209099 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID SAFETY
CARMEL, INDIANA 46032 PO BOX 633842 CHECK AMOUNT: $175.63
CINCINNATI OH 45263 -3842 CHECK NUMBER: 209099
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 5000052522 175.63 OTHER CONT SERVICES
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CUSTOMER COPY TERMS NET 10 CFAS'NV
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CUSTOMER COPY TERMS NET 1O CFAS'/NV
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cintas Corporation
IN SUM OF
P.O. Box 633842
Cincinnati, OH 45263 -3842
$175.63
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1207 I 5000052522 I 43- 509.00 I $175.63 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
Wednesday, May 09, 2012
Director, Brooks Ye Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/08/12 5000052522 First Aid Supplies $175.63
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