HomeMy WebLinkAbout178660 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
CHECK AMOUNT: $99.80
CARMEL, INDIANA 46032 Po eox Lass
ELK GROVE VILLAGE IL 60009 -1486 CHECK NUMBER: 178660
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 0388122055 99.80 SAFETY SUPPLIES
t
9 C11VffAs
Qlp Invoice
Branch Route Customer
Remit To Rill To
CINTAS FIRST AID SAFETY BROOKSHIRE GOLF CLUB
PO BOX 1425 12120 BROOKSHIRE PKWY
ELK GROVE VILLAWIL 60009 CARMEL. IN
Unit Ext
Item Qty Description Price Price Tax
00110 1 CABINET CLEANED 0.00 0.00
00120 1 CABINET ORaANIZED 0.00 0.00 i"i
00130 1 EXPIRATION DATES CHECKED 0.00 0.00 N
11162 1 PAIN AWAY REFILI 9.96 9.96 N
12122 1 ALEVE PACK 6.95 6.95 N
UNIT:01 PRO SHOP UNIT TOTAL: 16.91:1
00110 1 CABINET CLEANE'D 0.00 0.00 1\1
00120 1 CABINET ORGANIZED 0. 00 0.00 1"i
00130 1 EXPIRATION DATES CHECKED 0.00 0.00 N
00400 1 SERVICE CHARGE 7.96 7.96 N
0315 1 SPRAY BANDAGE/NUSKIN 1-OZ 13.96 13.9s
0860 1 BLOODBORNE WIPE 4.9s 4.95 N
10264 1 BIOFREEZE MUSCLE RL 1 1 8.25 8.25 1\1
11142 1 IBUPROFEN REFILL 10.96 10.96 N
UNIT:02 MAINT UNIT TOTAL: 82.90
SUB TOTAL: 99.80
TAX: 0.00
TOTAL: 99.80
Received By:
DID YOU KNOW THAT CINTAS NOW SUPPLIES AND SERVICES
FIRE EXTINGUISHERS, EMERGENCY EXIT LIGHTING, AND
OTHER FIRE SAFETY MEASURES? CALL CINTAS FIRE
PROTECTION TODAY FOR MORE DETAILS!!
CUSTOMER COPY TERMS NET 1O CFAS|NV
PresprOU 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.
L Payee
�i IJ Purchase Order No.
Terms
_7�/ 69W g Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
aU J i 25 i s
Total d
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
(0030 4
99, �d
ON ACCOUNT OF APPROPRIATION FOR
6D-i AWLS
/moo �7 6 �Ues
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9 D 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
i nature
i
c�-
Ti le
Cost distribution ledger classification if
claim paid motor vehicle highway fund