HomeMy WebLinkAbout173265 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
f ONE CIVIC SQUARE CINTAS FIRST AID SAFETY CHECK AMOUNT: $172.95
CARMEL, INDIANA 46032 50 SOUTH KOWEBA LANE
INDIANAPOLIS IN 46201 CHECK NUMBER: 173265
CHECK DATE: 6/10/2009
DE PARTMENT AC COUNT PO NUMBER I NVOIC E NUM AM OUNT DESCRIPT
651 5023990 0388116430 96.10 OTHER EXPENSES
1207 4239012 0388116438 76.85 SAFETY SUPPLIES
i NrAs.
Term- Ir, v c. i c e Date
Branch Route Customer
Remit To Bill Tc
F" 1H I
I W
.1. Ri 11 IL. 1 1 1: E I
W E". A N I:E
Uni Ex}
Item Qty Description pr ice Pr ice Ta.
A r NJ
1 A 11 u Ij t
Ml l. H C 8 :1:1 l 1,
I E: Id
UN I T 0 1 PRO S::HOP UNIT TOTAL.-
I I I;1 FI !"I
L. V I.::,
f
F 1`1.1 1 W E v j- C� F:-, p I
E. A.F.
I_: x
I
UNI T: 0 2 2 MA I NF UNIT TOTAL:
_UB
TO TAL 7 6 85-3
TAX: 1- 1 1-
TOTAL.- SS
Received By,
C=k
16.4
I QD
CFAS-INV
P�e3cribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
1
l VV 0,S 4 irSt ISCU���j Purchase Order No.
ane-
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ag bq 63g S l llo� -9
Total s
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
A
VOUCHER NO. WARRANT NO.
li(� S r5 IJ ALLOWED 20
�5 6TFT I K FOTO IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
f Lk ►ia-
�i�e (so
C� u-b
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3E 11o43 7 .96 1021 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
Si dC' r y
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
C' CA%_78
Ter ms I rivo i ce
Branch Route Customer
Remit To Bill To
F: 1. NJ. F; All) A Rll E I I FFIJ-1 "I 'I F.: W
I
'IN J !L I I N il r.
i 31. °7 4. :1.
Unit Ext
Item G t v Descr i pt i on p ri c e Price Tax
0 Cl I I I F: AB I N E _F E Fri 1 11.1 IJ I.. 1•1
.7 1: I..I, Ij 1.1 1. IN
J
1. C' BIN F."."I" 01:_ 11
11; 112 f I I. I "1" 1. '1*'Al: I
4
.1. .1. D tJ R 1:::. 1: N r.:
'-NIT
-.1011 LAB UNIT TOTAL:
1. IVY X ".':I E*Ar%!� H.)
i• :1 1 sp
r 11 1-[
-,I AIWV)Y 1 A
UNIT.-02 MAINTENANCE UNIT TOTAL:
1 1. VY X
MEf)
I I'D 1. 1. F, -I- t J
2_1
I.J. 5
UNIT: 03 OPERATIONS UNIT TOTAL: S- 4S
SUB TOTAL: 96.11)
TAX: 0.00
TOTAL: 96.10
Received By:
QP?
7
CUSTOMER COPY TERMS NET 10 CFAS-INV
VOUCHER 095778 WARRANT ALLOWED
197000 IN SUM OF
CINTAS FIRST AID SAFETY
50 SOUTH KOWEBA LANE
INDIANAPOLIS, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
388116430 01- 7202 -05 $96.10
Voucher Total $96.10
Cost distribution ledger classification if
claim paid under vehicle highway fund