221198 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $238.86
?o CARMEL, INDIANA 46032 819 ELSTON DRIVE
SHELBYVILLE IN 46176 CHECK NUMBER: 221198
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2352388 31 . 82 OTHER RENTAL & LEASES
1205 R4350100 26974 2352389 207 . 04 FLOORMATS
CITY OFCARMEL POLICE DEPT Invoice# 2352388 P|ymate's MatMan
(000)553'2661
3 CIVIC SQUARE Date 06/11/2013
CARMEL IN � wwmmp�m�amm
' Cuat# 7099 ' ������ �� 819ELSTOwon
�U ���
Stop 220 ��E��Y` �.
���n�.�~�. '`-~-~ �
PO# 27O19 _ __ . __ |N46170
ROBERT ROBINSON
RT 30
Line Item# Name Description Inv. I Qty- Rental Rep 1. 1 2 3. - '4 5
1 1050 3K4 PACIFIC BLUE MAT 1 $2.70
2 1075 4X8 PACIFIC BLUE MAT 3 $18.22
3 1478 8X5 COMFORT FLOW MAT 1 $3.95
Service Charge $8.95
Please f� this '
Subtotal �81�82 . ^��8� D89 �0Dl ".l� lD�0%Ce
/ax .
�
Total $31~8�
|
Thanks for your business.
/
Your K8adNon'BichardSkillman
Past Due Amounts
3K0 Jays -fK}{}ays- -Q{D]ays- Customer Signature
$ O.OU $ O.00 $ O.00 RT 30
\ |
| |
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))
06/11/13 2352388 rug rental $31.82
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
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$31.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 2352388 43-530.99 $31.82
I hereby certify that the attached invoice(s), or
I _
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, June 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CAFNEL CITY HALL ~ ~ Invoice# 2352389 Ply
mate's
0atMan
ONE CIVIC SQUARE (8OO)553'2GG1
Date
CAE IN ' �� � {� ` =wwp|yma��onm
R� L
3
-- -- �# /»/ ~ 819sLSTOwon
'Stop 240 o�«»����g�� ''��� GHELsvv|uE. |w4617O
u°
� = ^ JEFF BARNES ur��/c� p�9^|Lot w» �� n�
Written authorization required from the City RT 30
of Carmel to chanpe service frequency
Line Item:4 Name Descriptio'ni Inv: Qty., Rental 'Repl. '11 2 a,:: 4: -,5 Ad
1 1025 4XO COMFORT FLOW MAT 8 $35.98
2 1074 4xOMx*GwYenvxwMAT 5 $40.56
3 1097 ROTATE 4xOCOwFLOW
4 1208 5X15 CUSTOM MAT 1 $37.25
5 1505 7ox7O CUSTOM MAT 2 $47.58
8 1500 7x 10 CUSTOM MAT 1 $35.59
Service Charge $8.95
| Subtotal ~~~------~~ ' -' from
'
| Tax �
Total a207.0� .
Thanks for your business.
Your MaUNan'BjohmdSkillman �
Past Due Amounts '
30 ]ays— 60 U]ays 9K0 Iays Customer Signature
$ O.0O $ 0,00 $ U.00 RT 30
JUN 17 2013
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))
06/11/13 2352389 $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
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 2352389 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 17, 2013
Director, Administr ion
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund