192278 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $265.30
INDIANAPOLIS IN 46254
CHECK NUMBER: 192278
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350600 558825 132.65 CLEANING SERVICES
1093 4350600 560287 132.65 CLEANING SERVICES
UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 OS58825 11/05/10 CHARGE 376554
667849 Q 667849
P 123S CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
IF YOU HAVE AUusST0m REGARDING THIS INVOICE, CALL: 317/293-5026 RTE# M6080
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MAT-3X5 U1ST GREAT I 6 11.40 4/07 6
MAT-4X6 O1ST GREAT I 22 66.00 4/07 22.
MAT-3X10 U18T GREAT 5 19.75 4/07 5
MA7-3X10 UlST GREAT 6 23.7{} 2/10 6
DEFE CHARGE 11.80
E INVOICE SUB-TOTAL 132.65
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TOTAL SERVICE CHANGES z e6
0 AMOUNT DUE
THIS IS YOUR ONLY INVCE- NET _36 PLEASE
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Representative for Details.
NOV 0 �0�O BV
Purchase
Description
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Purchaser
Date----
Approval
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SERVICE HEREIN RENDERED /u PURSUANT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
UriFirst Corporation LIS'
4201 INDUSTRIAL BLVD INDIANAPO F-F
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
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0132 OS60287 11/12/1.0 CHARGE 3765S4
Q 667549 d 667549
MONON CENTER CCENTRAL. PAP, 6 MONON CENTER OCENTRAL PAR
P 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEi.... IN 460'32
4 0 Q O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# K6060
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L'.l1�Up U.A_AJLb VU Up 4 �+�-m V�.11., l'Ar
MAT -3X5 U1ST GREAT I 6 11.40 4107 6
MAT -4X6 U1ST GREAT I 22 66.00 4/07 22
v0 MAT -3XIO U1ST GREAT 5 19.75 4107 5
MAT -3X10 U1ST GREAT 6 23.70 2/ ID 6
a DEFE CHARGE 11. f3Ct
INVOICE SUP TOTAL.. 1'32 65
0
TOTAL SERVICE CHAINGEIG
o
m AMi".IUN "f DUE o
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THIS IS YOUR O NLY I NVCE NET 30 DAYS. PLEASE SIG
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Representative for Details
0
11' Purchase
Description
P.O. P dif
G.L.
Budget
Line Descr i!
Purchaser Hate
Approval Date
f I
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
1115110 558825 Mat cleaning 132.65
11/12/10 560287 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
1 20
Clerk- Treasurer
Voucher No. Warrant No,
Allowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
265.30
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 558825 4350600 132.65 1 hereby certify that the attached invoice(s), or
1093 560287 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
18 -Nov 2010
Signature
265.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund