192569 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $1,384.65
x' 4 ,0 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 192569
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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INVOICE NUMBER 082 0563587 REMIT T0: U n i F i r s t Corp
INVOICE DATE 11/29/10 4201 INDUSTRIAL BLVD
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INVOICE NUMBER 082 0563587 REMIT TO: UniFirst Corporat
INVOICE DATE 11/2 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809 566 RTE# N2030 INDIANAPOLIS IN 46254
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INVOICE NUMBER 082 0560672 REMITTO: Unilr Corporation
1�4 INVOICE DATE 11/15/10 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254
IN A/R NUMBER RTE N2030
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UniFirst Corporation PAGE 003
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Representative for Details.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIrIRST HOLDINGS, INC.
INVOICE NUMBER 082 0559229 REMITTO: Un iFi r st C or p orat i o n
INVOICE DATE
11/08 /10 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 609566 INDIANAPOLIS IN 46254
A/R NUMBER RTEi# N2030
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PAYMENT AMOUNT 0820559229%
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082 0559229 11 /08/10 CHARGE 450172
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INVOICE NUMBER 082 0559229 REMIT TO: Un i F i r s t Corporation
ii /08/10 4201 INDUSTRIAL BLVD
f INVOICE DATE
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
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PAYMENT AMOUNT 0820559229%
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D UniFirst Carpor-ation PAGE 00:3
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
032 05,56376 10 CHARGE 450172
809866 809566
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11 1
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
l WfTH UNIFIRST CORPORATION OIL UNIFIRST HOLDINGS, INC.
VOUCHER 106673 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
120610 01- 7362 -05 $656.70
120610 01- 7362 -06 $727.95
Voucher Total $1,384.65
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 12/212010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2010 120610 $1,384.65
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
Date Officer