164978 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
0 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $302.33
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 164978
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x047 4350100 408057 93.03 BUILDING REPAIRS MA
4 047 4350100 409396 104.65 BUILDING REPAIRS MA
1047 4350100 410694 104.65 BUILDING REPAIRS MA
PAGE
UniFirst Corporation 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
0 082 0409396 9/19/08 CHARGE 376554
r Y'
6 0 667849
r 667849
:.MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
1235 CENTRAL PARK DRIVE E 1235 CENTRAL. PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 -5026 RTE# D6050
OMMU Em. low,
x r
r
MAT- -3X5 U1ST'S GREAT 6 9.00 _4/07 6
z MAT -4X6 U1ST'S GREAT 27 68.85 4/07 27
N MAT -3X10 U1ST'S GREG 5 17.00 4/07 5
DEFT= CHARGE 9.80
INVOICE'SUB —TOTAL 104.65
SEP 2 9 2008
TOTAL SERVICE CHANGES
BY:
o AMOU DUE
m
THIS IS YOUR ONLY I NVC E-- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP .COUNT SH PT OT NO
For a limited time, there are BIG SAVINGS on any UniFirs t Mat Services
you add!! Ask your Route Representative for details ors which mats are
right for your business.
D ue to a combination of unfavorable economic conditions over the past
�l 12 months, we find it necessary to slightly adjust your pricing
effective with this invoice. We appreciate your understanding of this
and value your business. UniFi:rst is proud to be your supplier and we
m remain committed to being number 1 in service.
r' Ii
Purchase
P F
P.O. S
G.L A
Budget
y 7 Vne Descr
PunChaset R G�
ApprO
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIRRST CORPORATION OR UNIFIRST HOLDINGS, INC.
i G
LOCATION ROUTE SEQUENCE PREBILL PAGE i
082 D 6 5 D60SO 082 1 I+
CONTRACT INVOICE PAYMENT TERMS Eq
6/08/12 �A
p 667849 317/•'573 -5235
P MONON CENTER @CENTRAL PAR a
4 1235 CENTRAL PARK DRIVE E
O
CARMEL IN 4603-
Geo Code: 150571510 I
IC XVTED
Deposit Charge: .00 sip goo
Emblem Charge.: .00
Service Charge: 00
Cust PIA Dal: .00
q 0
MAT RE 76AGO3 1.S00 .12 1
MAT RE 76AR03 2.550 54 1
MAT RE 76AS03 3.400 10 1
EEFX 9.800
I
**See Terry when delivering #573 -5239 or cell 44
i
OPEN INVOICE SUMMARY
Denotes Invoice Past Due At Least 35 days. i
Invoice Invoice
Date Number Amount
8/08/08 401756 93.03
8/15/08 403000 93.03
8/22/08 404253 93.03
8/29/08 405490 93.03
9/05/08 406759 93.03
9/12/08 408057 93.03
9/19/08 409396 104.65
Account Balance: 6 2.
8
8 58 Rev. Date: 06/25/07 Rev: 002
Past Due Balance:
UniFirst Ca:rporation PAGE 001
420;1 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0408057 9/12/08 CHARGE 376554
fl 667849 D 667849
D MONON CENTER @CENTRAL PAR a_ MONON CENTER @CENTRAL PAR
P
1.235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 V, CARMEL IN 46032
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# :)6.50
um
�J F-W F G7 F Em.
CC i o Gib 0 =up @209 00vo
MAT -3X5 U15T'S GREAT 6 8.11 4/07 6
MAT -4X6 U1ST'S GREAT 27 61.78 4/07 27
d• MAT --3Xi0 U1ST'S GREG 5 15. 34 4/07 5
4p DEFE CHARGE 7. 80
INVOICE SUB- -TOTAL 93.03
0• TOTAL SERVICE CHANGES
�y I' AMOUNT DUE
0
N
0
0
THIS IS YOUR ONLY INVCE— NET 301DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
For a limited time, there are BIG SAVINGS on any UniFirst Ma t Se'vices
you add!! Ask your Route Representative for details on which, mats are
right for your business.
Due to a combination of unfavorable economic conditions over th past
12 months, we find it necessary to slightly adjust your pricing. This
price adjustment will be effective with your next delivery. We
appreciate your understanding of this and value your business.
