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218822 04/09/2013
»,f CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1 ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL tl' CHECK AMOUNT: $57.35 CARMEL, INDIANA 46032 3401 COVINGTON ROAD KALAMAZOO MI 49001 CHECK NUMBER: 218822 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350600 0405136605 57 . 35 CLEANING SERVICES LINEN INVOICE I NV# 040S I36605 . YOUR LOCAL n r•►1'cQ,�I TI UNNNI c!(�1�j�•A' R��ffII����IIT�pA`L n nn n o - SVC TEL.I 3OMIR � � _LVGp4" I'.ALAMAZOC180V 4.]v- ©C77c _ MAIN OFFICE 3401 COVINGTON ROAD 269-388-2900 TEL# KALAMAZOO MI 49001 ;ARMS(.... CLAY COMMUNI:C 0 31 FIRST AVE NW 9 S :ARMFL IN 04 05 13 46032 ry�y DAY OF MO. DA. YR. �-2 C.O D. WEEK RENTAL SERVICE ITEMS BILLING UNIT AMOUNT QUANT. PRICE 'AYMENI DUE BY S/0^/13 LOS ANGELES,CA ORANGE COUNTY,CA RIVERSIDE,CA SAN DIEGO,CA VENTURA CA CHICAGO,IL 3 RED VY MAT 122S 2FS ADDISON, IL GURNEE, IL FT.WAYNE, IN 5 RED VY MAT,T,,-,,, 344S 13Pj INDIANAPOLIS, IN kF SOUTH BEND, IN BALTIMORE,MD 6 RED VY -MAT' " �' S 137C) HAGERSTOWN,MD DETROIT,MI FLINT,MI -_ 1-0 , VY ,,MAT" '_ 1 3-2s 8:25 GRAND RAPIDS,MI JACKSON,MI p� 1 t KALAMAZOO,MI 5, ,SCRAPER,, i, 1 0 980 LANSING,MI SAGINAW,MI J ' TROY,MI ENVIRONMENTAL F;=f 3, 10t)0 LIVONIA, MI _ NEWARK/NEW YORK _._ RALEIGH,NC CANTON,OH IOW CARRYING BOTH F N AqD M I 3T CINCINNATI,OH CLEVELAND,OH 7EODOR I ZER SERVICE COLUMBUS,OH DAYTON,OH TOLEDO,OH YOUNGSTOWN,OH HARRISBURG,PA PHILADELPHIA,PA PITTSBURGH,PA VIRGINIA BEACH,VA RICHMOND,VA MILWAUKEE,WI �q�l�-��% J 1!,. �S a�i'<�.� - �l•�%. _ — ! .. _ THIS DELIVERY IS MADE UNDER EXISTING RENTAL AGREEMENT RT NO. SNAP AC NOOUNT PAY THIS PLEASE PAY FROM THIS INVOICE.NO 308 261 8466 AMOUNT $ 5 i b5 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)) 04105113 0405136605 $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 0405136605 I 43-506.00 I $57.35 I 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, April 05-2-6-1'3 ( � Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund