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164560 10/14/2008 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $279.09 ?o CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 164560 CHECK DATE: 10/1412008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4350100 404253 93.03 BUILDING REPAIRS MA 1047 4350100 405490 93.03 BUILDING REPAIRS MA 1047 4350100 406759 93.03 BUILDING REPAIRS MA a jk tiro wl8 ta„ j o- a 91 6 tl x to UniFirst Corporation PAGE 001 D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0404253 8/22/08 CHARGE 376554 66 7849 D 667849 MGNON CENTER LCEN'T"RAL PAR 6 MONON CENTER @CENTRAL PAR 07.235 CENTRAL PARK-DRIVE E 6,1235 CENTRAL PARK DRIVE E Q CARMEL IN 4603 4 CARMEL IN 46032 0.1 Q IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293° RTE:# D6050 L13JIIo' ry o 0 0 Vuuot. o I rn U Vuuo' gyp MAT.-3X5 U1ST'S GREAT 6 8.11 4/07 6 MAT °4n6 U1ST' S GREAT 27 61.78 4/07 27 VIAT --3 '10 UIST'S GREA 5 15.34 4/07 5 N d L i DE'FE C 7.80 O Q INVOICE SUB —TOTAL 93.03 0 TOTAL. SERVICE CHANGES AMOUNT DU m� N f THIS IS YOUR ONLY I NVCE NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT 1•10 Purchase Description P.O. 710,0'5 F G.L Bud el LineDescr Purchaser �r'� t Date Approval Date 7 5 6 i S E P 0 3 2008 BY: SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY �l cT .(lgpOgATION OR_UNIFIRST HOLDINGS, INC. CLF��. i LOCATION ROUTE SEQUENCE PREBILL PAGE 082 D o 5 D6050 082 1 CONTRACT INVOICE PAYMENT TERMS M 376554 404253 CHARGE 6/08/12 I ,A xi y t �l 667849 317/573 --5235 P MONON CENTER @CENTRAL FAR I a x. 1235 CENTRAL. PARK DRIVE E CARMEL IN 46032 Geo Code: 150571510 Ro Deposit Charge: .00 Emblem Charge.: .00 i I Service Charge: .00 Cust PIA Bal: MAT RE 76AGO3 1.352 12 1 MAT RE 76AR03 2.288 54 1 MAT RE 76AS03 3.068 10 1 EEEK 7.800 h r I 1 **See Terry when delivering x#573•- -5239 or cell 44 OPEN INVOICE SUMMARY Denotes Invoice Past Due At Least 35 days. i Invoice Invoice Date Number Amount 1 7/11/08_ 396941 93.03 a 7/18/08 398136 93.03 7/25/08 399345 93.03 8/01/08 400540 93.03 8/08/08 401756 93.03 8/15/08 403000 93.03 6/22/08 404253 93.03 Account Balance: 651.21 Past Due Balance: 93.03 I l Form: L208 Rev. Date: 06/25/07 Rev: 002 �.g Wd uti W UniFirst Corporation PAGE 001 D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0405490 8/29/08 CHARGE 376554 667849 667849 D:MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E CARMEL IN 46032 CARMEL IN 46032 0 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE CAL: 317/293 -5026 RTE# D6050 6 Fmp n MAT -3X5 U1ST'S GREAT 6 8.11 4/07 6 MAT -4X6 U1ST'S GREAT 27 61.78 -4/07 27 MAT -3X10 U1ST'S GREA 5 15.34 4/07 5 N N N r. DEFE CHARGE 7.80 a� INVOICE SUB —TOTAL 93.03 TOTAL SERVICE CHANGES AMOUNT DUE THIS IS YOUR ONLY INVCE— NET 30-DAYS. PLEASE SIGN SOIL PICK UP COUNT SH -.PT OT NO I Purdme. C- P.O. l IS E 0 5 2008 ��e Budget Appll Date Q SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 D 6 5 D605 0 82 1 PAZ ro y' CONTRACT INVOICE PAYMENT TERMS s 376554 405490 CHARGE 6/06/12 10 �F 3 0 667849 317/573-5235 MONON CENTER @CENTRAL PAR 4 1235 CENTRAL PARK DRIVE E Q CARMEL IN 46032 Geo Code: 150571510 Deposit Charge: .00 Emblem Charge.: .00 AUK Service Charge. 00 �d�� Cust PIA Bal: r.w.. MAT RE 76A©O3 1.352 12 1 MAT RE 76AR03 2.288 54 1 MAT RE 76AS03 3.068 10 1 EEFX 7,800 -I;,; `i **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 7/11/08 396941 93.03 7/18/08 398136 93.03 7/25/08 399345 93.03 8/01 /08 400540 93.03 8/08/08 401756 93.03 8/15/08 403000 93.03 8/22/08 404253 93.03 8/29/08 405490 93.03 Account Balance: 744.24 Past Due Balance: 186.06 Form: L208 Rev. Date: 06/25/07 Rev: 002 i ma �f t -w r UniFirst Corporation J z4 PAGE 001 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0406759 9/05/08 CHARGE 376554 6 667649 a MONON CENTER @CENTRAL PAR 0 MONON CENTER @CENTRAL PAR p 2235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E CARMEL IN 46032 CARMEL IN 46032 4 a IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 /293 c� EE I 'JQ VUUO �8J4� o, MAT-4X6 UIST'S GREAT 27 61.78 4/07 27 z. MAT -3X10 U1ST'S GREG 5 15.34 4/07 5 r DEFE CHARGE 7.60 m INVOICE SUB —TOTAL 93.03 0 TOTAL SERVICE CHANGES f r 1 AMOUNT DUE N THIS IS YOUR ONLY INVCE° NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT N For a limited time, there are BIG SAVING'S on any UniFirst Mat Services you add!! Ask your Route Representative for detai'ls on which mats are O right for your business. 0 Purchase Description Mali P.O. P or F 0 G.L Budget Une escx Purchaser Date Approv i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE' 082 D 6 5 D6050 082 1 a= CONTRACT INVOICE PAYMENT TERMS 376554 406759 CHARGE 6/08/12 667£349 317 /573 -5235 r z e ye 1 i p. MONON CENTER @CENTRAL PAR P 1235 CENTRAL PARK DRIVE E Q CARMEL IN 46032 Oeo Code: 150571510 Deposit Charge: .00 RE <.s��'�r. I Emblem Charge.: .00 Service Charge: .00 SEA Cust PIA Bal: .00 13Y- MAT RE 76AR03 2.268 54 1 MAT RE 76AS03 3.068 10 1 EEEX 7.800 I r I II f J J r **See Terry when delivering #573 -5239 or cell 44 Form: L208 Rev. Date: 06/25/07 Rev: 002 1 1 I J 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 8122/08 404253 Walk off mats 93.03 8129108 405490 Walk off mats 93.03 9/5/08 406759 Walk off mats 93.03 Total 279.09 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 279.09 ON ACCOUNT OF APPROPRIATION FOR 104- Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 404253 4350100 93.03 1 hereby certify that the attached invoice(s), or 1047 405490 4350100 93.03 bill(s) is (are) true and correct and that the 1047 406759 4350100 93.03 materials or services itemized thereon for which charge is made were ordered and received except 15 -Sep 2008 Signature 279.09 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund