177632 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
CHECK AMOUNT: $53.20
CARMEL, INDIANA 46032 3401 COVINGTON ROAD
KALAMAZOO MI 49001
CHECK NUMBER: 177632
CHECK DATE: 9/29/2009
D EPARTMEN T ACCOUNT PO NUMBE IN VOICE NUM A MOUN T DESCRI
1115 4350600 09216605 53.20 CLEANING SERVICES
LINEN INVOICE
DOMESTIC UNIFORM RENTAL NO. 09216605 YOUR LOCAL
SVC DOMESTIC LINEN- KALAMAZOO8OO-43O-O872
3401 COVINGTON ROAD 269-388-290 0 T-'
KALAMAZOO MI 49O01
31 FIRST AVE NW 9 1
460 MO. DA. 119 2 00 WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT PRICE
PAYMENT DIJE bl'�` 10/2 C 5 LOS ANGELES, CA
ORANGE COUNTY, CA
RIVERSIDE, CA
SAN DIEGO, CA
CHICAGO, IL
GURNEE, IL
FT. WAYNE, IN
5 RED VY MAT 4 is I INDIANAPOLIS, IN
SOUTH BEND IN
BALTIMORE, �D
DETROIT, MI
FLINT, MI
KALAMAZOO, MI
IS SCRAPER MAT 1. 5 1 s LANSING, MI
SAGINAW, MI
STERLING HGTS MI
NEWARK/NEW YORK
RALEIGH, NC
CINCINNATI, OH
HAVE YOUt TRIEE OIL)R NEW CLEVELAND, OH
AIR FRESHENER YET? COLUMBUS,OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH, PA
NORFOLK, WV
RICHMOND, VA
MILWAUKEE, WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTALAGREEMENT
RT STOP ACCOUNT PLEASE PAY FROM
NO. NO. NO. PAY THIS THIS INVOICE. NO
3 C) 8 260 84-66 D AMOUNT 52120 OTHER WILL BE ISSUED.
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))
09/21/09 I 09216605 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. WA RR A N T 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 09216605 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, September 22, 2009
e e
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund