178437 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
4 ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $736.86
INDIANAPOLIS IN 46254 CHECK NUMBER: 178437
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER I NUMBE AMOUNT DESCRIPTION
;651 5023990 0820479488 192.80 OTHER EXPENSES
651 5023990 0820480883 203.71 OTHER EXPENSES
1047 4350600 475016 113.45 CLEANING SERVICES
-1047 4350600 476365 .113.45 CLEANING SERVICES
1047 4350600 477740 113.45 CLEANING SERVICES
I
PAGE 001 I
UniFirst C a r p o r a t i o n
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE. DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082'6475016 9/04/09 CHARGE 376554
'667849 0 667849
p MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
D 1235 CENTRAL PARK DRIVE E d 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 V CARMEL IN 46032
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 -5026 RTE# K6060
r N L'LYYU I:AS�l�n].LrUUW.I
gze CU �,/V 1.1a �L °�,o °LE- C
MAT-3X5 U1ST'S GREAT 6 9.90 4/07 6
MAT-4X6 W ST S GREAT 27 74.25 4/07 27
MAT -3X10 U1ST'S GREA 5 18.50.. 4/07 5
W
v
DEFE CHARGE 10.80
INVOICE SUB —TOTAL 113.45
TOTAL SERVICE CHANGES 1
cc
AMOUNT DUE
THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIG
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.
purchase
t rF
P.O.# loco
G.L —(0
Budget eO to
Line Descr
Purchaser
Approval
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
v�
u1st UniFirst Corporation Q1
p�Gs C]
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
|wvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 CHARgE 376554
667849 667849
Go 0
P1235 CENTRAL PARK DRIVE E b1235 CENTRAL PARK DRIVE E
/r YOU H x QUE REGARD THIS INVOICE, CALL: 317/293_5026 RTE# K6060
FaT S7[ FRK7[V
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MAT-3X5 U1ST'S GREAT 6 9.90 4/O7 6
MAT-4X6 U1ST'S GREAT 27 74.25 4/07 27
MAT-3X10 U1ST'S QREA 5 18.50 '_4/07 5
DEFE CHARGE 10.80
INVOICE.SU8-TOTAL 113.45
(r
TOTAL SERVICE CHANGES
AMOUNT DUE
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.
a`
4�
pumh�
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P.O.#
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH ow/FInar CORPORATION onuw/FInar HOLDINGS, INC.
O J�t,. UniFirst Corporation
4201 INDUSTRIAL BLVD INDIANAPOLIS
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0477740 9/18/09 CHARGE 376554
p 667849 p 667849
a MONON CENTER @CENTRAL PAR 0 MONON CENTER @CENTRAL PAR
p 1235 CENTRAL PARK DRIVE E d 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 Q CARMEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17 /293 -5
Ir o cm u co cU�76 oa� cs a
MAT-3X5 UlST'S GREAT y
MAT-4X6 U1ST'S GREAT 27 74.25 '4/07 27
z• MAT -3X10 UiST'S GREA 5 16.50 4/07 5
N
DEFE CHARGE 10.80
m
INVOICE SUB —TOTAL 113.45
o� TOTAL SERVICE CHANGES
AMOUNT DUE.
co
o
m
N
O
THIS IS YOUR ONLY INVCE —,NET 30 DAYS. PLEASE SIG
SOIL PICK UP COUNT SH PT OT A NO U
i
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
P.O.• PorF
SEP 2 5 2009 r.L .4l 2)10 4-3 OCO
Budget
Line Descr
L 3 Purchaser Date �y
S Approval &S Date 3
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
9/4/09 475016 Mat cleaning 113.45
9/11/09 476365 Mat cleaning 113.45
9/18/09 477740 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
E
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1047 475016 4350600 113.45 1 hereby certify that the attached invoice(s), or
1047 476365 4350600 113.45 bill(s) is (are) true and correct and that the
1047 477740 4350600 113.45 materials or services itemized thereon for
which charge is made were ordered and
received except
7 -Oct 2009
Signature
340.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
UniFirst Corporation PAGE 001
ujt 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0480883 10/05/09 CHARGE 450172
;.l a 809566 809566
0 CITY OF CARMEL UTILITIES9 a,CITY OF CARMEL UTILITIES9
p 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL, PARKWAY
4 INDIANAPOLIS IN 46260 INDIANAPOLIS IN 46260
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/2 R TE# N2030
llnmom lmmm,Mmug 97U. TIP,
MAT --3X5 U1ST'S GREAT 2 4. 50 ___s/09 2
MAT -4X6 U1ST'S GREAT 4 14,00 -5/09 4
18X18 WIPERS 6. 60 -5/09
w1 REPLACE -18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
-a REPLACE FAGGED 18X 18 W 19 5.70
a
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 58.
r REPLACE -BAR TWL. -UN I F I R 10 S.00
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2. _6/C79
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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 a. 15 5/09
LS SHIRT -65/35 3
S. S. SHIRT 65/35 8
JEAN COTTON RIGGS CA 11
'COVERALL -65/35 2
0005 5 JEFF COOPER 3.96 5l09
MEAN— 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 <B. 15 ;5/09
l 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
LAD COAT—POLY/COT-TON 13
0009 9 JOE FAUCETT 7.15 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 SEQUENCE PREBILL PAGE
082 NN 2 220 N2030 082 1
CONTRACT INVOICE PAYMENT TERMS
450172 480883 CHARGE 6/15/14
0
C3 809566 317/571 -2634
p CITY OF CARMEL UTILITIES9
4 9609 HAZEL DELL PARKWAY
p INDIANAPOLIS IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
P Qt�i7O F�3 i G n o
MAT RE 76AG03 2.250 4 2
MAT RE 76AR03 3.500 8 2
WIP F$ 802107 .110 120 1 38
REPL .300
WIP F$ 802310 .050 460 1 139
REPL .300
HDW 0$ 814100 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 360 30 .400 11 1
4 4 UNI RE 010231 165 03 .250 3 1
4 4 UNI RE 020231 165 01 .250 8 1
4 4 UNI RE 1OB705 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 .2 50 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 1OB705 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
6 6 UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 175 02 .250 6 1
9 9 UNI RE 020231 175 01 .250 5 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
7
INVOICE NUMBER 082 0480883 REMIT TO: Un i. F i r s t Corp
INVOICE DATE 1 0/05/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 609566 INDIANAPOLIS IN 46254
AIR NUMBER RTE# N2030
4 ,A 1. CUSTOMER CITY OF CARMEL UTILITI
PAYMENT AMOUNT
e 0820480883}
Please Detach and Return With Payment
D UniFirst Corporation PAGE 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
OE32 04BOB83 10 /OS /09 CHARGE 450172
a 809566 809566
0 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY 1 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46230 VINDIANAPOLIS IN 46280
4 OO
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# N2036
003 0 1 a' vM I I
n
JEAN COTTON RIGGS CA 11
0010 10 LARRY SCHIMMEL S.90 -.5/09
N S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BART CHAF I N 6.71 5109
S. S. SHIRT -65 /3S 11
JEAN WRANGLER RELAX 11
C
0012 1 �DENNIS RUSE 4. 9b 5/09
2
EXCHAN�DJIE�ANO CHARGE 11..
LC3ST. PROTTON -RELAX
Mo COVERALL-65/35
S 0013 13 LONNIE PATTON 7.15 .5/09
m S. S. SHIRT -65/35 11
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
JEAN- WRANGLER RELAX 11..
0017 17 PETE BRENNAN 7.15 5/09
S. S. SHIRT- -65/35 11
JEAN COTTON RIGGS CA 11
0018 iB ROBBIE KINKEAD 7. 15 5/09
LS SHIRT- 65/35 5
S. S. SHIRT-65 /3S 6
EAN COTTON RIGGS CA. 11
10 0019 19 TAR RUBBISH 5.2B 5/09
PAINT SCRUB 65/35 1 P 11
LAB COAT- POLY/COTTON 4
SS SHIRT -SCRUB 65/35. 11
s
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 480883 CHARGE 6/15/14
a 809566 317/571 -2634
p CITY OF CARMEL UTILITIES9
4 9609 HAZEL DELL PARKWAY
(DINDIANAPOLIS IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: 00
Cust PIA Bal: .00
J E2 QM9
a Rmm I Im In Famqm
01 1 �9
9 9 UNI RE 1OB705 320 34 .400 li 1
10 10 UNI RE 020231 195 01 .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 EXCH 1.500 11 1
12 12 LGCH 36.030 11 1
x� 12 UNI RE 114469 30 .360 1l 1
12 3 't70�05 520 02 0 —r- 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 li 1
15 15 UNI RE 020231 175 01 .250 it 1
15 15 UNI RE 1OB705 420 30 .400 11 1
16 ib UNI RE 010231 205 03 .250 5 1
16 lb 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 it 1
18 18 UNI RE 010231 16S 02 .250 5 1
18 18 UNI RE 020231 165 01 .250 6 1
18 16 UNI RE 1OD705 400 30 .400 it 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 Rev. Date: 06/25/07 Rev: 002
INVOICE NUMBER 082 0480883 REMIT TO: Un i F i r s t Corporation
INVOICE DATE 10/05/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
a CUSTOMER CITY OF CARMEL UT I L i T I
PAYMENT AMOUNT
e Please Detach and Return With. Payment
�j UnlFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
i
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0481883 10/05/09 CHARGE 450172
j q 849566 809566
I CITY OF CARMEL UTILITIES? 6.CITY OF CARMEL UTILITIES?
P 9609 HAZEL DELL PARKWAY a 9609 HAZEL DELI.... PARKWAY
Q INDIANAPOLIS IN 462`80 V INDIANAPOLIS IN 46280
U fJ
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 °5026 RTE# N2030
ff�11 ff��: yy�11 �y�� �p 7� MUD 1�{ II�'�`fl��]�t''Y['a�� ^^";7
L.lr I:JU u7 L:Lll:l'.WU o a. r I up
IAI�.IJ1D �o
0020 20 BRAD O LIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL-• -65/35 2
0021 21 DALE RILEY 7. 15 5/09
S. S. SHIRT 1 1
65/35
a JEAN COTTON RIGGSS CA 11
a
o� DEFE CHARGE 9.00
Q
INVOICE SUIT —TOTAL 616. 54
00 7-7
TOTAL SERVICE CHANGES 412
N
AMOUNT- DUE O CL3 r rorA'c kwow .b v F
THIS IS YOUR ONLY INVCE —.NET 30. DAYS. PLEASE SIGN.
�a
SOIL PICK UP COUNT SH _PT OT NO
The CDC (Health Canada) recommends the use of PURELL to protect agains
t the H1N1 virus /Swim° Flu.. U.niFirst 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 HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 220 N2030 082 3
CONTRACT INVOICE PAYMENT TERMS
450172 480863 CHARGE 6/15/14
M 809566 317/571 -2634
p CITY OF CARMEL UTILITIES9
Q 9609 HAZEL DELL PARKWAY
(j)INDIANAPOLIS IN 46280
Geo Cade: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .00
10 0 OEM
20 20 UNI RE 1OB705 360 30 .400 11 1
20 20 UNI RE 300205 500 02 .500 2 1
21 21 UNI RE 020231 155 01 .250 11 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. 88 /PANT PR
Form: L208 Rev. Date: 06/25/07 Rev: 002
UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0479488 9/28/09 CHARGE 450172
809G66 809566
P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
/F YOU HAVE AUUs8T0w REGARDING THIS INVOICE, CALL: 317/293-5O26 RTE# N2030
18X18 WIPERS 6.60 5/09
8
REPLACE-18%18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
REPLACE—BAGGED 18X18 W 19 5.70
HANDLE/FRAME 24" 2 5/09
24^ DRY MOP 2 1.50 5/09 2
BAR TWL—UNIFIRST 16X 120 16.80 5/09 37
�c 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
co
S.S. SHIRT-65/35 5
JEAN COTTON RIGGS CA 11
OOO2 2 JASON STEWART 7 15 5/09
S.S. SHIRT-65/35 1
r 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 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 STU8BS 8. 15 5/09
S.S. SHIRT-65/35 11
JEAN COTTON RIG{;S 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 7. 15 5/09
LS SHIRT-65/35 6
SERVICE HEREIN RENDERED /a PURSUANT roA WRITTEN CONTRACT CUSTOMER COPY
r y
WITH yw/FInar CORPORATION onuw/Fmar HOLDINGS, INC.
i
INVOICE NUMBER 082 0479488 REMIT T0: Un i F i r 5 t Corporation
INVOICE DATE 9/28/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254
A/R NUMBER RTE# N2030
IA CUSTOMER C I T Y OF CARMEL UT I L I T I
PAYMENT AMOUNT 08204794887
iB
Please Detach and Return With Payment
D lj UniFirst Corporation PAGE 002
n�}; l��i/ll 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0479488 9/28/09 CHARGE 450172
0 809566 p 809566
b CITY OF CARMEL UT-ILITIES9 6 CITY OF CARMEL UTILITIES9
p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ 5026 RTE# N2030
FaFF m7 o Gib a Cp 1 191, D u o �P
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0010 10 LARRY SCHIMMEL 5.90 5/09
S. S. SHIRT -65/35 6,
JEAN COTTON RIGGS CA 11
Q.� 0011 11 BART CHAFIN 6.71 5/09
S. S. SHIRT -65/35 11
JEAN— WRANGLER RELAX 11
¢0 0012 12 DENNIS RUSS 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0
0013 13 LONNIE PATTON 7.15 5/09
S. S. SHIRT -65/35 11
m
JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7.15 5/09
S. S. SHIRT -65/35 11
I 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
rj 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 it
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
WITH, UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
II
INVOICE NUMBER 0182 0479488 REMIT TO: Un iF i rst Corporati
INVOICE DATE 9/29/09 420 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
1 A/R NUMBER RTE# N2030
1A CUSTOMER CITY OF CARMEL UTILITI 11111111111111111111 Jill 1111
A PAYMENT AMOUNT 08204794887
1B
Please Detach and Return With Payment
UniFirst Corporation PAGE 003
Mai 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0479488 9/28/09 CHARGE 4507172
i
FINDI ANAPOLIS; S09566 p 009566
OF CARMEL UTILITIES9 CITY OF CARMEL UTILITIES9
HAZEL DELL PARCWAY d 9609 HAZEL DELL PARKWAY IN 46280 INDIANAPOLIS IN 46280
O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293-5026 RTE# N'2030
Mn o W C,7�JVlA�� I^ra1 VW UO op 1.10 QP
0
COVERALL -65/35 L]�4 2
0021 21 DALE RILEY 7.15 5/09
z S. S. SHIRT -65/35 11
w. JEAN COTTON RIGGS CA 11
m
a DEFE CHARGE 9. 00
v
INVOICE SUB-TOTAL 192.80
0
ff o
TOTAL SERVICE CHANGES
m AMOUNT DUE.
N
(D
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
PURELL service right now! Speak to your UniFirst Rep today.
i
i
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
l' 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 10/6/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2009 0820480883 $203.71
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
VOUCHER 096549 WARRANT ALLOWED
360025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
ff Board members
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PO INV ACCT AMOUNT Audit Trail Code
0820480883 01- 7362 -06 $203.71
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Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund