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178659 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1 ONE CIVIC SQUARE CINTAS CORPORATION #018 CHECK AMOUNT: $2,703.58 CARMEL, INDIANA 46032 PO BOX 630803 CINCINNATI OH 45263 -0803 CHECK NUMBER: 178659 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4238900 PARKS 2,703.58 OTHER MAINT SUPPLIES E i A mAs. ORIGINAL INVOICE REMITTO: CINTAS CORPORATION 4018 OCT 0 9 2009 LOCATION 18 THE MONON CENTER P O BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317- 890 -5000 INVOICE NO.. D E1M1 018556296 317-573-5239 CONTACT: TERRY MYERS CONTRACT N0. ACCOUNT NO. STOP SEO DELIVERY CODE I SOIL TKf C INVOICE DATE 02597 02597 1 W102000 R 8/18/09 THE MONON CENTER LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 3 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. O DD EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X I P Jart.� onaD P.O. 7 �o� p p Bud Pu pate APP Date FINAL REVIEWED BY SIGNATURE INVOICE SHADED AREAS ARE 018556296 TOTAL F OR INTERNAL USE ONLY p� EMP ITEM t INVOICE NAME C BUY m x TOPS BOTTOMS o FILL m M L MIN a NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE r °Z NO. NO. m OR DESCRIPTION O BACK p X m INV. CHANGES m CITY m U R CHARGE p`i r"s era awAs ORIGINAL INVOICE OCT 9 2009 REMITTO: CINTAS CORPORATION #018 LOCATION 18 THE MONON CENTER P 0 BOX 630803 Lye.... SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317 -890 -5000 INVOICE NO. D ElMl 018556296 317-573-5239 CONTACT TERRY MYE R S CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 02597 02597 1 W102000 R 8/18/09 THE MONON CENTER LOC CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS- BILL TO: 1411 E 116TH STREET 018 28 2 2597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 2 SOIL I INF MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 12 WHITE MICROFIBR WIPE OF 7717 300 300 6200 60 00 13 URINAL SCREEN SVC OF 9210 24 24 ;500 12 ;00 14 URINAL SCREEN RFL E1 OF 9215 14 14 15 1 IHAIR BODY SOAP RFL UD 9224 2� 2 39 79 NI 16 400ML MOIST FOAM RFL UD 1 9238 4 1 44:000 44:00 17 240Z ANTIMCR WET MOP' 6912 4 0 40 X750 30',0 N 18 1 ISERVICE CHARGE F 1 X 15 5,500 5,50 Ni INVOICE�TOTAL 476 :*6 20 C PULL TOWEL RFL UD 1 9025 1 36382 21 JRT TOILET PAPER RFL UD 1 9110 3 38'587 FOR ACCOUNTS RECEIVA13LE QUES I NS OR INVOICE COPIE PLEASE!CALL NEW A/R PHONE NUMBER 877 235 -4710 JE F KILGORE EXT. 2545 REVIEWED BY SIGNATURE INVOICE FINAL 018556296 TOTAL SHA 0� EMP ITEM INVOICE NAME C BUY o 43 X TOPS BOTTOMS o FILL m M L MIN NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE 9 00 NO. NO. G) OR DESCRIPTION O BACK X m NV. /CHANCES m OTY m U R CHARGE Z m m x 7 I I I m �r I 72-93 II c!NrA ORIGINAL INVOICE S® REMIT TO: CINTAS CORPORATION #018 OCT 0 9 1009 LOCATION 18 THE MONON CENTER P 0 BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 Fj_x CARMEL, IN 46032 317 -890 5000 INVOICE NO. D E1M1 018556296 317-573-5239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT N0. STOP SEO DELIVERY CODE SOIL TKT C INVOICE.DATE 02597 02597 1 W102000 R 8/18/09 BILL TO: THE MONON CENTER LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS 1411 E 116TH STREET 018 28 2 02597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 1 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER C CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 2000 ML ESTESOL RFL UD 1416 1 1 50;000 50;00 2 24" DUST MOP OF 2570 16 16 X716 11 46 3 60" DUST MOP OF 2610 7 7 750 5125 4 STRIPE SWIPE TOWEL OF R 2964 12_ 12 1 12',00 STRIPE SWIPE TOWEL OF 2964 60.0 600 ;150 90:00 6 MM AIR FRESHENER'SVC UF, 6116 34 34 1,500 51;00 7 FIBGLS WET MOP HANDL OF 6923 4- 4 8 FBGLS DUST MOP HANDL OF 6925 4 4 20 "MICROFBR MOP HEAD OF 7000 60 60 1350 21100 10 20 MOP FRAME OF 7002 4 4 050 X20 1 WHITE MICROFIBR WIPE OF R 7717 5 5 1;000 5.00 N REVIEWED BY SIGNATURE INVOICE FINAL 018556296 TOTAL SHA DED e nn EMP ITEM INVOICE NAME C BUY m TOPS BOTTOMS o FILL m M L MIN n NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE m 5 NO. NO. OR DESCRIPTION O BACK F m 3 m QTY m U R CHARGF m Z m m x x m INV. /CHANGES 1 cc ^'9 g --7 ORIGINAL INVOICE CIN REMIT TO: CINTAS CORPORATION #018 LOCATION 18 OCT 0 9 2009 THE MONON CENTER P O BOX 630803 SHIPTO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317- 890 -5000 ki IgvpjpE,NO:.. Dy D E2M2 018560372 317-573-5239 CONTACT: TERRY MYERS CONTRACT N0. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE.DATE 02597 02597 1 W102000 R 8/25/09 THE MONON CENTER LOG ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS: BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 3 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X P P.O. !1 F G.L III Bud &et Purchased D" Approval Date REVIEWED BY SIGNATURE INVOICE FINAL 018560372 TOTAL S i kA bEd AREAS ARE FOR INTERNAL usE p� EMP ITEM INVOICE NAME C BUY X TOPS BOTTOMS o FILL m M L MIN n NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE °o NO. NO. OR DESCRIPTION O BACK m F X m INV. /CHANGES W QTY m U R CHARGE Z m a Q o N ciwm® ORIGINAL INVOICE REMITTO: CINTAS CORPORATION 4018 0CT 2009 LOCATION 18 THE MONON CENTER P 0 BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317 890 -5000 wvOICE.NO.. D E2M2 018560372 317-573-5239 CONTACT TERRY MYE RS CONTRACT NO. ACCOUNT N0. STOP S DELIVERY CODE SOIL TKT CNT INVOICE.DATE 02597 02597 1 W102000 R 8/25/09 THE MONON CENTER LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 2 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG, O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 12 JRT TOILET PAPER RFL UD 9110 3 3 386587 115',76 13 URINAL SCREEN SVC OF 9210 24 24 ;500 12;00 14 HAIR BODY SOAP RFL UD 9224 2 3 39'600 118'80 1 1 1240Z ANTIMCR WET MOP UF 69,12 40 40 750 30 16 SERVICE CHARGE F 1 X 15 5:500 5 :50 INVOICE;TOTAL 537,97 181 2000 ML ESTESOL RFL UD 1 1416 1 50,'000 NI 19 IC PULL TOWEL RFL UD 1 1 9025 1 36,382 20 4 MOIST FOAM RFL UD 1 9238 4 44 000 N FOR ACCOUNTS RECEIVABLE QUES I NS OR INVOICE COPIES PLEASE'CALL NEW A/R PHONE NUMBER 877- 235 -4710 JEFF KILGORE EXT. 2545 V I REVIEWED BY SIGNATURE INVOICE FINAL 018560372 TOTAL SHA DED AREAS ARE FOR INTERNAL USE O NLY p� EMP ITEM INVOICE NAME C BUY x TOPS BOTTOMS o FILL 77 L 7N, a NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE °Z NO. NO. m OR DESCRIPTION O BACK X m INV. CHANGES m OTY U R r- F T 7 1 clmAS ORIGINAL INVOICE .ry REMITTO: CINTAS CORPORATION #018 OCT 0 9 2009 LOCATION 18 THE MONON CENTER P O BOX 630803 SHIPTO:1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317 890 -5000 INVOICE.NO. D E2M2 018560372 317-573-5239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT =STOP ELIVERY C ODE SOIL TKf CNT INVOICE DATE 02597 0259102000 R 8/25/09 THE MONON CENTER LOC ROUTE DAY CUST NO, DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 9/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 1 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 24" DUST MOP OF 2570 16 1 16 716 11'46 2 60" DUST MOP UF 2610 7 7 X750 525 3 STRIPE SWIPE TOWEL OF R 2964 12 12 1 ',000 12',00 4 STRIPE SWIPE TOWEL OF 2964 600 600 ',150 90',00 5 MM AIR FRESHENER SVC OF 6116 3.4 34 1 51 6 FIBGLS WET MOP HANDL OF 6923 4 4 7 FBGLS DUST MOP HANDL UF 6925 4 4 8 20 "MICROFBR MOP HEAD OF 7000 60 60 350 21 00 9 20 "MICROFB MOP FRAME OF 7002 4 4 ',050 ',20 10 WHITE MICROFIBR WIPE OF R 7717 5 5 1 5100 11 WHITE MICROFIBR WIPE OF 7717 300 300 ;200 60;OO N REVIEWED BY SIGNATURE INVOICE FINAL 018560372 TOTAL SHADE. AREAS ARE F613 fNT-ERNAL O§E ONLY �n EMP ITEM m INVOICE NAME C BUY p m TOPS BOTTOMS o FILL m M L MIN n NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE °o NO. NO. m OR DESCRIPTION O BACK x k m INV. CHANGES W QTY U R CHARGE I H CIN060 ORIGINAL INVOICE REMIT TO: CINTAS CORPORATION #018 OCT Q J 2009 LOCATION 18 THE MONON CENTER P 0 BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317 -890 -5000 INVOICE NO. D E1M3 018564399 317-573-5239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 02597 02597 12 W102000 R 9/01/09 THE MONON CENTER LOG ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 10/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 3 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X FOR ACCOUNTS RECEIVABLE QUESTIONS OR INVOICE$ COPIES PLEASE;CALL NEW A/R PHONE NUMBER 877 235 -4710 JEFF KILGOIZE EXT. 2545 V I P a Line Seb REVIEWED BY SIGNATURE INVOICE FINAL 018564399 TOTAL SHADE ARE ONLY. EMP ITEM INVOICE NAME C BUY m x TOPS BOTTOMS o FILL m M L MIN n NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE °o NO. NO. G) OR DESCRIPTION O BACK m X m INV.lCHANGES W QTY m U R CHARGE Z m a rc 9 �7 ciNrA ORIGINAL INVOICE S® REMIT TO: CINTAS CORPORATION #018 OCT 0 9 1009 LOCATION 18 THE MONON CENTER P O BOX 630803 Yo•.. „J SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317 -890 -5000 INVOICE NO. D E1M3 018564399 317-573-5239 CONTACT: TERRY MYERS CONTRACT N0. I ACCOUNT N0. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE-DATE 02597 02597 12 W102000 I R 9/01/09 THE MONON CENTER LOC R DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 10/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 2 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY NVOICE T NUMBER CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE I AMOUNT X 12 WHITE MICROFIBR WIPE OF 7717 300 300 6200 60 00 13 JRT TOILET PAPER RFL UD 9110 3 4 38,587 154,35 14 URINAL SCREEN SVC OF 9210 24 24 '500 12'00 15 URINAL SCREEN RFL El UF 9215 14 14 I 161 1 HAIR BODY SOAP RFL UD 9224 2 2 39:600 79.20 Ni 17 2402 ANTIMCR WET MOP`UF 6912 40 40 ',750 30100 18 SERVICE CHARGE F 1 X 15 51500 5150 INVOICE�TOTAL 536.96 20 2000 ML ESTESOL RFL UD 1 1416 1 50 000 21 C PULL TOWEL RFL UD 1 9025 1 36'382 22 400ML MOIST FOAM RFL UD 1 9238 1 4 44:000 REVIEWED BY SIGNATURE INVOICE FINAL 018564399 TOTAL SHADED AREAS ARE F INTERNAL USE O NLY p� EMP ITEM INVOICE NAME C BUY x TOPS BOTTOMS o FILL m M L MIN a NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE 3 °5 NO. NO. m OR D O BACK D z X m INV. CHANGES m QTY m U R CHARGE z CiNrAs. ORIGINAL INVOICE 7 REMIT TO: CINTAS CORPORATION #018 +f LOCATION 18 0 C T 9 2005 THE MONON CENTER P 0 BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 CARMEL, IN 46032 317- 890 -5000 NVolyE NO. v D ElM3 018564399 317-573-5239 CONTACT TERRY MYER S CONTRACT NO. ACCOUNT ]N. STOP SEO DELIVERY CODE SOIL TKT CNT INVOICE DATE 02597 025912 W102000 R 9/01/09 THE MONON CENTER LOC R DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 1411 E 116TH STREET 018 28 2 02597 DUE 10/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING TAX EXEMPT PAGE 1 SOIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER CNT CHG. O BB EMPLOYEE NAME NO. NO, INVENTORY INVOICED PRICE AMOUNT X 24" DUST MOP OF 2570 16 16 X716 11;46 2 60" DUST MOP OF 2610 7 7 ;750 5 ,25 3 STRIPE SWIPE TOWEL OF R 2964 12 12 1000 12:00 4 STRIPE SWIPE TOWEL OF 2964 600 600 ',150 90 5 MM AIR FRESHENER SVC OF 6116 34 34 1;500 51;00 6 MM AIR FRESHENER RM3 UF 6123 36 36 7 FIBGLS WET MOP HANDL OF 6923 4' 4 8 FBGLS DUST MOP HANDL OF 6925 4 4 9 20 "MICROFBR MOP HEAD OF 7000 60 60 ',350 21',00 10 20 "MICROFB MOP FRAME OF 7002 4 4 050 20 11 WHITE MICROFIBR WIPE OF R 7717 5 5 1;000 5;00 REVIEWED BY SIGNATURE INVOICE FINAL 018564399 TOTAL sHAbtb n n EMP ITEM v INVOICE NAME C BUY p x TOPS BOTTOMS o FILL m M L MIN a NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE MK °o NO. NO. OR DESCRIPTION O BACK m F 3 OTY m U R CHARGE mZ m p x m INV. CHANGES dm7ko ORIGINAL INVOICE REMIT TO: CINTAS CORPORATION #O18 LOCATION iB THE MONON CENTER P O BOX 630803 SmpTD: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263-0802 CARMEL, IN 46032 317-890-5000 INVOICE NO. 31 CDf%ITAC'T: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOP SEC) DELIVERY CODE SOIL NT INVOICE DATE -S97 -2 97 "1 102000 911 10 9 BILL TO.. THE MONON CEN'TER LOC kROUTE DAYS CUST FNO.DEPAR7TMENT CUSTOMER P.O. NO. TERMS CARMEL, IN 46032 TAX CODE PAG EVEN BILLING TAX EXEMPT Iles I L 7 ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE LINE MIN C B6 PRICE T NUMBERENT CHG. 1 0 1 EMPLOYEE NAME NO._ NO. INVEN TORY INVO ICED AMOUNT X 30 00 N t4 8 SERVICE CHARGE I I sot S. c; C1 EMP ITEM INVOICE NAME NAME FOR EMBLEM CIR JBUY� m x PRICE COLOR SL SiZE EMBLEM ID FILL GRADE mK M L MIN o m �5 NO. NO. G) OR DESCRIPTION 0 BACK m V. I CHANGES QTY ai U R CHARGE ABBRE VIATION BUY BAC CODE_(BB PACKING CODE (PK) CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT ­PANTS B1 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 PRICE EXTENSION (PR Ex) DR DRESS C HANGE O VER (CO) SM SMOCK JK JACKET 0 No Change Over F Unit Priced 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 11 EM 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 L Lease Direct Sale ExCHANGE METHD E O M- L L GARMENT REQUEST LOST GARMENTS N N.Q.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 p Rental Item K COLOR CHANGE comes ORIGINAL INVOICE e REMITTO: CINTAS CDRPORATTOI�j :�,kcy1Fj 1._ O C �,T 01 i ���ITW 2 L'�• l �l/i/ THI E 1101'•I0N C.ENTER P 0 BOX 63Oa1O3 SHIP TO: 123S CENTRAL PARK DRIVE CINCINNIATI, 0H 4S2613`080 zr CARMEL, I:N; 461'032 317­890­5000 $G%D D El 3 31 C OP IT AC' T: 'T'E I f Y 114, —I CONTRACT NO. ACCOUNT NO. STOP SEQ DELIVERY CODE I SOIJjKT JCNt I DATE T Xl: r� 1� L I 2597 2S97 r� ;102000 9 'THE NOI`!ON CENTIER ROU TE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. BILL TO.. 4 s.1. '2 97 J.1 F 116 '53'TREEIT 18 -'2 CAFRMEL, IN 46C)3'r.` TAX CODE PAGE rAX EXEMPT so I LINE MIN C BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NUMBER NT C', 0 EMPLOYEE NAME NO._ NO. INVEN INVOICED AMOUNT x 2"1" DUEST MOP JF -'1 7 0 1 16 i 16 11.: 46 1\1 "T 7" 50 DUC3 MOP JF 26 1 1 7 7 5 0 5.:25 N 3 SiWILPE TOWEL F R 2964 12 1 2 i. 000 1 2.; 00 ki 4 3TRIPE SWIPE T[: w, i­ jF' =29 6 4 1 2so 2,.- 0 1. so 3 7. li 0 INI IM AIR FRESHENER SVC JF' 6116 1 34 1 3 /'r IL _i0(? 1 .I 0C) 1\1 6 T R F R E H E �4 E'R R J 36 IN 6123 7 FIBGLS WET MOP HAVIDIL jF' 6 9 2 3 4 4 81 FBGyLS DUST MOP HAl`QDL JF 65"2)c 4. .41 9 20"I'lICROFBIR MOP HEAD LJF 7000 6-0 6 0 E-, 2 1 ()0 14 10 20"MICROPB MOP FRI'AME JF 700' 4 13 5 0 T j IRE? !2r TF H JRT TOILET PAPER CAS i ED 7702 38,: S-67 7 4...I N REVIEWED BY SIGNATURE OCT 2' LUU INVOICE it FINAL 1018580442 TOTAL 0 M L TOPS BOTTOMS 0 EMP ITEM c BUY m M 0 FILL m MIN 0 lz"bI xm&,qMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE K m b NO. NO. 0 BACK :E m K INV. /CHANGES QTY co U R CHARG z X m C 0 L 100 -A'23 F F F I ABBREVIATION BUY BACK CODE_( _P) PACKING CODES (PK) CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT 1313 Buy Back Both Combo Items H Package on Hanger PT PANTS 1311 Buy Back 1st Cornbo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Cornbo Item 3 Polywrap JS JUMPSUIT b No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT PRICE EXTENSION (PR EX) DR DRESS CHANGE OVER (CO) 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 (VEARIR) 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 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 Sal EXCHANGE METHOD EX M L Lease L GARMENT REQUEST LOST GARMENTS .G. P PRICE CHANGE D Delayed Exchange 94 .0.4 T TRANSFER EMPLOYEE E Even Exchange R Lost Laal Rje jqcpTnt H HOLD IF Fixed Quantity Exchange 'X Special (3h.argd; Z SIZE CHANGE b Unit Exchange Qom �Itd K COLOR CHANGE L c!NrAS® ORIGINAL INVOICE REMIT TO: C INTAS CORPORATION ##018 L LOCATION 13 THE MONON CENTER P O BOX 630803 SHIP TO: 1 235 CENTRAL PARK DRIVE CINCINNATI, OH 45263 -0803 Q j CARMEL, IN 46032 888-- •924 '6827 6 2 �Q INVOICE NO 018584422 317- 573 -5239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOPSEQ DELI _INVOICE DATE 2597 2597 2 10X}0(3 b 10/06/09 BILL TO: THE MONON CENTER LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O. NO. TERMS 1411 E 116TH STREET 018 8 2597 DUE 11/10/09 C ARMEL) IN 46032 TAX CODE EVEN BILLING AX EXEMPT PAGE 1 OIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE NUMBER NT CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X 1 24" DUST MOP J 2570 16 16 716 1 1.; 46 N 2 0" DUST MOP J F 2610 7 7 .;7SO 5.:25 N 3 5TRIPE SWIPE TOWEL J F R 2964 12 12 1. 000 12.!00 N 4 5TRIPE SWIPE TOWEL JIF 2964 250 250 .150 37.50 N 5 IM AIR FRESHENER SVC JF 6116 34 34 1.;500 51.;00 N 6 IBGLS WET MOP HANDL JF 6923 4 4 N 7 •BGLS DUST MOP HANDL JF 6925 4 N S 0 "MICROFBR MOP HEAD JF 7000 60 60 .350 21.00 N 4 0 "MICROFB MOP FRAME JF 7002 4 4 ASS X20 N 14 J RT TOILET PAPER CAS JD 7702 3 1 38.587 38. :59 N 11 HITS MICROFIBR WIPE JF 7717 5 5 1.;000 5.;00 N REVIEWED BY SIGNATURE INVOICE FINAL 018584422 TOTAL x tt tt SHA DED AREAS ARE FOR O NLY I I C BUY m mm m x TOPS BOTTOMS m 0 EMP o FILL M L MIN MBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE K O NO. m O BACK :E X m INV. /CHANGES QTY w U R CHARGE ;Zan akf9 r-- ABBREVIATION BUY BACK: CODE PA KDNG C ODES LM CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT --PANTS B7 Buy Back 1st Combo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT q No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT DR DRESS CHANGE C?VE {CO) PRI EXTENSION (PR EX) SM SMOCK U Unit Priced JK JACKET a 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 FRI 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 L X GARMENT REQUEST DESTROYED GARMENTS Direct Sale EXCHANGE METHOD SEX MEN L Lease L GARMENT REQUEST LOST GARMENTS P PRICE CHANGE D Delayed Exchange�'� T TRANSFER EMPLOYEE E Even Exchange R st Re}� H HOLD F Fixed Quantity Exchange X Special ChargAr_ Z T___ SIZE CHANGE b Unit Exchange K COLOR CHANGE CANTS® ORIGINAL INVOICE REMIT TO: C I NTAS CORPORATION #01 LOCATION 18 THE MONON CENTER P O BOX 630803 SHIP TO: 1335 CENTRAL PARK DR CINCINNATI, OH 45263 0803 CARMEL, IN 46032 888-924 6827 INVOICE NO. D E2M4 OIBS84422 3i/ -573 -5239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOPSEO.DELIVERYCODE SOIL TKTCNT INVOICE. DATE 2'597 2597 102000 10/06/09 THE MONON CENTER LOC ROUTE DAY CUST N0. DEPARTMENT CUSTOMER P.O. NO. TERMS BILL TO: 14 i 1 E 116TH STREET Ole 8 2597 DUE 11/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING AX EXEMPT PAGE 2 OIL LINE MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NUMBER NT CHG. 0 Q BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X I 14HITE MTCROFIBR WIPE UF 7717 100 i00 .250 25.00 N 13 JRINAL SCREEN SVC aF 9210 24 24 500 12.;00 N 14 JAIP ;x: BODY SOAP RF'L JD 9224 2 2 39.1600 79.120 N Isl 240Z ANTTMCR WET MOP F 6912 40 40 .750 30.00 N 16 3ERVICE CHARGE 1 15 S. SOO 5.: SO N NVOICE ;TOTAL 333.;70 18 2000 ML ESTESOL RFL JD 1 1416 1 50.000 N 19 PULL TOWEL CASE JD 1 7699 1 36.362 1 N 20 40011L MOIST FOAM R FL JD 1 9236 4 44. 000 N of #NEW CUSTOMER SER V I E HOTL I NE NUMBS 888 -9' 4 -6827 OR 888 --9,C I NTAS* OR ACCOUNTS RECEIVAB E GUESTIOqS OR INVOICES COPIES PLEASE CALL NEW A/R PHONE NUMBER 3 0 JEF KILGOFE EXT. 254S REVIEWED BY SIGNATURE INVOICE FINAL 018584422 TOTAL afasat s�af of SHA DED AREAS ARE FOR O NLY n n EMP ITEM m INVOICE NAME C BUY p x TOPS BOTTOMS o FILL m M L MIN 0 a NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE MK °O NO. NO. m OR DESCRIPTION 0 BACK D x m INV. CHANGES QTY m U R CHARGE ABBREVIATION BUY BACK COLE (BB) PACKING_ CODES (PK) CODE D ESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT____ PANTS 81 Buy Back 1st Cornbo Item 2 String Tie CV COVERALL B2 Buy Back 2nd Combo Item 3 Polywrap JS JUMPSUIT Ii No Buy Back 6 Wrap in Brown Paper SC SHOP COAT LC LAB COAT PRICE EXTENS (PR EX) DR DRESS CHANGE OVER (CO) SM SMOCK U Unit Priced JK JACKET 0 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 T SKIRT C Signed New Contract B Bloodborne Pathogen D Direct Sales Local ROUGH WEA R L Linen —�._.7 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 MA INTENANCE 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 D Direct Sale X GARMENT REQUEST DESTROYED GARMENTS 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 q Rental Item K COLOR CHANGE CINTAS CORPORATION 4T ffSST CII11Ti��S® ORIGINAL INVOICE REMIT TO: UU LOCATION IS GENIE THE MONON CENTER P 0 BOX 630803 SHIP TO: 1235 CENTRAL PARK DRIVE CINCINNATI, OH 4S263--080'3 OCT 1 22009 CARMEL, IN 4603C2 868-924-6827 INVOICE NO. 15588355 317--S73-S239 CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOP SIOLDELIVERY CODE SOIVT INVOICE DATE 1)2597 2 9 2 102000 10/13/09 LOC ROUTE DAY CUST NO. EDEPARTMENT CUSTOMER P.O. NO, TERMS BILL TO: THE MONON CENTER 1411 E 116TH STREET 015 8 2 5 9 7 DUE 11/10/09 CARMEL, IN 46032 TAX CODE EVEN BILLING AX EXEMPT PAGE I r. OIL EMP ITEM QUANTITY QUANTITY INVOICE T LINE MIN C ITEM DESCRIPTION OR NUM NT CHG. 0 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x 1 E_ DUST MOP IJF 2570 1.6 16 I1 .:46 N 2 0" DUST MOP U 610 F 7 7 .:7SO S.:25 N 3 STRIPE SWIPE TOWEL Up" 1? 2964 12 1.2 I.boo 12.:00 N 4 STRIPE SWIPE TOWEL IJF 2964 250 250 .:.t so 37.,50 N 5 IlM AIR FRESHENER SVC JF 6116 34 34 1.:500 51. OO N 6 1,7 IBGLS WET MOP HANDL U 6923 4 4 N 7 17 BGL.S DUST MOP HANDL I JF' 6925 4 4 N 0"MICROFBR MOP HIEAD JF 7000 i 60 60 .1350 21.00 N c? RO"MICROF'S MOP FRAME UF 7002 4 A oso .:20 N to PULL 'TOWEL CASE IJD 7699 1 2 36. 382 72.:76 N 11 JRT TOILET PAPER CAS �lf) 7702 'D 2 36. $87 77.;1.7 N REVIEWED BY SIGNATURE INVOICE FINAL 0185883se TOTAL DED ARE AS ARE FOR INTER NAL USE ONLY G -0 x M 0 EMP ITEM c C A BUY m M C 0 FILL 0 >n NAME FOR "#M R PRICE COLOR SL SIZE EMBLEM ID GRADE mK M L MIN 0 1 m b NO. NO. SCRIPTION 0 BACK :E m INV. CHANGES QTY co U R CHARGE U ii!::4 ir Wetb;scr 1 1+1 4 14, f F i v 7- Dat Date- Approval :f� C-T- --20S 0 -g---- L _T r -1 ABBREVIATION BUY BACK CODE_(P_ql PACKING CODE CODE DESCRIPTION B Buy Back B Package in Bundle SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS Bi Buy Back 1st Cornbo 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 PRICE EXTENSION (PR EX) DR DRESS CHANGE OVER (CO) SM SMOCK U Unit Priced JK JACKET 0 No Change Over IF Flat Rated LP LAPEL COAT 1 Standard Change Over EIZ 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 IROLIGH_VL AR 3A 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 Voluntary G Garment X Special Product Service D Dust ACTION DESCRIPTION L Linen A ADD ON T Towel C CHANGE ACCOUNT LEDGER DELIVERY IFREOUENCYJP_E�L �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 D Direct Sale X GARMENT REQUEST DESTROYED GARME,,'-FS EXCHANGE METHOD (EX ME) Le ase L GARMEN REQUEST LOST GARMENTS N N.O.G. P PRICE CHANGE D Delayed Exchange P Unilease T TRANSFER EMPLOYEE E Even Exchange R L ost Replacement H HOLD F Fixed Quantity Exchange X Special Charge Z SIZE CHANGE b Unit Exchange a Rental Item K COLOR CHANGE CiNme ORIGINAL INVOICE nEMrrno: CINTAS CORPORATION #018 LOCATION 18 THE MONON CENTER P O BOX 630803 aH/pTo:1235 CENTRAL PARK DRIVE CINCINNATI, OH 45263-0803 CARMEL, IN 46032 889-924-6827 INVOICE NO. 317-573-S= CONTACT: TERRY MYERS CONTRACT NO. ACCOUNT NO. STOP SEOLDELIVERY CODE SOIL TKT�NT INVOICE DATE .2597 2S97 2 102000 10/13/09 -THE MONON CENTER LOC �ROIITI FlAY n CUST NO. DEPARTMENT CUSTOMER P.O. No. TERMS 1411 E 116TH STREET 1018 .18 DUE 11/ CARMEL, IN 46032 TAX CODE EVEN BILLING PAGE rAX EXEMPT LINE 0 MIN C BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NUMBER'NT CHG 0 EMPLOYEE NAME --NO,_— NO. INVENTORY INVOICED AMOUNT X 14 14 17 4 ID40Z ANTIMCR WET MOP JF 6912 40 1 40 .1750 30,,00 1\1 1 8 �'ERVICE CHARGE Soo S.'so 1\1 LNVOICE :TOTAL 4B4.:64 -7 OR ACCTS. RECEIVABLE GUE T I ON� I OPIES PLE 93'�--235-374S 1p C AS ALL. REVIEWED BY SIGNATURE INVOICE FINAL OISSS83SB TOTAL SHADED AREAS ARE FOR INTERNAL USE ONLY -0 m TOPS FILL M L MIN 0 0 EMP ITEM C�n INVOICE NAME C BUY m M x I BOTTOMS 0 --i 0 NAME FOR EMBLEM R PRICE COLOR SL SIZE EMBLEM ID GRADE M m m Q NO. NO. G) R DESCRIPTION 0 BACK m :E m K INV. CHANGES OTY CD U R CHARGE Eli 7 FT ABBREVIATION BUY BACK CODE (BB) PACKING CODES WK), CODE DESCRIPTION B Buy Back B Package in Bundle -.1 SH SHIRT BB Buy Back Both Combo Items H Package on Hanger PT PANTS 1311 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 PRICE EXTENSION (PR -EX) DRESS CHANGE OVER (CO SM.-.--- SMOCK U Unit Priced JK JACKET 0 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 0 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 D Direct Sale X GARMENT REQUEST DESTROYED GARMENTS 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 0 Rental Item K COLOR CHANGE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 197000 Cintas Corp. #018 Date Due P.O. Box 630803 Cincinnati, OH 45263 -0803 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/18/09 18556296 Janitorial supplies 22742 p 476.61 8/25/09 18560372 Janitorial supplies 22742 p 537.97 9/1/09 18564399 Janitorial supplies 22742 F 536.96 9/29/09 18580442 Janitorial supplies 333.70 10/6/09 1 18584422 Janitorial supplies 22764 F 333.70 10/13/09 18588358 Janitorial supplies 22780 F 484.64 Total 2,703.58 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 19700 Cintas Corp. #018 P.O. Box 630803 Cincinnati, OH 45263 -0803 In Sum of `2,703.58 O'N ACCOUNT OF APPROPRIATION FOR a 104- Program and PO# or INVOICE NO. AC )CT #/TITL AMOUNT Board Members Dept ept 1047 18556296 4238900 476.61 1 hereby certify that the attached invoice(s), or 1047 18560372 4238900 537.97 bill(s) is (are) true and correct and that the 1047 18564399 4238900 536.96 materials or services itemized thereon for 1047 18580442 4238900 333.70 which charge is made were ordered and 1047 18584422 4238900 333.70 received except 1047 18588358 4238900 484.64 22 -Oct 2009 Signature 2,703.58 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund