211683 08/14/2012 VOIDED CITY OF CARMEL, INDIANA VENDOR: 353562 Page 1 of 1
ONE CIVIC SQUARE CINTAS FIRST AID&SAFETY CHECK AMOUNT: $127.47
CARMEL, INDIANA 46032 PO BOX 633842
CINCINNATI OH 45263-3842 CHECK NUMBER: 211683
CHECK DATE: 8/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 5000105573 127 . 47 OTHER CONT SERVICES
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Indianapolis FAS Billing Questions 888-994-240--';
indianapolis, IN 46201 FAX # 317-264-6119
ROUTE # Loc #0388 Route 00(
PLEASE PAY DIRECTLY FROM THIS TNVOICI.-.�:
317-846-7431. CUSTOMER # 0010069460
PAYER # 001008773:1.
SVC ORDER # S000371731
CREDIT TERMS NET 10 DAYS
UNIT EXT
MATERIAL DESCRIPTION QTY PRICE PRICE TAX
43669 1X3 COMFORT STRIP MEDIL.iil 1 1.5 7. 5 6 $7. 66
100039 TRIPLE ANTIBIOTIC OINT SM 1 $6. 61 S& SI
102640 BIOFREEZE MUSCLE RLT' Ski 1 $8. 89 $8. 813
UNIT SUBTOTAL $69. 86
111429 1BUPROFEN TABS SMALL 1 $11 . 50 $11 . 60
111629 PAIN AWAY X-STRENGTH SM 1 $10. 45
119310 PEPTUM TABS SMALIL 1 $14. 12 $14. 12
121220 ALEVE SMALL 1 $7. 30 $7. 30
10304902 BBP WIPE EACH 1 $4. 96 $4. 95
UNIT SUBTOTAL "S7. 61
CUSTOMER COPY TERMS NET 10 CFAS-INV
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CUSTOMER COPY TERMS NET 10 CFAS-INV
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aunt-AAiU.ie's Bakeries b n Fi.f /j„�
�l IN SUM OF $
66 S. OW09ioa
7&54-Geea4:get0..
IndianapDlL% N_�___4_6_-& �� �� /�j
s 4V� 7-
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 100 Q 42-3" -420-4/8'- I hereby certify that the attached invoice(s), or
VDU 055 73 `05)90 4�77 T/ 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, July 31, 2012
Director, Brookshir olf Club
Title
o ..
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))
07/30/12 001812421216 Bread $20.48
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