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165467 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $107.45 CARMEL, INDIANA 46032 .4201 INDUSTRIAL BLVD o INDIANAPOLIS IN 46254 CHECK NUMBER: 165467 CHECK DATE: 10/29/2008 DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4350100 411987 107.45 BUILDING REPAIRS MA i 9- p r UniFirst Corporation PAGE O01 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 m� INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0411987 10/03/08 CHARGE 376554 667849 D 667849 LONON CENTER @CENTRAL PAR O MONON CENTER @CENTRAL PAR P123S CENTRAL PARK DRIVE E a�1235 CENTRAL PARK DRIVE E vCARMEL IN 46032 cuCARMEL IN 46032 0 17/293-5 6 9�OO 4/O7 6 MAT-3X5 U1ST'S GREAT 8 MAT-4X6 U1ST^S GREAT 27 �8�85 4/07 27 0 MAT_3X10 V1ST ^S GREA 5 17.00 4/07 5 FINANCE CHARGE 2.80 DEFE CHARGE 9� 8O INVOICE SUB-TOTAL 1O7 45 o o TOTAL SERVICE CHANGES i H AMOUNT DUE THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO For a l` mited time, there are Ig SAVINGS on any UniFirst Mat Services you 'add!'! Ask your Rnute Reprmsentat_ ive for details on which mats are right for your business. Purchase Description IT P.O'# F Gl' OCT 2 1 2008 Budqet Line Des FBYX7- Approval SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOM WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 D 6 5 D6050 082 f CONTRACT INVOICE PAYMENT TERMS 376554 411987 CHARGE 6/08/12 q 667849 317/573 -5235 GMONON CENTER @CENTRAL PAR 1235 CENTRAL PARK DRIVE E VCARMEL IN 46032 Geo Code: 150571510 C IVED OCT 16 2008 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Bal: .00 U °o OSED MAT RE 76A ©03 1.500 12 1 MAT RE 76AR03 2.5S0 54 1 MAT RE 76AS03 3.400 10 1 FINC 2. 800 EEF X 9.800 **See Terry when delivering #573 -5239 or cell 44 OPEN INVOICE SUMMARY Denotes Invoice Past Due At Least 35 days. Invoice Invoice Date Number Amount 8/22/08 404253 93.03 8/29/06 405490 93.03 9/05/08 406759 93.03 9/12/08 408057 93.03 9/19/03 409396 104.6S 9/26/08 410694 104.65 10/03/08 411981 107.45 Ac Balance: 688. 87 Past Due Balance: 93.03 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. 17605 P 360025 UniFirst Corporation Date Due 4201 Industrial Blvd. Indianapolis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/08 411987 Walk off mats 107.45 Total 107.45 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 107.45 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 411987, 4350100 107.45 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 22 -Oct 2008 Signature 107.45 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund