183039 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $781.84
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 183039
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 504442 186.21 7362.02
651 5023990 505814 204.71 CONT SVS -OTHER
651 5023990 507162 186.21 CONT SVS- OTHER -S PLAN
651 5023990 508549 204.71 CONT SVS- OTHER -S PLAN
SEWER
INVOICE AMOUNT ACCOUNT
505814 204.71 7362.05
507162 186.21
total 390.92
5044421 3 2.0
oa F 390.
VOUCHER 097411 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
030110 01- 7362 -05 $390.92
030110 01- 7362 -06 $390.92
Voucher Total $781.84
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
UNIPIRST CORPORATION Purchase Order No.
4201 INDUSTRIAL BLVD Terms
INDIANAPOLIS, IN 46254 Due Date 2/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/25/2010 030110 $781.84
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
Date 4 /ce