218019 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
CHECK AMOUNT: $57.35
CARMEL, INDIANA 46032 3401 COVINGTON ROAD
KALAMAZOO MI 49001 CHECK NUMBER: 218019
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0308136605 57 . 35 CLEANING SERVICES
DOp� LgN ENy�BEN�VOIC!£T I NV# 0308136605 _ YOUR LOCAL
DOMESTI��rNEN RAAL�AMAZOOBOO-430-0872 _ MAIN OFFICE I�C
3401 COVINGTON ROAD 269_388_2900 TEL#
KALAMAZOO MI 49001
CARMEL CLAY COMMUNIC 0 #
31 FIRST AVE NW 9 5
CARMEL IN 03 08 13
2° DAY OF
46032
MO. DA. YR. r=2 C.O.D. WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE ffY_4/C8/13 LOS ANGELES,CA
ORANGE COUNTY,CA .
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY MAT 1225 22E ADDISON, IL
GURNEE, IL
FT.WAYNE, IN
5 RED VY MAT,,-,-- 3445 i�3S INDIANAPOLIS,IN
SOUTH BEND, IN
BALTIMORE,MD
6 RED VY MATc?, 26as lj7C HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
_10- RED V, .MAT ' V l 25 02 GRAND RAPIDS, MI
JACKSON,MI
r� �<•- - KALAMAZOO,MI
5+ SCRAPER MAT:,-, ` 1980 9BC LANSING,MI
SAGINAW, MI
TROY, MI
ENVIRONMENTAL-FEES i dCC LIVONIA,MI
j NEWARK/NEW YORK
RALEIGH,NC
CANTON,OH
ASK ABOUT OUR PAPER ANE TISSUE i CINCINNATI,off
C
SERVICES FOR YOUR EST COLUMBUS,OH
H
OMS OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG, PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
r ?� — RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTALAGREEMENT
RT STOP ACCOUNT PAY THIS PLEASE PAY FROM
No. No. No. AMOUNT $ THIS INVOICE.NO
308 261 8466 O 5735 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))
03/08/13 0308136605 $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 $
i
3401 Covington Road
Kalamazoo, MI 49001
$57.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 0308136605 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, Mar 08, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund