220752 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE
' 1 819 ELSTON DRIVE CHECK AMOUNT: $238.86
CARMEL, INDIANA 46032
9`«ON 0 SHELBYVILLE IN 46176 CHECK NUMBER: 220752
CHECK DATE: 614/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 R4350100 26974 2346569 207 . 04 FLOORMATS
1110 4353099 2349474 31 . 82 OTHER RENTAL & LEASES
CITY OF CARK0EL P(]UC2 DEPT Invoice# 2349474 p|Vmate's MatMan
3 CIVIC SQUARE Date 05/28/2013 (800)553-2661
CAR�EL IN � /* ` vw*wp�ma�com
, Cust# /u*y A 819 ELGTOwoR
Stop 220 ��m��� '��� OHELBYV|LLE IN 46176
PO# 27O1O .
ROBERT ROBINSON
RT 30
Line Item# Name Description I Inv. I Qty I Rental ,'J',` R6pl. 1 1 2 3 4 , 5-_ - 6
1 1050 3K4 PACIFIC BLUE MAT 1 82.70
2 1075 4XO PACIFIC BLUE MAT 3 $10.22
3 1478 3Xs COMFORT FLOW MAT 1 $3.95
4 147e ROTATE 3XoCOMFLOW 1
Service Charge $8.95
Subtotal $31.82 Please pay from this 'DY0'Ce
Tax
O
Total $31.8
-
Thanks for your business.
Your K8aMNan-RicbardSkillman
Past Due Amounts
-30 Days- 160 Iays L -80>Days_ Customer Signature
$ U.O0 $ 0.00 $ 0.00 RT 30
� �
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Plymate's MatMan Purchase Order No.
819 Elston Dr
Shelbyville, IN 46176 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/28/13 2349474 payment for mat rental 31.82
Total
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
Plymate's MatMan E IN SUM OF $Elston Dr
Shelbyville, IN 46176
$ 31.82
ON ACCOUNT OF APPROPRIATION FOR
CPD General fund
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1110 2349474 530.99 31.82 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
M y 29, 20 13
OFV
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
CARK0EL CITY HALL Invoice 2346589 p|yn1at�s K8a1Man
ONE CIVIC SQUARE DaV* O5/1�2U13 (877)64870903
CARK�EL. |N48032 �-,*'-J)
uu1# 7O73 vm«wP�m��c»m
" ~-- -~ 819 sL8TOmoR
Stop 240 ���°``��r^ ''��� SHEL8YV|LLE IN 46176
� .
` JEFF8ARNES
Written authorization required from the City RT 30
f Carmel to ch ice requency
Line Itern# Name/Description In77— 'City. Rental ."j . Re'pl, 1 3, 4 5 ,,6,
1 1025 4x6 COMFORT FLOW MAT 8 $3699
2 1074 4xoMAHGmvaRvvwMAT 5 $4056
5 1087 ROTATE 4x6COMFLOW
4 120e 5X15 CUSTOM MAT 1 $3726
S 1505 7uX78CUSTOM MAT 2 $4759
5 1506 rx1UCUSTOM MAT 1 $3563
Service Charge $8.95
Subtotal $207.04 Please pay f'ODlthis invoice
Tax
Total
Thanks for your bu�heee
Your yWatMan'KichmdSkillman
`
Past Due Amounts
�30 1Jays- }0 1}ays L 9K}{Days' Customer Signature
$ ODO $ 0.OD $ 0.00 RT 30
JUN 0 3 2013 -�5
By-
,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$207.04
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26974 I 2346569 I 43-501.00 I $207.04 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
Monday, June 03, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/14/13 2346569 $207.04
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