UniFirst is proud to have been selected as your supplier and we remain
committed to providing you the best service in the industry.
Purlaae
S Description t k 01"'
PD. PD. i a IWO C
O.L N M
une or,
Budget
Pumhaw. o
We--L 0
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMERZOPY
r WITH UNIFI CORPO OR UNIFIRST HOLDINGS. INC.
I
LOCATION ROUTE SEQUENCE PREBILL PAGE p
082 10 6 5 1}6050 08,gr i 9
CONTRACT INVOICE PAYMENT TERMS
376554 405457 CHARGE. 6/ 08/12 I IA
p 667849 317/573 -5235
MONON CENTER @CENTRAL PAR 1B
1235 CENTRAL PARK DRIVE E
CARMEL IN 46032
I
Gea Cade: 1 5057 1 510
I
Deposit Charge: .00
Emblem Charge.: .00 I
Service Charge: .00
Cult PIA Bal. .00
IF
I
I
MAT RE 76AQ03 1.35 1.2 1
MAT RE 76AR03 2.288 54 1
MAT RE 76AS03 3,068 10 1
I
EEFX 7.600
I
i
*See Terry when delivering #573-5239 or cell 44
I
I I
ji
i
Form: L208 Rev. Date: 06/25/07 Rev: 002
I
�r
PAGE
UniFirst Corporation 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0410694 9/26/08 CHARGE 376554
O 667849 6 667849
p MONON CENTER @CENTRAL PAR a MONON CENTER @CENTRAL PAR
1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
p CARMEL IN 46032 CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 -5026 RTE# D6050
GTM r mmu =wu m� Cola �P
MAT -3X5 UIST'S GREAT 6 9.00 4/07 b
MAT -4X6 U1ST'S GREAT 27 66.85 4/07 27
MAT -3X10 U1ST'S GREA 5 17.00 4/07 5
Q
DEFE CHARGE 9.80
d
INVOICE SUB —TOTAL 104.65
TOTAL SERVICE CHANGES
o
m
N
O
THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
For a limited time, there are BIG SAVINGS on any UniFirst Mat Services
you add!! Ask your Route Representative for details on which mats are
right for your business.
Purchase
Description ,n C l n
6
r e,, P.O. 7(_D 0
I VD
fr1 G.L#
OCT 0 8 2008 Bud
Line Descr
Purchaser Date
A Date
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE II
082 D b 5 D6050 082 1
CONTRACT INVOICE PAYMENT TERMS I �0
6/08/12
0 667849 317/573 --5235 i B
I ,a
MONON CENTER @CENTRAL PAR I
4 1235 CENTRAL PARK DRIVE E
CARMEI IN 2-
I
Geo Code: 150571510
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00 BY. I'
Cust PIA t3al: 00, o� f
0
1
MAT RE 76AQ03 1: 500 12 1 I
MAT' RE 76AR03 2.550 54 1
MAT RE 76AS03 3.400 10 1
EEFX 9.800
J
**See Terry when delivering #573 -5239 or cell 44
OPEN INVOICE SUMMARY f
Denotes Invoice Past Due At Least 35 days.
Invoice Invoice
Date Number Amount
8108108 401756 93.03
8/15/08 403000 93.03 I.
8/22/08 404253 93.03
6/29/08 405490 93.03
9/05/08 406759 93.03 j
9/12/08 406057 93..03
9/19/06 409396 104.65
9/26/08 410694 104:65
Account Balance: 767.48
Past Due Balance: 186.06
i
Form: L208 Rev. Date: 06/25/07 Rev: 002 i
I I
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.
't
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 invoices) or bill(s)) Amount
9/12/08 408057 Walk off mats 93.03
9/19/08 409396 Walk off mats 104.65
104.65
9/26/08 410694 Walk off mats
Total 302.33
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
302.33
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1047 408057 4350100 93.03 1 hereby certify that the attached invoice(s), or
1047 409396 4350100 104.65 bill(s) is (are) true and correct and that the
1047 410694 4350100 104.65 materials or services itemized thereon for
which charge is made were ordered and
received except
6 -Oct 2008
Signature
302.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
s rx
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