180303 12/08/2009 o�_F4gM CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT; $226.90
INDIANAPOLIS IN 46254 CHECK NUMBER 180303
CHECK DATE: 1218!2009
DEPARTMENTi A CCOUNT PO N IN NUMBER AMOUNT DESCRIPTION
1047 4350600 490179 113.45 CLEANING SERVICES
1047 4350600 491571 113.45 CLEANING SERVICES
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i U Corporation 001
p 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46244
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
982 0490179 11/20/09 CHARGE 376554
667849 p 667649
fiMONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E 61235 CENTRAL PARK DRIVE E
CARMEL IN 46032 p CARMEL IN 4 6032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 -5026 RTE## K6060
G{3 iICP 1 1 M) C L� p 20.3
Clio a 6 i p� r4T� C7o
MAT-3X5 U 1 ST' S GREAT 6 9.90 4/ 07 6
MAT -4X6 UIST'S GREAT 27 74.25 4/07 27
!'SAT -3'X10 U1ST'S GREA 5 18.60 .4/07 5
DEFE CHARGE 10.80
INVOICE SUB —TOTAL 113,45
o
TOTAL SERVICE CHANGES
AMOUNT DUE.
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N
O
THIS IS YOUR ONLY INVCE— NET 30 BAYS. PLEASE SIG
SOIL PICK UP COUNT SH -PT OT N
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus /Swine Flu. UniFirst can help and you can get 20% off
PURELL service right nouj! Speak to your UniFirst Rep today.
NOV 2 4 2009 J
Mat
BY:. P.O. 0 P*rFi,
Bud l aw w
dine
Purchaser Date
Approval Date
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
OB2 KK 6 2S K6060 OB2 1
CONTRACT INVOICE PAYMENT TERMS
'3„76554 490179 CHARGE 6 /08 /12
a 667849 317/573 -5235
LaMDNDN CENTER @CENTRAL PAR
,4 1235 CENTRAL. PARK DRIVE E
O CARMEL IN 46032
Geo Cade: 150571510
Deposit Charge: .00
Emblem Charge.: DO
Service Charge: .00
Cust PIA Bal: .00
Gil G' l Cep P 4® 29 G 9 Gm 11 ajv
MAT RE 76AGO3 1:6SO 12 1
MAT RE 76AR03 2.750 5 1
MAT RE 76AS03 3.700 10 1
EF X 10.800
**See Terry when delivering #573 -5239 or cell 44
Form: L206 Rev. Date. 06/25/07 Rev: 002
UniFirst Carp' Oration 001
4201 INDUSTRIAL BLVD INDIANAPOLIS 54
|wvD|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
08 5 1571 11/27/09 CHARGE 376554
C3 667849 667849
1235 CENTRAL PARK DR E
:ARMEL IN 46032 1 ARMEL IN 46032
I F YOU HAV E QUEST —REG T I NVO I C E C 317/293-5026 RTE# K6060
MAT-3X5 U1ST'S GREAT 6 9.90 4/07 6
MAT-4X6 UIST'S GREAT 27 74.25 4/07 27
MAT-3X10 U1ST~S gREA 5 18.5Q 4/07 5
DEFE CHARGE 10.80
INVOICE SUB-TOTAL 113.45
a:�� TOTAL SERVICE CHANGES
AMOUNT DUE J�L-
THIS IS YOUR ONLY INVCE- NET 30 DAYS PLEASE SIG
SOIL PICK UP COUNT SH PT OT
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus/Smine Flu. UniFirst can help and you can get 20% off
PURELL service right nom} Speak to your UniFirst Rep today.
PmmNme
uu" 0�7 d U�
Budge
Line Des
Approval Date_Q.:����c7
SERVICE HEREIN RENDERED m PURSUANT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 KK -6 25 K6060 082 1
CONTRACT INVOICE PAYMENT TERMS
37 554 491571 CHARGE 6/08/12
a 667849 317/573 -5235
01d0N CENTER @CENTRAL PAR
235 CENTRAL PARK DRIVE E
ARMEL IN 46032
Geo Code: 150571510
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .00 I
05V wa g emg
MAT RE 76A003 1.650 12 1
MAT RE 76AR03 2.750 54 1
MAT, RE 76AS03 3.700 10 1
EEFX 10.600
*See Terry when delivering #573 -523' or cell 44
Form: L208 Rev. Date: 06/25/07 Rev: 002
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of brill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, fates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360025 UniFirst Corporation Date Due
4201 Industrial Blvd.
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/20/09 4900179 Mat cleaning 113.45
11/24/09 491571 Mat cleaning 113.45
Total 226.90
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
226.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 4900179 4350600 113.45 1 hereby certify that the attached invoice(s), or
1047 491571 4350600 113.45 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
3 -Dec 2009
r
Signature
226.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund