174293 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
t ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
s 0
CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK AMOUNT: $32.10
KALAMAZOO MI 49001 CHECK NUMBER: 174293
CHECK DATE: 7/8/2009
DEPARTMEN ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 32.10 OTHER RENTAL LEASES
LINEN INVOICE NO. 04137405
YOUR LOCAL
����1AZOO8OO MAIN OFFICE
34 COVINgTO OAD 269-388-2900, -naw
KALAMAZOO MI 49001
CARMEL POLICE D EPT O
W 0 DAY OF
4603n M 2<
BILLING UNIT AMOUNT
RENTAL SERVICE ITEMS QUANT. I PRICE 1"I 01W LOS ANGELES, CA
I ORANGE COUNTY, CA
SAN DIEGO, CA
CHICAGO, IL
6 BLUE VY MAT
GURNEE, IL
FT WAYNE, IN
SOUTH BEND, IN
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FLINT, MI
GRAND RAPIDS, MI
KALAMAZOO, MI
LANSING, MI
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STERLING HGTS, MI
NEWARK/NEW YORK
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THIS DELIVERY IS
MADE UNDER
RT. STOP ACCOUNT PAY FROM
No. No. No. PAY THIS PLEASE
THIS INVOICE. NO
OTHER WILL ~.ISSUED.
AouuoTMsmT$
U msr* l REC'D 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
Domestic Linen Purchase Order No.
3401 Covington Road Terms
Kalamazoo, MI 49001 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/13/09 payment for rug rental 32.10
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
-ith IC 5- 11- 10 -1.6.
20
Cierk- Treasurer
z
VOUCHER NO. WARRAIV i ivv.
4
ALLOWED 20
Domestic Linen
IN SUM OF
3401 Covington Road
Kala7uazoo, MI 49001
32.10
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Mernb
e rs
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s) or
1110 530 -99 32.10 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
July 2 20 09
Signature
Chief of P lice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund