212560 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
�? CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK AMOUNT: $57.35
.o�..o KALAMAZOO MI 49001 CHECK NUMBER: 212560
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 0902126605 57 . 35 OTHER CONT SERVICES
LUNEN ONVOICE
DOMESTIC UNIFORM RENTAL INV# 0902126605 - YOUR LOCAL
'DOMESTIC LINEN- KALAMA ZOO800-430-08,"T 2 S TEL.MAAC IN OFFI CE
TEL#
3401 COVINGTON ROAD 269-388-2900
KALAMAZOO MI 49001
CARMEL_ CLAY COMMUNIC 0
31 FIRST AVE NW 9 1
CARMEL IN DAY OF
•`?"'� MO. DA. YR. C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
LOS ANGELES,CA .
PAYMENT DUE BY 10,102/122 ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL •
ELGIN,IL
3 RED VY MAT 1. S 225 GURNEE, IL
FT.WAYNE, IN
INDIANAPOLIS,IN •
S RED VY MAT 344S 1388 SOUTH BEND, IN
BALTIMORE, MD
6 RED VY MAT 2 'i� 1370 DETROIT,MI MD
DETROIT,MI
FLINT,MI
GRAND 10 RED VY MAT '2 1 �S e5 ACKSONAnIDS,MI
KALAMAZOO,MI
LANSING,MI
S SCRAPER MAT'- 19eo 97:80 SAGINAW, MI
STERLING HGTS,MI
WAYNE,MI
ENVIRONMENTAL FEES 10:00 NEWARK/NEW YORK
RALEIGH, NC
CANTON,OH
CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH •
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN.OH
HARRISBURG, PA
PHILADELPHIA, PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
RT STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. NO. NO. THIS INVOICE.NO 0
AMOUNT $ _' OTHER WILL BE ISSUED.
308 260 8466 DJUSTMENT $ 57,35
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))
09/02/12 0902126605 $57.35
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. WARRANT NO.
ALLOWED 20
Domestic Linen
IN SUM OF $
3401 Covington Road
Kalamazoo, MI 49001
$57.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 0902126605 I 43-509.00 I $57.35 I 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
A - /; "Y
Tuesday, September 04, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund