221019 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
CARMEL, INDIANA 46032 3401 COVINGTON ROAD CHECK AMOUNT: $39.20
KALAMAZOO MI 49001 CHECK NUMBER: 221019
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0614136605 39 . 20 CLEANING SERVICES
LoNEN oNv®acEi
N V# 06 1 4 1 3660 5 _ YOUROCAL
DUME lC L JN �R N p MI E #SVC
)DOMES A Z O080O-4 30-0872
_ MAIN OFFICE
3401 COVINGTON ROAD 269-388-3900 TEL#
KALAMAZOO MI 49001
;CARMEL. CLAY COMMUNIC 0
31 FIRST AVE NW 9 5
CARMEL IN 106 14 13
DAY OF
46032
MO. DA. YR COD WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUAINT PRICE
PAYMENT DUE BY 7/14/13 LOS ANGELES,CA
ORANGE COUNTY,CA .
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO, IL
3 RED VY MAT 122S 225 ADDISON,IL
GURNEE, IL
FT.WAYNE, IN
5 RED VY MAT 244S 81;90 INDIANAPOLIS, IN
SOUTH BEND, IN
BALTIMORE,MD
10 RED VY MAT' IB2S 825 HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
5 SCRAPER MAAf' 19BO 9$0 GRAND RAPIDS, MI
JACKSON,MI
KALAMAZOO, MI
ENVIRONMENTAL�,FEES 1000 LANSING,MI
SAGINAW,MI
-- TROY,MI
LIVONIA,MI
NEWARK/NEW YORK
TIRED LEGS' RALEIGH,NC
TRY OUR COMFORT MATS CANTON,OH
CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA,PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
'f RICHMOND,VA
MILWAUKEE,WI
- - THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
FT STOP ACCOUNT PAY THIS PLEASE PAY FROM
NO. NO. NO. AMOUNT $ THIS INVOICE.NO
308 261 $46b 39 c0 OTHER WILL BE ISSUED. m
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))
06/14/13 I 0614136605 I I $39.20
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Domestic Linen ALLOWED 20
IN SUM OF $
3401 Covington Road
Kalamazoo, MI 49001
$39.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 0614136605 I 43-506.00 I $39.20 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
M nday, June 17, 2013
i
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund