227698 1/8/2014 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
?o' g' KALAMAZOO MI 49001 CHECK NUMBER: 227698
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 1227136605 39 . 20 CLEANING SERVICES
LUMEM 9MVIDUCE I NV# 122111 3660S - YOUR LOCAL
DOMESTIC UNIFORM RENTAL SVC TEL.#
IDOMES-FIC LlJFIIJ-- KAL..AMA Z 0 08 00-430-.018.7.2; - MAINOFFICE
TEL#
3401 COVIlqGTO!%4 ROAD -:2 69 8
K A,L All I A'17 0 0 MI 49001-
�CARNEL CLAY C'C"MMUNIC 0
31 FIRST AVE NW 9
CARMEL 1.2 27 1.3 �
DAY OF
MO. DA. YR. C.O.D. WEEK
46032
RENTAL SERVICE ITEMS BILLING UNIT AMOUNTQUANT PRICE
PAYMEl\lT DUE BY 1/27 1-q LOS ANGELES,CA
ORANGE COUNTY,CA
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
3 RED VY MAT 1225 2E,E, ADDISON, IL
GURNEE, IL
FT WAYNE,IN
S RED VYr, PIA - 2445 'gi, INDIANAPOLIS,IN
SOUTH BEND,IN
BALTIMORE,MD
10 RED MAT:*,'r i an E, S 2 C. HAGERSTOWN,MID
DETROIT,MI
FLINT,MI
5 SCRAPEMA-T- GRAND RAPIDS,MI
JACKSON,MI
KALAMAZOO,MI
E��, VIFONMENTAL:,,FEES .1 Q'0 r,) LANSING,MI
SAGINAW,MI
TROY,MI
LIVONIA,MI
DUTEOWtAR SALE UNTIL 12/31NEWARK/NEW/ 13 RALEIGH, YORK
NC
DOZEI%jS OF' DISCOUI%jTED STYLES CANTON,OH
CINCINNATI,OH
ASK YOUR ROUTE SALES REP
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA
PITTSBURGH, PA
VIRGINIA BEACH,VA
RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
FIT STOP ACCOUNT PLEASE PAY FROM
AMOUNT $
NO. NO. NO, PAY THIS THIS INVOICE.NO
303 261 E3466 0 3?,20 OTHER WILL BE ISSUED.
ADJUSTMENT $
NET $
RECD BY
VOUCHER NO. WARRANTN,O.
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
Prior Year I hereby certify that the attached invoice(s), or
1115 1227136605 43-506.00 I $39.20
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
Tuesday, December 31, 2013
Director
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))
12/27/13 I 1227136605 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
, 20
Clerk-Treasurer