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191394 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $1,569.28 s` ra CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 191394 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 082 0547966 177.28 OTHER EXPENSES 651 5023990 082 0549350 234.84 OTHER EXPENSES 651 5023990 082 0550724 211.09 OTHER EXPENSES 651 5023990 082 0552121 234.84 OTHER EXPENSES 651 5023990 082 0553535 211.09 OTHER EXPENSES 651 5023990 082 0554958 234.84 OTHER EXPENSES 1093 4350600 553116 132.65 CLEANING SERVICES 1093 4350600 554569 132.65 CLEANING SERVICES D UriiFiT•st Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 IN CE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 08 ua531 ;i /Uc3! 10 CHARGE 3765S4 O C� MGNON CENTER @CENTRAL PAR 0 1110 ON CENTER @CENTRAL PAR 123S CENTRAL_ PARK DRIVE E 6 ''123 CENTRAL PARIS DRIVE E CAPMEL IIw 46032 CARMEL IN 46032 f 0 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 17 /293_.5 RTE# K6060 o t+ l IvI,AT -4X6 U1 ST GREAT I 22 +'aka. OCR 4/07 22 MAT -3XIO UI {ST GREAT S 19.75 4/07 S MP,'T -3X 10 U I S GREAT 6 23.70 10 6 L DEFE CHARGE 11.80 i T I:IV3 T CE SUB ­T' 0"1'Fll:.. 132. 65 TOTAL SERVI CHANGES AMQUCli' 'DUE N O p THIS I S YOUR ONLY NVC" E-• DIET 30 DAY S. P LEA S 1 GP SO L P I C K UP COUNT S PT OT NO PLEASE SEE YOUR IROU °i "EMAN REGARDING OUR RUBBER MAT PROMOTION! 1 77 IP 791 F71 OCT 13 2010 Purchase Descriptlon a* 'lt�'� 13ye ......................n P.O. P or G.L# Budget Line Des i >rX7- Purchaser Date Approval Date L 4 I SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. Ur�lF'J.vst C0T'f)C-T`@ti0ri PAGE OC) 1 TR 4 2 0 1 1 N 1) U S IAL BLVD INDIANAPC)[j, IN 462S4 ndwiw .I _T]E, INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 Oc!5456c? I C. l_:;/ I Cl CHARGE 376554 667849 61.ln7849 MONON CENTER OCENTRAL PAR 6 MONON CENTER L�CENTRAL PAR 1235 CENTRAL. PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E CARMEL 11• 46032 4 CARMEL IN 46032 O P IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: '317/293-5026 RTE# K6060 FE0 I gwa IL I 4 CL F= NAT-3X5 UIST GREAT 1 6 11,40 4/07 6 MAT-4X6 UlST GREAT 1 22 66.00 4/07 22 MAT-3XIO VIST GREAT 5 1. 9. 7 5 4/07 S 5D MAT-3XIO WST GREAT 6 23.70 2/1.0 6 DEFE CHARGE 11.80 o INVOICE SUIN—TOTAL 1:32- 65 a: TOTAL, SERVICE CHANGES c 0 AMOUNT DUE ��p 7 THIS IS YOUR ONLY IN9CE­ NET 30 PLEASE Slz SOIL PICK UP COUNT SH PT OT NO PLEASE SEE YOUR ROUTEMAN REGARDIN- f plip A' PROMOTIOW! REC OCT 15 2010 Purchase Description B P.O. 'Par Budget tl 1 11 1 1 "Wo WIN Line D sm. Purchaser OCT 2 Approval By: SERVICE HER 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 10/8110 553116 Mat cleaning 132.65 10/15/10 554569 Mat cleaning 132.65 Total 265.30 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 2d_ Clerk- Treasurer Voucher No. Warrant No, Allowed 20 360025 UniFirst Corporation 4201 Industrial Blvd, Indianapolis, IN 46254 In Sum of t 265.30 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 553116 4350600 132.65 1 hereby certify that the attached invoice(s), or 1093 554569 4350600 132.65 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 21 -Oct 2010 Signature 265.30 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund SEWER INVOICE AMOUNT ACCOUNT 547966 177.28 7362.05 550724 211.09 553535 e 211.09 total 599.46 549350 234.84 7362.06 554 4. 4 oa UniFirst Corporation PAGE 00, 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PxvMENTTERIVIS PURCHASE ORDER CONTRACT 082 0554958 lO/18/1O CHARGE 450172 809'S66 SOL?:566 (P 9609 HAZEL DEL.L. PARKWAY (b 9609 HAZEL DELL., PARKWAY 'o |Fvoux�vs�OusuTmwnsG�nowaT�|u|wvo|Cs C��� 317/293-5026 RTE# N2030 �[i� MAT-3X5 U1ST GREAT' I 2 5.00 5/09 2 MAT-446 U1ST GREAT I 5 16.75 5/09 5 18X18 WIPERS 7.80 e REPLACE-18X1B WIPERS 5 1.5D BAGGED 18X18 WIPERS 31 20 5/O9 REPLACE-BAQQED t8X18 W 19 5.70 HANDLE/FRAME 24^ 2 5/09 24" DRY MOP 2 1.74 12/09 2 BAR TWL-UNIFIRST FOL 100 is' 00 3/10 25 REPLACE-BAR TWL-UNIFIR 8 4.00 w SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 ODO1 1 GARY LAFOLLETTE 7.81 5/09 LS SHIRT-65/35 6 S. S. SHIRT-65/35 5 JEAN COTTON HIggS C. A 11 0004 4 BLAINE M ALLA8�R 8 89 5/09 LS SHIRT-65y35 3 S. S. SHIRT-65/35 8 JEAN COTTON RIGGS CA 1.11. COVERALL-65/35 2 ODOS 5 JEFF COOPER 4.29 5/09 JEAN-WRANGLER RELAX 11 0006 6 DAVID TURNER 7.61 5/09 LS SHIRT-65/35 5 B S SHIRT-65/35 6 JEAN COTTON RIGGS CA 11 0007 7 CHRIS STU88S 8.89 5/09 S.S. SHIRT-65/35 11 JEAN COTTON RIGQS CA 11 COVERALL-65/35 2 0008 B DAVE DYE 7.23 5/09 JEAN-WRANGLER RELAX 13 LAB COAT-POLY/COTTON 9 �DO9 9 JOI� FAUCETT S. 9�Z 5/09 JEAN COTTON RIgQG CA 11 COVERALL-69/35 2 0 SERVICE HEREIN RENDERED m PURSUANT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER REMIT T0: INVOICE DATE 092 055498 i.� Corporation r i CUSTOMER# (BILL To) 1 0 18/ 10 42Q 1 INDUS TRIAL BLVD ?09566 INDIANAPOLIS IN 46254 A/R NUMBER is CUSTOMER RTE# N2030 CITY OF CARMEL UTILITI I PAYMENT AMOUNT OU 3 i Please Detach and Return With P a2 ym ent3- O PAGE fj� UniFirst Corporation 002 4�?01 INTI +�iTRIAL 13LVL` INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0054 10/18/10 CHARGE 450172 p x09566 0 809 P CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES? 960)9 HAZEL DELL PARKWAY 9609 HAZEL DELI.- PARKWAY I G) INDIANAPOLIS TN �I.62,80 TldL3TAh.lAPOLTS Td\1 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 /2 93 -5026 R TE# N2030 -�7� �ry���yy I:LYUUW.J ClYwlvuap �yW37�y�--�� ,o 1—um l:A:i /UO L/.1. lal Lri.:JUI� o l'.A/ n C;Gs1.0 10 LARRY SCHIMMEL 4.84 5/09 d. JEAN COTTON R IGGS CA 11 H 0011 11 CART CHAT= IN 7. 26 5/09 m y S. S. SHIRT-65/35 11 t JEAN— WRANGLER RELAX 11 1� 00 12 DENNIS RUSS S.37 5/09 r JEAI\1 WRANGLER` RELAX 13, 0 COVERALL-65/35 2 0C. 13 LONNIE PATTON 7. 5:;. 5/09 S S. S. SHIRT 6 5/35 11 JEAN COTTON RIGGS CA 11 "W 0('-1.4 14 ERIC ROBINSON 7.81 5/09 S. S. SHIRT 65/351 11. c JEAN COTTON RIGGS CA 1. 1. 0015 15 KEVIN BUH1`1ANN 7.81 5/09 S. S. SHIRT- 65/35 11. JEAN COTTON RIGGS CA ii 0016 16 RALPH GRUWE!_L 7. 2 6 5/05' LS SHIRTT"- -65/;35 5 S. S. SHIP ?T -65/35 6 JEAN WRANGLER RELAX 11 0i 7 17 PETE BRE61NAN 7.61 5/09 S. S. SHIRT- -65/35 1.1 S JEAN COTTON RIGGS CA 11 ooIP, 16 ROBB IE KINKEAD 7. 8 1. 5/09 LS SHIRT-6 S S. S. SHIRT -65/ i5 6 ,.JEAN COT "FOI RIGGS CA 11 0019 19 TARA RUBBISH 5.80 5/09 PANT SCRUB 65/35 1 P 11 'r t. LAC COAT "POLY /COTTON 4 SS SHIRT "SCRUB 65/35 1.1 ='C� BRAD Cii_IVER 51. 9=2 5/09 JEAN COTTON RIGGS Cdr 11 COVER AL-L-- 65/435 2 0021 21 DALE RILEY 7,191 51`09 S. S. SHIRT -65/35 1'd SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 022 05549S8 REMIT TO: UniFirst 'Corporation 1+1 1 INVOICE DATE 1 IbIDUST-R'IAL BLVD CUSTOMER# (BILL TO) 30?566 IN 416 A/R NUMBER RTE# N2030 CUSTOMER CITY OF CWRMT-1. UT 1 L "I T T. lit PAYMENT AMOUNT fi I I 08205549583 Please Detach and Return With Payment UniFir5t Corpora tion PAGE 003 I 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 462S4 INV INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0882-1 OSS4958 1 1a/1,0 CHARGE 4 $01 7 8,09566 0 V309566 CITY OF CARMEL uTILITIE_13 1E O-r- CITY CAR MEL UTILITIESi? 9609 HAZEL DELL PARKWAY 9609 HAZEL DELI- PARIAWAY INDIANAPOLIS IN 46280 INDIANIAPOLIS IN 1.62,80 1 (D] IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 1-31 7 2 931 5 0 2 6 RTE# N2030 ra gm Q� 77' 0 Jw 11 CaE6,1 11 [E� 11 li UP JEAN COT T 01\1' RIG'GrS CA I I DEFE CHARGE 10.00 'INVOICE SUB—TOTAL 234. 84 TOTAL SERVICE CHANGES cc AMOUNT DUE THIS IS YOUR ONLY I N V C, E— N E -30- -DAYS.' PLEASE SIGN SQ T L PICK UP -COUNT SH p r OT NO SERVICE HEREIN RENDERED iS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR LINIFIRST HOLDINGS, INC. F s �j Un iC I PAGE 001 4 1 01 I NDUSTR I A[... BLVS,D INDIANAPOLIS I N 46254 L I INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0152 CDSS3535 10/11/10 CHARGE 4501172 809!566 809566 CITY OF �:�ARMEL UTILII lES9 CITY OF C.ARMEL UTIL_ITIE59 r 96059 HAZEL DELL PARKWAY 960-9 HAZEL DEF_L PARKWAY l p o T N D I ANAP `0L I� IN 46280 I ND I ^r"NAP UL_ I S 11`4 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/2_ RT E# N203O IBX18 WIPERS so 5!09 REPLAC E-1BX18 WIPERS 5 1.50 y BAGGED 18X.5 WIPERS 31. 30 5fO9 12 REPLACE BAGGED 18X IS W 19 5. 70 HANDLE /FRAME 24 2 5/09 24." DRY MOP 2 1.. 7.4 12/09 2 I r 1 r• REAR TWL-UNIF IRST" F U 1001 15_ C1 C) 3/10 5D 1 Qo, REPLACE--BAR TWL- •UNIF"IR 8 4. 00 SOIL._ LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 i m �DL�C 1 I GARY LAFOLL ET "m 7. c ref 05' CAS SHIRT -65/35 S. S. SHIRT" 5/:3 5 JEAN COTTON R I GGS CA 0 0004 4 BLAINE i`AL.LABER S. F$9 S. SHIRT-65/3b 3 i S. SHIR,T--65/35 �I y JEAN COTTON RIGG CA 11 1; It COVERALL-65/35 65/35 t o 050505 S JEFF- 4. S/09 JEANI -WRANGLER RELAX 11 DAMAGE JEAN-WRANGLER R 1 0 01006 6 DAVID TURNER 7.81 5 /09 i LS SHIRT-- 65+/0S 5 is S. S. SHIRT 65/;.3 a 6 (1 JEAN' COTTON RIGGS CA 11 0007 7 CHRIS rTUBBS S. S9 5/09 t. S. S. SHIRT -65/35 JEAN COTTON R I GGS CA 1 1 I 0 CO VEtRALL -6S /35 l; O OO 8 -DAVE DYE r 3 5/09 i J'E'AN- -WRAINGL,ER RELAX 13 LAB- COAT POLY /COTT'ON 9 0009 9 JOE -FAUCETI 5 9 5 /09 3 JEAN COTTON R I GGS CA 1 1 COVERALL-65/35 2 1 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS INC. CUSTOMER COPY 's ."e4c Cam; r ;'�3t5!�' v 5'; LOCATION ROUTE SEQUENCE PREBILL PAGE r ��t c r O`3r. NN 2 170 N2030 032 CONTRACT INVOICE K£ PAYMENT TERMS' 4SO1 553 CHARGE: 6/ 15/14 k 3 17/571-2634 M" r l;? CITY OF -ARM L. UTILITIF -39 �I609 HAZEL DELL P ARKWAY i lf\IDIAl`aAPOL_I3 If`S 46280 rF: COcle: 1 5c)9'70670 00 i F -Mblem GIs,�ir 00 5er ice Charge. 00 i cost PIA Bat' 00 R L .-M 0 w 1 F$ 8021,07 .130 1 20 1 60 REEL 300 WIR F$ 802310 .130 460 1 1 R EPL .300 HA W 0$ 814100 2 1 NIOP RE 832 00 870 4 1 L.IN F$49-55407 150 200 REfL .500 HDW 0$ 89 003 2 1 HOW 0$ 695103 2 1 1 1 UNI RE 010231 165 03 .270 6 1 1 1 UN I RE 020231 16S 01 270 5 1 1 1 UN I RE 100 05 360 30 .440 11 4 A UNI RE 010231 165 03 .,.270 3 1 s 4 4 0111 RE 020231 165 01 270 8 1 4 4 ON RE 10B:705 330 32 .440 11 1 4 4 UNI RE 30020S 4,50 02 .540 2 1 5 5 UNI RE 1.14469 360 32 .390 11 1 5 5 lC PlGF— 31. 590 1 1 u }.;itiE i E 0102.3 I. 175 02 2'70 6 6 UN 1 RE 0,20 2 3 1 175 01 .270 6 1 6 6 UNI RE 1 OB 05 360 30 440 11 1 7 7 UNI RE 020231 205 03 .270 1 1 1 7 7 UNI RE 10B7{.5 440 30 .440 11 1 UN I RE ;300205 640 02 2 1 8 B UNI RE 1 14465' 360 30 390 13 1 '3 8 UNI RE 2512407 580 02 .240 1 9 9 UNI RE 1OB705 320 :34 44t] 11 9 9 1JNI RE ;30,0205 460 02 .540 2 1 Form: L208 Rev. Date: 06/25107 Rev: 002 i INVOICE NUMBER REMIT TO: I 082 0553535 UriiFirst Crarpar••.�tian INVOICE DATE 10/11/10 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 009566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# N2030 ,A CUSTOMER CITY OF CARMEL UTILITI i a PAYMENT AMOUNT r,P 1 0820553535- Please Detach and Return With Payment PAGE D UniFirst CarpOratiart_ 002 420)1 INDUSTRIAL- BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT Y S 0132 0553535 10/11/10 CHARGE 450172 Co 1:09566 p 809566 CITY OF= CARMEL UTILITIES' 6 CITY OF CARMEL UTILITIES9 p 9609 HAZEL DELL PARKWA 9609 HAZEL DELL. PARKWAY l O INDIANAPOLIS IN '16230 INDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 5026 RTE# N2030 o is 0010 10 LARRY SCHIMMEL 4.84 5/09 JEAN COTTON RIGGS CA y 001 11 BART CHAFIN 7. 26 5/09 y S. S. SHIRT-65/3S 11 JEAN—WRANGLER RELAX 11 T0 ?D012 12 DENII-JIS RUMS 5.37 5/09 JEAN WRANGLER RELAX 11 o COVERALL-6S/3S G Q 0013 13 LONNIE PATTON 7.81 5/09 S. S. SHIRT -65/35 11 t JEAN COTTON RIGGS CA- 11 0014 14 ERIC ROBINSON 7.81 5/09 N S. S. SFIIRT -65/35 11 .JEAN COTTON R I GGS CA 11 0015 IS KEVIN BUl• MAIIII 7. 81 5/019 S. S. SHIRT- -65/35 11 JEAN COTTON RIGGS CA 11 0016'. 16 RALPH GRUW'ELL 7. 26 5/09 LS SHIRT--65/35 5 n S. S. SHIRT-65/ 6 0 JEAN WRANGLER RELAX 11 0017 17 FETE BRENNAN 7.81 5/09 0 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11• 0018 18 ROBBIE KINKEAD 7.81 5/09 LS SHIRT-65/35 5 S. S. SHIRT-• -65/35 6 JEAIq. 'COTTOI'4 RIGGS CA 11 0019 19 TdARA RUBB I H 5.60 5/09 PANT SCRUB 65/:35 1 P 11 II, Lfi ^iB COAT—POLY/COTTON 4 SS SHIRT -5CRUB 65; 11 0020 20 BRAD OLIVER 5.92 5/09 JEAN COTTON RIGGS CA 11 COVERALL.. -65/35 2 �t 0021 21 DAC 7. 8+ 5/09 S. S. PHIR "C-- 65/35 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 NN 2 170 1\12030 082 2 CONTRACT INVOICE PAYMENT TERMS' 450172 553535 CHARGE 6/15/14 n 809566 317/571 -2634 ACITY OF CARMEL UTILITIES9 I 4 9609 HAZEL... DELL PARKWAY Q INDIANAPOLIS IN 46280 Geo Code: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Bal: 00 -il 71 ll •i µ'5r Y 1.. 0 1 0 1 10 10 UNI RE 1OB705 440 30 .440 11 1 11 11 UNI RE 020231 155 01 11 11 UNI RE 114469 320 30 .390 13. 1 I 12 12 UNI RE 1 L 4469 360 30 390 11 1 12 12 UN I RE 300205- 02 .540. 2 1 13 13 UNI RE 020231 175 03 270 11 1_ 13 13 UNI RE 1OB705- 360 34 .440 11 1 14 14 UNI RE 020231 155 0'1 270 11 1 14 14 UNI RE 10D705 320-32 440 11 1 15 15 UNI RE 020231 185 01 .270 11 1 15 15 UNI RE 1OD705 420 30 .440 11. 1 16 16 UNI RE 010231 205 03 .270 5 1 16 16 UNI RE 020231 205 03 .270 6.1 16 16 UNI RE 114469 420 30 .390 11 1 17 17 UNI RE 020231 165 01- .270 11 1 17 17 UNI RE IOD705 320 34 .440 11 1 1 18 UN I RE 010231 185 02 .270 5 1 18 18 UNI RE 020231 185 01 .270 6 1 18 18 UNI RE 1OB705 400 30 .440 11 1. 19 19 UNI RE 127689 400 02 .220 11 1 19 19 UNI RE 252407 460 02 .240 4 1 -19 19 UNI RE 425469 155 01 .220 11 1 .20 20 UNI RE 1OB705 360 30 .440 11 ..1 20 20 U N I R E 300205 500 02, 540 2 1 1 21 21 I)N I RE 020231- 155 01 270 11 1 Form: L208 Rev. Date: 06/25/07 Rev: 002 INVOICE NUMBER REMIT TO: INVOICE DATE 082 05573535 UniFirst C 10/ii/10 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) B09566 INDIANAPOLIS N 46254 A/R NUMBER RTE# N2030 CUSTOMER CITY QF CARMT=L UTILITI I I I y f i PAYMENT AMOUNT 082055.3535 4 'f Please Detach and Return With Payment y UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT r6),� OE32 05573535 10/11/10 CHARGE 450172 p 809566 p B09566 p CITY OF CARMEL UTILITIES? d CITY OF CARME:L UTILITIES9 9609 HAZEL DELL. PARKWAY 9609 HAZEL DELL PARKWAY- INDIANAPOLIS IN 46280 INDIANAPOLIS I 46280 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/7 RTE# N2030 i 1 0 o 3 c r JEAN COTTON RIGGS CA 11 z PEFF CHARGE 10.00 INVOICE SUB- -TOTAL 242.68 TOTAL SERVICE CHANGES 5 1 ir� AMOU DUE p Z �I� �`t7TE}L N1ovNt N THIS IS YOUR ONLY I NVCE- NET -30 DAYS. PLEASE SIGN fI SOIL PICK UP COUNT SH PT OT NO PLEASE SEE YOUR ROUTEMAN REGARDING OUR RUBBER MAT PROMOTION!! SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE i 0122 NN 2 170 N2030 032 3 CONTRACT INVOICE PAYMENT TERMS 450172 553535 CHARGE 6/15!14 I p B09S66 317/571-2 P CI OF CARMEL. UTILITIE 09 60`7 HAZEL DELL PARKWAY O I ND I ANAP OL. I S I N 462'80 Geo Code: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Gust PIA Bal: .00 r�7y�y� r41'' di Y "i 1 21 21 UNI RE 10B705 340 32 .440 11 1 EEFX 10.000 NO EXTRA CHARGES FOR THE FIRST 2 PEARS NO DAMAGE FOR 24 !`1ONT!-S --18. 71 /SHIRT, 27. 88 /PANT PR Form: L208 Rev. Date: 06/25/07 Rev: 002 v -'{f 71 UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 i INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0552121 10/04/10 CHARGE 450172 a 809566 609566 p CITY OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES9 P 9609 HAZEL. DELL PARKWAY 6 9609 HAZEL DELI_ PARKWAY Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030 GQ G� CD LYE nE CIS GTl�3 eo o o �l o. am mu I aU o n MAT--3X5 U1ST GREAT' I 2 5. 00 5/09 2 MAT -4X6 U1ST GREAT I 5 16.7S 5/09 5 �i 18X18 WIPERS 7.80 -5/09 y REPLACE -18X18 WIPERS 5 1. 50 BAGGED 18X18 WIPERS 31.20 5/09 REPLACE-BAGGED 18X 18 W 19 5.70 HANDLE /FRAME 24" 2 5/09 24" DRY MOP 2 1.74 12/09 2 BAR TWL- UNIFIRST FOL 100 15.00 -.3/10 51 0 REPLACE -BAR TWL UNIFIR e 4.00 SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 0001 1 GARY LAFOLLETTE 7.81 5/09 LS SHIRT -65/35 6 S. S. SHIRT-65/35. 5 JEAN COTTON RIGGS CA 11 0004 4 BLAINE MALLABER 6.89 5/09 LS SHIRT- -65/35 3 S. S. SHIRT -65/35 8 JEAN COTTON RIGGS CA 11 COVERALL-65/ 2 0005 5 JEFF COOPER 4.29 5/09 JEAN- WRANGLER RELAX 11 i 0006 6 DAVID TURNER 7.31 5/09 LS SHIRT -65/35 5 S. S. SHIRT- -65/35 6 JEAN COTTON RIGGS CA 11 0007 7, CHRIS STUBBS 6.89 5/09 S. S. SHIRT- -65/35 11 i JEAN COTTON RIGGS CA 11 i COVERALL. -65/35 2 0008 8 DAVE DYE 7.23 5/09 i JEAN WRANGLER. RELAX 13 LAB COAT- POLY /COTTON 9 0009 9 JOE FAUCETT 5.92 5/09 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 tl SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER 082 0552121 REMIT TO: Un i F i r s t Corporation INVOICE DATE 10/04/1 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE## N2030 1A CUSTOMER CITY OF CARMEL UT I L.I T I PAYMENT AMOUNT I 0820552121Q Please Detach and Return With Payment D UniFirst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS 2 IN 4654 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0552121 10/04/10 CHARGE 450172L 809566 809566 0 CITY OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 O O i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 ~5026 RTE## N2030 Fail G® C OQ n g 0010 10 LARRY SCHIMMEL 4.84 5/09 JEAN COTTON RIGGS CA 11 d� 0011 11 BART CHAFIN 7.26 5/09 N S. S. SHIRT- -65/35 11 JEAN— WRANGLER RELAX 11 a• 0012 12 DENNIS RUSS 5.37 5/09 JEAN WRANGLER RELAX 1.1 COVERALL-65/35 2 9 0013 13 LONNIE PATTON 7. u1 5/09 0 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 co 0014 14 ERIC ROBINSON 7.81 5/09 g S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA_ 11 0015 15 KEVIN.BUHMANN 7.61 5/09 S. S. SHIRT- -65/35 11, JEAN COTTON RIGGS CA, 11 0::16 16 RALPH GRUWELL 7.26 5/09 4 LS SHIRT- -65/35 5 S. S. SHIRT -65/35 6 JEAN— WRANGLER RELAX 1.1 0017 17 PETE BRENNAN 7.81 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 1.1 0018 18 ROBBIE KINKEAD 7.81 5/09 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 0019 19 TARA RUBBISH 5.30 5/09 PANT SCRUB 65/35 -1 P 11 LAB COAT—POLY /COTTON. 4 SS SHIRT —SCRUB 65/35 11 0020 20 BRAD OLIVER 5.92 5/09 JEAN COTTON RIGGS CA 11, COVERALL. -65/35 2 0021. 21 DALE RILEY 7.81 5/09 l S. S. SHIRT- -65/35 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082 0552 121 REMIT TO: Un i F i r s t Corporation INVOICE DATE 10/04/10 4201 INDUSTRIAL- BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# N2030 ,A CUSTOMER CITY OF CARMEL l3TILITI WIN PAYMENT AMOUNT I I 0820552121Q f Please Detach and Return With Payment D UniFirst Corporation u PAGE 003 i 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0552121 10/04/10 CHARGE 450172 S 809566 809566 In p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY Q INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 50 0 26 RTE# N2030 GI�3 1 0 CQ 4� LYE LY O Cam. GII�3 -.coo coo I JEAN COTTON RIGGS CA.- 11 �i DEFE CHARGE 10.00 N d m INVOICE SUB TOTAL 234.84 a =r. TOTAL SERVICE CHANGES Q� AMOUNT DUE o o THIS IS YOUR ONLY I NVC E— NET 30 DAYS. PLEASE SIGN N O SOIL PICKUP COUNT SH PT OT NO PLEASE SEE YOUR ROUTEMAN REGARDING OUR RUBBER MAT' PROMOTION!! i i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 NN 2 i70 N2030 082 1 CONTRACT INVOICE PAYMENT TERMS 450172 550724 CHARGE 6/15/14 Q 809566 317/571 -2634 p CITY OF CARME:L UTILITIES9 9609 HAZEL DELL PARKWAY O INDIANAPOLIS IN 46280 0 Geo Code: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Dal: .00 WIP F$ 802107 120 1 31 REPL .300 W I P F$ 802310 .130 480 1 20 REPL 300 HDW 0$ 8 14100. 2 MOP RE 832400 .670 4 1 LIN F$ 855407 .150 200 1 -T- REPL .500 HDW 0$ 89500:3 2 1 HDW 0$ 695103 2 1 I 1 UNI RE 010231 165 03 .270 6 1 1 1 UNI RE 020231. 165 01 .270 5 1 1 1 L)NI RE 1OB705 1 -460 30 .440 11 1 4 4 tJNI RE 010231 165 03 .270 3 1 4 4 UNI RE 0202 165 01 270 8 1 4 4 tJNI RE 1OB705 330 32 .440 11 1 4 4 UNI RE 300205 460 02 .540 2 1 5 5 UNI RE 114469 360 32 .390 11 1 6 6 UNI RE 010231 175 02 .270 5 1 6 6 UNI RE 020231 175 01 .270 6 1 6 6 UNI RE 1OB705 360 30 .440 11 1 7 7 UNI RE 020231 205 03 .270 1.1 1 7 7 UNI RE 1OB705 440 30 .440 11 1 7 7' UNI RE 300205 640 02 540 2 1. 8 8 UNI RE: 114469 360 30 .390 13 1 8 8 UNI RE 252407 580 02 .240 9 1 9 9 UNI RE 1OB705 320 3A. 440 1.1. 1 9 9 UNI RE 300205 460 02 .540 2 1 10 10 UNI RE 1OB705 440 30 .440 11 1 Form: L208 Rev. Date: 06/25/07 Rev: 002 I INVOICE NUMBER 082 0550724 REMIT TO: Un i l i r s t C O i p Cir a t i Q n INVOICE DATE 9/27/ 1 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) E30 9 566 I NDIANAPOL IS I N 46254 A/R NUMBER RTE# N2030 i a CUSTOMER CITY OF C; AR€"IIEL. UT I L,'I T I i PAYMENT AMOUNT 0820550724X Please Detach and Return With Payment OL Vol- UniFir5t CarpoTation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0132 0550724 9/ 1 27/10 CHARGE 450172 509566 1309566 CITY OF CARMEL UTILITIES9 6 CITY OF C:ARMEL Ul }LITIES9 9609. HAZEL. DELL PARKWAY 6 9609 HAZEL DELI_ PARKWAY 4 INDIANAPOLIS. IN 4628D 4 INDIANAPOLIS IN 46280 0 0, IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 31 RTE# N2030 �lYlll/W�7 JA'17 0011 11 BART CHAFLN '7. 26 5/09 r S. S. Sk-fIRT 65/;35 1 JEAN WRANGLER RELAX 11 a 0012 12 DENNIS RUSS 5.37 5/09 JEAN WRANGLER RELAX 11 a C:C:tVERALL 5135 I 0013 13 LONNIE PATTON 7.81 5/09 S. S. SHIRT--65/3S it Q JEAN CO3TON RIGGS C.A. 11 cc 0014, 14 ERIC ROBINSON 7.81 5/09 S S. SHIRT -6S/35 11 JEAN COTTON RIGGS CA 11 S 0015 15 KEVIN BUHMANN 7. 61 51C19 f r r 5. 5. SHIRT-65, 5 1 1 JEAN .COTTON RIGGS CA 11 rJQ16 16 RALPH GRUWELL 7.26 S /09 LS SHIRT- -6S/35 5. S: S. SHIRT- -65/35 6 JEAN—WRANGLER RELAX Ii 4 ?017 17 PETE BRENNAN 7,81 5/09 S. S. SHIRT-65 /35 11 JEAN COTTON R I GGS CA 11 0018 1F3 BOBBIE K1.NKEAD 7. ;31 5/09 LS SHIRT-65 /35 5.., S. S. SHIRT 65/35 6 1. J;FAN CO RIGGS CA- 11 1 C)C)19 .19 �",�+RA, I�UBIi I �H 5. Lit? 5109 WANT SCRUB 65/35 1 P 11 LAB COAT POLY /COTTON 4 SS SHIRT— SGRUB 65/35 11 00724 2O BRAD OLIV 5, 92, 5109 JEAN COTTON R IGGS C, 1 1 COVERAI:�L.° °65/35 2 0021 21 DALE RILEY 7. 81 5/09 S. S. SHIRT -65135 1 JEAN COTTON RIGGS CA it i Plc SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 NN 2 170 N2030 082 2 CONTRACT INVOICE PAYMENT TERMS 450172 550724 CHARGE 6/IS/14 809566 317!571 -2634 g CITY GE CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY 0 INDIANAPOLIS IN 46260 Geu Code: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Taal: .00 11 11 UNI RE 020231 155 01 .270 11 1 11 11 UNI RE 114469 320 30 .390 11 1 12 12 UNI RE 114469 360 30 .390 11 1 12 12 UNI RE 300205 520 02 .540 2 1 13 13 UNI RE 020231 175 03 .270 11 1 T.- 13 13 UNI RE 1OB705 360 34 .440 11 1 14 14 UNI RE 020231 15S 01 .270 11 14 14 UNI RE 1OB705 320 32 .440 11 1 15 15 UNI RE 020231 185 01 .270 11 1 15 15 UNI RE 10B705420 30 .440 11 16 16 UNI RE 010231 205 03 .270 5 1 16 16 UNI RE 020231 205 03 .270 6 1 16 16 UNI RE 114469 420 30 .390 11 1 17 17 UNI RE 020231 165 01 .270 11 1 17 17 UNI RE 1OB705 320 34 .440 11 1 18 18 UNI RE 010231 185 02 .27G 5 1 16 16 UNI RE 020231 165 01 .270 6 1 1S 16 UNI RE 1OD705 400 30 .440 11 1 19 19 UNI RE 127689 400 02 .220 11 1 19 19 UNI RE: 252407 460 02 .240 4 1 19 19 UNI RE 425489 15501 .220 11 '1 20 20 UNI RE 1013705 360 30 .440 11 1 20 20 UNI RE 300205 500 02 .540 2 1 21 21 UNI RE 020231 155 01 .270 11 1 21 21 UNI RE 1OB705 340 32 .440 11 1 Form: L208 Rev. Date: 06/25/07 Rev: 002 INVOICE NUMBER 032 OSS0724 REMIT TO: UniFirst Corporation INVOICE DATE 9/27/1 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 509566 INDIANAPOLIS IN 46254 S A/R NUMBER RTE# N2030 u CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT 0820550724X Please Detach and Return With Payment Ist Unifirst C'07- DratiOn PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 OSS0724 9/27/10 CHARGE: 450172 0 509566 D 509566 6 CITY OF CARMEL UTILiTIES9 6 CITY OF CARMEL UTILITIES9 Q 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY ry Q INDIANAPOLIS IN 46230 Q INDIANAPOLIS IN 46260 O O i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: "317/2 RTE# N2030 CL�?o Q CO G� 0 413 Lam' o CJuCIb G (T9, aP DEFE CHARGE 10.00 2 INVOICE SUB --TOTAL x111. 09 L O) TOTAL SERVICE CHANGES f r AMOUNT DUE n o b THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN 0 N SOIL PICK UP COUNT SH PT OT NO m PLEASE SEE YOUR ROUTEMAN REGARDING OUR RUBBER MAT PROMOTION!! S L L A. SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE Oe2 NN 2 170 N2030 082 3 CONTRACT INVOICE PAYMENT TERMS 450172 550724 CHARGE 6/15/14 809566 317/571 -2634 0 CITY OF CARMEL UTILIT'IES9 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46260 Geo Code: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Bal: .00 Cl� 11,J.'A1L1 "5"�t r, r c r t I? EEFX 10.000 NO EXTRA CHARGES FOR THE FIRST .2 YEARS NO DAMAGE FOR 24 MONTHS-113.71/SHIRT. 2'7. B8 /PAN'T PR Form: L208 Rev. Date: 06/25/07 Rev: 002 U��, Cm Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 0 |ww]|Ce DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 O550724 9/27/10 CHARGE 45O172 809S66 809.566 ca P T IP 9609 HAZEL DELL PARKWAY 1 9609 'HAZEL DELL PARKWAY INDIANAPOLIS IN 46230 INDIANAPOLIS IN 46280 |r YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293-5 0 26 RTE# N2030 18X18 WIPERS 7 8{> 5/09 REPLACE-18X18 WIPERS 5� 1,50 BAGGED 18X11 WIPERS 31 s/C`9 D REPLACE-BAGGED 18X18 W 19 5�7O HANDLE/FRAME /FRAME-24" 2 ----5/[>9 c. 24 1 7 1�!/O9 2 DRY MOP` 2 4 BARTWL-UNIF%RST FOL 1OQ 15�OO 3/10 46 REPLACE-BAR TWL-UNIFIR 8 4.00 .G� |L_ C��ER 2^ 6/09 o 8 COMPARTMENT LOCKEe 2 ----��/9 0001 1 GARY LAFOLLETTE S 7.81 5/09 LS SHIRT-155/3s 6 S.S� GHI�T-65/35 5 JEAN CQTTON RIgGS_CA �r OD04 4 BLAINE_MALLA8EP '6.89 5/O9 LS SHIRT_65/3S S. S. SHIRT-65/35 JEAN COTTON _RI6ASCA COVERALL. 65/35 2 O0 0 5 5 JEFF COOPER 4.29 5/09 JEAN-�RANgLER RELAX 0006 6 DAV TURNER 7 B1 G/09 LS SHIRT-65/35 5 G._S� SHIRT-65/35 6 JEAN COTTON RIQg� CA 1� L[L DDO7 7 CHRIS STU8BS 8.B9 5/O9 S. S. Si-b5/3�� ll JEAN. COTTON RIGQS CA 11_ COVERALL-65/35 nDQ� 8 DHVE DY� 7���� 5/ O9 JEAN-WRANGLER RELAX .13 LAB COAT^�OLy/COTTOM 9 �p ODO9 9 'JOE ETT _5. 92 5/09 JEAN COTTON RIGGS CA `zl COVERALL-65/35 2 �O1n 1D sCH1MMEL A.. 84, 5/09 JEAN COTTON RIggS CA ll �4 SERVICE HEREIN RENDERED IS PURSUANT T A WRITTEN CONTRACT CUSTOMER COPY WITH ow/FInar CORPORATION onuw/nnar HOLDINGS, INC. a a D PAGE UniFirst Corporation 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0547966 9/13/10 CHARGE 450172 p 809566 p 809566 0 CITY OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES9 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/ -5026 RTE# N2030 o ova ml agi) Em. I:.ISJ�7a.LLrUTA:.U.1 l".AY G.nJ.�� Vu uo Alu 1 ��U� VU uo op n t�:ALLb IaLSLb I 18X18 WIPERS 6.60 -5/09 �S REPLACE -18X18 WIPERS 5 1.50 BAGGED 18X18 WIPERS 12.00 S /09 t REPLACE- BAGGED IBX 18 W- 19 5.70 HANDLE /FRAME 24" 2 -5/09 T 24" DRY MOP 2 1.50 12/09 2 m II BAR TWL— UNIFIRST FOL 100 14.00 3/10 23 REPLACE --BAR TWL UNIFIR 8 4.00 SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 m• 0001 1 GARY LAFOLLETTE 7.15 5/09 LS SHIRT -65/35 6 I, I S. S. SHIRT--65 /3S S JEAN COTTON RIGGS CA- 11 0004 4 BLAINE MALLABER 8.15 5/09 LS SHIRT- -6S/35 3 S. S. SHIRT -6S /3S 8 JEAN COTTON RIGGS CA 11 I I COVERALL -65/35 2 0005 5 JEFF COOPER 3.96 S/09 JEAN WRANGLER RELAX 11 0006 6 DAVID TURNER 7.15 S/09 LS SHIRT -65/35 S S. S. SHIRT -6S/35 6 �I JEAN COTTON RIGGS CA 11 0007 7 CHRIS STUBBS B. 15 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA. 11 COVERALL -65/35 2 0008 6 DAVE DYE 6.66 S/09 1. }I� JEAN- WRANGLER RELAX 13 i LAB COAT— POLY /COTTON 9 0009 9 JOE FAUCETT 5.40 5/09 JEAN COTTON RIGGS CA it COVERALL -65/35 2 0010 -10 LARRY SCHIMMEL 4.40 5/09 JEAN COTTON RIGGS CA 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREB|LL PAGE 082 NN 2 170 N2030 082 1 CONTRACT |ww]|CE PAYMENT TERMS 4SO172 S47966 CHARGE 6/1S/14 Do 809566 317/S71-2634 V 9609 HAZEL DELL PARKWAY (D INDIANAPOLIS IN 462BO Aeo Code: 150970670 .00 Emblem Charge.: .gO Service Charge: .00 Cust PIA 8al: .00 WIP F$ 802107 .110 120 1 36 REPL .3OO WIP F$ 802310 480 1 20 REPL .3QO HDW O$ 814100 2 1 MOP RE 832400 .750 4 1 LIN F$ 855407 .140 200 1 REPL .5OD HDW O$ 895O03 2 1 HDW O$ 895103 2 1 1 1 UNI RE 010231 165 03 .25O 6 1 1 1 UNI RE 020231 165 01 .25O 5 1 1 1 UNI RE 1OB705 360 30 .400 11 1 4 4 UNI RE 010231 165 03 .250 3 1 4 4 UNI RE 020231 165 01 .250 8 1 4 4 UNI RE 1OB705 330 32 .400 11 1 4 4 UNI RE 300205 460 02 .500 2 1 5 5 UNI RE 114469 360 32 .360 11 l 6 6 UNI RE 010231 175 02 .250 5 1 6 6 UNI RE 020231 175 01 .25O 6 1 6 6 UNI RE 1OB705 360 30 .400 11 1 7 7 UNI RE 020231 205 03 .250 11 1 7 7 UNI RE 1OB705 440 30 .400 11 1 7 7 UNI RE 300205 640 02 .500 2 1 8 8 UNI RE 114469 360 30 .360 13 1 8 8 UNI RE 252407 580 02 .220 9 1 9 9 UNI RE 1O8705 320 34 .400 11 1 9 9 UNI RE 300205 460 02 .5OD 2 l 10 10 UNI RE 10B705 440 30 .400 11 1 Form: L208 Rev. Date: 06/25/07 Rev: 002 INVOICE NUMBER REMIT TO: INVOICE DATE 082 0547966 UniFirst Corporation CUSTOMER# (BILL TO) 9/ 13/10 4201 INDUSTRIAL BLVD A/R NUMBER 809566 INDIANAPOLIS IN 46254 RTE# N2030 ,A CUSTOMER CI OF CARMEL UT I L I T I PAYMENT AMOUNT ,a 8205479664 Please Detach and Return With Payment D UniFirst Corporation PAGE 002 U 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0547966 9/13/10 CHARGE 450172 809566 p 809566 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 :;9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY .E:I• INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030 arm. I wue 0011 11 BART CHAFIN 6.71 5./09 d• S. S. SHIRT -65/35 11 d JEAN- WRANGLER RELAX 11 0012 12 DENNIS RUSS 4.96 5/09 L JEAN— WRANGLER RELAX 11 COVERALL -65/35 2 0013 13 LONNIE PATTON 7. 15 5/09 o f S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA-- 11 g 0014 14 ERIC ROBINSON 7.15 5/09 N S. S. SHIRT -65/35 11 N JEAN COTTON RIGGS CA 11 0015 15 KEVIN BUHMANN 7.15 5/09 S. S. SHIRT -65/35 11 JEAN COTT014 RIGGS CA 11 0016 16 RALPH GRUWELL 6.71 5/09 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 i. 11I- JEAN- WRANGLER RELAX 11 o 0017 17 PETE BRENNAN 7.15 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 0 0018 18 ROBBIE KINKEAD 7.15' 5/09 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 0 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 SS SHIRT- -SCRUB 65/35 11 0020 20 BRAD OLIVER 5.40 5/09 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 00 21 2 1 DALE RILEY 7.15 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 L SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE GsOuemCs pnso|u' PAGE 082 |N 2 170 N2030 082 2 CONTRACT |wv0Cs PAYMENT TERMS 450172 547966 CHARGE 6/15/14 0 1309566 317/S71-2634 v 9609 HAZEL DELL PARKWAY (D INDIANAPOLIS IN 46260 Qeo Code: 150970670 .O0 Emblem Charge.: .00 Service Charge: -OO Cust PIA 8al: .00 11 11 UNI RE 020231 155 01 .250 11 1 11 11 UNI RE 114469 320 30 .360 11 1 12 12 UNI RE 114469 360 30 .360 11 1 12 12 UNI RE 300205 520 02 .500 2 1 13 13 UNI RE 020231 175 03 .250 11 1 13 13 UNI RE 1O8705 360 34 .400 11 1 14 14 UNI RE 020231 155 01 .250 11 1 14 14 UNI RE 1O8705 320 32 .400 11 1 15 15 UNI RE 020231 185 01 .250 11 1 15 15 UNI RE 1OB7{)5 420 30 .400 11 1' 16 16 UNI RE 010231 205 03 .250 5 1 16 16 UNI RE 02{}231 205 03 .250 6 1 16 16 UNI RE 114469 420 30 .360 11 1 17 17 UNI RE 020231 165 01 .250 11 1 17 17 UNI RE 1OB705 320 34 .400 11 1 18 18 UNI RE 010231 185 02 .250 5 1 16 18 UNI RE 020231 185 01 .250 6 1 18 18 UNI RE 1D8705 400 3{} .400 11 1 19 19 UNI RE 127689 400 02 .200 11 1 19 19 UNI RE 252407 460 02 .220 4 1 19 19 UNI RE 425489 155 01 .200 11 1 20 20 UNI RE 1OB705 360 30 .400 11 1 20 2{) UNI RE 300205 500 02 .5OO 2 1 21 21 UNI RE 020231 155 01 .250 11 1 21 21 UNI RE 10B705 340 32 .400 11 1 Form: L208 Rev. Date: 06/25mmm002 INVOICE NUMBER REMIT TO: INVOICE DATE OE32 0547966 UniFirst Corporat CUSTOMER# (BILL TO) 9/ 13/1 0 4201 INDUSTRIAL BLVD A/R NUMBER 909566 INDIANAPOLIS IN 46254 1A CUSTOMER RTE# 1N12030 CITY OF CARMEL,. UTILITI PAYMENT AMOUNT Plea se Detach and Return With Payment UniFirst Corporation PAGE 003 i m 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT Ogg 0547966 9113/10 CHARGE 450172 P 809S66 p 509566 -19609 CITY OF' CARMEL UTILITIES9 C OF CARMEL UTILITIES9 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOE....IS IN 46260 (D INDIANAPOLIS IN 46250 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317293 -5026 R I E N2030 'Qum IL DEFE CHARGE 9.00 2 w m INVOICE SUB -TOTAL 177.28 TOTAL SERVICE CHANGES AMOUNT DUE Cr i THIS IS YOUR ONLY INVCE— NET -30 —DAYS. PLEASE SI MAD N SOIL PICK UP COUNT SH PT OT NO Zo Zo Due to continued= unfavorable economic conditions over the past 12 months, we find it necessary to slightly adjust your pricing. This price adjustment will be effective with your next delivery: We I appreciate your understanding-of this and value your business. UniFirst is proud to have been selected as� your supplier and we remain committed to providing you the-best service in the industry. SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 NN 2 170 N2030 082 3 CONTRACT INVOICE PAYMENT TERMS 450172 547966 CHARGE 6/3.5/ 14 In a 609566 317/571 -2634 0 P CITY OF CARMEL UTILITIES9 4 960"? HAZEL DELL PARKWAY Q INDIANAPOLIS IN 46260 Geo Cade: 150970670 .00 Emblem Charge.: .00 Service Charge: .00 Gust PTA Bel: .00 FEF X 9.000 NO EXTRAS CHARGES FOR THE-FIRST 2 YEARS NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27. 88 /PANT PR OPEN INVOICE SUMMARY Denotes Invoice Past Due At Least 35 days. Invoice Invoice Date Number Amount B/02/10 539795 177.26 8/09/10 541173 199.26 6/16/10 542550 177.26 8/23/10 543900 199.2B 8/30/10 545255 177.28 9/06/10 546605 199,28 9/13/10 547966 177.28 Account Balance: 1,306.96 Past Due Balance: 177.2a Form: L208 Rev. Date: 08/25/07 Rev: 002 sa mm i m mii namw mw PAGE UniFirst Corporation 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0549350 9/20/10 CHARGE 450172 809566 809566 0 CITY OF CARMEL UTILITIES9 a CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY 4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 p O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -50 RTE# N2030 �o cm ca m C ago am= M= 11mmm mm 05v. QP U'I H MAT -3X5 U1ST GREAT I 2 S.00 5/09 2 MAT -4X6 U1ST GREAT I 5 18.75 5/09 5 18X18 WIPERS 7.80 5/09 N REPLACE- 18X1B' WIPERS 5 1.50 BAGGED 18X16 WIPERS 31.20 5/09 <o REPLACE BAGGED 18X18 W 19 5.70 HANDLE /FRAME 24" 2 5/09 o r 24" DRY MOP 2 1.74 12/09 2 c0 BAR TWL UNIFIRST FOL 100 15.00 3/10 58 cc 0 REPLACE -BAR TWL- UNIFIR_ 8 4.00 SOIL LOCKER 2 6/09 qw 8 COMPARTMENT LOCKER 2 6/09 0001 1 GARY LAFOLLETTE 7.81 5/09 LS SHIRT -65/35 6 S. S. SHIRT�65 /35 5 JEAN COTTON RIGGS CA 11 0004 4 BLAINE MALLABER 6.69 5/09 0 LS SHIRT -65/35 3 �.I I S. S. SHIRT -65/35 e JEAN COTTON RIGGS CA 11 0 COVERALL -65/35 2 0005 5 JEFF COOPER 4.29 5/09 JEAN WRANGLER RELAX 11 0 0006 6 DAVID TURNER 7.61 5/09 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 0 JEAN COTTON RIGGS CA 11 0007 7 CHRIS STUBBS 8.89 5/09 S. S. SHIRT -65/35 11 0 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 0006 B DAVE DYE 7.23 5/ 09 JEAN WRANGLER RELAX 13 LAB COAT POLY /COTTON 9 0009 9 JOE FAUCETT 5.92 5/09 0 JEAN COTTON RIGGS CA 11 COVERALL- -65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE GsOUEwCe PnEa|u' PAGE 082 NN 2 170 N2030 082 1 CONTRACT |wvO|Cs PAYMENT TERMS 450172 549350 CHARGE 6/15/14 00 (309566 317/571-2634 CITY OF CARMEL LITILITIES9 9609 HAZEL DELL PARKWAY G) INDIANAPOLIS IN 46280 geo Code: 150970670 .00 Emblem Charge.: .DO Service Charge: .00 Cust PIA 8al: .DO UTD Ff RN Qmu mmg ing Fe MAT RE 76AQ03 2.500 4 2 MAT RE 76AR03 3.750 10 2 WIP F$ 802107 .130 120 1 36 REPL .3OQ WIP F$ 802310 .130 480 1 153 REPL .3OQ HDW O$ 814100 2 1 MOP RE 832400 .670 4 1 LIN F$ 855407 ..150 200 1 REPL .5gD HDW O$ 895003 2 1 HDW O$ 895103 2 1 1 1 UNI RE 010231 165 03 .270 6 1 1 1 UNI RE 020231 165 01 .27O 5 1 1 1 UNI RE 1OB705 360 30 .440 11 1 4 4 UNI RE 010231 165 03 .270 3 1 4 4 UNI RE 020231 165 01 .270 IS 1 4 4 UNI RE 1O8705 330 32 .440 11 1 4 4 UNI RE 300205 460 02 .540 2 1 5 5 UNI RE 114469 360 32 .390 11 1 6 6 UNI RE 010231 175 02 .270 5 1 6 6 UNI RE 020231 175 01 .270 6 1 6 6 UNI RE 1O8705 360 30 .440 11 I 7 7 UNI RE 020231 205 03 .270 11 1 7 7 UNI RE 1OB70S 440 30 .440 11 1 7 7 UNI RE 300205 640 02 .540 2 1 8 B UNI RE 114469 360 30 .390 13 1 B 8 UNI RE 252407 580 02 .240 9 1 9 9 UNI RE 1OB705 320 34 .440 11 1 9 9 UNI RE 300205 460 02 .540 2 1 Form: L208 Rev. Date: 06/25/07 Rev: 002 A INVOICE NUMBER 082 0549350 REMIT TO: Un i F i r 5t Cor INVOICE DATE 9/20/10 4201 INDUSTR IAL' BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# N2030 A CUSTOMER CITY OF CARMEL UTILITI N PAYMENT AMOUNT 882�549350- Please Detach and Return With Payment UniFirst Cor poration PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER 'CONTRACT 082 0549350 9/20/10 CHARGE 4SO172 809566 809566 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 5026 RTE# N2030 F�El la�J�A -W 4LI�+E1.J` laY CN �m e, r 0010. 10 LARRY SCHIMMEL 4. 84 5/09 JEAN COTTON RIGGS CA 0011. 11 BART CHAPIN N y S. S. SHIRT- -65/35 11 JEAN— WRANGLER RELAX_ 11 <0 0012. 12 DENNIS .BUSS 5.37 5/09'. JEAN— WRANGLER RELAX 11 COVERALL- 65/35: _e.. 2 0013 ..13 LONNIE PATTON 7.81 5/09 n S. S. SHIRT -65135 11 .JEAN COTTON RIGGS CA 11 W .0014. 14 ERIC. ROBINSON 7.81 5/09 __.5. S. SHIRT -65/35 11, 4 f JEAN COTTON RIGGS CA .11 0 .0015 IS, KEVIN IIUHMANN 7.81 5/09 S. S. SHIRT 65/35 11 JEAN COTTON RIGGS CA .11 0 0016 16- RALPH GRUWELL _...7.26 5/09 LS SHIRT- 65/35 5 S_ S. SHIRT -65/35 61 0 JEAN— WRANGLER RELAX 11 0017. 17 PETE- BRENNAN 7.81 5/09 S_ S. SHIRT- 65/3.5. 11 .JEAN COTTON R CA 11 0018 16 ROBBIE KINKEAD 7,81 5/09 LS SHIRT-6S/35 5 S..S. SHIRT 65/.35 6, JEAN COTTON RIGGS CA 11. 0019 19. TARA RUBBISH S.80 5/09 0 PANT SCRUB 65/35 1 P 11 LAB COAT— POLY /COTTON 4 i.1. SS SHIRT —SCRUB 65/35 11 0 0020 20. BRAD :OLI 5, 92. 5/09 JEAN .COT_TON RIGGS CA 11 COVERALL- -65/35 2 .0021 21 DALE RILEY 7.81 5/09 S. S. SHIRT- 65/35 11: 0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE pREou' PAGE 082 NN 2 170 N2030 O82 2 CONTRACT |wv0ICs PAYMENT TERMS 450172 549350 CHARGE 6/15/14 DO 809566 317/S71-2634 V 9609 HAZEL DELL PARKWAY (D INDIANAPOLIS IN 46260 geo Code: 150970670 .0O Emblem Charge.: .DO Service Charge: .00 Cust PIA 8al: .QO 10 10 UNI RE 10870S 440 30 .440 11 1 11 11 UNI RE 020231 155 01 .270 11 1 11 11 UNI RE 114469 320 30 .39D 11 1 12 12 UNI RE 114469 360 38 .390 11 1 12 12 UNI RE 300205 520 02 .540 2 1 13 13 UNI RE 020231 175 03 .270 11 1 13 13 UNI RE 1Q8705 360 34 .440 11 1 14 14 UNI RE 020231 155 01 .270 11 1 14 14 UNI RE 1D8705 320 32 .44O 11 1 15 15 UNI RE 020231 185 01 11 1 15 15 UNI RE 1OB705 420 30 .440 11 1 16 16 UNI RE 010231 205 03 .270 5 1 16 16 UNI RE 020231 2{}5 03 .270 6 1 16 16 UNI RE 114489 420 30 .390 11 1 17 17 UNI RE 020231 165 01 .270 11 1 17 17 0N% RE 1OB705 320 .44O 11 1 18 18 UNI RE 010231 185 02 .270 5 1 18 18 UNI RE 020231 185 01 .270 6.1 18 16 UNI RE 1OB705 400 30 .440 11 1 19 19 UNI RE 127689 400 02 .220 11 1 19 19 UNI RE 252407 460 02 .240 4 1 19 19 UNX RE 425489 155 01 .220 11 1 20 20 UNI RE 108705 360 30 .440 11 1 20 20 UNI RE 300205 500 02 .540 2 1 21 21 UNI RE 020231 155 01 '270 11 t Form: ��Rev. Date: 06/25/07 Rev: 002 INVOICE NUMBER 092 0549350 RsM'rnl UniFirst Corporation INVOICE DATE 9/ 10 4201 INDUSTRIAL BL-VI} SuSTOMEn# (BILL TO) 809566 INDIANAPOLIS IN 46254 al RTE# N2038 CUSTOMER CITY OF CARMEL 8TILITI PAYMENT AMOUNT ���U�U��|O��UU�������i����| 0820549350- U�A������� Detach �g��� ����UU�� ��,f� Please �����«�x�v v and Return ���Uu n Payment UniFirst Corporation PAGE 003 4201 INDUSTRIAL 13LVD INDIANAPOLIS IN 46254 |mvo|CE o*Ts PAYMENT TERMS PURCHASE ORDER CONTRACT ^^�J 082 0549350 9/20/10 CHARGE 450172 809566 809566 0 9609 HAZEL DELL,PARKWAY 1 9609 HAZEL DELL PARKWAY V INDIANAPOLIS IN 46280 5? INDIANAPOLIS IN 46260 0 |p YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293_5026 RTE# N2030 U� c_�_z��__��c�_�������_ JEAN COTTON RIQGS CA 11 DEFE CHARGE., i0.00' INVOICE SUB-TOTAL 234.64 �0 TOTAL SERVICE CHANGES cc AMOUNT DUE THIS IS YOUR ONLv INVCE- NET3Q DAYS. -PLEASE SIGN SOIL PICK UP COUNT SH' PT 8T NO PLEASE SEE YOUR ROUTEMAN, REgAR8Im@ OUR RUBBER MAT PROMOTION!! Due to continued /mnfavorabls. economic conditions over.-the past 12 1 months, we find it necessary to slightly adjust your pricing .effective with this invoice' We appreciate your understanding of this N� and value your bus.iness. i]niF.irst is proud. to be your supplier and we r,emain committed to being number 1 in service. �N� usnvICs HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH ownnar CORPORATION onuw/F/nar HOLDINGS, INC. LOCATION ROUTE SEQUENCE PRsa|u' PAGE 082 NN 2 170 N2030 082 3 CONTRACT INVOICE PAYMENT TERMS 450172 549350 CHARGE 6/15/14 00 809566 317/571.-2634 CITY OF CARMEL UTILITIES9 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 geo Code: 150970670 .D0 Emblem Charge.: .00 Service Charge: .00 Cust PIA 8al: .00 ffm 9 9 a 0 F I U� M uwgmg IF I MM cm I (p I 1 9 9 i 1. 21 21 UNI RE 108705 340 32 .440 11 1 EEFX 10.000 NO EXTRA CHARGES FOR THE FIRST 2 YEARS NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27.88/PANT PR OPEN INVOICE SUMMARY Denotes Invoice Past Due At Least 35 days. Invoice Invoice Date Number Amount 8/02/10 539795 177.28 8/09/10 541173 199.28 8/16/10 542550 177.28 8/23/10 543900 199.28 6/30/10 545255 177.26 9/06/10 546605 199.28 9/13/10 547966 177.2B 9/20y10 549350 234.84 Account Balance: 1^541.80 Past Due Balance: 376.56 Form: L208 Rev. Date: 06/25/07 Rev: 002 VOUCHER 106449 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 102510 01- 7362 -05 $599.46 102510 01- 7362 -06 $704.52 Voucher Total $1,303.9$ 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 10/22/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 101221201( 102510 $1,303.98 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