169661 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
•I 0
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $209.30
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 169661
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 435647 104.65 CLEANING SERVICES
1047 4350600 436945 104.65 CLEANING SERVICES
PAGE
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
0 Pa 2 C. 4: F; 4 7 Z- 376SS
MIX-iDN' GENTER QCENTR'--"AL PAR 0 1103 033 CENTER qCENTRAL PAR.
0
(PI 1,2•5 CENTRAL FAME. DRIVE E (b 123S CENTRAL PARK CRFi'E E
AIRMEL VN 460,32 v C ARM EL IN 464"<32
4 C P,
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,•CALL: :31 KAXP&O
1 1 um l ml MD 11 Em. IFRiE
M2+^N.T—:3X5 VIST'S l;: EAT .6 q. 031 4 7 6
KA.T-3XIO VIST'g G•EA ;5 .7 Cii 4107 1 :1
DEFE CFIARGE
INV9110E SUB—TOTA.'L 104. 65
C E j7
ir
C
AMOUNT DUE
C.
THIS IS YOUR 0 ENV%,CE— NET'M DAYS. PLEASE Sfrm-
ED I L PICK LIP C PTANT 6 H FT OT 1140.
Purchase
C F, I v FF,"
P.O. F
G.L. FEB 19 2009
Bu d
une BY:
Purchaser Dato,._.,^�
Date—L
6
0
4D SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
0 P-;-2 4 1A 6 P-1160-60 0aQ:
CONTRACT INVOICE PAYMENT TERMS g
:37-6554 4:35,547 C HAIR.13 E
ca
0 110110*4 CENTER FAR IB
1p IZ.35. CEN FARf?, DRIVE E
CARMEL Z?l q,&C
j
RECEIVED
FEB 1 2 (008
Emblem Charge.
s4r -Charja:
40
P �i?O �GQZ� �a
MAT RE 76 I
MAT RE 7 7•ARCO 2. 550 E-4 i
MAT RE 7 :a. 4030 i IQ "ll
EEFi( IV. JZ11"Jo
aea Terrq ::r cal 1 44
OFENO 11 ?3UPI"ARY
Derata lsiv*ice Fa Dsi::& At L:=- a s t 35 da-q�;
Da t N u b a r Amoun t
V 6S
11*02i'��5 42 1 4 7 lu 65
43'XW IrW 65
431 4`3 1 65
_1 0!Mk e �1 14:3 IC 41
2,.r Q%6 4:3-,647 1114. 6=4
Ac,.:G4jnt Ralan�:e: TZ
pa-;t Dua 65
Form: L208 Rev. Date: 06125/07 Rev: 002 0
II i
OniFirst Corporation PAGE DD1
42O1 INDUSTRIAL 8LVD INDIANAPOLIS IN 46254
|wv0|ce DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 O436945 Z- /13/O9 CHARGE 376554
615784- 66
co 0
1 12 -35 -CE'k'ATFAL PARlil, DRIVE E '123S 4:01TRAL PARK DRIVE E
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/2'-7-3 5X126 RTE# �060
MAT-3X5 111ST`S GREAT 6 9.00 4/D7 6
MAT-4X6 V1ST'S GREAT 27 68. 85 4/D7 27
MAT-3X10 U1ST'S GREA 5 17.0O 41D7 5
DEFE CHARGE 9.8O
[NV8[CE %U8—TOTAL 1G4.65
TOTAL SE�V[CE CHA��ES
AMOUNT DOE
TH[S IS YOUR ONLY [NVCE— NET 3O DAYS. PLEAEE S[
r
SOIL PIC1� BP COUNT SH PT OT kO'
irchase
udoet
7FEB 1 2009
CON TRACT �JjbW.—L IS PURSUANT TO A WRITTEN
�W�T���R��pY
IN C.
LOCATION ROUTE SEQUENCE PREBILL PAGE
08-2 �".K A, �11.60<60 0 Ba
CONTRACT INVOICE PAYMENT TERMS
3765E.4 436 45 CHARGE k lIA:
03 667e-49 .317, '573-52-35
1p a M�DNQN CENTER PAR. IB
12-35 CENTRAL FARK DREVE E
CARVIEL I N 4-o.:,0:32
Gea Code: ISOS7151-0
'R F ,C E I V E D
De pa s i k C h -a rq 0 14 08
Emblem Charge. 0C
Service Charge:
F) y
Cust PIA Sal: 11
Ij
I,
pro 1 93 M 11 Qu=w F M IM: Gm Fa 11
U 9 0�v nou.
MAT RE 76AQ03 I 1 -500 12 1
MAT RE 7-&ARCO 2- E. S G :54 1
MAT RE 7jE-AW3 :a 4- 10
0
**See Terrq sohe,- *573-E2 or ce=Ll 4.4
OPEN. N-W ?-cU,-'-lMARY
Deciotes lnvsai> :e Fa-it Di.te At L.--3•ast :35 das4s.
i c a
1 2 0 ils 42•861 1 C44. J65
42-7147 14 65
1 414. 6 S
41 65 I 0
4•4:332 1 ulr;7. 41
2 0 4:3' 104. 65
2 1:3 i 436 104. 65
Ac-cGs.mf. Ralan:ce: B41, 96
past Due- Ralav�ce: 2C4
Form: L208 Rev. Date: 06/25107 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. 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
2/6/09 435647 Walk off mats 104.65
2/13/09 436945 Walk off mats 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, IN 46254 In Sum of
209.30
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
°PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 435647 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 436945 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
26 -Feb 2009
Signature
209.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund