214277 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL CHECK AMOUNT: $57.35
CARMEL, INDIANA 46032 3401 COAZOO o 4 ROAD
„o CHECK NUMBER: 214277
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 1029126605 57 . 35 OTHER CONT SERVICES
LUMEMeloNpVOUC[E INV# 1024126605 _ YOURLOCAL
O0MPo,'PTTICI�I- a r�1'�R �,��AMAZt]U80O-430-007.= _ TEL ICE
3401 COV INOTON ROAD 269—,B8-2900 rELa
KALAMAZOO MI 49001
C;ARMEL_ CLAY COMMUNIC 0
31 FIRST AVE NW L, 1
CARMEL- IN 10 '-129 1'2
Ww
460.32 �a DAY OF
MO. DA. YR. F 2 C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUAINT. PRICE
PAYMENT LLJE PY 1 1 -9 1 c LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL
3 RED VY MAT 12221 5 ADDISON, IL
GURNEE, IL
FT.WAYNE,IN
5 RED VY MAT 45 INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE,MD
6 RED VY MAT k35 I`7C HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
10 RED VY MAT;' j 25 Ej 2S GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO, MI
5 SCRAPER MAT,; 9
80 4{ C LANSING,MI
SAGINAW,MI
TROY,MI
ENVIRONMENTAL FEES 1 QOC 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
RT. STOP ACCOUNT PAY THIS PLEASE PAY FROM
THIS INVOICE.NO
:308 260 84 r66 0 AMOUNT $ 5-735 OTHER WILL BE ISSUED.
ADJUSTMENT $
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))
10/29/12 1029126605 $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. ACCT#/TITLE AMOUNT
Board Members
1115 I 1029126605 I 43-509.00 I $57.35 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, November 01, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund