170612 04/01/2009 r
a CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
0 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $313.95
s, r' CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 170612
CHECK DATE: 411/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 438251 104.65 CLEANING SERVICES
1047 4350600 439520 104.65 CLEANING .SERVICES
1047 4350600 440846 104.65 CLEANING SERVICES
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WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
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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. 19968
360025 UniFirst Corporation Date Due
4201 Industrial Blvd.
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2120109 438251 Walk off mats 104.65
2127109 439520 Walk off mats 104.65
3/6/09 440846 Walk off mats 104.65
Total 313.95
I 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
J
Voucher No. Warrant No.
Allowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
313.95
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 438251 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 439520 4350600 104.65 bill(s) is (are) true and correct and that the
1047 440846 4350600 104.65 materials or services itemized thereon for
which charge is made were ordered and
received except
25 -Mar 2009
Signature
313.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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