176968 09/02/2009 a CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
0 t CHECK AMOUNT: $508.75
CARMEL, INDIANA 46032 4201 INDUSTRIAL awD
INDIANAPOLIS IN 46254 CHECK NUMBER: 176968
CHECK DATE: 9/2/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4350600 0820468105 X104.65 CLEANING SERVICES
651 5023990 0820471283 192.80 OTHER EXPENSES
651 5023990 0820472679 211.30 OTHER EXPENSES
l
UniFirst Corporation PAGE 001
mom 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0468105 7/31/09 CHARGE 376554
-jI d 667849 p 667849
I� CO MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
p 1235 CENTRAL PARK DRIVE E a 1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 4 CARMEL IN 46032
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293-
I A MAT-3X5 U 1ST GR A Gam. r u o Cfi�i?o �P
9.0
MAT -4X6 U1ST'S GREAT 27 68.65 4/07 27
Z MAT -3X10 UiST'S GREA 5 17.00 4/07 5
DEFE CHARGE 9.80
INVOICE SUB-TOTAL 104.65
TOTAL SERVICE CHANGES
AMOUNT DUE
0 f
ro
N
O
W
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SI
L J SOIL PICK UP COUNT SH PT OT L KNjnO
Purchase
Description I
P.O.
PorF
L I G.L -100-3 0 35olot70 AUG 6 2009
Budget fi►�xad{ &AA t'� 0k QS)Aff
Li ne Descr �,'.°._s
Purchaser
Approval Date 5 6 _0?
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST INC.
LOCATION ROUT
CONTRACT INVOICE PAYMENT TERMS
376554 468105 CHARGE AUG 0 2 8/12
667849 3
(P 1235 CENTRAL PARK DRIVE E
V CARMEL IN 46032
P.
Qeo Code: 15O571510
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .OD
I
MAT RE 76AR03 2�550 54 1
MAT RE 76AS03 3.400 10 1
EEFX 9.800
**See Terry when delivering #573-5239 or cell 44
OPEN INVOICE SUMMARY
Denotes Invoice Past Due At Least 35 days.
Invoice Invoice
Date Number Amount
6/12/09 459035 104.65
6/19/09 460304 104.65
6/26/09 461594 104.65
7/03/09 462843 104.65
7/10/09 464145 104.65
7/17/09 465436 104.65
7/24/09 466772 104.65
7/31/09 468105 104.65
Account Balance: 837.20
Past Due Balance: 209.30
Form: L208 Rev. Date: 06/25/07 Rev: 002
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
7131109 468105 Mat cleaning 104.65
Total 104.65
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
104.65
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 468105 4350600 104.65 1 hereby certify that the attached invoice(s), or
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
27 -Aug 2009
L lL/7'74 Qnjs, 1
Signature
104.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE NUMBER 082 0472679 REMIT TO: Un i First C o r p o r a t i o n
INVOICE DATE 9 INDUSTRIAL BLVD I N 46254
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS T ANAP OL T S
A/R NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UT I L I T I 1111111111111111111 Jill
A PAYMENT AMOUNT 08204726792
Please Detach and Return With Payment
D UniFirSt Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0472679 8/24/09 CHARGE 450172
p 809566 p 809566
M CITY OF CARMEL UTILITIES9 OCITY OF CARMEL UTILITIES9
i p 9609 HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 171293 -5
MAT -4X6 U1ST'S GREAT 4 14.00 5/09 4
0
zi 18X18 WIPERS 6.60 5/09
REPLACE -18X18 WIPERS 5 1.50
t BAGGED 18XIS WIPERS 12.00 5/09
m
-i REPLACE BAGGED 18X18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
24" DRY MOP 2 1.50 5/09 2
o. BAR TWL UNIFIRST 16X 120 16.80 5/09 11
REPLACE -BAR TWL UNIFIR 10 5.00
r, SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
0
0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
mi S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART .7. 15 5/09
0 S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 8.15 5/09
LS SHIRT -65/35 3
S. S. SHIRT -65/35 B
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0005 5 JEFF COOPER 3.96 5/09
JEAN WRANGLER RELAX 11
e 0006 6 DAVID TURNER 7.15 5/09
LS SHIRT- 65/35 5
S. S. SHIRT -65/35 6
i JEAN COTTON RIGGS CA 11
0007 7 CHRIS STUBBS 6.15 5/09
S. S. SHIRT =65/35 11
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0006 6 DAVE DYE 7.54 5/09
i 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.
INVOICE NUMBER 082 0472679 REMITTO: UniFirst Corporation
INVOICE DATE 8 /24/09 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 08204726792
t8
Please Detach and Return With Payment
O UniFirst Corporation PAGE 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0472679 8/24/09 CHARGE 450172
p 809566 0 809566
4 M CITY OF CARMEL UTILITIES9 0 CITY OF CARMEL UTILITIES9
p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
Q INDIANAPOLIS IN 46280 QQ INDIANAPOLIS IN 46260
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/293 -5
jUE FAUCET 7.15
LS SHIRT -65/35 6
z` S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
m
t 0010 10 LARRY SCHIMMEL 5.90 5/09
S. S. SHIRT -65/35 6
a
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5/09
S. S. SHIRT -65/35 11
cc JEAN WRANGLER RELAX 11
0012 12 DENNIS RUSS 5.40 5/09
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0013 13 LONNIE PATTON 7.15 5/09
�i 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 -65/3
LOST PROD —S. S. SHIRT -6 g.$.T. 1
/35, 6
S JEAN WRANGLER RELAX 11
0017 17 PETE BRENNAN 7.15 5/09
S. S. 5HIRT -65/35 11
JEAN COTTON RIGGS CA 11
0018 16 ROBBIE KINKEAD .7.15 5/09
LS SHIRT 65/35 5
i S. S. SHIRT -65/35 b
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
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
D UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0472679 8/24/09 CHARGE 450172
p 609566 p 809566
M CITY OF CARMEL UTILITIES9 0CITY OF CARMEL UTILITIES9
p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 17/293 -5
�o cp QH Cdr Po u ammu; Emm mug ouvo QP
0020 20 BRAD OLIVER 5.40 5 /09
z� JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0021 21 DALE RILEY 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
C
S� DEFE CHARGE 9.00
c
C
C, INVOICE SUB -TOTAL 224.54
N TOTAL SERVICE CHANGES
m� AMOUNT DUE d1'lOr I- I\V100AT b of
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN o
SOIL PICK UP COUNT SH PT OT NO
1, 0
-I
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I' _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 8/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/28/2009 0820472679 $211.30
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 096314 WARRANT ALLOWED
361025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
j, Board members
PO INV ACCT AMOUNT Audit Trail Code
'7 3L�/
0820472679 01 $2.11.30
I�
Voucher Total $211.30
Cost distribution ledger classification if
claim paid under vehicle highway fund
II
INVOICE NUMBER 082 0471283 REMITTO: Un i F ir 5t C or p ora t ion
INVOICE DATE 8/17/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 1309566 INDIANAPOLIS IN 46254
AIR NUMBER RTE# N2030
,A,, CUSTOMER CITY OF CARMEL UT I L I T I
PAYMENT AMOUNT 0820471283Z
1B
Please detach and Return With Payment
r] UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 04712B3 8117/09 CHARGE 450172
FINDIANAPOLIS 809566 D 809566
Y OF CARMEL UTILITIESR a CITY OF CARMEL UTILITIES9
9 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
IN 46280 4 INDIANAPOLIS IN 46280
O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# N2030
0020 20 BRAD OLIVER 5.40 5109
JEAN COTTON RIGGS CA 11
COVERALL-65/35 2
N 0021 21 DALE RILEY 7. i S 5 09
S. S. SHIRT -65/35 11
a JEAN COTTON R I GGS CA 11
m
0
DEFE CHARGE 9.00
aI INVOICE SUB —TOTAL 351.99
g TOTAL SERVICE CHANGES
m�
AMOUNT DUE a �pT- h{4t7Ul�T D
I THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
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 471283 CHARGE 6 /15/14
a 809566 317/571-2634
p CITY OF CARMEL UTILITIFS9
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
10.1 i
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
Cam] C] (n P O t� GHQ u {�o
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
k
j
Form. L208 Rev. Date: 06/25/07 Rev: 002
a
UniFirst Corporation PAGE 001
a D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0471283 8/17/09 CHARGE 450172
809566 809566
p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE## N2030
18X18 WIPERS 6.60 5/09
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
a 24" DRY MOP 2 1. 50 5/09 2
BAR TWL- UNIFIRST 16X 120 16.60 5/09 11
REPLACE -BAR TWL- UNIFIR 10 5.00
xe SOIL LOCKER 2 6/09
I 8 COMPARTMENT LOCKER 2 6/09
0001 1 GARY LAFOLLETTE 7. is 5/09
o� 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 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 STUBBS 8.15 5/09
r S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
0006 8 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 IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I, WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SeOuEwCs PRsau' PAGE
O8� NN 2 220 N2030 082 1
CONTRACT INVOICE PAYMENT TERMS
450172 471283 CHARGE 6/15/14
809566 317/571-2634
960? HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
Qeo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA 8al: .DO
7 990 F 1� =gmm IF m IM em Fau
rM GM,1 0)1 1 ouv nevo �1 GOE9
WIP F$ 802107 .110 120 1 38
REPL .3OO
W%P F$ 802310 .050 480 1 144
REPL .3C0
HDW 0$ 814100 2 1
MOP RE 83241[} .750 4 1
LIN F$ 855405 .14{} 240 1
REPL .5OO
HDW O$ 895003 2 1
HDW Q$ 895103 2 1
1 1 UNI RE 010231 165 03 ��Z5O 6 1
1 1 UNI RE 020231 165 01 .250 5 1
1 1 UNI RE 1O8705 360 30 .400 11 1
2 2 UNI RE 020231 175 03 .250 11 1
2 2 UNI RE 1O8705 360 34 .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 108705 330 32 .400 11 1
4 4 UNI RE 300205 460 02 .500 2 2
5 5 UNI RE 114469 360 32 .360 11 1
6 6 UNI RE 010231 175 02 .25D 5 1
6 6 UNI RE 020231 175 01 .250 8 1
6 6 UNI RE 1O8705 380 30 .400 11 1
7 7 UNI RE 020231 205 03 .250 11 1
7 7 UNI RE 1O8705 460 30 .400 11 1
7 7 UNI RE 300205 660 02 .500 2 1
B 8 UNI RE 114469 360 30 .360 13 1
8 B UNI RE 252407 580 02 .220 13 1
9 9 UNI RE 010231 175 02 .250 8 1
Form: L208 Rev. Date: osmomrRev: 002
U
j
INVOICE NUMBER 082 0471283 REMIT TO: UnzFirst Corporation
INVOICE DATE 8/17/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
Is A/R NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UTILITI 11111111111111 Jill
PAYMENT AMOUNT 13820471283Z
1B
Please detach and Return With Payment
�lILd1,L3 Un i F i r s t Corporation PAGE 002
KIP 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0471283 8/17/09 CHARGE 450172
r
809566 O 609566
gy p` CITY OF CARMEL UTILITIES9 4 CITY OF CARMEL UTILITIES9
�1 P 9609 HAZEL DEL#.... PARKWAY 6 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280
O
I IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030
mix o CI r CIS F um
cD �o
o
S. S. SHIRT -65/35 S
JEAN COTTON RIGGS CA 11
LO 0010 10 LARRY SCHIMMEL 5.90 5/09
S. S. SHIRT -65/35 6
�s JEAN COTTON RIGGS CA 11
a 0011 11. BART CHAFIN 6.71 5/09
S. S. SHIRT -65/35 11
ID
JEAN— WRANGLER RELAX 11
0012 12 DENNIS RUSS 5. 5/09
JEAN COTTON RIGGS CA 11
0.
a,
COVERALL-65/35. 2
o
0013 13 LONNIE PATTON 7. 15 5/09
0
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. IS 5/09
5,S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0 0016 16 RALPH GRUWELL 6.71 5/09
LOST PROD —LS SHIRT -65/ 5
LS SHIRT -65/35 5
0 LOST PROD—S.S. SHIRT -6 6
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 18 ROBB 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
LAS COAT —POLY /COTTON 4
SS SHIRT— SCRUB 65/35 11 t
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS. INC.
LOCATION ROUTE SEQUENCE PRESILL PAGE
082 NN 2 220 N2030 082 2
CONTRACT INVOICE PAYMENT TERMS
450172 471283 CHARGE 6 /15/14
a B09566 317/571 -2634
p CITY OF CARMEL UTILITIES9
9609 HAZEL BELL PARKWAY
INDIANAPOLIS IN 46280
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
9 9 UNI RE 020231- 175 01 .250 5 1
9 9 UNI RE 1OB705 320 34 ..400 11 1
10 10 UNI RE 420231.195 01 .250 6 1
10 10 UNI RE iOB705 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 1OB705 380 30 .400 11 1
12 12 UNI RE 300205 520 02 .500 2 1
1,3 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 1OB70S 320 32 .400 11 1
15_ 15 UNI RE 020231 175 01 .250 11 1
15 15 UNI RE 1OB705 420 30 .400 11 1
16 16 LGCH 15.950 5 1
16 16 UNI RE 010231 205 03 .250 5 1
16 16 LGCH 13.240 6 1
16 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 1.1 1
18 18 UNI RE 010231 185 02 .250 5 1
18 18 UNI RE 020231 185 01 .250 6 1
18 18 UNI RE 1OB705 400 30 .400 11 1
19 19 UNI RE 127689 400 02 .200 11 1
19 19 UNI RE 252407 464 02 .220 4 1
19.. 19 UNI RE 425489 155 01 .200 11 1
Form: L208 Rev. Date. 06/25/07 Rev: 002
VOUCHER 096273.. WARRANT ALLOWED
360'025 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
0820471283 01- 7202 -06 $192.80
Voucher Total $192.80
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/24/2009 r�
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2009 0820471283 $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
1 2 7
Date Officer