215746 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $31.82
CARMEL, INDIANA 46032 819 ELSTON DRIVE
' ? SHELBYVILLE IN 46176
CHECK NUMBER: 215746
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2313862 31 . 82 OTHER RENTAL & LEASES
CITY OF CARMEL POLICE DEPT Invoice# 2313862 Plymate's MatMan
3 CIVIC SQUARE Date 12/11/2012
(877)648-0903
CARMEL, IN 46032 Cust# 7099 www.plymate.com
Stop 220 Plly aznte 819 ELSTON DR
PO# 27019 SHELBYVILLE, IN 46176
ROBERT ROBINSON y%rkolaceApparel&~loot Mat Programs
RT 30
r
,,I '�"�a; R n` I'.�: "L> ,1`•`�'
Line Item"# ���`�, :Name/Descriptiori`� ��: n ;:Qty:' eta '.Rep_,.
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 $31.82 Please pay from this invoice
Tax i I
Total 3$ 1.82 i
(
Thanks for your business.
Your MatMan-Richard Skillman i
1
Past Due Amounts
30 Days 60 Days 90 Days Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 30
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 2313862 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
Wednesday, December 12, 2012
Chief of Police
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))
12/11/12 2313862 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