219300 04/24/2013 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: 219300
CHECK DATE: 4/2412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 0419136605 57 . 35 OTHER CONT SERVICES
EELOMcE�M 6MV010E p I NV# 04191'36605 YOUR LOCAL
DOM I��LM Rk%&MAZ00800-430-0872 _ MAIN OFFICE
3401 COVINGTON ROAD 269-388-2900 TEL"
KALAMAZOO MI 49001
CARMEL CLAY COMMUNIC 0
31 FIRST AVE NW 9 5
CARMEL IN 04 19 13
DAY OF
46032 MO DA YR F 2 C.O.D WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUAINT PRICE
PAYMENT DUE BY 5/13/13 LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY MAT 1225 225 ADDISON,IL
j GURNEE, IL
FT.WAYNE, IN
5 RED VY MAT, 340#5 135 INDIANAPOLIS, N
SOUTH BEND,IN
BALTIMORE,MD
6 RED VY MAT-7.�7 ' 2535 1370 HAGERSTOWN, MD
DETROIT,MI
t FLINT, MI
10 ,RED VY MAT',"' 1325 $:25 GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO,MI
5 -SCRAPER, MAT.. a 1 0 980 LANSING,MI
SAGINAW, MI
TROY,MI
ENVIRONMENTAL'FEE3 1000 LIVONIA,MI
NEWARK/NEW YORK
RALEIGH,NC
CANTON,OH
NOW CARRYING BOTH F N A MI 5T CINCINNATI,off
CLEVELAND,OH
DEODORIZER SERVICE 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
RT STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. NO NO. THIS INVOICE.NO
308 261 8466 AMOUNT $ r�7 5 OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $
RECD BY
t
r
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))
04/19/13 0419136605 $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 0419136605 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, April 19 2013
_Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund