214784 11/20/2012 a CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
(�. ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $31.82
o CARMEL, INDIANA 46032 819 ELSTON DRIVE
SHELBYVILLE IN 46176 CHECK NUMBER: 214784
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2307834 31 . 82 OTHER RENTAL & LEASES
CITY OF CARMEL POLICE DEPT Invoice# 2307834 MW Plymate's MatMan
3 CIVIC SQUARE Date 11/13/2012 .f (877)648-0903
CARMEL, IN 46032 Cust# 7099 www.plymate.com
819 ELSTON DR
PO# 27019 Stop 220 •--..- ---••.-•—.�- �3--.-� SHELBYVILLE, IN 46176
ROBERT ROBINSON y;brkplaceApparel&Floor Mai Programs
RT 30
Qt Rental , Re ( .1 :2 . }.3 .4 5 6
Line Item# Name 7 Description Iriv y. p._
1 1050 3X4 PACIFIC BLUE MAT 1 $2.70
2 1075 4X6 PACIFIC BLUE MAT 3 $16.22
3 1478 3X5 COMFORT FLOW MAT 1 $3.95
4 1479 ROTATE 3X5 COM FLOW 1
Service Charge $8.95
Subtotal $31.82 Please pay from this invoice
Tax
Total 3�1_82
Thanks for your business.
Your MatMan-Richard Skillman l
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 30
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))
11/13/12 2307834 rug rental $31.82
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
Plymate's MatMan
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$31.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 2307834 I 43-530.99 I $31.82 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 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund