177885 09/29/2009 "c4 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
0 `j• ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $404.10
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 177885
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0476778 192.80 OTHER EXPENSES
651 5023990 0478141 211.30 OTHER EXPENSES
INVOICE NUMBER 032 0478141 REMITTO: Un Corporation
INVOICE DATE 9/21/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) S09566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
LIV'LY CUSTOMER CITY OF CARREL UTILITI.
PAYMENT AMOUNT
,a 08204781412
Please Detach and Return With Payment
UniFirst Corporation PAGE 002
MA D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
i
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0478141 9/21/09 CHARGE 450172
1 a 809566 809 566
p CITY OF CARREL UTILITIES9 d CITY OF CARREL UTILITIES9
D 9609 HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
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ID IF YOU HAVE A QUE=STION REGARDING THIS INVOICE, CALL: 317/293 RTE# N2030
MEMO I MEW f 11 06% 0
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0009, 9 JOE FAUCETT 7. 15. 5/09
LS SHIRT -65/35 61
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0010 10 LARRY SCHIMMEL 5.90 5/09
a� S. S. SHIRT-65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6,71 5/09.
S. S. SHIRT -65/35
6i0 .I JEAN WRANGLER RELAX 11
0012 12 DENNIS RUSS 5.40 5/09
q JEAN COTTON RIGGS CA 11
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COVERALL-65 /35 2
0013 13 LONNIE PATTON 7. 15 5/09
0 S. S. SHIRT -65/35 11
�r 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.
0 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 1B 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 S.2S 5/09
PANT SCRUB 65435 I P 11
LAB COAT-POLY/COTTON 4
SS SHIRT SCRUB 65/35 11
SERVICE HEREIN RE=NDERED IS PURSUANT TO A WRITTEN CONTRACT C USTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 082 0478141 REMIT TO: UniFi 'Corporation
INVOICE DATE 9/1/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
0 A/R NUMBER RTE# N2030
,A CUSTOMER CITY OF CARMEL UT I L I T I 1111111 Jill 1111111111111111111 Jill Jill 1111111111111111111 Jill
a PAYMENT AMOUNT U 8 2 0478141Z
Please Detach and Return With Payment
n UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0478141 9/21/09 CHARGE 450172
FINDIANAPOLIS 809566 809566
OF CARMEL UTILITIES9 I CITY OF CARMEL UTILITIES9
HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY
IN 46280 4 INDIANAPOLIS IN 46280
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# N2030
C�rClo m� m� m
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
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0021 21 DALE RILEY 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA_ 11
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d
o� DEFE CHARGE 9.00
o
INVOICE SUB -TOTAL 211.30
a� TOTAL SERVICE CHANGES
N
O
O
AMOUNT DUE
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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 20% off
PURELL service right now! Speak to your UniFirst Rep today.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
O UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0478141 9/21/09 CHARGE 450172
809566 809566
0 CITY OF CARMEL UTILITIES9 a CITY OF CARMEL UTILITIFS9
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 -5026 RTE# N2030
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n
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
Q� REPLACE BAGGED 1SX18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
c 24" DRY -MOP 2 1.50 5/09 2
cr BAR TWL UNIFIRST 16X 120 16.80 5/09 82
s; REPLACE —BAR TWL UNIFIR 10 5.00
SOIL LOCKER 2 6/09
o� 8 COMPARTMENT LOCKER 2' 6/09
0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
I JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 6.15 5/09
LS SHIRT 65/35 3
S. S. SHIRT -65/35 8
JEAN COTTON RIGGS CA 11
w 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
S 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
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
i
INVOICE NUMBER REMIT TO:
INVOICE DATE 082 0476778 UniFirst Corporation
CUSTOMER# (BILL TO) 9/14/09 42 I BLVD
AIR NUMBER 809566 INDIANAPOLIS ;N 46254
RTE# N2030
F CUSTOMER CITY OF CARPEL UT I L I T I
PAYMENT AMOUNT
Please Detach and Return With Payment 6
UniFirst Corporation PAGE OQ3
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0476778 9/14/09 CHARGE 454172
103 809566 0 809566
O CITY OF CARMEL UTILITIES? d CITY OF CARMEL UTILITIIrS9
9609 HAZEL DELL PARKWAY 9609 HAZEL BELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
4D IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 --S O 26 RTES N2
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COVERALL -65/35 2
d� 0021 21 DALE RILEY 7. 15 S/09
S. S. SHIRT-65/35 11
.JEAN COTTON RIGGS CA 11
DEFE CHARGE 9.00
o r INVOICE SUB —TOTAL 192.80
4? TOTAL SERVICE CHANGES
AMOUNT DUE
THIS I S' YOUR ONLY I NVC E— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH _PT QT 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.
r
O SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
1
INVOICE NUMBER REMIT T0:
INVOICE DATE 0�2 0476776 U>^IiFirst Corporation 9/14/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER
RTE# N2030
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CUSTOMER CITY OF CARMEL UT I L I T I
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PAYMENT AMOUNT
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PAGE UniFi.rst Corporation O02
W� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0476778 9/14/09 CHARGE 450
a 809566 0 809566
CITY OF CARMEL Ut'ILITTES9 a CITY OF CARTEL UTILITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
3171293--5026 RTE# N2030 DI t r C z Cfi3C?® L' u*
61 1mmv I mug C7u�7o C?
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S. S. SHIRT -65/35 5
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S. S. SHIRT- -65/35 6
MEAN COTTON RIGGS CA 11
a 0011 11 DART CHAFIN 6.71 5/09
S, SHIRT -65/35 11
IS ,JEAN- WRANGLER RELAX 1l
00312 12 DENNIS RUSS 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0013 13 LONNIE PATTON 7. 15 5/09
S. 5.:. 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
I
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 1B. ROBBIE'`KINKEAD 7. 15 5/09
LS SHIRT -65 /35 S
S. S. SHIR`f -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.26 5/09
PANT SCRUB 65/35 1 P 11
r LAB COAT-POLY/COTTON 4
SS SHIRT -SCRUB 65/35 11
0020 20 BRAD OLIVER S.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.
w
PAGE
pt UniFirst Corporation 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
062 0476778 9/14/09 CHARGE 450172
Q 809566 6 609566
p CITY OF CARMEL UTILITIES9 a CITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
317/293 -5026 RTE# N2030
=L I MUD LD
18X18 WIPERS 6.60 5/09
d. REPLACE -18X18 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 82
0 REPLACE -BAR TWL- UNIFIR 10 5.00
SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
„i 0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 6.15 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 STUBBS 8.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0008 6 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
�I SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
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 9/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/23/2009 0476778 $192.80
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
912,L1 `3 e f
Date Officer
VOUCHER 096466 ,,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
0476778 01- 7362 -06 $192.80
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund