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158169 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $80.65 INDIANAPOLIS IN 46254 CHECK NUMBER: 158169 CHECK DATE: 4/1/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION 1047 4350100 376783 80.65 BUILDING REPAIRS MA f .t' UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 �j INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0376783 2/29/06 CHARGE 376554 F 667849 RTE# D6050 D 667849 MONON CENTER @CENTRAL PAR D MONON CENTER @CENTRAL PAR 1235 CENTRAL PARK DRIVE E 6.1235 CENTRAL PARK DRIVE E 4 CARMEL IN 46032 CARMEL IN 46032 II 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 31 7/293 5026 RTE# D6050 CQ o a MAT -3X5 U1ST`S GREAT 6 7.80 4/07 6 MAT -4X6 U1ST'S GREAT 23 50.60 _4/07 23 z MAT -3X10 U1ST'S GREA 5 14.75 N d DEFE CHARGE 7.50 r INVOICE SUB —TOTAL 80.65 TOTAL SERVICE CHANGES MAR_1 7 2008 AMOUNT DUE O I t THIS I S YOUR ONLY I NVCE— NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO T �3 5 91tiy 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 1 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. UniFirst Corporation Date Due 4201 Industrial Blvd. Indianapolis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/29/08 376783 Walk off mats 80.65 Total 80.65 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 oucher No. Warrant No. Allowed 20 UniFirst Corporation 4201 Industrial Blvd. Indianapolis, IN 46254 In Sum of 80.65 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1047 376783 4350100 80.65 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 27 -Mar 2008 Signature i 80.65 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund