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175936 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $597.43 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 175936 CHECK DATE: 8!612009 DEPARTMENT ACCOUN PO N UMBER INVOICE NUMBER AMO DESCRIPTION 651 5023990 0820465836 X 191.74 OTHER EXPENSES 651 5023990 0820467183 X196.39 OTHER EXPENSES 1047 4350600 461594 ,/104.65 CLEANING SERVICES 1047 4350600 462843 ,104.65 CLEANING SERVICES UniFirt Corpcsraa PAGE pQ1 4201 INDUSTRIAL BLVD IN MANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0462843 7/03/09 CHARGE 3765S4 667849 667849 ®MONON CENTER @C.ENTRAL PAR 6 MONON CENTER @CENTRAL PAP [P-1235 CENTRAL PARK DRIVE E 16 I235 CENTRAL PARK DRIVE E Q CARMEL.: IN 46032 CARMEL IN 460132 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE#t K6060 1 o MAT -3X5 U1ST'S GREAT 6 9.00 4147 6 MAT- -4X6, UAST'S GREAT 27 68.85 4/07 27 MAT° -3XIO U1 GREA 5 17.00 4/01' S N DEFE CHARGE 9.80 INVOICE SUB —TOTAL 104.65 TOTAL ,SERVICE CH ANGES AMOUNT DUE 0 N O o THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN `y SOIL PICK UP COUNT SH PT OT NO AF JUL 1 0 1009 pulmllime Desat"— Budoi SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 Kid 6 25 K60360 082 1 CONTRACT INVOICE PAYMENT TERMS 376554 462843 CHARGE 6/08/12 667349 317/573- I 0 110NON CENTER @CENTRAL PAR 1235:GENTRAL PARK DRIVE E CARM IN 46032 Geo Code: 1SO571510 C FIVE Deposit Charge: .00 JUL 0 god Emblem Charge.: 00 Service Charge: .00 Cust PIA Dal: .007 j ti G3 CIL6 iii 7 �3 ��]J3i Q?C)] C3 P, q fl CfiI LY7� o MAT RE ,76AGO3 1. 500 12 1 MAT RE 76AR03 2.550 54 1 MAT RE R E ,76A S03 3.400 10 1 EEFX 9,800 *,-See Term when delivering #573-5239 or cell 44 Form: L208 Rev, pate: 06/25/07 Rev: 002 UniFirst Corporation PAGE 0� I�UUdrUl(5 D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4625 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRA( 082 0461594 6126'09 CHARGE 3765 a 667849 667849 0 MONON CENTER @CENTRAL PAR d MONON CENTER @CENTRAL PAR P 1235 CENTRAL PARK DRIVE E- 1 1235 CENTRAL PARK( DRIVE E V CARMEL IN 46032 U CARMEL IN 46032 O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE* K6060 MAT -3X5 U1ST'S GREAT 6 9.00 4107 6 MAT -4X6 UIST'S GREAT 27 66.85 4107 27 d� MAT --3X10 U1ST'S GREA 5 17.00 4107 5 ,u DEFE CHARGE 9.80 a T INVOICE SUB —TOTAL 104.65 o TOTAL SERVICE CHANGES s AMOUNT DUE m �1(, THIS IS YOUR ONLY I NVC E— NET 30. DAYS. PLEASE SIGN i L o SOIL PICK UP COUNT SH PT OT NO Plumhue Budget Line lDeW_CjjAAjI IL q t 1 b C JUL 1 0 2009 Pumhaw owe SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SEQUENCE PREBILL PAGE 082 KK 6 2S K6060 082 CONTRACT INVOICE l 1 1U 11 `VIA 376554 461594 rzzl�tt6/08/12 j 'w'N if w.. L M 667849 3� 7 f 57'3- 235 MONON CENTER QICENT P 4 1235 CENTRAL. PARK p CARME!_ IN 46032 Geo Code: 150571510 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Bal: .00 o �aa& 05V O M M Tu G� Leo remom MAT RE 76AG03 1.500 12 1 MAT RE 76AR03 2.550 S4 1 MAT RE 76AS0 3 3.400 10 1 EEFX 9. 800 s **See Terry when delivering #573 -5239 or cell 44• 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 6126109 461594 Mat cleaning 104.65 7!3/09 462843 Mat cleaning 104.65 Total 209.30 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, fN 46254 In Sum of 209.30 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO4 or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1047 461594 4350600 104.65 1 hereby certify that the attached invoice(s), or 1047 462843 4350600 104.65 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 16 -Jul 2009 Signature 209.30 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund e u UniFirst Carpc,ration P GE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 O NV LCb5cl3b .�D 6 /09 A,TAbi -T MS PURCHASE ORDER COfMi� 2 03 C:IT`> OF CARMEL UTILITIES9 p CITY OF CARMEL UTILITIES9 p`96.09 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY IND IN 462BO INDIANAPOLIS IN 46280 4 A l 17 RTE# N5 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: •llt`_.. BAGGED I SX 18' WIPERS .12.' 00 REPLACE BAGGED 18X 18 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 27 d REPLACE-BAR TWL-UN I F I R 10 S 0 T SOIL LOCKER G o$ COMPARTMENT LOCKER 2 6/09 a, 0001 1 GARY LAFOLLETTE 7. 15' .5/09 LS SHIRT -65/35 S. S. SHIRT -65/35 5 N JEAN COTTOt* RIGGS CA 11 0002 2 JASON STEWART 7. 15• 5/09 S. S. SHIRT -65/35 11 ;JEAN COTTON RIGGS CA 11 FFt 0004 4 BLAINE MALLABER a.15 5/09 LS SHIRT -65/35 3 S. S. SHIRT-65/35 a ,JUAN COTTON RIGGS CA 11 COVERALL -65/35 2 0005 5 JEFF COOPER- 4. 40 5/09 JEAN COTTON RIGGS CA 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 5109 i S. S. SHIRT-65/35 i l JEAN COTTON R.I GGS CA. 11 COVERALL-65/35. 2 0008 8 DAVE DYE 7.54 5/09 JEAN WRANGLER RELAX— 13 LAB COAT-POLY/COTTON 13 S a o 0009 9 JOE FAUCE "f'I 7. 15 5 /'09 LS SHIRT- 65 /35- 6 S. S. SHIRT -65/35 5 SERVICE HEREIN Y RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER CORY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. 082 0465836 UniFirst Corporation INVOICE DATE INVOICE NUMBER 7/20/0 REMIT TO: 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 609566 INDIANAPOLIS IN 46254 ON A/R NUMBER R fE#i N2030 ,Aj, CUSTOMER CITY OF CARMEL L3T I L T T T 1111111111111111111 Jill PAYMENT AMOUNT 0820465836X Please Detach and Return With Payment UniFirst Corporation 002 4201 INDUSTRIAL BLVD INDIANAPOLIS I OIBS1 8 SS3b 7 D/ 6 /09 CA-YMEf PERMS PURCHASE ORDER CO K� 2 2 V 4 �o hhiifA� ff''tt ttii f9i-- V 7 a CITY OF CARMEL_ UTIL.ITIES9 p CITY OF CARMEL U'TILITIES9 P 9609 HAZEL DELL PARKWAY x,9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 Q' 4 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/293 5 0010 10 LARRY SCHIMMEL S.90 5/09 v� S. S. SHIRT 65/35 6 JEAN COTTON RIGGS CA 11 0011 11 BART CHAFIN 6.71 5/09 S. S. SHIRT -65/35 11 JEAN- WRANGLER RELAX 0012 12 DENNIS RUSS 5.40 5/09 0 JEAN COTTON RIGGS CA 11 Ir COVERALL--65/35 2 :I. 0013 13 LONNIE PATTON 7.15 5/09 S. S. SHIRT -65/35 11 N JEAN COTTON RIGGS CA 11 0014 14 ERIC ROBINSON 7.15 S /09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 1, 1 1 y 0015 15 KEVIN B UHMANN 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 -65/3S 6 =4 JEAN- WRANGLER RELAX 11 0017 17 PETE BRENNAN 7.15 5/09 S. S.. SHIRT- -65/35 11 JEAN COTTON RIGGS CA 11 i 0018 18 ROBBIE KINKEAD 7.15 5/09 LS SHIRT -65/35 S S. S. SHIRT -65/35 6 S 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 SS SHIRT -SCRUB 65/35 11 0020 20 BRAD OLIVER 5.40 5/09 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. S INVOICE NUMBER 082 0465836 REMIT TO: Un i F i r 5 t C 7/20/09 4201 INDUSTRIAL BLVD INVOICE DATE 809 566 INDIANAPOLIS IN 462.54• CUSTOMER# (BILL TO) A/R NUMBER RTES N2030 a CUSTOMER CITY OF 'CARMEL CARMEL UT I L I T T 1111111111111111111 Jill PAYMENT AMOUNT 0820465836Z B Please Detach and Return With Payment UniFirst Corporation GE 003 `'J D 4201 INDUSTRIAL BLVD INDIANAPOLIS I P� 46254 08 1 8Z S636 7 51Y EATAWERMS PURCHASE ORDER 'C`Mi2 2 tr O COCITY OF CARMEL UTILITIES9 p CITY OF CARMEL UTILITIES9 0 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL_ PARKWAY INDIANAPOLIS I N 46280 INDIANAPOLIS IN 46260 4 4 O IF YOU HAVE A QUESTION REGARDING THIS INVOICE„ CALL: 17 /293-SA- 6 G f� l tFfC= R w a+w DX W7 S. S. SHIRT -65/35 11 ,JEAN COTTON R I GGS CA 11 r r DEFE CHARGE 9.00 m INVOICE SUB- TOTAL. 191. 74 d C o� TOTAL SERVICE CHANGES ij AMOUNT DUE THIS 16 YOUR ONLY I NVCE•- NET 3Q' DAYS, PLEASE SIGN i 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. v UniFirst Corporation 001 PAGE 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 04671#33 7/27/09 CHAPG'E 450172; g CITY OF CARMEL UTILITIES9 0 CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY 4 INDIANAPOLIS IN 46280 ,4 INDIANAPOLIS IN 46280 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17 /�93 -5 IN G MAT -4X6 U1ST'S GREAT 4 14.00 5J09 4 z 18X1S WIPERS 6.60 5/01 BAGGED 18X18 WIPERS 12. 00 5/05 Il HANDLE/FRAME 24" 2 5/09 C 24" DRY MOP 2 1.50 5/09 2 BAR TWL- UNIFIRST 16X 1'20 16. 80 5/09 50 REPLACE -BAR TWL- UNIFIR 10 5.00 C o SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/01 Il IJ 0001 1 MARY LAFOLLETTE 7. 15 5/09 cc LS SHIRT° -65/35 6 N S.S.- SHIRT •65/35 O JEAN COTTON RIGGS CA 1 m 0 00 02 2 JASON! STEWART 5/09 S. S. SHIRT- 65/3''5 11 JEAN COTTON RIGGS CA 11 0004 4 BLAINE MALLABER 8. 15 5/09 LS SHIRT -65/35 3 S. S. SHIRT -65/35 a JEAN COTTON RIGGS CA 11 COVERALL- °65/3S 2 0005 5 JEFF COOPER 4. 40 5 /09 r JEAN COTTON RIGGS CA 11 0006 6 DAVID TURNER 7.15 5/09 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 JEAN C07TON RIGGS CA 11 0007 7 C HRIS STUB13S S. 15 5 S.. S. SHIRT •65/35 11 JEAN COTTON R I G GS CA 11 COVERALL--65 0008 8 DAVE DYE 7, 54 5/09 JEAN WRANGLER RELAX 13 LAB COAT --POLY /COTTON 13 0009 9 JOE FAUCETT 7. 5/09 LS SHIRT•••-65 /35 6 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY l WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i p�Gs O82 NN 2 9 N2O3D O82 z g(U8T�&�T V@yJ|�� ���uz/�� 4�/z8u CHA&E RMG 6/15/14 809566 317/S71-2634 ca LP9609 HAZEL. DELL PARKWAY V INDIANAPOLIS IN 46280 Geo Code: 150970670 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA 8al: .00 IL Nuo MAT RE 76AR03 3.500 8 2 WIP F$ 802107 .110 120 1 WIP F$ 802310 .050 480 1 240 HDW O$ 814100 2 1 MOP RE 832410 .75O 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 .25O 6 1 1 1 UNI RE 020231 165 01 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 1OB705 330 32 .400 11 1 4 4 UNI RE 300205 460 02 .500 2 1 5 5 UNI RE 1OB705 380 32 .400 11 1 jj 3(. S "A' 6 6 UNI RE 010231 175 02 .25O 5 1 6 6 UNI RE 020231 175 01 .250 6 1 6 6 UNI RE 1DB705 360 30 .400 11 1 7 7 UNI RE 020231 205 03 .250 11 1 7 7 UNI RE 1{)8705 460 30 .400 11 1 7 7 UNI RE 300205 660 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 Form: L208 Rev. Date: 06/25107 Rev: 002 INVOICE NUMBER 032 0467183 REMIT TO: Un i F i s t C INVOICE DATE 7/27/09 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 8 09_566 INDIANAPOLIS IN 46254 AIR NUMBER RTES N2030 „r CUSTOMER CITE` OF CARMEL UTIt_ITI PAYMENT AMOUNT 0820467183* g Please Detach and Return With Payment UniF'irst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT OQ2 0467183 7/27/09 CHARGE 450172 CITY OF CARMEL 'T UTILITIES9 d CITY OF CARMEL UTILITIES9 P 96039 HAZEL DELL PARKWAY 6 96039. HAZEL DELL PARKWAY Q INDIANAPOLIS I N 46280 4 INDIANAPOLIS IN 46280 O 4Q IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17 /243- S RTE# 1 JEAN COTTON RIGGS CA 11 z 00310 10 LARRY SCHIMMEL 5.90 5/09 S. S. SHIRT -65/35 6 m JEAN COTTON RIGGS CA 11 00311 11 BART CHAF'It+i 6. 71. 5/09 a S. S. SHIRT -655/35. 11 JEAN-WRANGLER RELAX 13 G o 0012 12 DENNIS R USS 5.40" S/09 JEAN COTTON RIGGS CA 11 COVERALL- 2 0013 13 LONNIE PATTON 7.15 5/09 S. S. SHIR`i' -65/35 11 JEAN COTTON RIGGS CA 11 0014 14 ERIC ROBINSON 7. 1S 5x'09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA it 0015 15 KEVIN RUHMANN 7.15 5/09 S. S. SHIRT- -65/35 -11 JEAN COTTON RIGGS CA 11 00.16 16 RALPH GRUWELL. 6.71 5/09 LS SHIRT 65/35 5 5. S. SHIRT -65/35 6 JEAN-- WRANGLER RELAX 11 00717 17 PETE BRENNAN 7. 15 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 j I 0018 16 ROBBIE KINKEAD 7. 15 5/09 LS SHIRT- •65/35 5 S. S. SHIRT /35 6 JEAN COTTON RIGGS CA 11 00319 19 TARA RUBBISH 5.28 5/09 PANT" SCRUB 65/35 1 P 11 LAB COAT- POLY /COTTON 4 SS SHIRT -SCRUB 65/35 11 0 0 0320 20 BRAD OLIVER 5.40 5/O9 JEAN COTTON RIGGS CA 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. /]qu7� s Pxqs V�� mm m�u�u uu2 ]N\K)�� ��Wl7 4�/zma CHXR6E nMS 6/15/14 809566 317/571-2634 co U'9609 HAZEL DELL PARKWAY V INDIANAPOLIS IN 46280 geo Code: 150970670 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Sal: .DO 9 9 UNI RE 1O8705 320 34 .400 11 1 10 10 UNI RE 020231 195 01 .250 6 1 lO 10 UNI RE 1O8705 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 1O8705 380 30 .400 11 1 12 12 UNI RE 300205 520 02 .500 2 1 1' 13 13 UNI RE 020231 175 03 .250 11 1 3 13 UNI RE 1O8705 360 34 .400 11 1 ~14 14 UNI RE 020233 155 01 .250 11 1 �4 14 UNI RE 1O8705 320 32 .400 11 1 fl� 15 UNI RE 020231 175 01 .25D 11 1 1� 15 UNI RE 1O87O5 42O 3O 400 11 1 16 16 UNI RE 010231 195 03 .250 5 1 16 16 UNI RE 020231 195 01 .250 6 1 16 16 UNI RE 114469 420 30 11 1 17 17 UNI RE 020231 165 01 .250 11 1 17 17 UNI RE 1D8705 320 34 .400 11 1 18 18 UNI RE 010231 185 02 .250 5 1 1B 18 UNI RE 020231 185 01 .250 6 1 18 1B UNI RE 108705 400 30 .400 11 1 19 19 UNI RE 127689 400 02 .200 11 1 19 19 UNI RE 252407 460 02 .220 4 l 19 19 UNI RE 425489 155 01' .200 11 1 20 20 UNI RE 1D8705 360 30 .400 11 1 Form: L2oa Rev. Date: oo/2smr Rev: mm INVOICE NUMBER 082 0467183 REMIT TO: UniFirst Corporation 7/27/09 4201 INDUSTRIAL BLVD INVOICE DATE 609566 INDIANAPOLIS IN 46254 CUSTOMER# (BILL TO) A/R NUMBER RTE# N2030 CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT 0820467183* Please Detach and Return With Payment 003 UniFirst Corporation y PAGE ilk I7!]- 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 I�JU�1�1��1.5 U® INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0467183 7/27/09 CHARGE 450172 GO CITY OF CARMEL UTILITIES? CITY OF CARMEL UTILITIES9 D 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: 17/293 -5 c II 'um L Ck�b LSO C1 r7 G(L�3 M M I VUUO C 0021 21 DALE RILEY 7.15 5/09 z S. S. SHIRT -65/35 11 N JEAN COTTON RIGGS CA 11 a DEFE CHARGE 9.00 T N INVOICE SUB —TOTAL 204.54 TOTAL SERVICE CHANGES 0 AMOUNT DUE 4` AL Ar D0C o THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN I 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 SEQUENC PREBILL pAGE 082 NN 2 9 N2030 082 u CONTRACT INVOICE PAYMENT TERMS �45O172 467183 CHARGE 6/15/14 809S66 317/571-2634 U`9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 Geo Code: 150970670 Deposit Charge:. .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA 8a1: .00 21 21 UNI RE 020231 155 01 .250 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 OPEN INVOICE SUMMARY Denotes Invoice Past Due At Least 35 days. Invoice Invoice Date Number Amount 6/15/09 459443 4.00 6/22/09 460702 192.24 6/29/09 461987 210.74 7/06/09 463243 192.24 7/13/09 464554 210.74 7/20/09 465836 191.74 7/27/09 467183 204.54 Account Balance: 1,206.24 Past Due Balance: 4.00 Form: L208 Rev. Date: 06/25/07 Rev: 002 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 7/27/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7127/2009 0820465836 $191.74 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 096097 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 0820465836 01- 7362 -05 $191.74 og zo�{67183 ©1.7 36,x.05 r�6. 3q 3�� 3 Voucher Total $1 Cost distribution ledger classification if claim paid under vehicle highway fund