HomeMy WebLinkAbout179453 11/11/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIA14A 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $616.82
INDIANAPOLIS IN 46254
CHECK NUMBER: 179453
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 0483246 113.45 CLEANING SERVICES
1047 4350600 0484633 113.45 CLEANING SERVICES
651 5023990 0485041 185.21 CONT SVS -OTHER
651 5023990 0486474 204.71 CONT SVS- OTHER -S PLAN
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4201 INDUSTRIAL BLVD INDIANAPOLIS
|mvO|Ce DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0483246 10/16/09 CHARGE 376554
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MAT-4X6 UlST'S GREAT 27 74.25 4/07 27
MAT-3X1O U1ST~S gREA 5 18. SO 4/07 5
m*~ DEFE CHARQE 1D 8O
INVOICE SUB-TOTAL 113.45
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PURELL service right nom! Speak to gour UniFirst Rep today.
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1 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
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08 o 4646331 10/213/0? CHARGE 376554
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P 1235 CENTRAL PARIS DRIVE E 6 1235 CENTRAL PARK DRIVE E
Q CARMEL IN 46032 4 CARMEL IN 46032
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MAT -3X5 U1ST'S GREAT 6 9.90 -_4/07 6
MAT-4X6 U1ST'S GREAT 27 74.. 25 -4/07 27
MAT -3XIO. U1ST'S GREA 5 18.50: _._4/07 5
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DEFE CHARGE 10.80
INVOICE SUB. TOTAL 113.45
m TOTAL SERVICE.CHANGES
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AMOUNT DUE I
m� THIS IS YOUR ONLY INVCE— NET 3.0 _D.AYS. PLEASE SIGN
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t the H1N1 virus /Swine Flu.._UniFirst ran help and you Can get.201 off
PURELL service right now! Speak to your UniFirst Rep...today.
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Line Desa .l 0 a- U r
Purchaser Date-
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SERVICE HEREIN RENDERED IS PURSUANT-TO A WRITTEN CONTRACT CUSTOMER COPY
WITH- UNIFRST 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
whom, rates 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
10/16/09 483246 Mat cleaning 113.45
10/23109 484633 Mat cleaning 113.45
Total 226.90
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
120—
Clerk Treasurer
Voucher No. Warrant No.
Allowed 20
360(J25 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 483246 4350600 113.45 1 hereby certify that the attached invoice(s), or
1047 484633 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
5 -Nov 2009
Signature
226.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
D may Un:iFirst Corporation PAGE 001
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4201 INDUSTRIAL BLVD INDIANAPOLIS III! 46254
I
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0486474 11/02/09 CHARGE 450172
b CITY OF CARREL UTILITIES9 CITY OF CARREL UTILITIES9
9609 HAZEL DELI_ PARKWAY Q 609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46284
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0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17 293 -5 2
3
FIAT -4X6 U1 ST'S GREAT 4 14. 00 5/09 4
v 18X18 WIPERS ___W__ 6. 60 5/09
REPLACE l8X1B WIPERS S 1.50
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24" DRY MOP 2 1. 5 0 S/09 2
o BAR TWL- UNIFIRST 16X 120 16.80 5/09 65
REPLACE --BAR TWL- UNIFIR 10 5.00
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT- 65/35 6
All S. S. SHIRT -65/35 5
JE AN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 6. 15 5/09
LS SHIRT 65/35- 3
S. S. SHIRT- -65/35 a
JEAN COTTON RIGGS CA it
COVERALL -6S/35 2
0005 5 JEFF COOPER 3. 5/09
r JEAN-WRANGLER RELAX 11
0006 6 DAVID TURNER 7.15 5/09
LS SHIRT--65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0407 7 CHRIS STUBBS 8. 15
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL-65/35 2
0008 B DAVE DYE 7.54 5/09
JEAN- WRANGLER RELAX 13
LAB COAT- POLY /COTTON 13
0009 9 JOE FAUCETT a. is 5/09
LS SHIR7- 65/35 6
S. S. SHIRT -65/35 5
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRSTCRPORATION OR UNIFIRST HOLDINGS, INC.
1
INVOICE NUMBER 082 0486474 REMIT TO: Un i F i r s t Corporation
INVOICE DATE 11/02/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) E309566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N20:30
CUSTOMER CITY OF CARMEL UTILITI
PAYMENT AMOUNT 08204864740
iB
Please Detach and Return With Payment
UniFirst Corporation PAGE 002
l�.ilC D t 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0486474 11/02/09 CHARGE 450172
03 CITY OF CARMEL_ UTILITIES9 0 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280
O O
i IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 c
COVERALL -65/35 2 2
z� 0010 10 LARRY SCHIMMEL 5. 90 5/09
S. S. SHIRT -65/35 6
r JEAN COTTON RIGGS CA 11
0011 11 BART CHAF"IN 6.71 S /09
m
S. S. SHIRT -65/35 11
JEAN— WRANGLER RELAX 11
o� 0012 12 DENNIS RUSS 4.96 5/09
JEAN WRANGLER RELAX 11
COVERALL- •65/35 2
0013 13 LONNIE PATTON 7.15 5/09
N S. S. SHIRT -65/35 11
0
JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7. 15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
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
�10 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
0016 16 ROBBIE KINKEAD 7.15 5/09
+e� LS SHIRT
5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT- POLY /COTTON 4
SS SHIRT—SCRUB 65/35 11
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
i WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
i
'INVOICE NUMBER 082 048644 REMITTO: UniFirst Corp OT- ati.an
INVOICE DATE 11/02/09 420 1 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 8 09566 INDIANAPOLIS IN 462S4
A/R NUMBER PTE# N2030
f CUSTOMER CITY OF CARREL UTILITI
PAYMENT AMOUNT 08204864740
1B
Please Detach and Return With Payment
UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
l�J�llI�S
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0486474 11/02/09 CHARGE 450172
CITY OF CARMEL UTILITIES9 0 CITY OF CARMEL UTIL.ITIES9
P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 r
7 Gd3 C Cp WE3
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0021 21 DALE RILEY 7.15 5/09
S. S. SHIRT -65/35 11
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JEAN COTTON RIGGS CA 11
DEFE CHARGE. 9.
d
INVOICE SUIT -TOTAL 204.71
0
TOTAL SERVICE CHANGES
or i
AMOUNT DUE
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THIS IS YOUR ONLY INVCE NET 30 BAYS. PLEASE SIGN
SOIL PICK UP COUN°f Sit P F CST NO
The CDC (Health Canada) recommends the use of PURELL to protect agains
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.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDWGS, 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 11/212009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 0486474 $204.71
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 096678 WARRANT ALLOWED
36,0025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
f ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0486474 01- 7362 -06 $204.71
Voucher Total $204.71
Cost distribution ledger classification if
claim paid under vehicle highway fund
UniFirst Corporation PAGE 001
lutlL6 C5 LJ 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0485041 10/26/09 CHARGE 450172
809566 S09566
W CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V INDIANlAPOLIS IN 46260 V INDIANAPOt -IS IN 46280
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL' 317/293 -5026 RTE# N2030
mdj mm I an= w-
R
ISX18 WIPERS 6.60 5/09
REPLACE- 19X1S WIPERS 5- 1. 50
z LAGGED 16XIB WIPERS 12.00 5/09
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imi a REPLACE— BAGGED 1SX16 A 19 S'70
HANDLE /FRAME 24" 2 5/09
a 24" DRY MOP 2 1.50 5/09 2
BAR TWL— UNIFIRST 16X 120 16.80 5/09 85
REPLACE TWL— UNIFIR 10 5. 00
s
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09.
0001 1 GARY LAFOLLETTE 7.15 5/49
o� LS SHIRT-- 65/35, 6
m
5. S. SHIRT -65/35 5
,JEAN! COTTON RIGGS CA 11
0004 4 BLAINE MALLABER m .6.15 5/09'
LS SHIRT-65/35 3
1 S. S. SHIRT -65/35 B
JEAN COTTON RIGGS CA 11
COVERALL- 65/35
0005 5 JEFF COOPER 3.96 5/09
JEAN WRANGLER RELAX 11
0006 6 DAVID TURNER 7. 15 5/09
LS, SHIRT -65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0007 7 CHRIS STUBBS S. 15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS GA 11
COVERALL- -65/35 2
Q0os 8 DAVE DYE 7.54 5/09
JEAN WRANGLER RELAX 13
LAB COAT —POLY /COTTON 13
0009 9 JOE FAUCETT 7. 15 5/49
L5 SHIRT -65/35 6
S. S. SHIRT -65/35 5
JEAN COTTON RIGG CA 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCAT ROUTE SsOUewos pHtu/u' pAse
082 NN 2 220 N2030 O82 1
CONTRACT INVOICE PAYMENT TERMS
45O172 485O41 CHARGE 6/15/14
co 809S66 317/571-2634
V 9609 HAZEL DELL PARKWAY
@INDIANAPOLIS IN 46260
Qeo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .OD
Cust PIA Bal: .00
WIP F$ 802107 .110 120 1 38
REPL .3OO
WIP F$ 802310 .050 480 1 139
REPL .3OD
HDW O$ 814100 2 1
MOP RE 832410 .750 4 1
LIN F$ 855405 .140 240 1
REPL .5OO
HDW O$ 895003 2 1
HDW O$ 895103 2.1
1 1 UNI RE 010231 165 03 .25D 6 1
1 1 UNI RE 020231 165 01 .250 5 1
1 1 UNI RE 1O8705 360 30 .400 11 1
4 4 UNI RE 010231 03 .250 3 1
4 4 �UNI RE 020231 165 01 .250 8 1
4 4 UNI RE 1O8705 330 32 .400 11 1
4 4 UNI RE 300205 460 02 .500 2 1
5 5 UNI RE 114469 360 32 .360 11 1
6 6 UNI RE 010231 175 02 .250 5 1
6 6 UNI RE 020231 175 01 .250 6 1
6 6 UNI RE 1D8705 360 30 .400 11 1
7 7 UNI RE 020231 205 01 .250 11 1
7 7 UNI RE 1O8705 440 30 .400 11 1
7 7 UNI RE 300205 640 02 .500 2 1
8 8 UNI RE 114469 360 30 .380 13 l
8 8 UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 .175 02 6 1
9 9 UNI RE 020231 175 01 .250 5 1
9 9 UNI RE 108705 320 34 .400 11 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
INVOICE NUMBER 082 0485041 REMIT TO: Un i F i r s t Corporation
INVOICE DATE 10/26/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
r AI CUSTOMER CITY OF CARMEL UTILITI 11111111111 JJ111 11111111111111111111 1111111111111
PAYMENT AMOUNT
,a
082 0485041W
Please Detach and Return With Payment
/7 O UniFirst Corporation PAGE 002
l�.i/UArUl�(5 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0485041 10/26/09 CHARGE 450172
a 809566 809566
0 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
P 9609 HAZEL. DELL PARKWAY a 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RT.E# N2030
ac= Eapa
U o I- P
0010 10 LARRY SCHIMMEL 5.90 5/09
a S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
N
0011 11 BART CHAFIN 6.71 5/09
S. S. SHIRT -65/35 11
a� JEAN— WRANGLER RELAX it
v
0012 12 DENNIS RUSS 4.96 5/09
JEAN— WRANGLER RELAX 11
�0 COVERALL -65/35 2
0 0013 13 LONNIE PATTON 7.15 5/09
S. S. SHIRT -65/35 11
o* JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
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
I JEAN— WRANGLER RELAX 11
0017 17 PETE BRENNAN 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0018 18 ROBBIE KINKEAD 7.15 5/09
LS SHIRT -65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT—POLY/COTTON 4
SS SHIRT —SCRUB 65/35 11
0020 20 BRAD OLIVER 5.40 .5/09
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH.UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 220 N2030 082 2
CONTRACT INVOICE PAYMENT TERMS
450172 485041 CHARGE 6/15/14
n 809566 317/571 -2634
p CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
Geo Cade: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .00
10 10 UNI RE 020231 195 01 250 6 1
10 10 UNI RE_ 10B705 440 30 ...400 11 1
11 11 UNI RE 020231 155 01 .250 11 1
11 11 UNI RE 114469 320 30 .360 11 1
12 12 UNI RE 114469 360 30 .360 11 1
12, 12 UNI RE 3002075 520 02 .500 2 1
13 13 UNI RE 020231 175 03 .250 11 1
13 13:. UNI RE 1OB705 360 34 .400 11 1.
14 14 UNI RE 020231 155 01 .250 11 1
14, 14 UNI RE 1OB705 320 32 .400 11 1
15 15 UNI RE 0203231 175 01 .250 11 1
15 15 UNI RE 108705 420 30 .400 11 1
16 16 UNI RE 010231.205 03 .250 5 1
16 16 UNI RE 020231 20S 03 .250 6 1
16 16 UNI RE 114469 420 30 .360 11.1
17 17 UNI RE 0202j1 165 01 .250 11 1
17 17 UNI RE 1OB705 320 34 .400 11 1
18 18 UNI RE 010231 185 02 .250 5 1
18 18 UNI RE 020231 185 01 .250 6 1
18 1S. UNI RE 1OB705 400 30 .400 11 1
19 19 UNI RE 127689 400 032 .200 11 1
19. 19 UNI RE 252407 460 02 220 4 1
19 19 UNI RE 425469 155 01 .200 11 1
20 20 UNI RE 1OB705 360 30 .400 11 1
20 20 UNI RE 3007205 500 02 .500 2 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
NVOICE NIUMBER 082 0485041 REMIT TO: I. n i i r st Corporation
INVOICE DATE 1 0/26/09 420 INDUSTRI BLVD
CUSTOMER# (BILL TO) E3U9 5J. 66 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER C ITY OF CARMEL UTILITI
PAYMENT AMOUNT
B Please Detach and Return With
Pa
D UniFirst Corporation PAGE 003
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4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
062 0465041 10/26/09 CHARGE 450172
a 609566 n 609 566
CITY OF CARMEL UTILITIES9 a C ITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY 1 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 17/293-5026 RTE## N2030
O
0021 21 DALE RILEY 7. 15. 5/09
S. S. SHIRT-65/35 11
v� JEAN COTTON RIGGS CA 11
N
DE>=E CHARGE 9.00
4
INVOICE SUB• -TOTAL 185.21
c TOTAL SERVICE CHANGES
AMOUNT DUE
M
N
O
O
THIS IS YOUR ONLY I NVC E- NET 30 DAYS. PLEASE SI
r i S PICK UP COUNT SH PT OT NO
The CDC (Health Canada) recommends the use of PURELL_ to protect again
t the H1N1. virus /Swine Flu. UniFirst can help and you. can get 20% off
PURELL service right now! Speak to your UniFirst Rep today.,
t
r
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. CUSTOMER COPY
LOCATION ROUTE SEQUENCE PHE BILL PAGE
082 NN 2 220 N2030 082 3
CONTRACT INVOICE PAYMENT TERMS
450172 485041 CHARGE 6/15/14
0
C1 809566 317/571 -2634
pCITY OF CARMEL UTILITIES9
9604 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
COM C am
P �i�il O G M
21 21 UNI RE 020231 155 01 .250 it 1
21 21 UNI RE 1OB705 340 32 .400 11 1
EEFX 9.000
NO EXTRA CHARGES FOR THE FIRST 2 YEARS
NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27. 68 /PANT PR
Form: L208 Rev. Date: 06/25/07 Rev: 002
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
'4
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 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 0485041 $185.21
Q
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 096655 WARRANT ALLOWED
3611025 IN SUM OF
UN CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
fl Carmel Wastewater Utility
U ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0485041 01- 7362 -05 $185.21
Voucher Total $185.21
Cost distribution ledger classification if
claim paid under vehicle highway fund