLEM C �R BUY PRICE COLOR SL SIZE EMBLEM ID GRADE m 5 NO. NO. 6) OR DESCRIPTION 0 BACK -n m K INV. CH�ANGES OTY w U R CHARGE ABBREVIATIO BUY BACK CODE (BB) PACKING CODES (PK} CODE DESCRIPTI B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Manger PT PANTS 131 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 Paper SC SHOP COAT LC LAB COAT DR DRESS CHANGE OVER {CO} PRICE EXTENSION (PR EX) SM SMOCK U Unit Priced JK JACKET 4t 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 O Nomex R Standard Uniform Rental S Direct Sales National SERVICE TYPE U 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 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 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 F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange G Rental Item K COLOR CHANGE ORIGINAL INVOICE REMIT TO: Clr-4 C"ORPORATH-11"! #01-9 994�� PARK DAv!S, CARMEL DEPT 1r -Trlj 462Ds SHIP TO: 3400 !r: i3iS'r S-TREET INVOICE NO. T NO� AD CODE SOIL INVO 3 17 7 3 20 C N T j A C 's CONTRAC ACCOUNT O� S—TOPSEOTIDELIVEIRY PNT DATE P o 0 i I li Y 9 CARMEl- 5TF;,E`.ET DFF f LOC [ROUTE DAY CUST NO- DEPARTMENT CUSTOMER P.O. NO. 'TERMS JJ BILL TO: i BONIE �bl' A F, D U F. 0 Fl, ATT\L N L j 4 0 C; W 1, 3 1 S T S T R -1~ TAX CODE E" 'o 1-3 1 L L 1 1 C WST ET-'IELD, lN 4&0 741 E x m PAGE SO 1 L LINE MIN C 38 ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER PRICE -r CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT X rVICE c-HAR "10 6 2 3M �ya'HGP 17 6 0 I fit '7 =.3 1 ILI E. t:) St H D p 2i6O 1 5,: 14 7-tj 3 3m T L R E D 6C' 4 3X5 SCRAPER MAT jy- 92 soc 1 o. 4ET MOP LARCE JF 2 f:7 V 0 -s 6� 29,641 C 71 m F I R TOW 4 Y. 00 17' 1- S- 6,I 00 NI F3•A!JN PRIVFT i 7 3 25 6.; S R L-OV A E-U F-) 4 1..9. T 4-i FE R R Y K 1 L i.-;F- N 11 SH .1 P f 12 -=K ALDE, F'T 5p f I -f4 N In CIV* F I -1- 1 6 3 3 -7 3 F T REVIEWED BY J SIGNATURE T FINAL s i P TOTAL v N 0 0 EMP ITEM INVOICE NAME C BUY m o m TOPS BOTTOMS FILL �MJMJL� MN Q 1 NAME FOR EMBLEM ]R m K PRICE COLOR SL SIZE EMBLEM ID GRADE I 'm 0 NO. NO. M OR DESCRIPTION 0 BACK n �E m QTY co U R CHARGE m X m INV. CHANGES j- 0 Aftl ORIGINAL INVOICE 1 REMIT TO: -1 T I, iRl I Uf 2 SHIP TO: viii 7 1 k 1 -T!, 0160"7 4 34 1 C, INVOICE NO. c*1 1 S 2 i S 1 S �U T NO D l -7 1 72 3 0 1 T T TOP CONTRACT NO. ACCI S SEOJ DELIVERY CODE SOIL TKT C NT INVOICE DATE J, 7e OC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS CARMY-1- STREET DEPT BILL TO: 1*4 130il4fNIE C'AUI-AHAVI a 1T 26 SO ATTI r- I i FoL k. -7 .r,0 W I J3 I T 2 R F TAX CODE"' 1��, V i L. 1' 1 7-; 4X' EXE PAGE MPT' T 4607 F LINE J MIN FC T F� ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T INUMBER 1,NT CHG. 0 -B EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 5 DAVE HtL)T-FMAi'a 9 4 1.3.r-•-i Ni 16 JUM HUBME)' 5j_: i;p WPT KIRBY 0 .1. i. 1 1 4 sf-� CIS T irri P, I 11E off._ J017•4'E'S CF 1 R'ON WILA-Ik",--� :7, G 9 -d ss too 20 0-31914 1 -1 p r, 5 f- s s L;p t 2 1 r.111 BROWNILN;G" i4 7 :3 3 i S H s H 6, t5 1 2 42 j E F F S T LEW 4 E'8 S� f 6.: !'q 2 23 TRAVI'S' TABAK 733 f 1 SH ssl DAPY JO s-t� E:, �72 4, 7z S�, M 91t. 5cv 2S Y 2, i?.t N R Y J 0 N E 3' 17 26 KIYP F11ERCY 4 E �j wl 19 894 1 RT -r- P r 5 27 AMES L 1 894 1 1 4 7 'ELLER 29 2 7 3 3 F H 5 S 5F V 2 RD 1, 1 4 4 P s H SP T 7,� 7 1 �N 9 3A HENIDFR'L� S�i'-? IF i`� E'�-1 7 :3 s H 30 11KE' HENP41C`rl.`�3 2 I L 30 IN 3 1 11KE 22 7 3 3 i .1 2 EzH P T 32 '11KE HENRICIV -2 1 7 12 v 2! 2 j. N d%DAM TOWNS 21 3 2( S t L. T 6. 4 1 1 IATri -34 NFil"4 S'TAPI-L.: 6-:61 6 7 F'T �7- 7 3'2� —7 3 S JE J- 5 6;61 REVIEWED BY SIGNATURE 0 C E *1 FINAL 2 i 5 TOTAL 0 TOPS BOTTOMS FILL L MIN SL EMBLEM ID GRADE K PRICE 0 EMP ITEM INVOICE NAME NAME FOR EMBLEM C�R BUY�'31"J-" COLOR SIZE NO. G OR DESCRIPTION 0 BACK 3E m CITY u R CHARGE m m M m 6 NO, m m X m INV. I CHANGES C m 7 4: 7, 7. ti 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)) Total �7 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 IN SUM OF C) ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 51 3 t ol�), 0 1 3 68. G 3 bill(s) is (are) true and correct and that the 5(o6.0( 11�16,G 7 materials or services itemized thereon for which charge is made were ordered and received except F EB 0 4 2008 20 Sign r Cost distribution ledger classification if Title claim paid motor vehicle highway fund