205440 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
s Q� ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $112.70
CARMEL, INDIANA 46032 3401 COVINGTON ROAD
KALAMAZOO MI 49001 CHECK NUMBER: 205440
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350900 27696 0109126605 56.35 2012 OBLIGATIONS
1115 R43SO900 27696 1226116605 56.35 2012 OBLIGATIONS
LUR@ENUm8VOHCE
DOMESTIC UNIFORM RENTAL INV# 0109126605 YOUR LOCAL
DOMESTIC LINEN- KALAMAZOO800-430-0872 _»VC TEL. OFFIC E 0
3401 COVINgTON ROAD 269-388-2900 TEL
KALAMAZOO MI 49001
31 FIRST AVE NW 9 1
CARMEL IN 101 09 12
RENTAL SERVICE ITEMS BILLING UNIT
QUANT. PRICE AMOUNT
PAYMENT DUE BY 2/09/12 LOS ANGELES, CA
ORANGE COUNTY, CA
RIVERSIDE, CA
SAN DIEGO, CA
VENTURA CA
CHICAGO, IL
GURNEE, IL
FT WAYNE, IN
5 RED VY MAT 3445 13: -1 Em INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE, MID
6 RED VY MAT 26B5 13 7C) HAGERSTOWN, MD
DETROIT, MI
FLINT, MI
10 RED VY MAT 1925 825 GRAND RAPIDS, MI
KALAMAZOO, IVII
5 SCRAPER MAT 19BO 9,00 LANSING, MI
SAGINAW, MI
STERLING HGTS MI
ENVIRONMENTAL FEES gor WAYNE, MI
NEWARK/NEW YORK
RALEIGH, NC
CINCINNATI, OH
VISIT OUR NEW WEBSITE CLEVELAND, OH
YOUNGSTOWN, OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH, PA
VIRGINIA BEACH, VA
RICHMOND, VA
MILWAUKEE, WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTALAGREEMENT
RT STOP ACCOUNT
NO. NO. NO. PAY THIS PLEASE PAY FROM
THIS INVOICE. NO
ADJUSTMENT
I.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
'I 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))
01/09/12 0109126605 $56.35
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Domestic Linen
IN SUM OF
3401 Covington Road
Kalamazoo, MI 49001
$56.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
Encumbered I hereby certify that the attached invoice(s), or
27696 0109126605 I 43- 509.00 $56.35
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
Wednesday, January 11, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
LUNEN UN VOOCE INV# 1226116605
ll i�pp RE NN pp�� YOUR LOCAL
IDIDME d�#�f '1fAL "AMAZOO800 -430 -0872 EL.
MAIN C OF FICE
3401 COVINGTON ROAD 269- 323 -2900 TEL#
KALAMAZOO MI 49001
C CLAY COMMUNIC 0
31 FIRST AVE NW 9 1
CARMEL IN 1� 26 11
it a DA OF
460 3 MO. DA. YR r 2 C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE f'7Y 1: 6:' 1 r LOS ANGELES, CA
ORANGE COUNTY, CA
RIVERSIDE, CA
SAN DIEGO, CA
VENTURA CA
CHICAGO, IL
3 RED %Y MAT 1' 25 �2 ELGIN, IL
GURNEE, IL
FT. WAYNE, IN
S RED VY MAT 4S 1 Z�3 INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE, MD
6 RED VY MAT 26 1:37C HAGERSTOWN, MD
DETROIT, MI
FLINT, MI
1 RED VY MAT:' 1 2S 02E GRAND RAPIDS, MI
JACKSON, MI
KALAMAZOO, MI
S SCRAPER MAT— 1 ci 80 9 E3C LANSING, MI
SAGINAW, MI
STERLING HGTS, MI
ENVIRONMENTAL FE S OOC WAYNE, MI
NEWARK /NEW YORK
RALEIGH, NC
CANTON, OH
V I `.l I T OUR NEW WEBS TE CINCINNATI, OH
CLEVELAND, OH
WWW. D0MEST I CU N IF 0Rlv.00ly COLUMBUS, OH
DAYTON, OH
TOLEDO, OH
YOUNGSTOWN, OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH, PA
VIRGINIA BEACH, VA
RICHMOND, VA
MILWAUKEE, WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
RT. STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. NO. NO. AMOUNT THIS INVOICE. NO
3 D8 G e g,`, 6 7
5635 OTHER WILL BE ISSUED.
ADJUSTMENT
NET
RECD BY
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))
12/26/11 1226116605 $56.35
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. WAR N
ALLOWED 20
Domestic Linen
IN SUM OF
3401 Covington Road
Kalamazoo, MI 49001
$56.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
27696 I 1226116605 I 43- 509.00 I $56.35
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
Thursday, January 12, 2012
Dire ctor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund