178900 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 CHECK AMOUNT: $729.27
4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 178900
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0483655 203.71 OTHER EXPENSES
651 5023990 0820482258 185.21 OTHER EXPENSES
=1047 4350600 479082 113.45 CLEANING SERVICES
1047 4350600 480469 113.45 CLEANING SERVICES
+1047 4350600 481848 113.45 CLEANING SERVICES
UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE- PAYMENT TERMS PURCHASE ORDER CONTRACT
082 04479082 9/25/O?_-- CHARGE 376554
0 667849 667'849
MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E a 1235 CENTRAL PARK DRIVE E
V CARMEL IN 46032 4 CARMEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293-5026 RTE# K6060
07 F f CAS° CL6 CCA� ID i C L3
MAT -3X5 U1ST'S GREAT 6 4. 90 4/07 6
ro MAT -4X6 U1ST'S GREAT 27 74.2x 4/07 27
MAT -3X10 UiST'S GREA 5 18.50 4/07 5
DEFE CHARGE 10. 80
INVOICE SUB -TOTAL 113.45
fr TOTAL SERVICE CHANGES. y
l„ AMOUNT DUE
W
0
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 HiN1 virus /Swine Flu. .UniFirst can help and you can get 201. off
PURELL servic..e right now! Speak to your UniFirst Rep today.
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OCT 13 2009
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Approval Date 13 l
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
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UniFirst Corporation 001
INVOICE DATE 4201 INDVS9i"ALRft....VD 0 IAW&(dLF1S INCOr 5F
0 082-0480469�1'�10/02/09 CHARGE p 376554
667849 6 667849
4 MONON CENTER @CENTRAL PAR 4 MONON CENTER eCENTRAL PAR
p 1235 CENTRAL PARK DRIVE E O 1235 CENTRAL PARK DRIVE E
IF `CAPME."UEMN RftQBR THIS INVOICE, CALL: CARMEL IN 46032
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MAT -4X6 U1ST'S GREAT 27 74.25 4/07 27
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DEFE CHARGE 10.80
INVOICE SUB —TOTAL
TOTAL SERVICE CHANGES
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AMOUNT DUE
m
THIS IS YOUR ONLY INVCE— NET 30 DAYS, PLEASE SIGN
r
SOIL PICK UP COUNT SH PT OT NO
The CDC (Health Canada) recaimmends 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
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UniFirst Corporation PAGE 001
bit D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0481848 10/09/09 CHARGE 376554
,1 a 667849 (D 667849
MONON CENTER @CENTRAL PAR a MONON CENTER @CENTRAL PAR
:(P1235 CENTRAL PARK DRIVE E a 1235 CENTRAL PARK DRIVE E
V CARMEL IN 46032 4 CARMEL IN 46032
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MAT -3X5 U1ST'S GREAT 6 9.90 4/07 6
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MAT -4X6 U1ST'S GREAT 27 74.25 4/07 27
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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
0 PURELL service right now! 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.
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
9/25/09 479082 Mat cleaning 113.45
1012!09 480469 Mat cleaning 113.45
10/9109 481848 Mat 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#rrITLE AMOUNT Board Members
Dept
1047 479082 4350600 113.45 1 hereby certify that the attached invoice(s), or
1047 480469 4350600 113.45 bill(s) is (are) true and correct and that the
1047 481848 4350600 113.45 materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
340.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
UniFirst Corporation PAGE 001
D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0482258 10/12/09 CHARGE 450172
809566 O 809566
0]
CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
i D 9609 HAZEL DELL PARKWAY_ 6 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46260
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Map
18X18 WIPERS 6.60 5/09
REPLACE -18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
y.. REPLACE BAGGED 18X16 W 19 5.70
HANDLE /FRAME 24" 2 5/09
m
a� 24" DRY MOP 2 1.50 5/09 2
BAR TWL UNIFIRST 16X 120 16.80 5/09 70
REPLACE —BAR TWL— UNIFIR 10 5.00
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
a 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 5/09
i LS SHIRT -65/35 3
:1 S. S. SHIRT -65/35 8
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
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
0008 8 DAVE DYE 7.54 5/09
JEAN WRANGLER RELAX 13
LAB COAT POLY /COTTON 13
i 0009 9 JOE FAUCETT 7.15 5/09
I; LS SHIRT -65/35 6
ti S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 082 0482251 REMITTO: Uni Fi rst C
INVOICE DATE 10/12/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
loll AIR NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UTILITI
PAYMENT AMOUNT 0 8204 8 2258*
Please Detach and Return With Payment
D UniF irst Corporation PAGE 002
I ro
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
042 0482258 10/12/09 CHARGE 450172
9 809566 D 609566
CITY CARMEL UTILITIES? jR' CITY OF CARMEL UTILITIES9
D 9609 HAZEL. DELL PARKWAY 03 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46260 INDIANAPOLIS IN 46280
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17a35T �YLr�,t,Yy.-J� 0 0 LrI.r
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0010 10 LARRY SCHIMMEL S. 90 5/09
S. S. SHIRT -65/35 6
zi JEAN COTTON RIGGS CA 11
0011 11 MART CHAF"IN 6.71 5/09
L S. S. 'SHIRT -65/35 11
a JEAN- WRANGLER RELAX 11
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J�EANR- �W RANGLERC N CITTON 1. RELAX 11
COVERALL -65/35 2
N' 0013 18 LONNIE PAT'TON 7. 15 5f03
o S. S. SHIRT-65 /35 11
JEAN COTTON RIGGS CA 11
0414 14 ERIC.ROBINSON .7, IS 5/09
S. S. SHIRT-- -65/35 11
JEAN COT RIGGS CA. 11
0715 15 KEVIN BUHMANN 7. 15 5/09
5. 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 FETE BRENNAN 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
00113 16 ROBBIE KINKEAD 7.15 5/09
LS SHIRT-65 /:35 5
i S. 5. SHIRT °65/35 6
JEAN COTTON RIGG5 CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/3 1 P 11
LAB COAT- -POLY /COTTON 4
SS SHIRT -SCRUB 65%'35 11
0020 20 BRAD OLIVER 5.40 5
JEAN COTTON RIGGS CA, 11
COVERALL -65/35 2
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY t
WITH UMFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
i 11
INVOICE NUMBER 082 048 256 REMIT TO: Uni Corporation
INVOICE DATE 10/12/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) E309566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER CITY OF' CARMEL UT I L I T I 1111111111 Jill I I III Jill
W PAYMENT AMOUNT 0820482258$
g Please Detach and Return With Payment
UniFirst Corporation PAGE 003
O 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 048 10/12/09 CHARGE 450172
p 809566 D 809566
Ix� 0 CITY OF CARMEL UTILITIES9 a0 CITY OF CARMEL UTILITIES9
P9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 /293 RTE# 1\12030
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10 0021 21 DALE RILEY 7.15 5/09
S. S. SHIRT -65/35 11
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DEFE CHARGE 9.00
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INVOICE SUB —TOTAL 581.54
TOTAL SERVICE CHANGES
S` AMOUNT DUE
co
0
m
N
O
m
THIS IS YOUR ONLY INVCE-- NET 30 DAYS. PLEASE SIGN
I I 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. UniFirst can help and you can get 20% off
PURELL service right now! Speak to your UniFirst.Rep today.
M
VICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
i
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 10119/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/2004 0820482258 $185.21
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOPCHER 096580 WARRANT ALLOWED
360025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
un Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0820482258 01- 7362 -05 $185.21
Voucher Total $185.21
Cost distribution ledger classification if
claim paid under vehicle highway fund
UniFirst Corporation PAGE 001
D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0483655 10/19/09 CHARGE 450172
809566 809566
p OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES?
P 9609 HAZEL DELI_ 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 -5026 RTE# N2030
v r TY1 m ml rv� CL
C'l o Q•LLLb U G It .L'L:JUL7 Lf 0 [F'Fay
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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
REPLACE -18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
a� REPLACE- BAGGED 1£3X18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
24" DRY MOP 2 1.50 5/09 2
�e BAR TWL- UNIFIRST 16X 120 16.80 5109 70
cc
REPLACE -BAR TWL- UNIFIR 10 5.00
SOIL LOCKER 2 6/09
o� 8 COMPARTMENT LOCKER 2 6/09
co
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 5/09
LS SHIRT -65/35 3
S. S. SHIRT -65/35 8
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0005 S 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
0008 8 DAVE DYE 7.54 5/09
JEAN WRANGLER RELAX 13
LAB GOAT POLY /COTTON 1.3
1 0009 9 JOE FAUCETT 7.15 5/09
LS SHIRT- 65/35 6
S. S. SHIRT -65/35 5
0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE HHEUILL PAGE
082 NN 2 220 N2030 062 1
CONTRACT INVOICE PAYMENT TERMS
450172 483655 CHARGE 6/15/14
p 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 Bal: .00
Cam` F CJ P �Cu l O s G
MAT RE 76AQ03 2.250 4 2
MAT RE 76AR03 3.500 8 2
WIP F$ 602107 .110 120 1 35
REPL .300
WIP F$ 802310 .050 480 1 139
R EPL .300
HDW O$ 614100 2 1
MOP RE 832410 .750 4 1
LIN F$ 855405 .140 240 1
REPL .500
HDW 0$ 895003 2 1
HDW 0$ 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 1OB705 362 30 .400 11 1
4 4 UNI RE 01.0231 165 03 .250 3 1
4 4 UNI RE 020231 165 01 .250 e 1
4 4 UNI RE 1OB705 330 32 .400 11 1
4 4 UNI RE 300205 4.60 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 020431 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 1OB105 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
B 8 UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 175 02 .250 6 1
9 9 UNII RE 020231 175 01 .250 5 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
INVOICE NUMBER 08 04836 5 S REMIT TO: Un i F i r s t Corporation
INVOICE DATE 10 r1q /p9 420 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809 5 6 f6 INDIANAPOLIS I N 46254
A/R NUMBER RTE# N2030
4l'T CUSTOMER CITY OF CARMEL_ UTILITI
PAYMENT AMOUNT 0820483655+
1B
Please Detach and. Return With Payment
UniFirst Corporation PAGE 002
D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
I St
082 0483655 10/19/09 CHARGE 450172
d 509565 .809566
�l CITY OF CARMEL UT1L_ITIES9 6 CITY OF CARMEL UTILITIES9
p 9609 HAZEL DELL PARKWAY 6 �''r609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46250 Q INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293-5026 RTES# N2030
q.
,JEAN COTTON RIGGS CA 11
0010 10 LARRY SCHIMMEL 5.90 5/09
0 S. S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5 /09
a0 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 PATTON 7. 15 S/09
o S. S. SHIRT-65 /3S 11
m
JEAN_ COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7. iS 5/09
S. S. SHIRT-65 /35 11
1 JEAIV COTTON RIGGS CA 11
00 15 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
C S. S. SHIRT- 65/35 6
JEAN-WRANGLER RELAX 11
03017 17 PETE BRENNAN 7. 15 5/09
S. S. SHIRT -6S/35 11
JEAN COTTON RIGGS CA 11
0018 18 ROBBIE KINKEAD 7. 5/09
LS SHIRT-6S/35 S
S. S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.28 5/09
PANT SCRUB 65/351 P :11
LAB COAT POLY/COTTON 4
SS SHIRT- SCRUM 65/35 11
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL -65 2
SERV40E HEREIN RENDERED IS PURSUANT TO A-WRITTEN CONTRACT CUSTOMER COPY
�I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 2 20 N2030 082 2
CONTRACT INVOICE PAYMENT TERMS
450172 483655 CHARGE 6/15/14
Q 809566 317/571 -2634
0 CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
6 INDIANAPOLIS IN 46260
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
��p Qum Oi G ajw a Leo
9 9 UNI RE 1OB705 320 34 .400 11 1
10 10 UNI RE 020231 195 03. .250 6 1
10 10 UNI RE 1OB705 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 300205 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 020231 175 01 .250 11 1
15 15 UNI RE 1OB705 420 30 .400 li 1
16 16 UNI RE 010231 205 03 .250 5 1
1.6 16 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 1OB705 320 34 .400 11 1
18 18 UNI RE 010231 185 02 .250 5 1
18 16 UNI RE 020231 185 01 .250 6 1
18 18 UNI RE 1OB705 400 30 .400 11 1
19 19 UNI RE 127669 400 02 .200 11 1
19 19 UIVI RE 252407 460 02 .220 4 1
19 19 UNI RE 45489 155 01 .200 11 1
20 20 UNI RE 1OB705 360 30 .400 11 1
20 20 UNI RE 300205 500 02 .500 2 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
a
=.NVOICEj1'JMBER 082 048365S REMITTO: UniFirst Corporation
INVOICE DATE 10/ 19/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
a A/R NUMBER RTE# N12030
t ,A CUSTOMER CITY OF CARMEL UT I L I T I
PAYMENT AMOUNT 0820483655+
Please Detach and Return With Payment
_.o-
D slt UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
o
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0483655 10/19/09 CHARGE 450172
0
809566 O 609566
CITY OF CARMEL UTILITIES9 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
Q INDIANAPOLIS 11~1 46280 V INDIANAPOLIS IN 4680
O O
i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030
oDD
0o p C
0021 21 DALE RILEY 7.15 5/09
o
S. S. SHIRT -65/35 11
d� JEAN COTTON RIGGS CA 11
DEFE CHARGE 9.00
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INVOICE SUB- -TOTAL 203.71
¢o TOTAL SERVICE CHANGES
AMOUNT DUE
�r
o
m
N
O
O
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. UniFirst can help and you can get 20% off
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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 PHEbILL PAGE
082 NN 2 220 N2030 082 3
CONTRACT INVOICE PAYMENT TERMS
450172 483655 CHARGE 6/15/14
03 809566 317/571 -2634
p CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .00 y
um J C �Cu 7O 9�
21 21 UNI RE 020231 155 01 .250 11 1
21 21 UNI RE 1OB70S 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
Prescribed by State Board of Accounts City Form No. 201 '(Rev 1995) c
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 10/23/2009
Invoice Invoke Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/231200! 0483655 $203.71
0
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Oicer
VO' CHER 096641 WARRANT ALLOWED
36b025 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
0483655 01- 7362 -06 $203.71
Voucher Total $203.71
Cc t distribution ledger classification if
cl im paid under vehicle highway fund