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215995 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 197000 Page 1 of 1 0 ONE CIVIC SQUARE CINTAS CORPORATION#018 CHECK AMOUNT: $1,859.32 4 CARMEL, INDIANA 46032 PO BOX 630803 CINCINNATI OH 45263-0803 CHECK NUMBER: 215995 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356001 018405004 17 . 36 UNIFORMS 1093 4238900 018407708 237 . 65 OTHER MAINT SUPPLIES 1207 4356001 018408061 17 .36 UNIFORMS 1110 4356501 018408073 83 . 92 LAUNDRY SERVICE 2201 4356501 018408074 397 . 59 LAUNDRY SERVICE 2201 4356501 0184111146 512 . 22 LAUNDRY SERVICE 1207 4356001 018411132 17 . 36 UNIFORMS 1110 4356501 018411145 83 . 92 LAUNDRY SERVICE 1207 4356001 018414188 17 .36 UNIFORMS 1110 4356501 018414200 83 . 92 LAUNDRY SERVICE 2201 4356501 018414201 390 . 66 LAUNDRY SERVICE cORK�NAL |NVOK�E ~~ �� ~�~ n�n�� CI�� O�TION #0� � LOCATION 18 SHIP TO: CARMEL CLAY PARKS & RECRE P O BOX 630803 MONON LN CINCINNATI, OH 45263-0803 1235 CENTRAL PARK DR 888-924-6827 INVOICE NO. CARMEL/ IN 46032 D E1M3 018407708 CONTRACT NO. ACCOUNT NO. STOP osu DELIVERY CODE SOIL`mcwr INVOICE DATE 02S97 02597 4 W102000 R 12/18/12 BILL TO: THE M04ON CENTER 1411E116THSTREET m: ROUTE DAY coswn. o,,^mmcwr CUSTOMER,».NO. T'n"o CARMEL, IN 46032 018 28 2 02S97 DUE 1/10/13 EVEN BILLING CONTACT: MATT BUSH TAX CODE 317-S73-S239 TAX EXEMPT '^n' 1 FLiNE] SOIL MIN C BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NO. I CNT CHG. 01 EMPLOYEE NAME NO.' NO. INVENTORY INVOICED AMOUNT x 6 WHITE MICROFIBR WIFE UF 7717 20 20 . 130 2.60 N 9 3XIO BLACK NAT UF 8403S 3.250 9, "es N 4 1. 250 00 N 11 STRIPE SWIPE TOWEL UF 2964 200 200 . 100 CO.00 N 13 06 BLACK MAT UF 84435 26 158-- 14 JRT TOILET PAPER CAS UF 7702 3 42.0010 126. ***NEU CUSTOMER SERVICE HOTLINE NUMBER 888-0'14-68';17 OR 388-OCINTAGA4* WE GLADLY ACCEPT MASIERCARD, VISA, DISCOVER a AMERI,AN EXPRESS ****ACCOUNTS RECEIVAILE HAS A _tDW REMIT TO ADDRESS OE :7D--C 19-201 Pd iptionj 6 Bud et App oval Date BI_LIN� MAS4 PAST DUE OCTOBER: 343. IS SEliTliMBER: 00 AL.iGUST+: 00 REVIEWED BY SIGNATURE INVOICE 0 018407708 FINAL _ ABBREVIATION BUY BACK CODE(1313) PACKING CODES(PK) B Buy Back o ' Package inBundle CODE DESCRIPTION 8e Buy Back Both Combo Items n ' package on Hanger ox___SHIRT B1 Buy Back 1st Combo Item 2 ' String Tie pr__-PANTS B2 Buy Back 2nd Combo Item 3 - polywem cv__-ouvsnAu m No Buy auvk s Wrap in Brown Pape, JS JUMPSUIT ou SHOP COAT Lo--.-LAB COAT DR DRESS CHANGE OVER (CO) PRICE EXTENSION (PR EX) mm awoox --- o - wo Change Over u Unit Priced Ju ��oxe� ---- 1 ' Standard Change Over IF Flat Rated Lp--_-LApELooAr 2 Philadelphia Only aZ-_-'-BLxzsR a^___ SHOP APRON VT VEST Lw___LINER ew amnr ---- SERVICE TYPE W vveomy G Garment E Every Other Week o Dust M Monthly L Linen T Towel S Direct Sales Only EXCHANGE METHOD(EX ME) D ' Delayed Exchange USAGE E Even Exchange IF Fixed Quantity Exchange C Clean W ' Unit Exchange D - Direct Sale L Lease N ND,6. P ' un|leaae R ' Lost Replacement X Special Charge 0 Rental Item _ _ � ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 197000 Cintas Corp. #018 Date Due P.O. Box 630803 Cincinnati, OH 45263-0803 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 12/18/12 18407708 Weekly supply order 29308 $ 237.65 Total $ 237.65 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 197000 Cintas Corp. #018 P.O. Box 630803 Cincinnati, OH 45263-0803 In Sum of$ $ 237.65 ON ACCOUNT OF APPROPRIATION FOR 109 MCC PO#or Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1093 18407708 4238900 $ 237.65 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 3-Jan 2013 Signature $ 237.65 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund � ��N�� ORIGINAL INVOICE�w�� =�m�—�m�^ ' nsmnro. CINTAS CORPORATION #018 LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 34 OO W 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 INVOICE NO. CARMEL^ IN 46074-8267 G E2M4 018411146 CONTRACT NO. ACCOUNT NO. STOP ocn DELIVERY CODE SOIL nnCwr INVOICE DATE 02650 13139 16 W102000 R 12/2S/12 BILL TO: CARMEL STREET DEPT ATTN. BONNIE CALLAHAN mo ovor, mw ouSTwu. n,,^mm,wr CUSTOMER,u.NO. r'n°, 3400 W 131ST STREET 018 E1 2 02650 DUE 1/10/13 WESTFIELD, IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT PAGE 1 M ITEM DESCRIPTION OR EMP' TITY QUANTITY INVOICE T NO. CNT CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x S11 SHOP TUL-RED UF 2160 so 8C, 220 17. 010 N 5 06 BLACK MAT E2 UF 84435 4 10, 9, 298 37. 19' N DAVE LOVEALL 2 SUBTOTAL 5. 17 9 PANT-RELAXED FIT-DEN UFF 3 74307 11 .470 5. 17 N RICK,ALDEN. 5 SUBTOTAL UF 15 SHIRT SYNTHETIC 7 935 IISH: 420 _6 12 N_ CRYSTAL MONTGOM 7 SUBTOTAL 4. 62 22 CARHARTT CARPENTER UF 11. 382 IIPT : DARRELL__BELL it SUBTOTAL RON WILLIAMS 12 SUBTOTA� 1. S. 17 ERIC RUSSELL 13 SUBTOTAi S. S6 TIN BROWNING 14 SUBTOTA� S'56 26 PANT-RELAXED FIT-DEN UF IS 74307 It 470 5. 17 N JEFF STEWART is SUBTOTAL S. 17 PANT--DENIM CARGO WOR UF 16 74-308 ItPT: SOS S. S6 N TRAVIS TABAK 16 SUBTOTA� 5.56 28 COVERALL SYNTH UF 17 912 sui 2.69 N 29 SHIRT -SYNTHETIC LIF 17 73S IISH: . 420 4.62 N 30 PANT-DENIM CARG0'WDR UF 17 74308 IIPT: 'SOS S.56 N -GARY,JONES 17 SUBTOTA� 12.87 31 -PANT-RELAXED-FIT-NN UF 18 74307 it 4fo S. 17 N BOYD PIERCY i's SUBTOTAL S17 JAMES BENTLEY 19 - SUBTOTA� 6.68 ' STEVE ZELLER 20 SUBTOTAL 9. 80 - BRAD HENDERSON 21 SUBTOTAL 7.2 2 1.0 COVERALL SYNTH UF 22 912 scv: -538 2.69 N 3 SHIRT SYNTHETIC UF 22 938 ISH: 420' 42' N REVIEWED By SIGNATURE TNVOICE # 01 146 FINAL 8411 TOTAL C' ® ORIGINAL INVOICE REMIT TO: CINTAS CORPORATION 0018 LOCATION 18 SHIP TO: Ci I Y OF GPIRME.L P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 45263-°0803 S*4REET D2FT 898-924-6827 INVOICE NO. CRMEL, IN 46074-8267 G E2M4 0184111.46 CONTRACT NO.NO. ACCOUNT NO. STOP/SEQ DELIVERY C//O�DD/��E SOIL TKT CNT INVOICE DATE 0�'.6S 1.31`39 16 WlOnf- 0 R 12/25/12 12 BILL To: CARMEL STREET DEPT ATTN. BONNIE CALLAHAN LOC ROUTE DAY CUST NO. DEPARTMENT CUSTOMER P.O.NO. TERMS 3400 W 131ST STREET 018 S1 2 02650 DUE 1/10/13 WESTFIELDi IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 33-2001 TAX E XENPT PAGE 2 LINE SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. CNT CHG. O BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT X MIRE KS 2,2 zRili I GTAV 40 PANT--DENIM CARGO WOR OF 23 74308 11F`T : SOS 5. S6 N ADAM TOWNS 23 SUBTOTAL 5. 56 41 PANT-DENIM CARGO WOR OF 24 74308 11PT : SOS 5. 56 N NATHAN STAPLETO 24 SUBTOTAL. 5. 56 42__--_ ._ . CARHARTT CARPENTER . OF 25 352 11PT : 5001 5.57 N 43 SHIRT SYNTHETIC OF 25 935 11SH; 420 4."62 N- BILL HIGGINBOTH 25 SUBTOTAL 10. 19 44 SHIRT SYNTHETIC OF 26 9'315 11SH: 420 4.62 N 4 _- -- - PAN'T�DENIM"CARGO "WOR OF 26 74308 11F'T; _ _..__ :SOS __5 56 N LEE HIGGINBOTHA 26 SUBTOTAL 10. 18 4 CARHARTT CARPENTER OF 27 382 11PT : . 505 5.56 N _ -JASON WALDEN 27 SUBTOTAL. - 5.-56 4 PANT-DENIM CARGO WOR OF 28 74308 11PT ; 505 5. 56 N MARK OTTINGER 28 SUBTOTAL 5. 56 48 CARHARTT" CfiARPENTER OF 29 382: 11PT : .506 5.57 N RAPHAEL BURKE 29 SUBTOTAL. 5.S7 49 WANT-DENIM CARGO WOR OF 30 74308 11PT : 50S 5. 56 N KEVIN SMITH 30 SUBTOTAL 5. 56 50 CARHARTT CARPENTER OF 31 382 11PT : 506 5. 57 N Si SHIRT SYNTHETIC OF 31 935 22SH; . 420 9. 2-4 N DAMIAN DELPH 31 SUBTOTAL 14. 81 52 PANT-DENIM CARGO WOR OF 32 74308 11PT : S05 5. 56 N RANDY JOHNSON 32 1 SUBTOTAL 5. 56 S3 CARHARTT CARPENTER iJF 33 382 .11PT : . 506 5. 57 N 54 SHIRT SYNTHETIC OF 33 935 115H; . 420 4. 62 N FRED MARTZ 33 SUBTOTAL 10. 19 5 " PANT-DENIM CARGO WOR OF 34 74308 11PT. SOS 5.56 N ED MUIR 34 SUBTOTAL S. 56 5 SHIRT SYNTHETIC OF 35 935 11SH, 420 4. 62 N S7 PANT-DENIM CARGO WOR OF 35 74308 11PT ; SOS 5. 56 N MIKE KALOGEROS 35 SUBTOTAL 10. 18 c; SHIRT SYNTHETIC OF 36 93S 11SH; . 420 4. 62 N 59 PANT-DENIM CARGO WOR OF 36 74308 11PT: 505 5.56 N TIM COFFEY 36 SUBTOTAL 10. 1£ 6 CARHARTT CARPENTER OF 37 382 11PT : 506 S. 57 N -SHIRT SHIRT SYNTHETIC OF 37 935 11SH; 420 4. 62 N MARK CARTER 37 SUBTOTAL 10. 19 oz CARHARTT S PKT JEAN OF 38 381 11PT : .607 & 68 N CAMERON MASON 38 SUBTOTAL. 6.68 6 PANT-DENIM CARGO WOR OF 39 74308 11PT : Sore 5. 56 N MIKE CLARK 39 SUBTOTAL S.56 " 64___-_ . ..___. - SHIRT SYNTHETIC OF 40 935 11SH; 62 N 6S PANT-DENIM CARGO WOR OF 40 74308 11PT : SOS 5.56 N WILL DAVIS 40 SUBTOTAL 10. 18 6 - - - CARHARTT""CARPENTER OF 41 382 '11PT; 506 5 57 N 67 SHIRT SYNTHETIC OF 41 935 11SH: . 420 4. 62 N MIKE WILLIAMSON 41 SUBTOTAL 10. 1y 68 CARHARTT CARPENTER OF 42 382 IIPT; SOS 5. 56 N JOSH DAVIS 42 SUBTOTAL S. 56 6 CARHARTT CARPENTER OF 43 382 11 1PT : .500 5.57 N NATHAN MORRIS 43 SUBTOTA# 5. 57 70 PANT-DENIM CARGO WOR OF 44 74308 11PT : ' SOS 5. 56 N SCOTT TOWNSEND 44 SUBTOTAL S.56 71 NEW CINTAS JEAN OF 4S 394 11PT : 471 PARKS PIFER 45 SUBTOTAL 72 SERVICE CHARGE F 1 X 106 7. 723 9. 72 N - INVOICE:TOTAL S121221 ***NEW CUSTOMER-SERVICE HOTL N NUMB R 888-924°6827 OR 888- CINTA *-4 ACCTS A-M CONTACT BE` SE HEN Y 93? 237--376€ HENr` B @CINTA . COM _ ACCTS. N-Z CONTACT T RA AC14i_'Y G737--A 37-3787 ; AGKLE T(tCINTAS.COM REVIEWED BY SIGNATURE INVOICE 4 018411146 TOTAL ORIGINAL INVOICE�~~~ �� ~—~ n�nm. CI�� CORPORATION #018 LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 3400 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 INVOICE NO. CARMEL, IN 46074-8267 G E1M3 018408074 CONTRACT NO. ACCOUNT NO. STOP osn DELIVERY CODE SOIL rmvw` INVOICE DATE 026S0 2139 iS W102000 R 12/18/i2 BILL TO: CARMEL STREET DEPT ATTN. BQNNIECALLAHAN mc ROUTE DAY xumwo. o,p^,nwswr CUSTOMER pu.NO. r,nmo 3400 W 131ST STREET 018 51 2 02650 DUE 1/10/13 WESTFIELD, IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT °ms 2 LINE SOIL MIN c BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. CNT CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x ADAM TOWNS 2.T -SMTOTAL 5.56 39 PANT-DENIM CARGO WOR UF 24 74308 IIPT : 40 CARHARTT CARPENTER UF 2, 382 IIPT : .506 -5.57 N 41 SHIRT SYNTHETIC UF 25 935 11SH : . 420 4.62 N BILL ,HIGGINBOTH 25 SUBTOTA� 10. 19 43 PANT-DENIM CARGO WOR UF 26 74308 IIPT : Sol S.S6 N LEE HIGGINBOTHA 26 SUBTOTAL JASON, WALDEN 27 SUBTOTAL S.S6 SUBTOTAL S.S6 MARK OTTINGER 26 46, CARHARTT CARPENTER LIF 29 382 IIPT , 506 5. 57 N 47, SHIRT SYNTHETIC UF 21? 935 IISH : . 420 4.62 N RAPHAEL. BURKE 29 SUBTOTAL '10. 19 KEVIN SMITH 30 49 CARHARTT CARPENTER UF 31 382 IIPT � 506 5.57 N so SHIRT SYNTHETIC UF 31 935 22SH : 420 9.24 N RANDY JOHNSON 32 SUBTOTAL 5.56 S3 SHIRT SYNTHETIC UF 33 93S IISH : FRED MARTZ 33 SUBTOTAL 10. 19 54 PANT-DENIM CARGO WOR UF 34 74308 IlPT : SOS S.56 N ED MUIR 34 SUBTOTAL S.56 55 SHIRT- SYNTHETIC UF 3c, 93S IISH : ; 420 4.62 N S6 PANT-DENIM CARGO WOR UF 35 74308 IIPT : '6 N MIKE KALOGEROS 35 SUBTOTAL 10. 18 S7 SHIRT SYNTHETIC UF 36 93S 11SH : . 420 4.62 N S8 PANT-DENIM CARGO WOR UF 36 74308 IIPT : SOS S.56 N TIM COFFEY 36 SUBTOTAL io. i8 60 SHIRT SYNTHETIC, UF 37 935 IISH: ..420 4.62 N MARK CARTER 37 SUBTOTA� 10. 19 CAMERON MASON 38 SUBTOTAL 6.68 MIKE' CLARK 39 SUBTOTA( S.56 WILL DAVIS 40 SUBTOTAI_ 10. 18 66 SHIRT-'SYNTHETIC UF -41 935 IISH: .420 4.62 N MIKE 'WILLIAMSON 41 SUBTOTAL 10, 19 NATHAN MORRIS 43 SUBTOTAL S.S7 SCOTT TOWNSEND 44 SUBTOTA,_ 5.56 FARKS PIFER 45 SUBTOTAL 5. 18 71 SERVICE CHARGE F I X 106 9.723 9. 72 N ***NEW'--CUSTOMER:SERV: CE HOTLINE NUMBER 888-924--682"t OR 388-?CINTAE*** ACCTS. A-M CONTACT BE- SE HENRY (2 937--237-3760 HENR'(B@-CINTAS.CON WE GLADLY ACCEPT MAS' ER,ARD, VISA, DISC'OVER AMERICAN EXPRESS REVIEWED By SIGNATURE _j_F`I0_N�AL TOTAL �� ORIGINAL INVOICE —~~~ ��~ �~~ nsMITro. CINTAS CORPORATION #018 LOCATION 18 o*/pro. CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 INVOICE NO. CARMEL, IN 46074-8267 G E1M3 018408074 CONTRACT NO. ACCOUNT NO. STOP u,n DELIVERY CODE SOIL Tmnwr INVOICE DATE 02650 13139 1S W102000 R 12/18/12 a/uno. CARMEL STREET DEPT ATTN. BONNIE CALLAHAN mv ROUTE DAY oomwo. o,,^mm,wr CUSTOMER ru.NO. T,vmo 3400 W 131ST STREET 018 S1 2 02650 DUE 1/10/13 WESTFIELD, IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT "=" 1 LINE I SOIL miN CIBB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. CNT CHG. 0 EMPLOYEE NAME NO. No. INVENTORY INVOICED AMOUNT x no 4 SHIRT SYNTHETIC UF I 93S IiSH: .420 4. 62 N SHAUN PRIVETT I SUBTOTAL 10. 18 61 PANT-RELAXED FIT-DEN UF 2 74307 11 . 470 5. 17 N TERRY KILLZN 3 SUBTOTAL S. 17 JEFF HICKS 4 I SUBTOTAL 9. 80 RICK ALDEN ' 5 SUBTOTAL S. 56 SAM MOFFITT 6 SUBTOTAL 10. 18 13 SHIRT SYNTHETIC UF 7 93S IISH : . 420 4. &3 N is MAKEUP CHARGE U 8 X 125 BRAD SCHERICk 8 SUBTOTAL 23. 514 CHRIS STUBBS 10 SUBTOTAL S.-57 DARRELL BELL 11 SUBTOTA� 5.57 RON WILLIAMS 12 SUBTOTAL 5- 17 ERIC RUSSELL 13 SUBTOTA� S.56 I SOS TIM BROWNING 14 SUBTOTAL S. S6 PANT-RELAXED FIT-DEN UF IS 74-107 11 5. 17 N 27 SHIRT SYNTHETIC UF 17 93S IISH : . 420 4. 62 N -GARY JONES -17 SUBTOTAP' 12-87 29 PANT-RELAXED-FIT-DEN UF IS 74307 11 . 470 S. 17 N JAMES BENTLEY 19 SUBTOTAL 6.68 31 NEW CINTAS JEAN UF 20 394 IIPT : . 471 S. 18 N _ 32- SHIRT SYNTHETIC UF 20 93S 11SH : . 420 4. 62 N STEVE ZELLER- 20 SUBTOTAL 9. 80 BRAD HENDERSON 21 SUBTOTAL 7. 22 37 SHIRT SYNTHETIC UF 22 93S ISH : . 420 . 42 N MIKE ,HENRICKS 22 SUBTOTA� 12. 30 38 _PANT_DENIM'_CARG0 WOR UF 23 74308 IIPT : SOS S. S6_N REVIEWED BY NATURE INVOICE It 018408074 TTF 01NTA L TOTAL �� ORIGINAL INVOICE ~~~~ �~~ �~~ REMIT TO: CINTAS CORPORATION #018 LOCATION 18 umpro' CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 INVOICE NO. CARMEL, IN 46074-8267 G E1M1 018414201 CONTRACT NO. ACCOUNT NO. STOP oo^DELIVERY CODE SOIL nnowr INVOICE DATE 02650 13139 1S W102000 R 1/01/13 BILL TO: CARMEL STREET DEPT ATTN. BONNIE CALLAHAN uo nvvr' mv nuorwu. o,,mnw,xr CUSTOMER'».NO. TERMS 3400 W 13lST STREET 018 51 2 026SO DUE 2/10/13 WESTFIELD, IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT mos 2 LINE SOIL MIN C BB ITEM DESCRIPTION OR PRICE NO. CHI CHG. O� EMPLOYEE NAME NO. NO. RY INVOICED AMOUNT x 3 PANT-DENIM CARGO WOR UF 23 74308 11PT; -SOS ADAM TOWNS 23 SUBTOTAL 5. 56 4, - -PANT-DENIM CARGO WOR UF 24 74308 IIPT� SOS 5. 56 N .506 57 N BILL HIGGINBOTH 25 SUBTOTAL 10. 19 4' SHIRT SYNTHETIC UF 26 93S IISH: .420 4. 62 N LEE HIGGINBOTHA 26 SUBTOTAL JASON WALDEN 27 SUBTOTA� S. S6 MARK OTTINGER 26 SUBTOTAL S. 56 4171, CARHARTT CARPENTER UF 29 382 1 IPT: S06 S. 57 ,N KEVIN ,SMITH 30 5. 56 '4 CARHARTT CARPENTER UF 31 382 11PT: S06 S. 57 N SUBTOTAL 14. 81 RANDY JOHNSON 32 SUBTOTAL 5. 56 S3 SHIRT SYNTHETIC UF 33 93S IISH: FRED MARTZ 33 SUBTOTAL 10. 19 54 PANT-DENIM CARGO WOR UF 34 74308 11PT: SOS S. 56 N ES SHIRT SYNTHETIC UF 35 935 IISH: .420 4. 642 N _S6 PANT-DENIM,CARGO.-WOR UF 35 74308 11PT: SOS S.,56 N MIKE KALOGEROS 35 SUBTOTAL 10. 18 57 SHIRT SYNTHETIC UF 36 93S 11SH: 4.62 N so PANT-DENIM CARGO WOR UF 36 74308 11PT: TIM'COFFEY 36 SUBTOTAL -1-0.-is MARK CARTER 0 SUBTOTAL 10. 19 .-CAMERON MASON SUBTOTAL 6.68 MIKE CLARK 39 SUBTOTAL S.S6 64 PANT-DENIM CARGO WOR UF 40 74308 11PT_: SOS S. 56 N WILL DAVIS 40 SUBTOTAL 10. 18 66 SHIRT SYNTHETIC' UF 41 93S IISH: . 420 4 62 N MIKE WILLIAMSON 41 SUEITOTA� 10.' 19 JOSH DAVIS 42 SUBTOTAL 5. 56 NATHAN MORRIS 43 SUBTOTA�. S. S7 PARKS PIFER 4S SUBTOTA� S. 18- 71 SERVICE CHARGE F I X 106 9. 723 9. 72 N INVOICE: TOTIAL 39.9.166 ACCTS A-M CONTACT BE SEt HENRY 0 937--237-3760 Hr--NR�B@L-INTAO.COM WE GLADLY ACCEPT MA_j ER,ARD, VIDA, DISCOVER ANERI:AN EXPRESS REVIEWED BY SIGNATURE INVOICE # 018414201 FINAL �� N�� ORIGINAL INVOICE---- --- --- nsmnro. CINTAS CORPORATION #018 LOCATION 18 amprm' CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 4S263-0803 STREET DEPT 888-924-6827 INVOICE NO. CARMEL, IN 46074-8267 G E1M1 018414201 CONTRACT NO. ACCOUNT NO. STOP u,o DELIVERY CODE SOIL`mC*r INVOICE DATE 02650 13139 15 W102000 R 1/01/13 o/uro. CARMEL STREET DEPT ATTN. BONNIE CALLAHAN mu ROUTE o^' xuorwo. ocmmm,w` CUSTOMER,�.NO. `sxms 3400 u 131ST STREET 018 51 2 02650 DUE 2/10/13 WESTFIELD, IN 46074 EVEN BILLING CONTACT: BONNIE CALLAHAN TAX CODE 317-733-2001 TAX EXEMPT ma' 1 LINE SOIL MIN C ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY INVOICE T NO. CNT HG. 0 BB EMPLOYEE NAME NO.' NO. INVENTORY INVOICED PRICE AMOUNT x "120 17. 60 N STRIPE SWIPE TOWELMI UF 2964 20 2� 406 8. 12 N SHIRT SYNTHETIC UF I 9�5 118H: . 420 _ ' 4. 82 N PANT-RELAXED --'D" 470 N FIT EN UF 2 74307 DAVE LOVEALL 2 SUBTOTAL 17 PANT-RELAXED FIT-DEN UF 3 74307 11 .470 5. 17 N RICK ALDEN S SUBTOTAL S.S6 SAM,MOFFITT 6 SUBTOTAL 11. 18 16 SHIRT SYNTHETIC UF 7 935 IISH: .420 4.62 N MONTGOM 7 SUBTOTAL 4.6.2 1E SHIRT SYNTHETIC UF 8 935 IISH: . 420 4.62 N PANT-DENIM CARGO WOR UF 9' 74308 IIPT: SOS 5.5 SUBTOTAL S.S6 ckkis STUBBS- 10 SUBTOTAL. S.57 21 CARHARTT CARPENTER UF 11 382 IIPT:, 506 S.57 N DARRELL BELL 1.1 SUBTOTAL 5. 57 '22 CARHARTT 'S' PKT JEAN UF 12 381 IIPT: .470 5. 17 RON WILLIAMS 12 SUBTOTAL S. 17 ERIC RUSSELL 13 -SUBTOTAL S.56 2 PANT-DENIM CARGO WOR UF 14 74308 IIPT: SOS 1,16,1 TIM BROWNING 14 SUBTOTAL 2 --PANT-RELAXED FM-DEN UF 15 74307 ll 470 5. 171 N TRAVIS TABAK 16 SUBTOTAL S.S6 27 COVERALL SYNTH UF 17 912 scv: S38 2.69 N 28 SHIRT SYNTHETIC UF 17 93S IISH: GARY JONES'' 17 SUBTOTAL 12.87 301 -PANT-RELAXIED,I FIT-,DEN UF 18 7.4307 11 . 470 S. 17 N 1 5. 17 BOYD PIERCY 18 SUBTOTAL JAMES BENTLEY 19, SUBTOTAL 6.68 33 SHIRT SYNTHETIC 20 935 IISH: .420 4.62 N STEVEZELLER 20 SUBTOTAL. 9.80 BRAD HENDERSON -�j SUBTOTAL 7,22 37 COVERALL SYNTH UF 22 912 SCV: .538 2,69 N -SHIRT SYNTHETIC UF 22 935 ISH: 420 .42 N MIKE HENRICKS 22 SUBTOTAL 12-.SO REVIE�ED BY' SIGNATURE '01 FINAL INVOICE # 0184 TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #18 M Location 18 �( IN SUM OF $ P. O. Box 630803 Cincinnati, OH 45263-0803 $1,300.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 018408074 43-565.01 $397.59 I hereby certify that the attached invoice(s), or 2201 018411146 43-565.01 $512.22 bill(s) is (are) true and correct and that the 2201 018414201 43-565.01 $390.66 materials or services itemized thereon for which charge is made were ordered and received except /1Fnda _I Januav v 4�, 2013 F' kt�0 % �✓ /Y! !'✓> . -try SLrSfreef Commissioner 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)) 12/18/12 018408074 $397.59 12/25/12 018411146 $512.22 01/01/13 018414201 $390.66 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 ORIGINAL INVOICE--~~ �~~ —~~ nsmnra CINTA3 CORPORATION 44018 XXXXX DUPLICATE LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 4S263-0803 CARMEL POLICE 888-924-6827 INVOICE NO. WESTFIELD, IN 46074-8267 G E1M3 018408073 CONTRACT NO. ACCOUNT NO. STOP oso DELIVERY CODE SOIL rmxw` INVOICE DATE 026S0 21141 14 W102000 R 12/18/12 BILL TO: CARMEL POLICE DEPT. 3 3 CIVIC SQUARE um ROUTE um xuurwv. uEmmusw` CUSTOMER,o.NO. `,nun CARMEL, IN 46032 018 S1 2 06824 DUE 1/10/13 EVEN BILLING CONTACT: JASON OGLE TAX CODE 317—S71-2SOO TAX EXEMPT "^«" 1 LINE SOIL MIN BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T NO. CNT CHG. Cl NO.' I I INVOICED AMOUNT 7 IMAGE JACKET UF 1. .366 2JK : 1. 411 2.82 N -OGLE I SUBTOTAL -13.23 RENTAL CARGO PANT UF 2 270 11PT : .526 5.79 N ED ALVAREZ 2 SUBTOTAL 13.21:11 12 RENTAL CARGO PANT UF 3 270 IlPT : S26 5. 79 N 14 SHIRT SYNTHETIC UF 3 935 IISH : .420 4.62 N CHUCK WHITAKER 3 SUBTOTAL 13.23 is SERVICE CHARGE F I X 106 9, 723 9. 72 N INVOICE: TOTAL 83.92 ***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-914-6827 OR 888-�CINTAS*** 'ARD, VISA, .DISCOVER 3x AMERICAN EXPRESS WE-GLADLY ACCEPT MASTERE REVIEWED BY SIGNATURE INVOICE # 018408073 FINAL TOTAL �� NM�| n-�� ORIGINAL INVOICE � �� REMIT TO: CINTAS CORPORATION #018 XXXXX DUPLICATE LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 6308O3 3400 W 131ST ST CINCINNATI, OH 45263-0803 CARMEL POLICE 888-924-6827 INVOICE NO. WESTFIELD, IN 46074-8267 G E2M4 018411145 CONTRACT NO. ACCOUNT NO. STOP oa^DELIVERY CODE SOIL rmcwr INVOICE DATE 026SO 21141 1S W102000 R 12/25/12 BILL TO: CARMEL POLICE DEPT. 3 3 CIVIC SQUARE mo vourc mw xuSTwn. osmn`m,w` CUSTOMER,».NO. TERMS CARMEL' IN 46032 018 51 2 06824 DUE 1/10/13 EVEN BILLING CONTACT: JASON OGLE TAX CODE 317—S71-2SOO TAX EXEMPT wm' 1 LINE SOIL MIN BB ITEM DESCRIPTION OR EMP ITEM QUANTITY QUANTITY PRICE INVOICE T 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x NO. CNT CHG. Cl 0c .220 13. 20 IN 3XIO BLACK NAT UF 84035 SHIRT SYNTHETIC UF I 93S 4Lj.SH: .420 4. 62 N JASON-OGLE I SUBTOTAi- "l-T. 23 11 IMAGE JACKET UF 2 366 2jk: 1.41, 2. 82 N _SHIVT _SYNTHETIC UF 93S 11SH: .420 4.62 N_ 12 RENTAL CARGO PANT UF 3 270 11PT : S26 S.79 N 14 SHIRT SYNTHETIC UF 3 935 IISH: 4220 4.62 N is SERVICE CHARGE F I X 106 9. 723 9. 72 N INVOICE: TOT AL 8 3. 92 ***NEW CUSTOMER SERVICE HOTLINE NUMBER 888-9��4-6V-7 OR 888 TO -SERVICE OUR CUSTOMER; BETTER, CIN'l AS CORPIOC 04 3 IVA REVIEWED BY SIGNATURE FINAL INVOICE 0 01841114S TOTAL ORIGINAL INVOICE ---- --- --- nsMITro. CINTAS CORPORATION 4018 XXXXXDUFLICATE LOCATION 18 ompro' CITY OF CARMEL P O BOX 630803 3400 W 131ST ST CINCINNATI, OH 45263-0803 CARMEL POLICE 888-924-6827 INVOICE NO. WESTFIELD, IN 46074-8267 G E1M1 O18414200 CONTRACT NO. ACCOUNT NO. STOP oco DELIVERY CODE SOIL`x`nwr INVOICE DATE 02650 21141 14 W102000 R 1/01/13 BILL TO: CARMEL POLICE DEPT. 3 3 CIVIC SQUARE mn ROUTE v^r cumwu u,p^ma,wr CUSTOMER puNO. `'mwo CARMEL, IN 46032 018 S1 2 06824 DUE 2/1O/13 EVEN BILLING CONTACT: JASON OGLE TAX CODE 317-571-2SOO TAX EXEMPT p^s' 1 LINE] SOIL MIN C ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. 1 CIAT CHIS. 01 BB EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x 2 SM SHOP TWL—RED IT 2160 60 6C .220 13.220 N RENTAL CARGO PANT UF 270 iiPT: 526 5. 79 N JASON OGLE SUBTOTAL 3" 11 SHIRT SYNTHETIC UF 2 935 11SH: . 420 4. 62 N ED ALVAREZ 2, 1 SUBTOTAL 13. 23 12 RENTAL CARGO PANT UF 1:) 270 11PT; S26 5. 79 N 13 IMAGE CHUCK_WHITAKER '- 3 SUBTOTAL 13. 23 INVOICE: TOTAL 83. 92 ***NEW CUSTOMER SERVICE HOTL: NE NUMBER 888-9,1,4--6827 OR 888—§CINTAE*** GLADLY ACCEPT MAS'*ER,ARD, VISA, DISCOVER $ AMERI-,AN EXPR�SS ****ACCOUNTS RECEIVAILE HAS 0W REMIT TO ADDRESS REVIEWED BY SIGNATURE INVOICE 018414200 FINAL TOTAL � VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 Location 18 IN SUM OF $ P.O. Box 630803 Cincinnati, OH 45263-0803 $251.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1110 18411145 43-565.01 $83.9_' Prior Year bill(s) is (are) true and correct and that the 1110 18408073 43-565.01 $83.92 materials or services itemized thereon for 1110 18414200 43-565.01 $83.92 which charge is made were ordered and received except Friday, January 04, 2013 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)) 12/31/12 18411145 laundry services $83.92 12/31/12 18408073 laundry services $83.92 01/01113 18414200 laundry services $83.92 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 . � v � —� ORIGINAL INVOICE---- --- --- REMIT TO: CINTAS CORPORATION #018 LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 BROOKSHIRE GOLF CLB CINCINNATI, OH 4S263-0803 12120 BROOKSHIRE PKY 888-924-6827 INVOICE NO. CARMEL, IN 46033 G E2M2 018405004 CONTRACT NO. ACCOUNT NO. STOP om DELIVERY CODE SOIL rmcwr INVOICE DATE 02617 02617 2 W102000 R 12/11/12 BILL TO: BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY mc nou`s v^, mSTwu. u,,^mu,wr CUSTOMER,uNO. ,'o°o CARMEL, IN 46033 018 51 2 02617 DUE l/1O/13 EVEN BILLING CONTACT: ROBERT D HIGGINS TAX CODE 317-846-4706 TAX EXEMPT '^es 1 N 0 BB ITEM DESCRIPTION OR EMP. ITEM UANTITY UANTITY PRICE INV I E T NO. CNT CHG. Cl EMPLOYEE NAME NO. INVENTORY INVOICED AMOUNT x ***NEW CUSTOMER SERVICE HOTI-14E NUMBER 868-9�4-6827 OR 888—ICINTAS ACCTS A—M CONTACT BETSE) HENRY 2 937--237-3760 HENR)BCOCINTAB. COM ****ACCOUNTS RECEIVABIL,E HAS A NDW REMIT TO ADDRESS REVIEWED BY SIGNATURE INVOICE 01840SO04 FINAL TOTAL | �� M�~�N��| ORIGINAL INVOICE—~-- --- ~—~ nsw/rro. CINTAS CORPORATION #018 LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 BROOKSHIRE GOLF CLB CINCINNATI, OH 4S263-0803 12120 BROOKSHIRE PKY 888-924-6827 INVOICE NO. CARMEL, IN 46033 G E1M3 018408061 CONTRACT NO. ACCOUNT NO. STOP n,u DELIVERY CODE SOIL nKTnw` INVOICE DATE 026i7 02617 2 W102000 p 12/18/12 BILL TO: BROOKSHIRE GULF CLUB 12120 BROOKSHIRE PKWY mc noo`, o^, oomwo. ne^mm,w, CUSTOMER,.o.NO. `cnun CARMEL, IN 46033 018 S1 2 02617 DUE 1/10/13 EVEN BILLING CONTACT: ROBERT D HIGGINS TAX CODE 317-846-4706 TAX EXEMPT ,"o" 1 LINE I SOI MIN. ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T CHG 0 BB PRICE NO. CNT ICI EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x RUSSELL PICKETT 1. SUBTOTAL 6.86 INVOICEJOTAL 17.'316 ***NEW CUSTOMER,'SERVICE HOT NE NUMBFR888-9�,4-6827 OR 888—�CINTAS*** ACCTS A-11 CONTACT BEISE( HENIY @ 937-237-3760 HENR(BOCINTAS.CDM ,,---,WE GLADLY ACCEPT MASIER,ARD, VISA, DISCOVER �i AMERI,AN EXPR�SS ****ACCOUNTS RECEIVAILE HAS 0U REVIT TO ADDRESS INVOICE # 018408061 TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 Location 18 IN SUM OF $ P.O. Box 630803 Cincinnati, OH 45263-0803 $34.72 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 018405004 I 43-560.01 $17.36 1 hereby certify that the attached invoice(s), or 1207 I 018408061 I 43-560.01 I $17.36 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 19, 2012 4A, Director, Brooks re Golf Club 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 018405004 Uniforms $17.36 12/18/12 018408061 Uniforms I $17.36 I 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 ' �� ~�N��| ORIGINAL INVOICE �~~~ �~~ --~ REMIT TO: CINTAS CORPORATION #018 LOCATION 18 ompro: CITY OF CARMEL P O BOX 630803 BROOKSHIRE GOLF CLB CINCINNATI, OH 4S263-0803 12120 BROOKSHIRE PKY 888-924-6827 INVOICE NO. CARMEL, IN 46033 G E2M4 018411132 CONTRACT NO. ACCOUNT NO. STOP o,n DELIVERY CODE ao/L Tmxwr INVOICE DATE O2617 O2617 2 W1O2OOO R 12/2S/12 BILL TO: BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY mx ROUTE cm, ovmwu. nEp^muEwr CUSTOMER r.o.NO. ,,nmo CARMEL, IN 46033 018 S1 2 02617 DUE 1/iO/13 EVEN BILLING CONTACT: ROBERT D HIGGINS TAX CODE 317-846-4706 TAX EXEMPT mec 1 LINE SOIL MIN c ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY INVOICE T NO. CNT CHG. 01 BEI EMPLOYEE NAME NO. NO. INVENTORY INVOICED PRICE AMOUNT x RUSSELL PICKET'T I SUBTOTAL 6.86 INVOICEJOTAL 7.'36 ***,NEW-CUSTOMER SERVICE HOTL:INE NUMBf.'R 888-9t`44-6827 OR 8884CINTAE*l** ACCTS A—M CONTACT BE. SE( HENRY @ 9'17-237-3760 HENRfLl-TCINTAG. COM WE GLADLY ACCEPT MAS' ER,ARD, VISA, DISCOVER 4 ANERI,AN EXPR�SS REVIEWED BY SIGNATURE INVOICE It 018411132 FINA TOTAL ORIGINAL INVOICE ---- --- --- nsmITro. CINTAS CORPORATION #018 LOCATION 18 SHIP TO: CITY OF CARMEL P O BOX 630803 BROOKSHIRE GOLF CLB CINCINNATI, OH 4S263-0803 12120 BROOKSHIRE PKY 888-924-6827 '°,m""°°. CARMEL, IN 46033 G E1M1 O18414188 CONTRACT NO. ACCOUNT NO. STOP o,o DELIVERY CODE no/Lrmcw` INVOICE DATE 02617 02617 2 W102000 R 1/01/13 BILL TO: BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY `vc "no`. "". =°,"" ""=","E", CUSTOMER,.=NO. TERMS CARMEL, IN 46033 018 51 2 02617 DUE 2/10/13 EVEN BILLING CONTACT: ROBERT D HIGGING TAX CODE 317-846-4706 TAX EXEMPT m»' 1 LINE SOIL MIN C BB ITEM DESCRIPTION OR EMP. ITEM QUANTITY QUANTITY PRICE INVOICE T NO. CHT CHG. 0 EMPLOYEE NAME NO. NO. INVENTORY INVOICED AMOUNT x RUSSELL PICKETT I SUBTOTAL 6. 86 114VOICE: TOTAL 17. 36 —9204-6827 OR 888-9CINTA _�***NEW...CUSTOMER SERVI CE HOTLINE NUMBER, 888 ACCTS A—M CONTACT BE"SEf HENRY T 937--237-3760 HENRtB@CINTAq-.COM ILE HAS fDU REMIT TO ADDRESS Y SIGNATURE FINAL REVIEWED B -I INVOICE 14 0184141B8 TOTAL VOUCHER NO. WARRANT NO. ALLOWED 20 Cintas Corporation #018 Location 18 IN SUM OF $ P.O. Box 630803 Cincinnati, OH 45263-0803 $34.72 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 018414188 43-560.01 $17.36 1 hereby certify that the attached invoice(s), or 1207 018411132 43-560.01 $17.36 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 Friday, January 04, 2013 Director, Brookshire Club 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)) 10/11/00 018414188 Uniforms $17.36 12/25/12 018411132 Uniforms $17.36 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