193244 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
0 f ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $132.65
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
)o» Lo INDIANAPOLIS IN 46254 CHECK NUMBER: 193244
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AM OUNT DESCRIPTION
1093 4350600 566104 132.65 CLEANING SERVICES
Uni'Fi.rst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
1 f 082 0566104 12/10/10 CHARGE 376554
667849 66784"
Q MONON CENTER C- CENTRAL. PAP MONON CENTER @CENTRAL PAID
p 1235 CENTRAL_ PARK DRIVE E a 1235 CENTRAL PARIA, DRIVE E
4 C AR MEL. IN 46032 4 CAn MEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 1'7 /293 5026 RTE# K6060
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MAT —:3X5 U1ST GREAT 1 6 11. 40 4107 6
MAT-4X6 U1ST GREAT I 22 66.00 4/07 22
MAT- -:3X 10 V I ST GREAT 5 19. 75 4/07 S
MAT -3X1O UlST GREAT 6 23.70 2/1.0 6
DEFE CHARGE 11.80
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INVOICE SUB—TOTAL_ 13-1 65
a TOTAL SERVICE CHANGES
AMOUNT DUE
0 THIS 10 YO ONLY 1NVI E— NET 30 DAYS. PLEASE SI wN
SOIL PICK UP COUNT S PT OT 0
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Representative for Details.
Purchase
Description
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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
or note attached invoice(s) or bill(s)) PO Amount
Date Number
132.65
12/10/10 566104 Mat cleaning
M
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.
Allowed 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 INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1093 566104 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
16 -Dec 2010
U .�ia'lllit.B�
Signature
132.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund