Cities Index.
Exhibit A - Invoice

Lake Elsinore City Council
July 23, 2024

Document
Exhibit A - Invoice
Meeting
July 23, 2024
Body
Lake Elsinore City Council
Pages
4
Original file
306 KB
Text extracted from the city's file for reading and search. Open the original on lakeelsinore.primegov.com. That file is the official record.

INVOICE

Page 1 of 4 ends

RUBEN MORENO
6997 Jurupa Ave., Riverside, Ca 92504
23670777Invoice Number:
07/04/2024Invoice Date:

Customer Sales Rep:

Telephone Fax951-687-0440 951-354-8110
Plant's Location:

Remit Payment: PO BOX 11210, Santa Ana, CA 92711-1210
Deliver To: # Bill To: #40237407 3517225Charge

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530
ATTENTION: ACCOUNTS PAYABLE
Unit
Charge
Wearer
Description
Mdse. Product Description Service Bill
Qty
Amount
69034 MAT 3X4 BLACK Rent 16.81 2.801
29034 MAT 3X4 BLACK MMP 1.17 0.584
2009792 18X18 PURPLE SHOP TOWEL Rent 14.80 0.074
49792 18X18 PURPLE SHOP TOWEL MMP 1.70 0.424
49985 22X44 WHITE BATH TOWEL Rent 1.32 0.329
19985 22X44 WHITE BATH TOWEL MMP 2.12 2.122
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26102 0.478GUSTAVO DELAT 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11753311 DENIM COTTON WESTERN PANT Rent 5.49104 0.499RAMIRO DELGAD 778442799 MENS GREY MIMIX WORK SHIRT Rent 2.90 0.414
478442799 MENS GREY MIMIX WORK SHIRT Rent 1.66 0.414
11734416 CHARCOAL WORK PANT Rent 2.33106 0.212OSCAR VASQUE 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26108 0.478ALFONSO MONT 578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26109 0.478ALEX CANAS 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11753311 DENIM COTTON WESTERN PANT Rent 5.49110 0.499HECTOR GONZA 5777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1.86 0.372 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11753311 DENIM COTTON WESTERN PANT Rent 5.49111 0.499MATT REED 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11753311 DENIM COTTON WESTERN PANT Rent 5.49112 0.499LUIS CEJA 5777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1.86 0.372 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11734416 CHARCOAL WORK PANT Rent 2.33113 0.212DANIEL SAAVED 11753311 DENIM COTTON WESTERN PANT Rent 5.49 0.499
7777508PA POLO SHIRT-100% POLYTRI BLACK Rent 2.60 0.372 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26114 0.478WILL YANG 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11734416 CHARCOAL WORK PANT Rent 2.33117 0.212CHRIS ERICKSO 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26118 0.478JUSTIN THOMPS This invoice is in accordance with your Service Rental Agreement. Please forward to your Accounts Payable Department.

Payment Terms 30 days from invoice date or upon receipt of monthly statement. Thank you for the opportunity to serve !

INVOICE

Page 2 of 4 ends

RUBEN MORENO
6997 Jurupa Ave., Riverside, Ca 92504
23670777Invoice Number:
07/04/2024Invoice Date:

Customer Sales Rep:

Telephone Fax951-687-0440 951-354-8110
Plant's Location:

Remit Payment: PO BOX 11210, Santa Ana, CA 92711-1210
Deliver To: # Bill To: #40237407 3517225Charge

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530
ATTENTION: ACCOUNTS PAYABLE
Unit
Charge
Wearer
Description
Mdse. Product Description Service Bill
Qty
Amount
1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55118 0.414JUSTIN THOMPS 5777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1.86120 0.372JOSE FONSECA 11777508PA POLO SHIRT-100% POLYTRI BLACK Rent 4.09 0.372 11753311 DENIM COTTON WESTERN PANT Rent 5.49123 0.499DAVID CHAVEZ 878442799 MENS GREY MIMIX WORK SHIRT Rent 3.31 0.414
378442799 MENS GREY MIMIX WORK SHIRT Rent 1.24 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26124 0.478KYLE BELL 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26125 0.478LANDEN FINLEN 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26127 0.478TUA MASOLI 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
9733816 MEN'S CHARCOAL MIMIX PANT Rent 4.30128 0.478RICARDO GAMB 578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26129 0.478CHRISTIAN KERR 173441699 CHARCOAL MENS SHORT Rent 0.21 0.212
1078442799 MENS GREY MIMIX WORK SHIRT Rent 4.14 0.414
178442799 MENS GREY MIMIX WORK SHIRT Rent 0.41 0.414
1784227 LT GRAY WORK SHIRT Rent 0.19130 0.191SIZING KIT 1784227 LT GRAY WORK SHIRT Rent 0.19 0.191
1784227 LT GRAY WORK SHIRT Rent 0.19 0.191
1784227 LT GRAY WORK SHIRT Rent 0.19 0.191
1784227 LT GRAY WORK SHIRT Rent 0.19 0.191
1784227 LT GRAY WORK SHIRT Rent 0.19 0.191
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26132 0.478PABLO RUBIO 578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26134 0.478JOEL DE LEON 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26135 0.478LUIS RENTERIA 678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26138 0.478MIGUEL VALDIVI 678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
This invoice is in accordance with your Service Rental Agreement. Please forward to your Accounts Payable Department.

Payment Terms 30 days from invoice date or upon receipt of monthly statement. Thank you for the opportunity to serve !

INVOICE

Page 3 of 4 ends

RUBEN MORENO
6997 Jurupa Ave., Riverside, Ca 92504
23670777Invoice Number:
07/04/2024Invoice Date:

Customer Sales Rep:

Telephone Fax951-687-0440 951-354-8110
Plant's Location:

Remit Payment: PO BOX 11210, Santa Ana, CA 92711-1210
Deliver To: # Bill To: #40237407 3517225Charge

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530
ATTENTION: ACCOUNTS PAYABLE
Unit
Charge
Wearer
Description
Mdse. Product Description Service Bill
Qty
Amount
578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07138 0.414MIGUEL VALDIVI 11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26139 0.478ANGEL ACEVED 678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26141 0.478CHRISTINA ALVA 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26143 0.478EDDIE HERRERA 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26144 0.478JOSEPH SELVAG 678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26147 0.478DANE GRIPPO 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26148 0.478JULIAN PARRA 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
378442799 MENS GREY MIMIX WORK SHIRT Rent 1.24 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26149 0.478CHRIS LOPEZ 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26150 0.478JEREMY MEDWI 578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26151 0.478KOBE CELIS 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26152 0.478HOUSTON OMAL 1178442799 MENS GREY MIMIX WORK SHIRT Rent 4.55 0.414
11733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26153 0.478NEHEMIAH DAVI 578442799 MENS GREY MIMIX WORK SHIRT Rent 2.07 0.414
678442799 MENS GREY MIMIX WORK SHIRT Rent 2.48 0.414
- Budget Protection Program Protection Cov. 0.106 82.47778 9921BB AUTOMATIC SOAP DISPENSER BLACK Sales 0.0063.654
9937ALC ALCO-FOAM SANITIZER 900ML CASE Sales 0.0090.527 Delivery Charge 10.61
This invoice is in accordance with your Service Rental Agreement. Please forward to your Accounts Payable Department.

Payment Terms 30 days from invoice date or upon receipt of monthly statement. Thank you for the opportunity to serve !

INVOICE

Page 4 of 4 ends

RUBEN MORENO
6997 Jurupa Ave., Riverside, Ca 92504
23670777Invoice Number:
07/04/2024Invoice Date:

Customer Sales Rep:

Telephone Fax951-687-0440 951-354-8110
Plant's Location:

Remit Payment: PO BOX 11210, Santa Ana, CA 92711-1210
Deliver To: # Bill To: #40237407 3517225Charge

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530

LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF
LAKE ELSINORE, CA 92530
ATTENTION: ACCOUNTS PAYABLE
Unit
Charge
Wearer
Description
Mdse. Product Description Service Bill
Qty
Amount
463.73Service Total
Sales Tax 0.00
463.73Invoice TOTAL
$
$
$
Signature Date:

Initials:

Signature Time:

RM
07/03/2024
04:49:33 PM
NOTE: Effective June 2024, we will no longer mail out monthly statements. Please contact your local plant to update your email address on file to receive a monthly statement electronically. Weekly invoice delivery will not be impacted.

This invoice is in accordance with your Service Rental Agreement. Please forward to your Accounts Payable Department.

Payment Terms 30 days from invoice date or upon receipt of monthly statement. Thank you for the opportunity to serve !

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