163992 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
\y f ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $186.06
INDIANAPOLIS IN 46254
CHECK NUMBER: 163992
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350100 401756 93.03 BUILDING REPAIRS MA
1047 4350100 403000 93.03 BUILDING REPAIRS MA
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UniF irst Corporation PAGE 001
I a 4201 I NDUSTEd I AL t3t_'d'G INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0401756 8/08/08 CHARGE: 376554
667549 w 667649
r MONON CENTER @CENTRAL PAR 0; MONON CENTER @CENTRAL_ PAR
1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 4 C,ARMEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 /293 -5026 RTE# D6050
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MA'T- .3X5 U1ST'S GRE=AT 6 S. 111 -4/07 6
MAT -4x6 UiST'S GREAT 27 61. 78 4/07 27
v MA'T -3XIO U1ST`S GREA 5 15. 34 ____.._..4/07 5
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r DEFE CHARGE 7.80
INVOICE SUB-TOTAL 93.03
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TOTAL_ SERVICE CHANGES
S AMOUNT SLUE
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co THIS IS YOUR ONLY I NVC E NET 30.- DAYS. PLEASE SIGN r
SOIL_ PICK UP COUNT SH PT OT NO
I V A UG 200
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
j �j WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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LOCATION ROUTE SEQUENCE PREBILL PAGE !I
082 D 6 5 D6050 082 1
CONTRACT INVOICE PAYMENT TERMS
37655/4• 401756 CHARGE 6/08/12
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a 667849 317 573 -52;35
p MONON CENTER eCENTRAL PAR B
4 1235 CENTRAL PARK DRIVE E
Q CARMEL IN 46032] i
eo Cade: 1505 71510
CEIVE j
Deposit Charge: .00
Emblem Charge.: .00 �1UV 2008
Service Charge: .00
Cust PIA Bal: .00
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MAT RE 76AQ03 1.352 12 1
MAT RE 76AR03 2.288 54 1
MAT RE 76AS03 3.068 10 1
EEFX 7.800
Purchase i
Descriptkm
P.O.S
G.L j
Budget
Line Dow
Purchaser Date
Approval Date `5 1
*See Terry when delivering #573- -52 or cell 44
OPEN INVOICE SUMMARY j
Denotes Invoice Past Due At Least 35 days.
Invoice Invoice
Date Number Amount
11/23/07 363291 66.56—
7/04/08 395769 66.56
7/11 /08 396941 93.03 j
7/18/08 398136 93.03 I f
7/25/08 399345 93.03
8/01/OB 400540 93.03 I'
8/08/08 401756 93.03. i
Account Valance: 465.15 I
Past Due Balance:
Form: L208 Rev. Date: 06/25/07 Rev:
PAGE
UniFirst Corporation 001
la 42O1 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
|mvO|CE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0403000 8/15/08 CHARGE 376554
667849 667849
lb
1235 CENTRAL PARK DRIVE E 1235 CEN RAL PARK DRIVE E
�vOu*xvs�OUsGT0wnsG�RD|wGTn|S|mv0�s C���
317/293-5O26 RTE# D6050
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MAT-3X5 U1ST'S GREAT 6 8.11 4/07 6
MAT-4X6 U18T'S GREAT 27 61.78 -'----4/O7 27
MAT-3X1O U1ST'S gREA 5 15.34 --4/O7 5
DEFE CHARGE 7.80
INVOICE 8U8-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
U�
w.
AUG 2 0 2008
VICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT
CUSTOMER COPY
UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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11491
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LOCAT ROUTE asOuEwCE PRsou' PAGE
082 D 6 5 D6050 082 1
CONTRACT |wvo|cs PAYMENT TERMS
376554 403000 CHARGE 6/08/12 �"vi
MONON CENTER PAR
1235 CENTRAL PARK DRIVE E
0, CARMEL IN 46032
geo Code: 15O571510
AUIQ 152008
Deposit Charge: .00
Emblem Charge.: OO
Service Charge:
Cust PIA 8al: .00
MAT RE 76AQ03 1.352 12 1
MAT RE 76AR03 2. 288 54 1
MAT RE 76AS03 3.068 10 1
EEFX 7.80DO
Ptuchaw
1
.`wp,~.
P.O'
%L#
Budget
**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
11/23/07 363291 66�56—
7/04/08 395769 66.56
7/11/08 396941 93.O3
7/18/08 398136 93.03
7/25/08 399345 93,03
8/01108 400540 93O3
8/08/08 401756 93.03
8/15/08 403000 93.Q3
Account Balance: 558.18
Past Due Balance: 66.56
runn L20 Rev. oawoo2ojw°�.�"
._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
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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
8/8/08 401756 Walk off mats 93.03
8/15/08 403000 Walk off mats 93.03
Total 186.06
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
186.06
ON ACCOUNT OF APPROPRIATION FOR
'104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 401756 4350100 93.03 1 hereby certify that the attached invoice(s), or
1047 403000 4350100 93.03 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
i.
29 -Aug 2008
Signature
186.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund