214615 11/20/2012 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
KALAMAZOO MI 49001 CHECK NUMBER: 214615
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 1112126605 57 . 35 OTHER CONT SERVICES
LINEN INVOICE 1 YOUR LOCAL
DOMESTIC UNIFORM RENTAL IN 1 1 1 1 c b£� } - SVC TEL.#
DOMESTIC LINEN- KALAMAZOOSOO-480-08/2 - TEL#OFFICE MAIN
3401 COVINGTON ROAD 269-388-2900
KALAMAZOO MI 49001
CARMEL_ CLAY COMMUNIC C
31 FIRST AVE NW 9 1
CARMEL IN 11 12 12
46032 MO DA YR. 2 C.O.D. WEEOKF
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE BY 12/12/12 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL
3 RED VY MAT 1225 2r5 ADDISON, IL
GURNEE, IL
FT.WAYNE,IN
5 RED VY MAT 3445 13-j5 INDIANAPOLIS,IN
SOUTH BEND,IN
BALTIMORE,MD
b RED VY MAT 2535 1 3',70 HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
10 -RED VY MAT 1325 325 GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO,MI
S ,SCRAPER MAT 1 0 900) LANSING,MI
SAGINAW,MI
TROY,MI
ENVIRONMENTAL FEE 1()()o 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
NO. NO. NO AMOUNT $ THIS INVOICE.NO
308 260 8466 D S t 35 OTHER WILL BE ISSUED.
ADJUSTMENT $
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. ACCT#/TITLE AMOUNT Board Members
1115 I 1112126605 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
Wednesday, November 14, 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))
11/12/12 1112126605 $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