212976 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
CHECK AMOUNT: $57.35
CARMEL, INDIANA 46032 3401 COVINGTON ROAD
KALAMAZOO MI 49001 CHECK NUMBER: 212976
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 0917126605 57 . 35 OTHER CONT SERVICES
LINEN INVOICE I NV# 0917126605 - YOUR LOCAL �
DOMESTIC UNIFORM RENTAL SVC TEL.H
iDOMEST I C LINEN- KALAMA Z 00800-4317-0872 - MELN#OFFICE
3401 COVINGTON ROAD 269-388-2900
KALAMAZOO MI 49001
CARMEL CLAY COMMUNIC 0 #
31 FIRST AVE NW 9 1
CARMEL IN 09 17 12 wo
g DAY OF
a
032 1 MO. DA YR F 2 COD WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUAINT PRICE
PAYMENT DUE BY 10/17/12 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
ADDISON,
3 RED VY MAT 122S 22S GURNEE, IL
URNEE IL
FT.WAYNE, IN
5 RED VY MAT A 45 1a3 INDIANAPOLIS,IN
SOUTH BEND, IN
BALTIMORE,MD
6 RED VY MAT 2685 ld7C HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
10 RFD VY MAT iF=2S 02E GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO,MI
5 SCRAPER MAT . 117-130 9e LANSING,MI
SAGINAW,MI
TROY,MI
ENVIRONMENTAL FEES 1 0.0 LIVONIA,MI
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
NO. NO "�STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO AMOUNT $ THIS INVOICE.NO
308 260 8466 S 35 OTHER WILL BE ISSUED.
DJUSTMENT $ !I
NET $
RECD BY
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 0917126605 I 43-509.00 $57.35
I 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
Tuesday, September 18, 2012
Director
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))
09/17/12 0917126605 $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