175644 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY CHECK AMOUNT: $97.65
CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE
INDIANAPOLIS IN 46201 CHECK NUMBER: 175644
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DES
1207 4350100 0388119491 97.65 BUILDING REPAIRS MA
Terms Invoice Date
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SUB TOTAL: 9 7. G, r-
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USTOMER COPY TERMS NET-,10 CFAS-INV
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
C ir o rs 4 c'�e -ky Purchase Order No.
S C) o u 3 �bc� 1~c� c� e. Terms
4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 389r19 rs ci,k
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
VOU.,. CHEp N0. WARRANT NO.
ALLOWED 20
I S rS Cg SC\�� `l
IN SUM OF
s S
ON ACCOUNT OF APPROPRIATION FOR
1 �-o1 (th r c-� oc
rp S 9 i e G2 LI vb
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
I
3 C3 0 3 8 8) i s v91 S D I p o 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
j 20 Q
S ianatu ge
Ti le
Cost distribution ledger classification if
claim paid motor vehicle highway fund