181421 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
1 I. CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $958.17
INDIANAPOLIS IN 46254
CHECK NUMBER: 181421
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350600 492963 113.45 CLEANING SERVICES
1093 4350600 494369 113.45 CLEANING SERVICES
651 5023990 494774 204.71 OTHER EXPENSES
1093 4350600 495741 113.45 CLEANING SERVICES
651 5023990 496149 186.21 OTHER EXPENSES
.1093 4350600 497153 113.45 CLEANING SERVICES
1093 4350600 498528 113.45 CLEANING SERVICES
SEWER
INVOICE AMOUNT ACCOUNT
496149 186.21 7362.05
total 186.21
494774 204.71 7362.06
total 204.71
VOLjCHER 097019 WARRANT ALLOWED
360025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
122809 01- 7362 -05 $186.21
122809 01- 7362 -06 $204.71
Voucher Total $390.92
Cost distribution ledger classification if
claim paid under vehicle highway f nd
2)0C;i‘
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
360025
UNIFIRST CORPORATION Purchase Order No.
4201 INDUSTRIAL BLVD Terms
INDIANAPOLIS, IN 46254 Due Date 12/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/22/200 122809 $390.92
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
M 4
UniFirst Corporation PAGE 001
'.r �JUtiLII.l�l5 D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
IP
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082' 1/01/10 CHARGE 376554
1
0 667849 10 667849
OJ MONON CENTER @CENTRAL PAR MONON CENTER @CENTRAL PAR
p 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 4 CARMEL IN 46032
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# K6060
GM DESCRIPTION CO eamg 3m I BILLED I ADD C111O 1 3
CEPUo MI CECb I OM II AMOUNT I 'AMOUNT AMOUNT DATE U o (EP
MAT -3X5 U1ST'S GREAT 6 9.90 4/07 6
MAT-4X6 U1ST'S GREAT 27 74.25 4/07 27
z• MAT -3X10 U1ST'S GREA 5 16. 50 4/07 5
N
I' DEFE CHARGE 10.80
Q
INVOICE SUB-TOTAL 113-4S
¢41 TOTAL SERVICE CHANGES
4 AMOUNT DUE q
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE S
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I; SOIL PICK UP COUNT SH PT OT NO
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
p I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
ACCOUNTS PAYABLE VOUCHER
CITY'OF CARMEL
An invoice of 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.
360025 UniFirst Corporation Date Due
4201 Industrial Blvd.
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/1/10 498528 Mat cleaning 113.45
Total 113.45
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
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
113.45
ON ACCOUNT OF APPROPRIATION FOR
rag ram Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1J= 498528 4350600 113.45 I hereby certify that the attached invoice(s), or
/6 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
7 -Jan 2010
C M/
Signature
113.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
UniFirst Corporation PAGE 001
U 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0495741 12/18/09 CHARGE 376554
40
(1.( 667849 C3 667849
C0 0
0 MONON CENTER @CENTRAL PAR 1MONOW CENTER @CENTRAL PAR
C» 1235 CENTRAL PARK DRIVE E 1 1235 CENTRAL PARK DRIVE E
IyCARMEL IN 46032 vCARMEL IN 46032
(0 0D
IF YOU HAV A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# K6060
0:031Z gli DESCRIPTION �M9 BILLED an 2�H� ADD CEP�^ CMS [IAD) CW6 U AMOUNT AMOUNT AMOUNT DATE O]Vgo OO2
MAT-3X5 U1ST'G GREAT b 9.90 4/07 6
MAT-4X6 U1ST'S GREAT 27 74.25 4/07 27
40 MAT-3X10 U1ST'S GREA 5 18.50 4/07 5
0.
mil
DEFE CHARgE 10.80
-40
INVOICE SUB–TOTAL 113.45
1�� TOTAL SERVICE CHANGES
1
AMOUNT DUE
Eli
7
THIS IB YOUR ONLY INVCE– NET 30 ]AY8. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT 40
40
The CDC (Health Canada) recommends the use of PURELL to protect aga
t the H1N1 virus/Swine Flu. UniFirst can help and you can get 20% o^ /1
f
PURELL service right now Speak to your UniFirst Rep today.
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U 42O1 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0494369 12/11/09 CHARGE 376554
667849 667849
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CENTER @CENTRAL PAR CENTER @CENTRAL PAR
41 5 CENTRAL PARK DRIVE' E ��35 CENTRAL PARK DRIVE E
fiiARMEL IN 46032 �ARMEL IN 46032
IF YOU HAVE A QUESTION REGARDPNG THIS INVOICE, CALL: 317/293 RTE# K6060
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MAT-4X6 U1ST'S GREAT 27 74. 25 4/07 27
AM MAT-3)410 U1ST'S GREA 18� 6O '/O7 5
DEFE CHARGE 1O�8Q
INVOICE SUB—TOTAL 1 1�� 45
TOTAL SERVICE CHANGES
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THIS I8 YOUR ONLy- NVCE— NET 30 DAYS. PLEAGE
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SOIL PICK UP COUNT SH PT OT
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The CDC (Health Canada} recommends the use of PURELL to protect agains
t the H1N1 virus/Swine Flu. UniFirst can help and you can get 20"./..
PURELL service right nom! Speak to your UniFirst Rep todaV.
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PAGE
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u�u�/��u A 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4625
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0492963 12/04/09 CHARGE 376554
4 667849 667849
NON CENTER @CENTRAL PAR ON CENTER @CENTRAL PAR
235 CENTRAL PARK DRIVE E k235 CENTRAL PARK DRIVE E
ARMEL IN 46032 ��ARMEL IN 46032
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0 CEPU0 G3203 Q.D, 0gM AMOUNT AMOUNT AMOUNT D»���. \COK CEP
0 MAT-3X5 U1ST'S GREAT 6 9.90 4/07 6
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m~~ MAT-3X10 U1ST'S gREA 5 18.50 4/07 5
DEFE CHARGE �1O� 8O r-^ r
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INVOICE SUB-TOTAL 113 45
DEC 2 2 �000 �w
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TOTAL SERVICE CHANQES
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s THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SI
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SOIL PICK UP COUNT SH PT OT NO
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus/Swine Flu. UniFirst can help and you can get 20% off
PURELL service right now! Speak to your UniFirst Rep today.
Purchase
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UniFirst Corporation
a"
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ORDER CONTRACT
INVOICE DATE PAYMENT TERMS PURCHASE 376554 062 0497153 12/25/09 CHARGE
667849
667849
la
l CiNON CENTER `�ENTRAL PAR
i"40NON CENTER G�CENTRAL PAR 1235 CENTRAL 'ARK DRIVE E
1235 CENTRAL PARK DRIVE E L. CARMEL IN 46U3c
CARMEL IN 4603
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293
as Y S s xn AY r.i 4Wi,f :sT1.AX ADJ.` f T AQ D `7 D a EL.r P C: .,p
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MAT -4X6 U15T'5 GREAT 27 74 5 4/07 27 4t07 5
MAT-3X10 U 1ST S GREA 5 16.50
4 DEFE CHARGE 10.80
1 113.45
a INVOICE SUB-TOTAL
TOTAL SERVICE CHANGES
r AMOUNT DUE _AL
8
N THIS IS YOUR ONLY INVCE NET i0 ,DAYS. PLEASE SIG f�l
m
SOIL PICK UP COUNT SH PT OT N
t I
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus /Stine Flu. UniFirst can help and you can get 20% off
y PURELL service right now! Speak to your UniFirst Rep today.
1 1
f DescriP 1r,a Porgy
P.O.
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Des_.....-.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
360025 UniFirst Corporation Date Due
4201 Industrial Blvd,
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/18/09 495741 Mat cleaning 113.45
12/11/09 494369 Mat cleaning 113.45
12/4/09 492963 Mat cleaning 113.45
12/25/09 497153 Mat cleaning 113.45
Total 453.80
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
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
453.80
ON ACCOUNT OF APPROPRIATION FOR
d
l(3g
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1093 14e47 495741 4350600 113.45 I hereby certify that the attached invoice(s), or
(C3' 11:07 494369 4350600 113.45 bill(s) is (are) true and correct and that the
7 492963 4350600 113.45 materials or services itemized thereon for
1 sj -1-547 497153 4350600 113.45 which charge is made were ordered and
received except
7 -Jan 2010
Signature
453.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund