HomeMy WebLinkAbout179877 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $731.27
INDIANAPOLIS IN 46254 CHECK NUMBER: 179877
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 486052 113.45 CLEANING SERVICES
1047 4350600 487438 113.45 CLEANING SERVICES
651 5023990 487843 186.21 OTHER EXPENSES
y1047 4350600 488820 1.13.45 CLEANING SERVICES
651 5023990 489224 204.71 OTHER EXPENSES
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UniFirst Corporation 001
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4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0486052 10/30/09 CHARGE 376554
6671349 p 667849
p !"IONON CENTER QCENTRAL, -PAR d MONON CENTER OCENTRAL PAR
1235 CENTRAL PARIS DRIVE E 1235 CENTRAL PARE. DRIVE E
CARMEL IN 46032 CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
357/293 -5026 RTE# 16060
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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 16.50 4/07 5
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DEFE CHARGE 10.80
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INVOICE SUB -TOTAL 113.45
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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 now! Speak to your UniFirst Rep today.
Purchase
Description 0 2009
P.O. orF
.O.#
VO A D
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Budget
line D escr
Purchaser Date haser Date,
Approval
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
—_W PAGE
UniFirst Corporation 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE pxvMEmTTsnmS PURCHASE ORDER CONTRACT
082 0487438 11/06/09 CHARGE 376554
667849 0 667849
V 1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
(D CARMEL IN 46032 CARMEL IN 46032
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317/293-5026 RTE# K6060
MAT-3X5 U1ST'S GREAT 6 9.90 4/07 6
MAT-4X6 U1ST~S GREAT 27 74.25 4/07 27
m MAT-3X10 U1ST'S GREA 5 18.50 4/07 5
80
DEFE CHARGE 1O
INVOICE SUB--TOTAL 113.45
TOTAL SERVICE CHANGES
AMOUNT DUE 113. '417
8
co
THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE
SOIL PICK UP COUNT SH P T OT
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 nom! Speak to your UniFirst Rep todag
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UniFirst Corporation PAGE 001
D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
OBE' 0488820 11/13/09 CHARGE 376554
Q 667849 a: 6+7849
0 MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
p 1235 CENTRAL PARK DRIVE E 4 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 4 CARMEL IN 46032
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IF YOU HAVE A OUESTION REGARDING THIS INVOICE, CALL: 317/293--5026 RTE# K6060
qty Gd3 1 0
MAT 3X5 U1ST GREAT 6 9.90 4/07 6
MAT-4X6 U1ST'S GREAT 27• 74.25 4/07 27
N MAT -3X10 U1ST'S GREA 5 18.50 -4/07 5
1 DEFE CHARGE 10-80
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INVOICE SUB—TOTAL 113,45
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TOTAL SERVICE CHANGES
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AMOUNT DOE
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p
THIS IS YOUR ONLY I NVCE NET 30--DAYS. PLEASE SS I (i
SOIL PICK UP COUNT SH PT OT
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 new! Speak to your UniFirst Rep today.
41 Nov 1 7 2009
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
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
10/30/09 486052 Mat cleaning 113.45
11/6/09 487438 Mat cleaning 113,45
11/13/09 488820 at cleaning 113.45
Total 340.35
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
340.35
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 486052 4350600 113.45 i hereby certify that the attached invoice(s), or
1047 487438 4350600 113.45 bill(s) is (are) true and correct and that the
1047 488820 4350600 113.45 materials or services itemized thereon for
which charge is made were ordered and
received except
19 -Nov 2009
V2
Signature
340.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
0 INVOICE NUMBER 082 0489224 REMIT TO: Un i F i r s t Corp
INVOICE DATE 11/16/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
ft A/R NUMBER RTE# N2030
riQI CUSTOMER CITY OF CARMEL UTILITI
PAYMENT AMOUNT
11820489224*
1B
Please Detach and Return With Payment
VniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0489224 11/16/09 CHARGE 450172
809566 809566
p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
P 96079 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46260 Q INDIANAPOLIS IN 462801
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 -5026 RTE# N2030
mm ��yy�� ��y�yyyy��j f�� fnnl T�T
•0020 207 BRAD OLIVER 5.40 .5/09
JEAN COTTON R IGGS CA._ 11
COVERALL -65/35 2.
