216679 01/29/2013 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: 216679
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0121136605 57 . 35 CLEANING SERVICES
j LINEN INVOICE INV# 012113660S _ YOURLOCAL
DOME�M�MMEE c U���� �•RR� /'�z SIC TEL,I
-`�' RFIETidFM I'CANMAkO000C�Y'^`}�.]{+S-OG7'2 _ MAIN OFFICE
i TEL#
3401 COVING`TON ROAD =6L:_3G23—'42Q0 :
KALAMAZOO M I 49001
I
'CARMEL CLAY COMMUNIC O
31 FIRST AVE NW r 1
,CARMEL IN 01 21 13 �w
r'1 E¢ DAY K
4b4a2 pAp, DA. YR. t-f C.O.D. WEEK i
BILLING UNIT
:REN:TALSERVICE ITEMS AMOUNT
OUANT. PRICE
PAYME(vT DUE BY 2f /13 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA {
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY MAT 1 S 22S ADDISON,IL
GURNEE,IL
FT.WAYNE,IN
S RED VY MAT,, _. 341s 1 S INDIANAPOLIS,IN
SOUTH BEND,IN
BALTIMORE,MD
RED VY j�A'{•: 5 1370 HAGERSTOWN,MID
' DETROIT,MI
FLINT,MI
10 RED VY MAT,,' 132S f3pS GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO,MI
S SCRAPER MAT;' _ 1 0 980 LANSING,MI
SAGINAW,MI
TROY,MI
ENVIRONMENTAL. FEE3 10 j)CJN LIVONIA,MI
NEWARK/NEW YORK
RALEIGH,NC
CANTON,OH
TRAP DIRT AT YOUR E TRA ES CINCINNATI,OH
CLEVELAND,OH
RENT AN ENTRANCE MAr COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH, PA
VIRGINIA BEACH,VA
RICHMOND,VA
r
MILWAUKEE,WI
-. - THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
FIT, STOP ACCOUNT PAY THIS I PLEASE PAY FROM
3 f} 4( 8466 I y,� THIS INVOICE. U
AMOUNT $ ^� OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $ RECD BY
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))
01/21/13 0121136605 $57.35
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
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. I ACCT#/TITLE AMOUNT Board Members
1115 I 0121136605 I 43-506.00 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
Friday, January 25, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund