208009 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $30.82
CARMEL, INDIANA 46032 819 ELSTON DRIVE
tik:eh `off SHELBYVILLE IN 46176 CHECK NUMBER: 208009
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2259749 30.82 OTHER RENTAL LEASES
CITY OF CARMEL POLICE DEPT Invoice 2259749 Piymate's MatMan
3 CIVIC SQUARE Date 04/02/2012 (877)648 -0903
CARMEL, IN 46032 www.plymate.com
Cust 7099 819 ELSTON DR
Stop 220 �?�ymat� SHELBYVILLE, IN 46176
PO 27019 ROBERT ROBINSON
4`�brkplace Apparel Floor hAat Programs
RT 30
k$ 't5 h f SFr a' L 4:M
Lirie Item #g q Na'rne /,Descnptwn w n L wa lnv Qty Renfal K; °,Repl; 1 m 2 3 4 Y 5 6
1 1050 3X4 PACIFIC BLUE MAT 1 $2.70
2 1075 4X6 PACIFIC BLUE MAT 3 $16.22
3 1478 3X5 COMFORT FLOW MAT 1 $3.95
4 1479 ROTATE 3X5 COM FLOW 1
Service Charge $7.95
Subtotal $30.82 Please pay fro this i nvoic e
Tax
Total $30.8 2
Thanks for your business.
Your MatMan- Richard Skillman
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
0.00 0.00 0.00 RT 30
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Plymate's MatMan Purchase Order No.
819 Elston Dr
Shelbyville, IN 46176 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/2/12 2259749 monthly rug rental 30.82
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan IN SUM OF
819 Elston Dr
Shelbyville, IN 46176
30.82
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 2259749 530.99 30.82 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
April 4, 2012
Sl�aIef of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund