182578 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CHECK AMOUNT: $457.20
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 182578
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350600 499920 113.45 CLEANING SERVICES
1093 4350600 501279 113.45 CLEANING SERVICES
1093 4350600 502677 113.45 CLEANING SERVICES
1093 4350600 504048 116.85 CLEANING SERVICES
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UniFirst Corporation p«Gs 001
m 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
NV mEwTTsnmG PURCHASE ORDER CONTRACT
0499920 1/08/10 CHARGE 376554
__�6849 667849
123-5 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
|p YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293- 5026 RTE# K6060
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MAT-3X5 U1ST'S GREAT 6 9.90 4/07 6
MAT-4X6 U1ST'S GREAT 27 74 25 4/07 27
e=~ MAT-3X1O U1ST'S QREA 5 16.50 4/07 5
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DEFE CHARGE 10.80
INVOICE SUB-TOTAL 113.45
TOTAL SERVICE CHANGES
AMOUNT DUE
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
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4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
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p MQ#sdON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46,032 p CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 5026 RTE#3 K6060
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MAT -4X6 UIST'S GREAT 27 74.25 4/07 27
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DEEE CHARGE 10.30
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INVOICE SUB °TOTAL 113,45
TOTAL SERVICE CHANGES
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER 'COPY
I� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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UniFirst Corporation PAGE 001
D .R 42'01 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 OS02677 1/22/10 CHARGE 376554
667849 p 667849
I. CO MONON CENTER @CENTRAL PAR 0 MONON CENTER @CENTRAL PAR
0 1
(P 1235 CENTRAL. PARK DRIVE E a 123S CENTRAL PARK DRIVE E
v CARMEL IN 46032 CARMEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL. 31 7 2V3— t0t6 RTE# K6060
0 1
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MAT-3XS UlST'S GREAT 9.90 6 4/07 6
MAT-4X6 UIST'S GREAT 27 74.25 4/07 27
MAT-3XI0 UIST'S GREA 5 16.50 4/07 s
DEFE CHARGE 10.80
INVOICE SUB—TOTAL 113.45
TOTAL SERVICE CHANGES
AMOUNT DUE
THIS IS YOUR ONLY It NET 30 DAYS. PLEASE
SOIL PICK UP COUNT SH PT OT SI P NO
Pumhase
Descrlp*n
P.O. PorF
Budget
Una Desw_.O�
Rmhaw---L— Date___
Appmat- N. Date
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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UniFirst Corporation 1
4201 INDUSTRIAL BLVD INDIANAPOLIS I/
L P
INVOICE DATE PAYMENT TERMS PURCHASE ORDER
082 0504048 1/29/10 CHARGE
667849 667849
0 1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVEJ
V CARMEL IN 46032 CARMEL IN 46032
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|F YOU HAVE A QUESTION REGARDING THIS INVO CALL: 317/293—SO26 RTE# I
MAT-3%5 U1ST~S GREAT 6 9.90 4/
MAT-4X6 U1ST'S GREAT 27 74.25 4/
MAT-3X1D U1ST'S GREA 5 18.50 4/
FINANCE CHARGE 3 4O
DEFE CHARGE 1O 8O
A
INVOICE SUB—TOTAL 116 85
TOTAL SERVICE CHANGES
AMOUNT DUE
THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
N�
Ptoctmmm
uescr"m
P.O.
PorF
m^-# QL]
Pur
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IS vExv� HEREIN v« 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
118110 499920 Mat cleaning 113.45
1/15/10 501279 Mat cleaning 113.45
1/22110 502677 Mat cleaning 113.45
1/29/10 504048 Mat cleaning 116.85
Total 457.20
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
457.20
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1093 499920 4350600 113.45 1 hereby certify that the attached invoice(s), or
1093 501279 4350600 113.45 bill(s) is (are) true and correct and that the
1093 502677 4350600 113.45 materials or services itemized thereon for
1093 504048 4350600 116.85 which charge is made were ordered and
received except
11 -Feb 2010
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Signature
457.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund