228806 1/29/2014 CITY OF CARMEL, INDIANA VENDOR: 00352917 Page 1 of 1
ONE CIVIC SQUARE DOMESTIC UNIFORM RENTAL
CHECK AMOUNT: $39.20
i�•� CARMEL, INDIANA 46032 3401 COVINGTON ROAD
•L_oN KALAMAZOO MI 49001 CHECK NUMBER: 228806
CHECK DATE: 1/29/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350600 0124146605 39 . 20 CLEANING SERVICES
LOMEN ONVOUCE YOUR LOCAL
DOMESTIC UNIFORM RENTAL I NV# 0124146605 - SVC TEL#
]DOME ST I C LINEN- KALAMAZ OOS00-430-0872 - MAIN OFFICE
TEL#
3401 C:OVING:TON ROAD
269-388-290{?
KALAMAZOO MI 49001
�• 6 0
iCARMEL CLAY COMMUNIC 0 �
31 FIRST AVE Nib 9 �, '
CARMEL IN 0i 24 14 � w
w o DAY OF
46035 MO DA. YR F_2 COD WEEK
RENTAL SERVICE ITEMS BILLING UNIT AMOUNT
QUANT. PRICE
PAYMENT DUE BY 2/24/14 LOS ANGELES,CA #£�
ORANGE COUNTY,CAr
RIVERSIDE,CA
SAN DIEGO,CA
VENTURA CA
CHICAGO,IL
PED VY MAT 1 225 c2.5 ADDISON, IL
GURNEE, IL
FT.WAYNE, IN
G RED VY MAT 2445INDIANAPOLIS,IN
SOUTH BEND,IN
BALTIMORE,MD
I LD PED :VY, -MAl; 1.. 2rti Vic_ HAGERSTOWN,MD
DETROIT,MI
FLINT,MI
_ 5__SCRAPER.- MAT-? ;,w. 1 8t? 8I GRAND RAPIDS,MI
JACKSON,MI
rn ., ; KALAMAZOO,MI
ENVIRONMENTAL ,, ETS 1 tyOC LANSING,MI
- - SAGINAW,MI
TROY,MI
' f LIVONIA,MI
NEWRKNEW
ITS FLU. SEASON AGA.I N RALEAGH/NC YORK
MAKE SURE YOU ORDER CANTON,OH
HAND SAN I T I Z ER SERVICE CINCINNATI,OH
CLEVELAND,OH
COLUMBUS,OH
DAYTON,OH
TOLEDO,OH
YOUNGSTOWN,OH
HARRISBURG,PA
PHILADELPHIA, PA
PITTSBURGH,PA
VIRGINIA BEACH,VA
tr' ' RICHMOND,VA
MILWAUKEE,WI
THIS DELIVERY IS
MADE UNDER
EXISTING RENTAL AGREEMENT
NO STOP
NO. ACCOUNTNO. PLEASE PAY FROM
PAY THIS THIS INVOICE.NO
308 261 8466 0 AMOUNT $ 3920 OTHER WILL BE ISSUED.
!� ADJUSTMENT $
NET $ -
I — _RECD BY
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
j CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
I 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))
01/24/14 I 0124146605 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Domestic Linen
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 0124146605 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
I
received except
Friday, January 24, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund