218432 03/25/2013 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
�a KALAMAZOO MI 49001 CHECK NUMBER: 218432
CHECK DATE: 3125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0322136605 57 . 35 CLEANING SERVICES
LIKEN INVOICE N�
INV# O3221366O5 YOUR LOCAL
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DOM�� � �c 'ZI7qEw— �\*�*MAZOO8OO-43O—O872 MAIN OFFICE
3401 COVINGTON ROAD 269-388-2900 rsL«
KALAMAZOO MI 49001
31 FIRST AVE NW 9
:ARMEL IN103*221333-
DA OF
—: s
RENTAL S-ERVICE ITEMS BILLING UNIT
QUANT, PRICE AMOUNT
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL
GURNEE,IL
FT WAYNE,IN
5 RED VY MAT 344S 1-3 INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE,MD
DETROIT MI
FLINT,MI
KALAMAZOO,MI
0 LANSING, MI
SAGINAW,MI
TROY,MI
ENVIRONMENTAL. FEEE3 C1.0 to LIVONIA,MI
NEWARK/NEW YORK
RALEIGH,NC
CINCINNATI,OH
rRY OUR PREMIUM WET MOP ERVICE�; CLEVELAND,OH
IOP YOUR FLOORS IN HALF THE TIM-:—E COLUMBUS,OH
DAYTON,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
RICHMOND,VA
MILWAUKEE,wi
THIS DELIVERY IS
MADE UNDER
EXISTING RENTALAGREEMENT
RT STOP ACCOUNT
NO. NO. NO. PAY THIS PLEASE PAY FROM
AMOUNT $ THIS INVOICE.NO
308 261 8466 0 S—,,..3S OTHER WILL BE ISSUED.
ADJUSTMENT $
RECD BY
N�
n�
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))
03/22/13 0322136605 $57.35
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
1
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 0322136605 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
f'
Friday, March 22, 13
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund