191875 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
0 ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $132.65
INDIANAPOLIS IN 46254
CHECK NUMBER: 191875
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350600 557412 132.65 CLEANING SERVICES
UniFi Corporation PAGE 001
1_� I' 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254"
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
OS2 0557412 10/29/ CHARGE 376554
667849 19 667849
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D 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# K6060
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MAT-3X5 U1ST GREAT I 6 11-40 4/ 6
k r" MAT -4X6 U1ST GREAT I 22 66.00 4/07 22
z MAT-3X10 U1ST GREAT S 19.7S 4/07 5
MAT-3X10 U1ST GREAT 6 23. 70 2/10 6
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DEF'E CHARGE 11.80
INVOICE SUB —TOTAL 132.65
TOTAL SERVICE CHANGES
o� AMOUNT DUE a
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THIS I S YOUR ONLY I NVCE— NET .3C} DAYS. PLEASE SIGN
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Representative for Details. "y
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Purchase
Description
P.O. PorF NOV 0 3 2010
G.L.
Budget
Lime Uescr BY:
Purchaser Date
Approval Date
SERVICE HEREIN 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
10/29/10 557412 Mat cleaning 132.65
Total 132.65
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
20
Clerk- Treasurer
Voucher No. Warrant No.
Ailowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
132.65
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept
INVOICE NO. ACCT #(T1TLE AMOUNT
1093 557412 4350600 132.65 1 hereby certify that the attached invoice(s), or
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
4 -Nov 2010
Signature
132.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund