182123 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
1 :'ii A ONE CIVIC SQUARE UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,019.07
i
INDIANAPOLIS IN 46254 CHECK NUMBER: 182123
CHECK DATE: 2/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820497560 204.71 OTHER EXPENSES
651 5023990 0820498934 186.21 OTHER EXPENSES
651 5023990 0820500320 204.71 OTHER EXPENSES
t, 651 5023990 0820501683 186.21 OTHER EXPENSES
651 5023990 0820503078 237.23 OTHER EXPENSES
r
w
w
PAGE
0 UniF1rst Corporation 001
lir m��« U��������� �x
.4.. 42O1 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0503078 1/25/10 CHARGE 450172
8 O 9566 8O9566
r,'
u
CITY OF CARMEL UTILITIES? 1 CITY OF CARMEL UTILITI£S9
9609 HAZEL DELL PARKWAY 1 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293-5026 RTG# N2030
I/
RCM 1;112 DESCRIPTION CO EIIZIM ez@ BILLED M% COIL ADD Me= PM
fe DEPn GOrl WI aggo U =B%u AMOUNT gr. AMOUNT DATE .@iiiVo OfP
MAT-3X5 U1ST'S GREAT 2 4. 50 5/09 2
MAT-4X6 U1ST'S GREAT 4 14.0Q 5/O9 4
mir
18X18 WIPERS 6.60 —5/09
REPLACE-18X18 WIPERS 5 1.50
i BAGGED 18X18 WIPERS 12 00 5/09
REPLACE-BAGGED 18X18 W 19 5�7O
HANDLE/FRAME 24" 2 5/09
°Air 24" DRY MOP 2 1. 50 12/09 2
BAR TWL-UNJFIRST 16X 120 16.80 5/09 11
j REPLACE-BAR TWL-UNIFIR 10 5
OQ
SOIL LOCKER 2 8/09
8 C8MPARTMEW� L�CKER 2 6/09
0001 1 GARY LAFOLLETTE 7. 15 5/09
AK
LS SHIRT-65/35 6
I� S.S. SHIRT-65/3S 5
JEAN COTTONRIGgS CA 11
0004 4 BLAINE MALLABER 8 1S 5/09
LS SHIRT-6S/35 3
G. S. SHIRT-65/35 8
JEAN COTTON RIQGS CA- 11
COVERALL-65/35 2
y'\
0005 5 JEFF COOPER 3.96 5/09
JEAN-WRANGLER RELAX 11
0006 6 DAVID TURNER 7. 15 5/09
LS SHIRT-65/35 S
S G SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
15 5/09
i; 0007 7 CHRIS STUBBS B
S. S. S SHIRT-65/35 11
-.3 JEAN COTTON RIQgS CA 11
COVERALL-65/35 2
OOO8 8 DAVE DYE 7 54 5/09
W JEAN-WRANGLER RELAX 13
'ii' LAB COAT-POLY/COTTON 13
OOO9 9 JOE FAUCETT 8 �5 S/O9
I
LS SHIRT-65/35 6
S.S. SHIRT-65/35 5
0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH IJNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER REMIT TO:
INVOICE DATE 082 0503078 UniFirst Corporation
CUSTOMER# (BILL TO) 1/25/10 4201 INDUSTRIAL BLVD
AIR NUMBER 809566 INDIANAPOLIS IN 46254
RTE# N2030
I CUSTOMER CITY DF CAR�'€EL UTILITI 111 1111 1 1 11111 1111 11 11 Il in
PAYME AM
1B 820503078X
Please Detach and Return With Payment
VI�” PAGE
4 UniFirst Corporation 002
A 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0503078 1/25/10 CHARGE 450172
q 809566 0 809566
P CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 -5026 RTE# N2030
1 N,I1 CTL3 DESCRIPTION CPEEIMEP OM BILLED ADD CD10 C 10 g1211
i DEPT. Gain o Ma I OM I OC2=1U =Mg AMOUNT DATE aim o
n
o JEAN COTTON RIGGS CA 11
1• COVERALL -65/35 2
H 0010 10 LARRY SC HIM 5. 90 5/09
S.S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5/09
S.S. SHIRT -65/35 11
o JEAN WRANGLER RELAX 11
cc 0012 12 DENNIS RUSS 4. 96 5/09
JEAN— WRANGLER RELAX 11
COVERALL -65/35 2
N 0013 13 LONNIE PATTON 7.15 5/09
zo
S.S. SHIRT -65/35 11
41 JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7.15 5/09
i S. S. SHIRT-65/35 11
r r r
JEAN COTTON RIGGS CA 11
0015 15 KEVIN BUHMANN 7.15 5/09
S.S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0016 16 RALPH GRUWELL 6. 71 5/09
i. LS SHIRT- 65/35 5
S.S. SHIRT -65/35 6
JEAN WRANGLER RELAX 11
0017 17 PETE BRENNAN 7.15 5/09
S.S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
',W 0018 16 ROBBIE KINKEAD 7. 15 5/09
LS SHIRT -65/35 5
S.S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/35 1 P 11
I LAB COAT— POLY /COTTON 4
SS SHIRT —SCRUB 65/35 11
0020 20 BRAD OLIVER 5. 40 5/09
3 JEAN COTTON RIGGS CA 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER REMIT TO:
INVOICE DATE 062 0503078 UniFirst Corporation
z CUSTOMER# (BILL TO) 1/25/10 4201 INDUSTRIAL BLVD
A/R NUMBER S09566 INDIANAPOLIS IN 46254
CUSTOMER RTE# N2020
CITY OF CARMEL UTILITI
IN PAYMENT AMOUNT
a Please Detach and Return With Payment x
t PAGE
y ;q �f� UniFi Corporation 003
A 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
062 0503078 1/25/10 CHARGE 450172
M 809566 p i 809566
0 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARTWAY
V INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 RTE4 N2030
t MG) DESCRIPTION CPEga7033 gy9 BILLED S3 CM ADD CLBEG3
'cg y. Ma J AMOUNT AMOUNT dO C"il Uo EP
r
COVERALL-65/35' 2
DAMAGE�-COVERALL.- -65/35 1 32. 52
N 0021 21 DALE R I LEY 7. 15 5/09 S_ S. SHIRT-65 /35 11
JEAN COTTON R I GGS CA 11
AI
C DEFE CHARGE 9.00
AO
INVOICE SUB—TOTAL 237. 23
TOTAL SERVICE CHANGES
N
AMOUNT DUE .237 g3
0
a i 1 THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN AVIO_
40 SOIL. PICK UP COUNT SH PT OT NO
3
r
rf.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
PAGE
UniFirst Corporation 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
PAYMENT TERMS PURCHASE ORDER CONTRACT
INVOICE DATE
1
4111, �O82 0501683 1/18/10 CHARGE 450172
M_�
M 809566 0 809566
410 CITY OF CARMEL UTILITIES9 I CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V Y7
(D INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 RTE# N2030
IMO, PIO DESCRIPTION CP eflaJa] BILLED 'Cal
T�� ADD as3
41 |mpu. Cam cm, I am AMOUNT I AMOUNT_ AMOUNT Cni70 CM70 MP
18X18 WIPERS 6.60 5/09
411 REPLACE-18X18 WIPERS 5 1.50
0 BAGGED 18X18 WIPERS 12.00 5/09
REPLACE—BAGGED 18X18 W 19 5.70
HANDLE/FRAME 24" 2 5/09
24" DRY MOP 2 1. 50 12/09 2
1 BAR TWL—UNIFIRST 16X 120 16.80 5/09 187
8�� REPLACE-BAR TWL—UNIFIR 10 5.00
SOIL LOCKER 2 6/09
k
8 COMPARTMENT LOCKER 2 6/09
8 0001 1 GARY LAFOLLETTE 7. 15 5/09
LS SHIRT-65/35 6
S. S. SHIRT-65/35 5
JEAN COTTON RIGgS CA 11'
0004 4 BLAINE MALLABER 8.15 5/09
i
LS SHIRT-65/35 3
41 s. S. SHIRT-65/35 8
JEAN COTTON RIQgS CA 11
COVERALL-65/35 2
40 0005 5 JEFF COOPER 3.96 5/09
Hr! JEAN—WRANGLER RELAX 11
i
0006 6 DAVID TURNER 7. 15 5/09
41 LS SHIRT-65/35 5
S.S. SHIRT-65/35 6
JEAN COTTON RIGS CA 11
0007 7 CHRIS STU8BS 8. 15 5/09
S.S. HIRT-65/35 11
S.
i
JEAN COTTON RIQgS CA 11
41 COVERALL-65/35 2
0008 8 DAVE DYE 7.54 5/09
JEAN—WRANGLER RELAX 13
LAB COAT—POLY/COTTON 13
0009 9 JOE FAUCETT 8. 15 5/09
LS SHIRT-65/35 6
S.S. SHIRT-65/35 5
JEAN COTTON RIGGS CA 11
COVERALL-65/35 2
41 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
1 1 WITH UNIFIRST CORPORATION OR.UNIFIRST HOLDINGS. INC.
4i INVOICE NUMBER nEMITrO:
INVOICE DATE 082 0501683 UniFirst Corporation
z CUSTOMER# (BILL TO) 1/18/10 4201 INDUSTRIAL BLVD
tt NR NUMBER 809566 INDIANAPOLIS IN 46254
uuGTOwsn RTE# N2030 CITY OF CARMEL UTIk-ITI
N
PAYMENT AMOUNT 8 |�U UQ U 0| U III K| U N 0H Q 0 0 0U
H. U8 U 8 0|
-4 M
PAGE
UniFirst Corporation 002
A rt
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0501683 1/18/10 CHARGE 450172
0 t3
j '`j le 809566 ,0 809566
CITY OF CARMB- UTI�ITI�S9
0 g II CITY OF CARMEL UT%LITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V V
V) INDIANAPOLIS IN 46280 00 INDIANAPOLIS IN 46280
IF YOU HAV 4 QUESTION REGARDING THIS INVOICE, CALL:
317/293-5026 RTE# N2030
MIN 1;32 OF BILLED'
Gan W�i l f AMOUNT
0010 10 LARRY SCHIMMEL 5.90 5/09
�1 8. S. BH3RT-65/35 6
JEAN COTTON RTAgS CA 11
0011 11 BART CHAFJN 6.71 5/09
��N S S SHIRT-65/35 11
S. S.
JEAN-WRANGLER RELAX 11
-T. 0012 12 DENNIS RUSS 4. 96 5/09
JEAN-WRANGLER RELAX 1I
m COVERALL-65/3S
0013 13 LONNIE PATTON
7 15. 5/09
S. S. SHIRT-65/35 11
JEAN COTTON RIQgS CA �1 1
0014 14 ERIC ROBINSON 7.15 5/09
111 S. a SHIRT-65/35 11
JEAN COTTON RIgQS C/4 11
i l
'r 0015 15 KEVIN BUHMANN 7. 15 5/09
S.S. SHIRT-65/35 11 1
JEAN COTTON RIAgS CA 11
0 16 RALPH gRUWELL 6.71 5/09
LS SHlRT-65/35 5
8 S SHIRT 65/3S 6
S. S.
ill 1.{ JEAN-WRANGLER 'RELAX 11
4� 0017 17 PETE 8RENNAN 7�15 5/09
S.S. SHIRT-65/3S 11
JEAN COTTON R%gg8 CA 11
0018 18 RO88IE NIN�EAD 7. 1!�- 5/09
LS SHIRT-65/35 5
14 ,0 S, S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/35 1 11
LAB COAT-POLY/COTTON 4
GS SHIRT-35 65/3g 11
PH" O020 20 BRAD OLIVER 5� 4<� 5/09
JEAN COTTON RIGGS CA 11'
COVERALL-65/35 2
40 o�nv��xsnsw TO CUSTOMER COPY
INVOICE NUMBER REMIT TO:
INVOICE DATE 082 0501683 UniFirst Corporation
1/18/10 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO)
Mt A/R NUMBER 809566 INDIANAPOLIS IN 46254
C j, I CUSTOMER RTE# N2030
r t CITY OV CARMEL UTILI:TI
PAYMENT AMOUNT
r
Please Detach and Return With f M
�f� /7 St PAGE
UniFirst Corporation 003
4 1 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
40 082 0501683 1/18/10 CHARGE 450172
0 0 809566
809566
p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
4 9609 HAZEL. DELL PARKWAY Q 9609 HAZEL DELL PARKWAY
p INDIANAPOLIS IN 46280 p INDIANAPOLIS IN 46280'
41 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293-5026 RTE# N2030
DESCRIPTION co Egamp w I BILLED n I .V LA ADD [CO G{I°C3
CEI7a GE Ma 1 I j 1 AMOUNT AMOUNT AMOUNT DATE (Pa o OD
0021 21 DALE RILEY 7. 15 5/09
14, S. S. SHIRT- -65135 11
v. 1 JEAN COTTON RIGGS CA' 11
L to i P
<i DEFE CHARGE 9. 00
N
INVOICE SUB—TOTAL 186.21
o
I I TOTAL SERVICE CHANGES
O AMOUNT DUE
N
O
1'
THIS IS YOUR ONLY INVCE— NET'30 DAYS. PLEASE SIGN
11— SOIL PICK UP COUNT SH PT OT NO
4
Li!.1
40
4
40 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
1 1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
w
UniFirst Corporation PA GE DD1
a����,�� 4QD1 INDUSTRIAL BLVD IS IN 46254
my g
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0500320 1/1.1/10 CHARGE 450172
809566 0, 809566
',`x
uCITY OF CARMEL UT%LITIES9 A CITY OF CARMEL UTIL%TIES9
40 P 9609 HAZEL DELL PARKWAY 1.19609 HAZEL DELL PARKWAY
v INDIANAPOLIS IN 46280 .i? INDIANAPOLIS IN 46280
0 ED
F YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# N2030 /`2' O�D�7 Gaa D o��u�� �n i�� L. b ADD CUM CO2D�, m�� �p
u 1 p w-
MAT-3X5 U1GT'S GREAT 2 4.50 5/09 2
MAT-4X6 U1ST'S GREAT 14.DO 5/09 4
4� 18X18 WIP�RS 5/09
i
10 6.66
IV REPLACE-18X18 WIPERS 5 1:50
BAGgED 18X18 WIPERS 12�0 5/09
B
REPLACE-BAGGED 18X18 W l9 5�7O
HANDLE/Fy�AME24^ 2 5/09
24" DRY MOP 2 1�5D 12/09
BAR TWL-UNIFIRST 16X 120 16.8D 5/O9 70
a REPLACE-BAR TWL-UNIFIR %O 5.00
SOIL LOCKER 2 6/O9
8 COMPARTMENT LOCKER 6/O9
0001 1 GARY LAFOLLETTE 7, 15 5/09
LS SHIRT-65/35 6
S. 8� BHIRT�65/35 5
JEAN COTTON RIG��S C�� 11
0004 4 BLAINE MALLABER 8.15 5/09
41 LS SHIRT-65/35 3
S. S. SHIRT-65/35 8
JEAN COTTON RIQgS CA 11
COVERALL-65/35 2
0 0005 5 JEFF COOPER 96 5/09
JEAN-WRANGLER RELAX
40 0006 8 DAVID TURNER 7.15 5/09
LS SHIRT-65/35 5
S.S. SHIRT-65/35 6
40 JEAN COTTON RIggS CA 11
0007 7 CHRIS STUBBS 0.15 5/09
[l S. SHIRT-65/35 1I
40 JEAN COTTON RIGGS CA 11
COVERALL-65/35 2
0008 8 DAVE DYE 7.54 5/09
40 JEAN-WRANGLER RELAX 13
LAB COAT-POLY/COTTON 13
0009 9 JOE FAUCETT 8.15 5/09
LS 5 35
L SHIRT-65/35 b
S. S. SHIRT-65/35 5
40 oenv�s*snsm CONTRACT CUSTOMER COPY
1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
1
INVOICE NUMBER 082 0500320 REMIT TO: UniFirst Corporation
1 1 INVOICE DATE 1/11/10 4201 INDUSTRIAL BLVD
f CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER C 1TY OF CARMEL UTILITI
r r
PAYMENT AMOUNT
0820500320K
1B
Please Detach and Return With Payment-
UniFirst Corporation PAGE 002
�J� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
A
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0500320 1/11/10 CHARGE 450172
809566 D' 809566
a CITY OF CARMEL UTILITIES9 a .CITY OF CARMEL UTILITIES9
41 ,P 9609 HAZEL DELL PARKWAY d 96+09 I-iA7_EL DELL PARKWAY
4 INDIANAPOLIS IN 46260 4 INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# N2030
GQ3 DESCRIPTION C P O °'Lg q BILLED I( `ADJ. ADD C� GLUM 'DEPT; l U o I. AMOUNT J AMOUNT AMOUNT DATE ®o TD
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
z0 0010 10 LARRY SCHIMMEL 5. 90 S/09
S.S. SHIRT -6S/35 6
wi
JEAN COTTON RIGGS CA 11
40 0011 11 BART CHAFI!! 6.71 5/09
S. S. SHIRT-65/35 11
JEAN- WRANGLER RELAX 11
c 1.41 0012 12 DENNIS RUSS 4.96 5/09
JEAN WRANGLER RELAX 11
I
COVERALL '65/35 2
0013 13 LONNIE PATTON 7. 1�. 5/09
82 S. 5. SHIRT- 65/35 11
JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7. 15 5/09
1 S. S. SHIRT -65/35 11
r JEAN COTTON RIGGS CA 11
40 0015 15 KEVIN BUHMANN 7. 15 5/09 1
S.S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11 1
41 0016 16 RALPH GRUWELL 6. 5/09
LS SHIRT-65/35 5
S. S. SHIRT -65/35 6
40 JEAN- WRANGLER RELAX 11
0017 17 PETE BRENNAN 7. 15 5/09
5. S. SHIRT -65/35 11
41 JEAN COTTON RIGGS CA 11
k 001.8 1B BOBBIE KINKEAD 7. 15 5/09
LS SHIRT -65/35 5
40 S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
41 PANT SCRUB 65/25 1 P 11
t LA13 COAT- POLY /COTTON 4
r r r i SS SHIRT -SCRUB 65/35 11
40 0020 20 BRAD OLIVER 5.40. 5/09
JEAN COTTON RIGGS CA 11 1
S ERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
1 1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
!1
4, INVOICE NUMBER 082 0500320 REMIT TO: Ur, i F i r s t Corporation
IF INVOICE DATE 1/11/10 4201 INDUSTRIAL BLVD
7 C USTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
;!E AIR NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UTILITI
W
MI
PAYMENT. AMOUNT I
0820500320K
1B
-li
Please .Detach and Return With Payment
fi D Un1First Corporation PAGE 003
t rG 4201 I h DI S R I AL BLVD INDIANAPOLIS
I N 46254
40 ID
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0500320 1/11/10 CHARGE 450172
a fl 809566
�D 809566
CITY OF CARMEL UTILITIES9 0 CITY OF CARMEL UTILITIES9
4 'P- 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O D
fri IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030
1
DESCRIPTION 1 BILLED I 3 ADJ.
up g co OE Oa[ DEPT i' I t o I AMOUNT AMOUNT AMOUNT F___/_.1DO
DA�TE COW Ell
.COVERALL— G
0021 21 DALE RILIEY 7. 15 5/09
z4 S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
;41 DEFE CHARGE 9. 0O
INVOICE SUB—TOTAL 204.71
TOTAL SERVICE CHANGES
or AMOUNT DUE
o 7 1
a A i
THIS 15 YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
40 SERVICE HEREIN RENDERED 1S PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
D st UT�fl vst Corporation 01
001 Ft L U 4201 INDUSTRIAL. 33L.VD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
II 082 0498934 1/04/10 CHARGE 450 172
p 809566 p
80 1566
-0 CITY OF CARMEL UTILITIES9 -6 CITY OF CARMEL UTILITIES9
41 D 9609 HAZEL DELL PARKWAY 9609 HAZEL. DELL PARKWAY
4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293-5026 RTE# N 2030
Gi cg DESCRIPTION "BILLED I LY'.b ;LED �n Gag
0 ,C' o G I- C l "Io I AMOUNT AMOUNT T AMOUNT DATE Cum OR?
18X18 WIPERS 6.-60 5/09
40 REPLACE -18X18 WIPERS 5 1. 50
FAGGED 18X18 WIPERS 12. 00 5/09
t
REPLACE-BAGGED 18X18 W 19 5.70
HANDLE /FRAME 24" 2 5/0 9
a 24" DRY MOP 2 1. 50 12/09 2
BAR TWL- UNIFIRST 16X 120 16.80 5/09 70
AO REPLACE 'BAR TWL- UNIFIR 10 5. 00
SOIL LOCKER 2 6/09
q 8 COMPARTMENT LOCKER 2 6/09
!ill 0001 1 GARY LAFOLLETTE 7..15. 5/09
LS SHIRT -65/35 6
S. SHIRT= -65/35 5
m JEAN COTTON RIGGS :A 11
IF 0004 4 BLAINE MALLABER 8. 15 5/09
i LS SHIRT-.- 65/35 3
0 S. S. SHIRT--65 /35 8
,JEAi'd COTTON RIGGS CA 11
COVERALL -65/35 2
41 0005 5 JEFF COOPER 3. 96 5/09
JEAN WRANGLER RELAX 11
0006 6 DAVID TURNER 7. 15 5/09
LS_SHIRT -65/35 5
S. S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
Ak 0007 7 CHRIS STUBBS L3. 15 5/09
IP S. S. SHIRT-65/35 11
JEAN COTTON RIGGS CA. 11
COVERALL-65/35
4 0008 8 DAVE DYE 7. 54 5/09'
JEAN-WRANGLER RELAX 13
LAB COAT -POLY /COTTON 13
0009 9 JOE FAUCETT. 8. 15 5/09
O' l LS SHIRT-65/35 6
T
fP S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
COVERALL-65/3S 2
40 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I 1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
H
INVOICE NUMBER 052 0498934 REMIT TO:
UniFirst Corporation
1-- INVOICE DATE 1/04/10 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO)
gt A/R NUMBER 6095 INDIANAPOLIS I N 46254 RTE# 1 2030
f CUSTOMER CITY OF CARMEL UTILITI le PAYMENT AMOUNT 1 I il 1
m 08204989344
Please Detach and Return With Payment
O UniFirst Corporation PAGE
002
me fi A t, 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
41 082 0498934 1 /04 /10 CHARGE 450172
i C CO 809566 809566
0 CITY OF CARMEL UTIL.ITIES9 6 CITY OF CARMEL UTILITIE.S9
P 9609 HAZEL DELL PARKWAY 1 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 RTE*
I B ILLED d A
EMU GQ�3 DESCRIPTION C� 1 j I D [�o [�"Cj
o U o 1 AMOUNT` I AMOUNT AMOUNT DATE INP
0010 10 LARRY SCHIMMEL 5. 90 5/09
0 S. S. SHIRT-65/35 6
,JEAN COTTON RIGGS .CA 11
N
l 0011 11 BART CHAFIN 6,71 5/09
m4 S. S. SHIRT-65/35 11
-a JEAN WRANGLER RELAX 11
0012 12 DENNIS RUSS 4. 96- 5/09
E
o. JEAN- WRANGLER RELAX 11
COVERALL- 65/35
0013 13 LONNIE PATTON 7. 15 5/09
a S.S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
8 0014 14 ERIC ROBINSON 7. 15 5/09
,',7, S. S. SHIRT-- 65/35 11
JEAN COTTON RIGGS CA 11
I 0015 15 KEVIN BUHMANN 7. 19 5/09
4, S.S. SHIRT-65/35 11
JEAN COTTON RIGGS CA_. 11
0016 16 RALPH GRUWELL 6.71. 5 /09
LS SHIRT -65/35 5
5, S. SHIRT 65/356
JEAN-WRANGLER RELAX 11
40 0017 17 PETE BRENNAN 7. 15 5/09
S. 5. SHIRT-65/35 11
JEAN COTTON RIGGS CA 11
41 0018 18 ROBBIE KINKEAD 7. 15 5/09
LS SHIRT •65/35 5
1 S.S. SHIRT •65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5. 28 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT- POLY /COTTON 4
5S SHIRT SCRUB 65/35 11
0020 20 BRAD OLIVER 5. 40 5/09
:Ipl •JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
0 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 082 0498934 REMIT TO. UniFir .t Corporation
INVOICE DATE
1/04/10 420 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS `I N 46254
Lk NR NUMBER RTE* N2030
y,r' CUSTOMER CITY OF CARMEL UTILITI r
PAYMENT AMOUNT
18 08204989344
lr
Please Detach and Return With Payment
4L' UnIF'irst Corpc r tion PAGE 003
d 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
Tor INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
III 082 0498934 1/04/10 CHARGE 450172
I., I ii 809566 p 809566
0 CITY OF CARMEL UTILITIES` 6 CITY OF CARMEL UTILITIES9
II p 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293-5026 RTES N2030
1
Gd3 DESCRIPTION CP BILLED U /2c0
IP I c j CUM o IF AMOUNT 1 AMOUNT AMOUNT DATE CM ED
0021 21 DALE RILEY 7 15 5/09
40 S. S. SHIRT -65/35 11
JEAN COTTON RICGS CA 11
11 r
DEFE CHARGE 9. 00
a
-z INVOICE SUB— TOTAL 186. 21
c
c
Q TOTAL SERVICE CHANGES
AMOUNT DUE
m THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
1 SOIL PICK UP COUNT SH PT OT NO
,!:t
ID
II
a 'i l i
1
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
1 I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC
w
UniFirst Corporation
PAGE "1 g 42D1 3NDUSTRIAL 8LVD INDIANAPOLIS I N 46254=
i�0�8�Q��Q pit
IP INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0497560 12/28/09 CHARGE 450172
o�
8O9566 8O9566
CITY OF CARMEL UTILITIES9 CITY OF CARMEL UTILITIEG9
9 609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 v rNDIANAPOLIB IN 46280 8O
V
Cr 0
|F YOU HAVE A QUESTION REGARDING THIS |wvD�� CALL:
o�� 317/293 w{E14 NujU
X 1 Ka Cg�| DESCRoPn BILLED
lip DEPn MCI DEC)/ r CNC� U AMOUNT DATE (�ga O��
qA/ j%�� U1�j/'���M�H{ 9 4�� AMOUNT �/UY
MAT-4X6 U1ST'S GREAT 4 14.00 5/09 4
18%18 WIPERS 6.60 5/09
REPLACE-18X1B WIPERS 5 1.50
BAGGED I8X18 WIPERS 12.00 5/09
REPLA�E-8AQ�ED 18X1BW' 19 70
5
HANDLE/FRAME 24" 2 5/09
.1 24" DRY MOP L 5O '12/09 2
411 BAR TWL-UNIFIRGT 16X 120 16.80 5/09 77
REPLACE-BAR TWL-UNITr1R 10 5.00
8
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
0001 1 GARY LAFOLLETTE 7. 15 5/09
0
LS SHIRT-65/35 6
11) B.S. SHIRT-65/85 5
JEAN COTTON RIGgS CA 11
i
i 0004 4 BLAINE MALLABEIT 8.15 5/09
411 LS SHIRT-65/35 3
S. S. SHIRT-65/35 8
JEAN COTTON R3GgS CA 11
COVERALL-65/35 2
;i 0005 5 JEFF COOPER 3 96 5/09
!,i1 JEAN-WRANGLER RELAX 11
0006 6 DAVID TURNER 15 5/09
LS SHIRT-65/35 5
S.S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0007 7 CHRIS STUB0G b. 15 5/09
IJ«ii S.S. SHIRT-65/35 11
JEAN COTTON RIGQS CA 11
COVERALL-65/35 2
0008 8 DAVE DYE 7.54 5/09
JEAN-WRANGLER RELAX 13
LAB COAT-POLY/COTTON 13
0009 9 00E FAUCETT 8.15 5/O9
LS SHIRT-65/35 6
S. SH1RT-65/35 5
0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT
CUSTOMER COPY
1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
II
INVOICE NUMBER 082 0497560 REwrrna UniFirst Corporation
|NV0CEDATE 12/28/09 4201 INDUSTRIAL BLVD
CU8TOMER# (BILL TO) 809566 INDIANAPOLIS IN 44254
NR RTE# N2030
�o
CUSTOMER CITY OF CARMEL UTILITI I 111 IflhI 1011 II
PAYMENT I
Q820497560+
m
Please Detach and Return With U���������
o~,~�~..~ ��^^��x��. .v+ v �/m
UniFirst Corporation PAGE 002
v 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254`
,,ti,,
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0497560 12/28/09 CHARGE 450172
e 809566 0 809566
M CITY OF CARMEL UTILITIES9 a CITY OF CARMEL UTILITIES9
9 609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
n�
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
V V
0 0
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 w /t:FO m�0u0
DMQ7 CUD �`Nm����� ^«DD) PECK
0 cepa Cm DJ�, 0]
`u�` AmouNn l� AMOUNT' AMOUNT DATE O��
,JAN
�u||uw��x�ea0 c*
COVERALL-65/35 2
0010 10 LARRY SCHIMMEL 5.90 5/09
S.S. SHIRT-65/35 6
r
`\i JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5/09
S. S. SHIRT-65/35 1l
't JEAN-WRANGLER RELAX 11
24 0012 12 DENNIS RUSS 4.96 5/09
c- JEAN-WRANGLER RELAX" 11
c t
COVERALL-65/35 �J
O013 13 LONNIE PAJTON 7. 15 5/09
G. S. SHIRT 11.
JEAN COTTON RIGGS CA 11
O014 14 ERIC ROBINSON 7.15 5/O�y
S.S. SHIRT-65/35 1
JEAN COTTON RIGGS CA11
41 DAMAGE-JEAN COTTON RIG 1 ,-.4,4,~0-4
0015 15 KEVIN BUHMANN 7. 15 5/09
S.S. SHIRT-65/35 11
JEAN COTTON RIGGS CA 11
0016 16 RALPHQRUWELL 6-71 5/09
W'/ LS SHIRT-65/35 5
0 S. S. SHIRT-65/35 6
JEAN-WRANGLER RELAX 11
0017 17 PETE 8RENNAN 7.15 5/09
9.S. SHIRT-65/35 1•1
JEAN COTTON RIGGS C/4 11
^x1
0018 18 RO8BIE KINKEAD 7.15 5/09
LS SHIRT-65/35 5
5. S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT-POLY/COTTON 4
40 SS SHIRT-SCRUB 65/35 11
T w /�C/ CWSTOK8ERCOPY
wnnomFInST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 082 0497560 qsMITna UniFirst Corporation
INVOICE DATE 12/28/09 4201 INDUSTRIAL BLVD
CUSTOMER# IN OmEnw (a|LLTO) 809566 INDIANAPOLIS IN 46254
A/R RTE# N2030 1 111
TI U8U KN0 N H@M owo o� m wm omn mm
PAYMENTAMOUNT 0820497560+
Please Detach and Return With Payment u� nn and xn��uU�� ��n�nn
�NN�-
UniFirst Corporation PAGE 003
D{)3
~C`` Qr. 4�O1 INDUGTRI�L BLVD INDIANAPOLI8 �-46�54
41
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0497560 12/28/09 CHARGE 450172
809566 809566
t E CITY OF CARMEL UTILITIES9 CITY OF CARMEL UTIL%7IES9
0 9609 HAZEL DELL PARKWAY .1 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
V
0
I F
|p vounxvsAOuEST|OwnsaAno/wsT*m CALL: 317/293 M[t# N20:40
11C1S POD DESCRIPTION CD Ova i mm TAX O83
0 C121700 MS -r r '��s O� J AMOUNT AMOUNT
AMOUNT DATE I (I�
,i. oQ�L ��U �MBHA() ULIVLM �.4 !/Ut./
8
JEAN COTTON RIGGS CA 11
COVERALL-65/35 �2
0021 21 DALE RILEY 7' 1�� 5/O9
21 DALE
.2` S-S. SHIRT-65/35 11
JEAN COTTON RIgGS CA- 11
'2 DEFE CHARGE 9� QD
INVOICE SUB-TOTAL 240.75
8 10 TOTAL SERVICE CHANGES Char5 �%r�a� 14
z
AMOUNT DUE ;47
U� 7o7^kt W�vr*�k� h^����
m
i �x���
THIS IS YOUR ONLY INVCE- NET 3D DAYS PLEASE BI�N
w~
4,
SOIL PICK UP COUNT SH PT OT NO NO
0
The CDC (Health Canada) recomriends the use of PURELL to agains
t the H1N1 virus/Swine Flu UniFirst can help and you can get 20% off
4_ PURELL service right now! Speak to your UniFirst Rep today.
4) CUSTOMER COPY
1 1 WITH uw/FInor CORPORATION onom/nnor HOLDINGS, INC.
VOUCHER 097210 WARRANT ALLOWED
360025 IN SUM OF$
UNI`I=IRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
020110 01- 7362 -05 $628.15
020110 01- 7362 -06 $390.92
Voucher Total $1,019.07
Cost distribution ledger classification if
claim paid under 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 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 1/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2010 020110 $1,019.07
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
Date Officer