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188605 08/04/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $1,144.57 tiM1`.o CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 188605 CHECK DATE: 8/4/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 082 0531590 177.28 OTHER EXPENSES 651 5023990 082 0532925 199.28 OTHER EXPENSES 651 5023990 082 0534303 192.17 OTHER EXPENSES 651 5023990 082 0535676 199.28 OTHER EXPENSES 651 5023990 082 0537058 177.28 OTHER EXPENSES 651 5023990 082 0538405 199.28 OTHER EXPENSES SEWER INVOICE AMOUNT ACCOUNT 531590 177.28 7362.05 534303 192.17 538405 199.28 total 1 568.73 532925 199.8 7362.06 oa VOUCHER 105938 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 080210 01- 7362 -05 $568.73 080210 01- 7362 -06 $575.84 66 O (?9-2-W Voucher Total $1,144.57 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 7/28/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2010 080210 $1,144.57 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 Officer