0021 21 DALE RILEY 7. 15 5/09
m S, S. SHIRT -65/35 11
a JEAN COTTON R I GGS CA 11
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DEFE CHARGE 9. 00
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y INVOICE SUB -TOTAL 237.71
o� TOTAL SERVICE CHANGES
0 L1
AMOUNT DUE t- OT'°R"G Am QK:w THIS IS YOUR ONLY INVCE- NET -30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus /Swine Flu. UniF'irst can help and you can get 20% off
PURELL service right now! Speak to- your U€aiFi.rst Rep today.
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE SEQUENCE PRsou' PAGE
08V NN 2 220 N2030 O82 3
CONTRACT INVOICE PAYMENT TERMS
450.172 489224 CHARGE 6/15/14
00 809S66 317/571-2634
,"..CITY OF CARMEL UTILITIES9
(DI 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46260
geo Code: 150970670
Deposit Charge: .QQ
Emblem Charge.: .OD
Service Charge: .QO
Cust PIA 8al: .00
20 20 UNI RE 1O8705 360 30 .400 11 1
20 20 UNI 8E 300205 500 02 .500 2 1
21 21 UNI RE 020231 155 01 .25O 11 1
21 21 UNI RE 1{]8705 340 32 .400 11 1
EEF% 9.000
NO EXTRA CHARGES FOR THE FIRST 2 YEARS
NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27.88/PANT PR
ponn L2oo Rev. Date: oo/2smr Rev: m2
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D UniFirst Corporation PAGE 001
l��lllilltll�l5 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0489224 11/16/09 CHARGE 450172
a 809566 0 809566
0 CITY OF CARMEL UTILITIES9 O, CITY OF CARMEL UTILITIES9
D 9609 HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O C^O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 -5026 RTE# N2030
MAT -3X5 U1ST'S GREAT 2 4.50 ._5/09 2
MAT -4X6 U1ST'S GREAT 4 14.00 5/09 4
18X18 WIPERS 6.60 5/09
N
REPLACE -18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
a� REPLACE BAGGED 18X18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
o� 24" DRY MOP 2 1.50 5/09 2
BAR TWL UNIFIRST 16X 120 16.80 5/09 82
o, REPLACE —BAR TWL— UNIFIR 10 5.00
r SOIL LOCKER 2 6/09
m
8 COMPARTMENT LOCKER 2 6/09
g 0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 8.15 5/Q9
LS SHIRT -65/35 3
S. S. SHIRT -65/35 B
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
j 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 8.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL 65/35 2
0006 6 DAVE DYE 7.54 S/09
JEAN WRANGLER RELAX 13
LAB COAT POLY /COTTON 13
L 0009 9 JOE FAUCETT 8. 1S 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE GsOUsmCs PnEo|LL pxGs
O89 NN 2 220 N2030 082 1
CONTRACT INVOICE PAYMENT TERMS
450172 489224 CHARGE 6/15/14
03 809S66 317/571-2634
CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
geo Code: 150970870
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .DD
�flj nmc�� F opp In EMM
MAT RE 76AQO3 2.250 4 2
MAT RE.76AR03 3.500 B 2
WIP F$ 802107 .110 120 1 38
RE9L .3QD
WIP F$ 802310 .050 48O 1 163
REpL .300
HDW 0$ 814100 2 1
MOP RE 832410 .750 4
LIN F$ 855405 .140 240 1
REPL .5OQ
HDW Q$ 895003 2 1
HDW O$ 895103 2 1
1 1 UNI RE 010231 165 03 .250 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 165 03 .25D 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 30020S 460 02 .500 2 1
5 5 UNI RE 114469 360 32 .380 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 1OB705 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 .5OO 2 1
8 8 UNI RE 114489 380 30 .380 13 1
8 8 UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 175 02 .250 6 1
9 9 UNI RE 020231 175 (}1 .250 5 1
Form: L208 Rev. Date: 06/25m Rev: 002
it
INVOICE NUMBER 082 0469224 REMIT TO: Un i F i r s t Corporation
INVOICE DATE 11/16/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) PQ9566 INDIANAPOLIS IN 46254
AIR NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UTILITI 1111111111111111111 Jill
Lv PAYMENT AMOUNT
08204 89224*
Please Detach and Return With Payment
y UniFirst Corporation PAGE 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
062 0489224 11/16/09 CHARGE 450172
a 809566 0 809566
p CITY OF CARMEL UTILITIES9 I CITY OF CARMEL UTILITIES9
D 9609 HAZEL DELL PARKWAY
'a 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46260 4 INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CAL: 317/293 -5026 RTE# N2030
+i
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0010 10 LARRY SCHIMMEL 5.90 5/09
N
S. S. SHIRT -65/35
6
JEAN COTTON RIGGS CA_ 11
4 0011 11 BART CHAFIN 6,71 .,---5/09
S-. S. SHIRT -65/35 11
a JEAN WRANGLER RELAX 11
0012 12 DENNIS RUSS 4.96 5/09
s
JEAN- WRANGLER RELAX 11
COVERALL -65/35 2
o* 0013 13.LONNIE PATTON 7 -.1.5 5/09
g S..S. SHIRT -65135 11
JEAN COTTON RIGGS CA 11
0414 14 ERIC ROBINSON 7. 15 5/09
I S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0015 15 KEVIN BUHMANN 7.15 5/09
EXCHANGE ITEM CHARGE 1 i L450
S. S. SHIRT-•65 /35 11• 11
SPECIAL SIZE CHARGE 11 1.6-5[S
L JEAN COTTON RIGGS CA 1 1
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 S/09
i S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
4D 0018 1S ROBBIE KINKEAD' 7 15 5/09
LS SHIRT 65/35 ..5,
S. S. SHIRT -65/35 6
0 JEAN COTTON RIGGS CA 11
1 i 0019 19 TARA RUBBISH 5. 28 5/09
PANT SCRUB 65/35 1 P 11
0 LAU COAT -POLY /COTTON 4
SS SHIRT -SCRUB 65/35' 11
Q SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
P WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE GsQuswCE pnEBILL PAGE
DB2 NN 2 220 N2030 082 2'
CONTRACT INVOICE PAYMENT TERMS
450172 489224 CHARGE 6/15/14
co 809566 317/571-2634
CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
(i) IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .{jQ
Cust PIA 8al: .00
9 9 UNI RE 1O8705 320 34 .400 11 1
9 9 UNI RE 300205 480 02 .500 2 1
10 10 UNI RE 020231 195 01 .250 8 1
10 10 UNI RE 1Q8705 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 114489 360 30 .360 11 1
12 12 UNI RE 300205 520 02 .500 2 1
13 13 UNI RE 020231 175 03 .256 11 1
13 13 UNI RE 1OB7{}S 380 34 .400 11 1
14 14 UNI RE 020231 155 01 .250 11 1
14 14 UNI RE 1O8705 320 32 .400 11 1
15 15 EXCH 1.sDD 11 1
i5 15 UNI RE 020231 185 01 .250 11 1
15 15 SPCL 1.500 11 1
15 15 UNI RE 1O87{)5 420 30 .400 11 1
16 16 UNI RE 010231 205 03 .250 5 1
18 18 UNI RE 020231 205 03 .250 6 1
16 16 UNI RE 114469 420 30 .360 11 1
17 17 UNI RE 020231 165 01 .250 11 1
17 17 UNI RE 1O8705 320 34 .480 11 1
18 18 UNI RE 010231 185 02 .250 5 1
18 18 UNI RE 020231 185 01 .250 6 1
18 16 UNI RE 1O8705 400 30 .400 11 1
19 19 UNI RE 127689 400 02 .200 11 1
19 19 UNI RE 252407 460 02 .220 4 1
19 19 UNI RE 425489 155 01 .200 11 1
Form: L208 nov. Date: os/2smr Rev: 00m
r
1 082 0487843 UniFirst Corporation
0 INVOICE NUMBER 11/D REMIT TO: 9/D9 4201 INDUSTRIAL- BLVD
|Nv0|Cs��TE
4' 809588 INDIANAPOLIS IN 46254
CUSTOKER# (BILL TO)
RTE# N2O3O
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CUSTOMER CITY OF CARMEL UTILITI
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PAYMENT AMOUNT 082048?8431
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JEAN COTTON RIQgS CA 12
0011 11 BART CHAFIN 6.71 5/09
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S. S. SHIRT-65/35 11
JEAN-WRANGLER RELAX 11
0012 12 DENNIS RUSS 4.96 5/09
JEAN-WRANGLER RELAX 11
COVERALL-65/35 2
0013 13 LONNIE PATTQN 7� 15
1//, S,S. SHIRT-65/35 11
JEAN COTTON R1QQS CA 11
0014 14 ERIC ROBINSON 7. 15 5/09
B. S, SHIRT-65/35 11
JEAN COTTON RIG{)S CA 11 -st
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0016 16 RALPH GRUWELL 6.71 5/09
LS SHIRT-65/35 5
G.S. SHIRT-65/35 6
JEAN-WRANGLER RELAX 11
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0017 17 PETE BRENNAN 7.15 5/09
S.S. SHIRT-65/3S 11
JEAN COTTON NIGQS CA 11-
0018 16 ROBBIE KINKEAD 7.15 5/09
LS SHIRT-65/35 5
S.S. SHIRT-65/35 6
JEAN CQTTON RIQ{�g CA 11
0019 19 TARA RUBBISH 5 28 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT-POLY/COTTON 4
S
SS SHIRT-SCRUB 6�/35 11
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIgGS CA 11
COVERALL -65/35 2
SERVICE vEuum RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
L N PR U SaENCE OHb' 082 PA5E
i'OfJ 4094b P t%W r 9� RMS 6/15/14
�3 809566 317/571-2634
D CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY
Q INDIANAPOLy5 IN 46280
G Cade: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
I Em a3 em egMm
10 10 UNI RE 020231 195 01 6 1
10 10 UNI RE IOD705 440 30 .400 11 1
11 11 UNI RE 020231 155 01 .250 11 1
11 11 UNI RE 114469 320 30 3607 11 1
12 12 UNI RE 11.4469 360 30 .360 11 1
12 12 UNI RE 300205 520 02 .500 2 1
13 13 UNI RE 020231 175 03 250 11 1
13 13 UN I RE 1OB705 360 34 .400 11 1
14 14 UNI RE 020231 155 01 .2503 11 1
14 14 UNI RE 1OB705 320 32 .400 11 1
15 15 UNI RE 020231 175 01 .250 11 1
15 15 UNI E S37O5 420 307 x-00 11 1
16 16- UNI RE 010231 205 03 .250 5 1
16 16 UNI RE 020231 205 03 .250 6 1
16 16 UNI RE 114469' 4203 30 .360 11 1
17 17 UNI RE 020231 165 Oa .2503 11 1
17 17 UNI RE 1OB705 320 34 .4030 11 1
is 18 UNI RE 0110231 155 02 .250 5 1
1 1S UNI RE 0203231 185 01 .250 6 1
18 1S UNI RE 1OB705 400 30 .400 11 1
19 19 UNI RE 127689 400 02 .200 11 1
19 19 UNI RE 2524037 460 02 1,1 20 4 1
19 19 UNI RE 425489 155 01 .200 11 1
20° 20 UNI RE 1OB705 360 303 .400 11 1
20 20 UNI RE 300205 500 02 .500 2 1
Form: L208 Rev. Date: 06/25107 Rev: 002.-
UniFirst Corporation PAGE 001
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GB v8f67843 1 1 /09 At I T E TERMS PURCHASE ORDER CONtRNA 2
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9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELI._ PARKWAY
P INDIANAPOLIS IN 4650 6 INDIANAPOLIS IN 46280
RTF# N2930
4 4
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
17/293
1.11YY�J r
C�4u C1 ir4o
o
REPLACE I X.16 WIPERS 5 1.50
v BAGGED 15XIS WIPERS .12.00 -5/09
N REPLACE BAGGED 1SX 18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
24" DRY MOP 2 1. 50 5 109 2
A BAR TWL- UN IFIRST 16X 120 16.80 -5/09 85
T
REPLACE -BAR TWL- UNIFIR 10 5.00
o SEAL LOCKER 2 6/09
6 COMPARTMENT LOCKER 2 6/09
Oct g 0001 1 GARY LAFOLt ETTE 7. 15 5/09
LS SHIRT -65/3 6
S. S. SHIRT-65/35 5
N
JEAN 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 11
COVERALL -65/35 2
0005 5 JEFF COOPER 3. ?6 5/09
JEAN- WRANGLER RELAX 11
0006 6 DAVID TURNER 7. 15 5/09
LS SHIRT 65/35 5.
5. S. SHIRT -65/35 6.
JEAN C,0TT0N .R IGGS CA 11
0007 7 CHRIS STUBBra• 8.15 5/09
S. S. SHIRT-65/35 11-
JEAN COTTON RIGGS CA 11
J COVERALL -65/35 r
9008 8 DAVE DYE 7.54 5/0 9
JEAN WRANGLER RELAX 13
LAB COAT -POLY /COTTON 13
0009 9 JOE FAUCETT S. 15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5...
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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PAGE
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809566 317/S71-2634
L;)V60V HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA 8al: .00
�m F M es F F�67�5
REPL .3OO
WIP F$ 802310 .050 480 1 139
REPL .3OQ
HDW O$ 614100 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 .250 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 165 03 .25O 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 1O8705 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 .360 13 1
8 8 UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 175 02 .25O 6 1
9 9 UNI RE 020231 17S 01 .250 5 1
9 9 UNI RE 1O8705 320 34 .400 11 1
9 9 UNI RE 300205 460 02 .500 2 1
Form: L20 no, Date: oo/2smr Rev: mm
iwv�|�sNuwos� RsmrFTn 082 0487843 UniFirst Corporation
INVOICE DATE
11 /09/0? 4201 INDUSTRIAL BLVD 1
8O9566 INDIANAPOLIS IN 46254 CUSTOMER# (BILL TO)
w�wUmoER RTE# N2O3O
CITY OF CARMEL UTILITI
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PAYMENT 08204878431
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Please Return Payment
UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
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O8 u*u7843 11/u�//Q9 CHAR{�E��� 450132
ffo'?566 809566
0 9609 HAZEL. DELL PARKWAY O-V609 HAZEL DELL PAR,KWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
4�
17/293-5 RT-E# H2030
F YOU HAVE A QUESTION REGARDING THIS INVOICE CALL
N�
S. S. SHIRT-65/35 11
JEAN COTTON RIQ<}S CA %l
DEFE CHARGE 9'00
INVOICE SUB—TOTAL 186.21
TOTAL SERVICE CHANGES
AMOUNT DUE
o
THIS IS YOUR ONLY INVCE— NET 30 DAYS, PLEASE SIGN
SOIL PICK VP COUNT SH PT OT NO
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 nom! Speak to your UniFirst Rep today.
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL Pxos
082. NN 2 220 1\12030 082 3
CONTRACT INVOICE PAYMENT TE
450172 487843 CHARGE 6/15/14
a 809S66 317/571-2634
Go
IP9609 HAZEL DELL PARKWAY
uINDIANAPOLIS IN 46280
Qeo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA 8al: .00
21 21 UNI RE 020231 155 01 .25O 11 1
21 21 UNI RE 1O8705 340 32 .400 11 1
EEFX 9.000
__NO EXTRA CHARGES FOR THE FIRST 2 YEARS
NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27.88/PANT PR
Form: L208 Rev. Date: 06/25/07 Rev: 002
7
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 11/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/2005 487843 $186.21
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 G96757 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
487843 01- 7362 -06 $186.21
y SQ22`( a1.�3b2•�S �o4.l
3�D g z
Voucher Total ,$4a
Cost distribution ledger classification if
claim paid under vehicle highway fund