178674 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
4 CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK AMOUNT: $85.30
'w? KALAMAZOO MI 49001 CHECK NUMBER: 178674
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 32.10 OTHER RENTAL LEASES
1115 4350600 53.20 CLEANING SERVICES
LINEN INVOICE NO. 10196605
_DOMESTIC UNIFORM RENTAL YQUR L.
DOM LINEN- KAL.AMA700800 43+0 4-018 72 M NOFFCE
34011 �:OVINGTON ROAD 269- 368 -2901 TEL
KALAMAZOO MI 49001
:,ARMEL C LAY COM1' UNI L 01
31 F I RST A 1 9 1
CARMEL I N 101 19 09 W w
q
OF
L G� 032 2 DA
'7 WEEK
MO. DA. YR. H .O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE BY 11;' 19/09 LOS ANGELES, CA
ORANGE COUNTY, CA
1 RIVERSIDE, CA
SAN DIEGO, CA
VENTURE, CA
CHICAGO, IL
3 RED VY MAT 1210 211 ELGIN, IL
1 GURNEE, IL
FT. WAYNE, IN
5 RED VY NAT 34 15 1245 INDIANAPOLIS, IN
I SOUTH BEND, IN
BALTIMORE, MD
6 REDS VY MAT 2640 12 HAGERSTOWN, MD
DETROIT, MI
FLINT, MI
10 RED VY FIAT 177 [7' GRAND RAPIDS, MI
1 JACKSON, MI
5 SCRAPER M 1 15 9i1 KALAMAZOO, MI
LANSING, MI
SAGINAW, MI
ENVIRONMENTAL RONMENTAL FEES 9 q STERLING HGTS, MI
WAYNE, MI
1
NEW YORK
1 RALEIGH, NC
CANTON,OH
1 3E PREPARED THIS FLU SE SON 1 CINCINNATI, OH
+,I I TH I NTANT HAND I T I Z R I CLEVELAND, OH
1 COLUMBUS, OH
1 DAYTON, OH
TOLEDO, OH
I YOUNGSTOWN,OH
1 HARRISBURG, PA
1 PHILADELPHIA, PA
PITTSBURGH, PA
NORFOLK, WV
RICHMOND, VA
1 MILWAUKEE, WI
tt�'cZw7Y�
THIS DELIVERY IS
.1
MADE UNDER
EXISTING RENTALAGREEMENT
No. No. NO. PAY THIS R7 sTO ACCOUNT PLEASE PAY FROM
JOB �0 834 AMOUNT 53 0 OTHER WILL �BE SS ED.
ADJUSTMENT
NET I RECD BY
RIM
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))
10/19/09 I 10196605 I I $53.20
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Domestic Linen
IN SUM OF
3401 Covington Road
Kalamazoo, MI 49001
$53.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 10196605 43- 506.00 $53.20 1 hereby certify that the attached invoice(s), or
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
Tuesday, October 20, 2009
4 0 11.1
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
LINEN INVOICE 1O1274O5
DOMEST
�OMES`��� LINEN- 21 .7
34 COVINGTON ROAD 269-388-29OO
KALA MI 49OO1
4�
�,,m,=L ."L.^^E
CAR'PIEL CIVIC
DAY OF
D.
BILLING UNIT AMOUNT
RENTAL SERVICE ITEMS QUANT. PRICE
ORANGE COUNTY, CA
RIVERSIDE, CA
SAN DIEGO, CA
CHICAGO, IL
ELGIN, IL
GURNEE, IL
FT. WAYNE, IN
INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE, MD
DETROIT, MI
FLINT, MI
GRAND RAPIDS, MI
STERLING HGTS, MI
NEWARK/NEW YORK
RALEIGH, NC
CINCINNATI, OH
CLEVELAND, OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH, PA
NORFOLK, WV
Presrn4ed 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))
10/12/0 a ent 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
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOQCHER NO. WARRANT NO.
ALLOWED 20
Domestic Linen IN SUM OF
3401 Covington Road
Kalamazoo, MI 49001
32.10
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 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
October 19 20 09
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund