192722 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
0 CHECK AMOUNT: $397.95
CARMEL, INDIANA 46032 azoi INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 192722
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350600 555977 132.65 CLEANING SERVICES
1093 4350600 561705 132.65 CLEANING SERVICES
1093 4350600 564630 132.65 CLEANING SERVICES
D UniFirst C orporation PAGE 001
aff vow 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
Oat 0555977 10.22/10 CHARGE 376554
667549 p 667649
MONON CENTER @CENTRAL. PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 4 CARMEL IN 46032
Ir O O
i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 /2 93 5026 R f E# K606
MAT --3XS U1ST GREAT I 6 11.40 4/07 6
MAT--4X6 U1 ST GREAT 7 1 22 66.00 4/07 22
m! MAT -3X10 U1ST GREAT S 19.75 4/07 5
MAT- -3X 1 O U 1 ST GREAT 6 23.70 z-/10 6
L
m
a DEFE CHARGE 11.80
INVOICE SUB —TOTAL Z 13 -1 6S
o
cc
cr TOTAL SERVICE CHANGES
g
AMOUNT DUE
m
N
m� THIS IS YOUR ONLY INVCE— NET 30 BAYS. PLEASE SIG���
SOIL PICK UP COUNT SH PT OT NO
Purchase Q� Nov
Description I�17�
P.O. PorF�,
G.L.#
Budget
Gv�
Line Descr z/,�
Purchaser Date
Approval Date
0
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
_L WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
t UniFirst Corporation PAGE 001
4241 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
it r i 082 OSS61705 11/19/1.0 CHARGE 376554
Cl MCNON CENTER @CENTRAL PAR 0 MONON CENTER @CENTRAL PAR
p,1235 CENTRAL.. PARK DRIVE E N 1235 CENTRAL PARK DRIVE E
4 CARMEL. IN 46032 4 CARMEL. IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 1 7/293- C:
3 o cam E I o L�
MAT -4X6 U1ST GREAT I 22 66.00 4/07 22.
z MAT- 3X10 VIST GREAT 5 19.75 4/07 S
MAT -3X10 UIST GREAT 6 23.70 2/10 6
DEEE CHARGE 11.80
a
INVOICE SUB—TOTAL 132.65
TOTAL. SERVICE CHANGES
AMOUNT €7UE.
m
m
N
0
THIS IS YOUR ONLY INVCE-- NET DAYS. PLEASE 5I �I
SOIL PICK UP COUNT SH PT OT 0
Shop our Workurear Direct Cata log nDju and SAVE 203!# Ask your Route
Representative for Details.
C jVZ-
N ov f Purchase
L m �rt CA-en ij_i n(Sj
By. Description
P.O. P or f
�.L# 1 0793 �35ac
Budget
Line �ascr
Purchaser. rate
Approval Date y
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
UniFirst Corporation 001
PAGE
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4
0 82�_ V 8 5�, 46 -3 0 1 10 "C1016JERMS PURCHASE ORDER copgV
00 MONON CENTER RCENTRAL PAR 0 MONON CENTER TCENTRAL PAR
0 123 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
"'ARMEL IN 46032 CARMEL IN 46032
q-l7/2 RT-E* K6060
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: c?3
s7. F F [�Kll
ma ll 0m., I
Ell I
f
11AT uis"r GREAT 1 22 66,00 4/07 22
MAT-3X IO U I ST GREAT 5 19.7s 4/07 5
Vi
MAT-3X IO UIS4' GREAT 6 23,70 2/10 6
DEFF CHARGE 11.80
INVOICE SUB—TOTAL 132.65
ir
cc TOTAL SERVICE CHANGES
AMOUNT DUE
THIS IS YOUR ONLY INVCE-- NET 30 DAYS. PI-EASE SIGN
SOIL PICK UP COUNT SH PT ar NO
Shop our Workwear Direct Catalog now and SAVE 20%f Ask your Route
Representative for Detail
7 fZECE1V1E;D
tLL Purchase
DescriptionmC& DEC 6
P.O. Pore
G.L. (()C(3_ L 43 150 (000 113y:
Budget
Line Descr am
Purchaser U D ate
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
10/22/10 555977 Mat cleaning 132.65
11/19/10 561705 Mat cleaninq 132.65
12/3/10 564630 Mat cleaning 132.65
Total 397.95
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
20_
Clerk- Treasurer
Voucher No. Warrant No,
Allowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
397.95
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 555977 4350600 132.65 1 hereby certify that the attached invoice(s), or
1093 561705 4350600 132.65 bill(s) is (are) true and correct and that the
1093 564630 4350600 132.65 materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Dec 2010
pz"Iwem��
Signature
397.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund