216472 01/15/2013 a CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK AMOUNT: $31.82
SHELBYVILLE IN 46176 CHECK NUMBER: 216472
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2319918 31 . 82 OTHER RENTAL & LEASES
------------- _____ _ ____
CITY OF CARMEL POLICE DEPT
j 3 CIVIC SQUARE Invoice# 2319918
CARMEL, IN 46032 Date PlYmate's MatMan
01/08/2013 (877)648-0903
Cust# �,
4? '
PO# 27019 Stop 7099 _ ' '•PlYmate.com
220 plymage 819 ELSTON DR
ROBERT ROBINSON � SHELBYVILLE, IN 46176
I rgPlace/+Aparel&Floor Maf Programs
Line Item# '�"�:`- RT 30
50 Name`/.Description In
1 10 3X4 PACIFIC B v Y', QtY•:"' . Rental
LUE MAT Repl.` 1 2
2 1075 4X6 14 =3. 4
P 5
ACIF $2.7
I 0
C
BL ,
I
UE
MAT
3 1478 3X5 COMFORT FLOW MAT 3 $16.22
4 1479 ROTATE 3X5 COM FLOW 1 $3.95
Service Char 1
ge
$8.95
Subtotal $3182 Please pay from
Tax this invoice
Total 31.82
Thanks for Your business.
Your MatMan-Richard Skillman
Past Due Amounts
30�a_=s 60 90_ Days
$ 0.00 $ 0.00 $ 0.00 Customer Signature
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))
01/08/13 2319918 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.
Plymate's MatMan ALLOWED 20
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$31.82
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
I
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 2319918 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, January 10, 2013
1 Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund