209306 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
0 ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $229.25
CARMEL, INDIANA 46032 819 ELSTON DRIVE
SHELBYVILLE IN 46176 CHECK NUMBER: 209306
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2269155 30.82 OTHER RENTAL LEASES
1205 R4350100 26974 2269156 198.43 FLOORMATS
CITY OF CARMEL POLICE DEPT Invoice# 2269155 Plymate's MatMan
3 CIVIC SQUARE
Date 05/15/2012 (877)648 0903
?s www.plymate.com
CARMEL, IN 46032 Cust 7099
819 ELSTON DR
PO 27019 Stop 220 SHELBYVILLE, IN 46176
ROBERT ROBINSON �.iirkplaca/crar F!ocr's9a` Pr�,a;, s
RT 30
Line Item Name Description Inv. ,:Qty. u Rental w
;Repl.;' 2.. 3 4';' S ,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
Service Charge $7.95
Subtotal $30.82 Pl ease pay from this invoice
Tax I
Total 3 0.82
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan
IN SUM OF
819 Elston Drive
Shelbyville, IN 46176
$30.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 2269155 I 43- 530.99 I $30.82 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
Thursday, May 17, 2012
Chief of Police
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))
05/15/12 2269155 rug rental $30.82
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
5
CARMEL CITY HALL 0 Invoice 2269156 Plymate's MatMan
ONE CIVIC SQUARE Date 05/15/2012 (877)648 -0903
CARMEL, IN 46032
www,plymate.com
CUSt 7073 819 ELSTON DR
Stop 240
SHELBYVILLE, IN 46176
JEFF BARNES y�,UrkplaecA pate) HOU Wt Programs
Written authorization required from the City RT 30
of Carmel to change service frequency
j Linej'Item,#j Name7 Description =1n'v -Qty. Rental,',Re'pl. 1.'2- 3�. 4.t=' 5
1 1025 4X6 COMFORT FLOW MAT 3 $35.57
2 1074 4X6 MAHGNY BRWN MAT 5 $39.00
3 1097 ROTATE 4X6 COM FLOW
4 1208 5X15 CUSTOM MAT 1 $35.83
5 1505 75 X 76 CUSTOM MAT 2 $45.76
6 1506 7 X 10 CUSTOM MAT 1 $34.32
Service Charge $7.95
Subtotal $198.43 Please pay from this invoice
Tai Total $198.4
19 .43
Thanks for your business.
Your MatMan- Richard Skillman
Past Due Amounts i
30 Days 60 Days 90 Days Customer Signature
0.00 0.00 0.00 RT 30
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.
Term s
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/15/12 2269156 $198.43
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 Drive
Shelbyville, IN 46176
$198.43
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
�L L .2269156 43 501.00 $198.43 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
Mond y, May 21, 2012
Director, Administratio
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund