180547 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $577.13
INDIANAPOLIS IN 46254 CHECK NUMBER: 180547
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CHECK DATE: 12/1612009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820490585 186.21 OTHER EXPENSES
651 5023990 0820491987 204.71 OTHER EXPENSES
651 5023990 0820493372 186.21 OTHER EXPENSES
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SEWER
INVOICE AMOUNT ACCOUNT
490585 186.21 7362.05
493372 186.21
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total 1 372.42
491987 204.71 7362.06
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0 r INVOICE NUMBER OE32 0493372 REMIT TO:
INVOICE DATE UniFirst Corporation
CUSTOMER# (BILL TO} 12/07/09 4201 INDUSTRIAL BI-VD
809566 I ND I A19APOL I S I 46254
AIR NUMBER
A CUSTOMER fi "f E# I C13C3
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0493372 12/07/09 CHARGE 450172
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p 'ITY OF CARMEL, UTILITIES9 a'IT'Y OF CARMEL UTILITIES9
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31 7 J293-5026 RTEi# N2030
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The CDC (Health Canada) recommends the use of PUREL.L. to protect agains
t the HINT virus/Swine F'lu. UT1-iFirst can he and Uou can-get 20% off
PURELL, service right now! Speak to your UniFirst Rep today.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
i �1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
INVOICE NUMBER REMIT T0:
INVOICE DATE 0493372 1T Cor
CUSTOMER# (BILL TO) 12/07/09 4201 INDUSTRIAL BLVD
A/R NUMBER 809566 INDIANAPOLIS IN 46
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4201 INDUSTRIAL. BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
OB2 0493372 12/07/09 CHARGE 450172
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020 20 BRAD OLIVER 5.40 5/09
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UniFirSt Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
042 0490585 11/23/09 CHARGE 450172
609566 D 809566
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTO COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 082 0490585 REMIT TO: UniFirst Corporation i
INVOICE DATE 11/23/09 4201 INDUSTRIAL BLVD
CuSTOwsp# (BILL TO) 809566 INDIANAPOLIS IN 48254
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/wvO|GsmUm8ER 082 0490585 nsM|TTO: UniFirst Corporation
INVOICE DATE 21/23/09 42Q1 INDUSTRIAL BLVD
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609566 809566
P9609 HAZEL DELL PARKWAY 149609 HAZEL DELL. PARKWAY
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0021 21 DALE RILEY 7� l� 5/09
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t the H1N1 virus/Swine Flu. UniFirst can help and you can get 20% off
PURB-L service right nom! Spe ak to your UniFirst Rep today.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
UniFirst Corporation 001
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0006 6 DAVID TURNER /.15 5 /O9
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I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
Ogg 0491987 UniFirst Corporation
wvQlc NUMBER 11 /30/09 REMIT T0: 4201 INDUSTRIAL BLVD
INVOICE DATE 809566 INDIANAPOLIS IN 46254
CUSTOMER# (BILL TO) RTE# N2030
A/R NUMBER CITY OF CARMEL UTILITI 11111111111111111111 Jill III lag
CUSTOMER 1i
PAYMENT AMOUNT 08204919875
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UniFirst Corporation 003
WLIIIII O 4201 INDUSTRIAL BLVD INDIANAPOLIS IN PAG 6254
082 NWT987 1 11WY09 CPAN TERMS PURCHASE ORDER C I T,
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ITY OF CARMEL UTILITIES9 ITY OF CARMEL UTILITIES9
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t the HIN1 virus /Swine Flu. UniFirst can help and you can get 20% off
PURELL service right now! Speak to your UniFirst Rep today.
i
I
X 4 1
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
082 0491987 UniFirst Corporation
i INVOICE NUMBER 11/30/09 REMIT TO: 4201 INDUSTRIAL BLVD
INVOICE DATE 809566 INDIANAPOLIS IN 46254
CUSTOMER# (BILL TO) RTE€fi N2030
A/R NUMBER CITY OF CARMEL UT I L I T I
CUSTOMER
PAYMENT AMOUNT 08204919875
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Please Detach and Return With Payment
UniFirst Corporation 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN
082 I MT987 11 /56Tk9 CH PWF TERMS PURCHASE ORDER qf�TU?i�
80c?566 e09566
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P NDIANAPOLIS IN 46280 4 NDIANAPOLIS IN 46280
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d 0010 10 LARRY SCHIMMEL 5.90 5/09
N S. S. SHIRT -65/35 6
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8i 0012 12 DENNIS RUSS 4.96 S/09
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m� 0014 14 ERIC ROBINSON 7. 15 S /09
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4,0015 15 KEVIN BUHMANN 7. 15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0016 16 RALPH GRUWELL 6.71 5/09
LS SHIRT -65/35 5
S. S. SHIRT -65/35 6
JEAN WRANGLER RELAX 11
0017 17 PETE BRENNAN 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
W0018 18 ROBBIE KINKEAD 7. 15 5/09
LS SHIRT -65/35 5
S. S. SHIRT -65/35 6
a JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
i PANT SCRUB 65/35 1 P 11
LAB COAT- POLY/COTTON 4
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i 0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
360025
UNIFIRST CORPORATION Purchase Order No.
4201 INDUSTRIAL BLVD Terms
INDIANAPOLIS, IN 46254 Due Date 12/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2009 121409 $577.13
(f
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
Date Officer
VOUCHER 096929 WARRANT ALLOWED
360025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
121409 01- 7362 -05 $372.42
121409 01- 7362 -06 $204.71
9
I�
Voucher Total $577.13
Cost distribution ledger classification if
claim paid under vehicle highway fund