169188 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $523.25
a r CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 169188
CHECK DATE: 2/1712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 p 427861 104.65 CLEANING SERVICES
1047 4350600 430451 104.65 CLEANING SERVICES
1047 4350600 431743 104.65 CLEANING SERVICES
1047 4350600 433032 104.;65 CLEANING SERVICES
1047 4350600 434332. 104`:65 CLEANING.SERVICES'
41 +a '�T�r I nt i' s iaarip :Ii r�k:I In PAGE
K s[ r AN %2L IS C
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 y'4 1c,'21911 CHAS +rE 376554
16 .`'}3y..1' O �+�1'
I
d) MONOV4 CENTER dC DATIRAL PAR. 6 M-3I-a DN C ON T ER 122 ENT AL PAR
P tzaS CENTRAL AL firt6`.K UWR I E E I 1233 CENTRAL Frs:RK DR IVE E
O O
0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: ::-:.1 0226 R, T Ek- KAGA 0
0 Eta mm
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MAT- 1:1ST '5 riREAT 27 tE`. 1E. 4; ;:.7 2 7
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Budget FEB 0 3 2009
Line Descr
Purchaser Date
Approval
Date _p BY:
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT
_I_ WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. CUSTOMER COPY
LOCATION ROUTE SEQUENCE PREBILL PAGE
a,
CONTRACT INVOICE PAYMENT TERMS W
7 A,, 5 E, 4 4278,61 OHAF(wE Cis le 1 2 �.A
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Qo M ONGN CENTEDR. 02CENTRAL FAR
CENTRAL PA:I;'.:K -DPIVE E
CARMEL ZU1 4;60:32
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MAT RE 7#--Ar:W3 I E-C I I
MAT RE 2.sso E-4 I
MAT R E 7-&Agl:�3 :3. 4r�0 I -0i I
Form: L208 Rev. Date. 06/25/07 Rev: 002
Z T S& L'� �'D I PADI ANAPaL IS,
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 C'44:304551 I �'e-? C�HAFGE 376 S`!
Y 0.
III NON CENTER Li PAR 1 CE ATEE eZEV4-'7 FAR
gars C DATRAL PARX. U-RIVE E t- CENTRAL FA•K DRIVE E
x 1 1 N 46oa-z C.-AR.11BL- EN. 46-,'�32-
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IF YOU HAVE A OUESTION REGARDING THIS INVOICE, CALL: 5 CK2 6 RTE* K.-6,060
Wa IF um m-% F
l@sm I
Fv
MAT-:3.fS fall5l"S r,�RFAT 6 9 OC"
-4�V S GR EAT P7 Aae, P'S' 4, /1:-
MAT �A-, UIE -T'
MAT-3.flo IJIST'S GREA :5 17. CX) 4017 5
DEFE CHAR-rlE 80.
IN*03ECE SlUB-TOTAL 1 4, 5
$4
70 TAL I C' E
AMOUNT VVE
THE-5 LES YOUR. ON-€.,'a" VW-CE- NE T34::- UIAV'S. PLEASE SZWN- ef,
501L FECK UP C�aUNT S�> FT NO
Purchas
Descri
C-MVED P.o.#
FES 0 8 2009 G.L
Budget
Line Descr
Purchaser
Date
approval
Date Z ,3 0 7
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
CONTRACT INVOICE PAYMENT TERMS I UU I
37 43r,451 C;HARf.7E :�s 1 2
co 667S,49 :3 17 5 7:3- S235
0
(p MGMCMA CE14TER PAR 1B
V 1-Z-35 CENTRAIL PAR'K E
I(DI CAFUIEL IN 4AX'K32 I
Ge Code: 11C x7'1510
n
Emb I st arge. 41 J
Charq--I:
Cusf. PEA Sal: 0
0
n0u. WED
MAY RE 7j6AG*:3 i E100 i2 1
MAT RE 76ARCM- 2.550 54 i
MAT RE 7A,.-ASC :3. 400 1 1 4 1
EEF.( 11 7-.
0
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OPEN ENVUICE SU11M,4RY
De--Gtes Fi Due At L*a d-as4s.
It
zt D a e Numb -3 r Am a sj n t 0
1 �1 PE, 422- 5 S 1 Illi 6:5
1; -2. 1 s i 1. .•`81 4Z 38 7:3 13. 7
1 12- CIS 4 e S '121 1 1C4. 65
1 2 1 1 8, 42-46IS21 IC4. bE- 0
121� 427861 1 A:< 4. 6!5
t.!Oi 42 1 4 7 1134. 6S
1 0 43CMEA 1*4. 6E. 1 0
Ac�:ount 9--3 lan-ce: 7•35. j6l^
F-a Due Ba 1CM.. -65
0
0
Form: L208 Rev. Date: 06/25/07 Rev: 002
U D to t F i r •3 t av p .k -7 a It i i n PAGE
4201 INDUS5TRIAL SLI-M INDIANAP0LIS IN 462E-4
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
OS2- t'1431743 lill.611�0 CHAROE 376;5S4
I h 1
Go 66 7-J-34
0 MONON CENTER fICSITF-AL PAR 0 V•0 CENTER *-CENTPA'L PAR.
1235 CENTRAL PARK DRIVE E 6 1-2:35 CEN-TRAL PARK E
C ARME L ItA 46r�3*2- Q CARIIEL EN 46ila2
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 7, 102 1 6 RTE* V1161060
]F
eus
I Gelb IF
MAT-3(S *11E-T'S 0REAT 6 C•. 00 4/ 6
MAT-4XA-, 111ST'S GREAT 27 lei. 8:5 4/'C':7 27
MAT-3.flO UIST'S GREA E. 17. Oil 4 141 5
DEFE CHAROE 81-1
ENIME-CE S,IB-T13TAL 1 6 El
TOTAL SEW,4 CHANGES
AMOIJNT DUE
JR MALY EWCE- VAET :30 D.MOS. PLEASE SEGNZ-
THEP, ES Y0' 1
501L FICK UP C�:IUK-T SHI FT OT No
Purchase
C-F- F
TVID Descrip)lfton_7 p F
FEB 0 3 2009 P .O.
G.L
A Budg
Line Uescr Date�
r Purchaser Date
Approval
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
c"S2
CONTRACT INVOICE PAYMENT TERMS l lY I 00
3765 4:31 74;V3 CHARGE a I -a I I jAl
co 667e-4 3 1 7e* 5 7,3— SZ-35
0 1137,10N CENTER FAR I IB
12-35 CENTRAL :,PARIK C, E
CD KEL IN 460:32
Ge* Code: 1:50571510
0
Charq
Emb lem C&�-arqe. 0
service Char-le: C43
C�L3 P 9 fl u �o
C"$.�st PEA Bal: 0
MAT RE 7-6AQCK3 1. 5330 1 2- 1
MAT RE 7&-AF-03 2. 5:50 54 1
MAT :RE 76-ASQ0 4 I Ck I
EEF'.( -7. ENCIO
0
0
0
**See Ter rq d a:. ive i£iq *:573—E-2:3.* -ar r- -a I 1 4
OPEN INVOICE SUM.ARV'
De Fa Due At Lea-ift 3,5 dae4s.
12� 42-387 10 7-7
42:52 14 1 0 4. 6:5
12.�26e 42•-9•1 Ir.4.16E. i i
I 1�02 I 0 4 2 1 7 1 Ck 4. 6 Ed
VOW 6:5, I 0
1 431 74�3 1 1 0 6 E.
Acz Ralan-ce: 640.34
Pa-st D�u Bala ice: 212. 44
Form: L208 Rev. Date: 06/25/07 Rev: 002
I
i n D �«�s: €F CLi�.. tir�t�. €rE� �i'�L's f_ €y..r EF� �•?iv�s`�
l�1JCA�U lal�l5
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.l, a �1 }3F'40K CENTER f�'CMITP+:AL PAR.. i'��FB N ;�E;dTER tCENTRAL P
0 12:35 CENTRAL Pr'4''+`K C.F, E E 6 233 CENTRAL PARK C. €V E E
P CA ME' €'.•'Z• 46-0:32 6 C•ARMEL IN 4641
4 4
@1 j 17 ;r2-k7 3_ Q t
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL:
L!'o r a I II a m mu I M=' e OU3 UP
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F' 2A 2 •J K I O U o. T S i7'R EA i 17. 0§.i'
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Purchase
i VFD Description
P.O. P F
FEB 0 g 2099 G.L
d
Buget
Line Descr
J Purchaser Date
Approval Date 2 '3
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
L%& fRUT SEQUENCE PPACE
Q PA�W TERMS
D- 1 7, 5 2,2,'S,
CO M CENTER f!CENTRAL PAR
0
12-35 CEN7WAIL PARVk 'r-M E
PIEL IN 464e:-�
(D
Charge.
Service Charge:
Cu PLA Bal:
G:m M a3 =Mm F M I m i
MAT RE 76AR03 2- 1 5:50 S4 I
MAT RE :3. •i:k 0 1 0 i
I
EEF, F P, 0
Tesrsi w•e.-, 5 7:r S*2 -:*r c 44
OPEN INVU1.10E SLAMMARY
Fa-3t Osk-a At Lea C'IrS dags.
K in .0 i r- a
Oa is= IN u b e 7 A-m a s-*!n f.
I I Pw 422- 5EA 6E.
4 2:. Ekr 8 7 3 1 7177
Z� li� e'0 42-6521 Ire 4. 6
I Llru 42-Z'147 I Ck 4. 6 5
lii 43r�4SI I �34. 65
I .e 16 e* _119 43174:3 D 65
4:3 1134. 6EIr
B•lan:ce:
3 01Z
Form: L208 Rev. Date: 06/25/07 Rev: 002 101
*JniFCr•3 i,;-3rg rats *n PAGE
H 1717 -„51� ES O 42 €NDUSTR €N BLVD UlD €ANAF0LIS IN 46214
�.IU�Vl1U�
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
r1i
1 :7 `i�!
i i.:�•1`�• 1 iat' CHARGE :rT�?`i
F Co "MA CENTER +–ICEPATRAL PAR p #'"0VM CE LATER 0–CE -TRAL PAR
0 72:35 C EeNTWAL PARK D, :R f'V E E a 12� 1 i. £i0'€ RAL PARK 06 1
4 4
O Q
1
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: f 7 :T
1 �o cc� ca cr�o cap
kew
t0
MAT- 1 1ST'•S fxWEAT 27 Ale. BE 0 41Ur 7 2
m MAT :3,'(10 I. +IST' S GP£r'4 1 17. 00 4/417 5
FENA110E CHARGE 4.76
s
N l
t
€3EPE C'HAROE 5. a
INIAMCE SIJB–TOTAL 13— 41
m
TO TAL SERV CH ANGE S
o
AlIGs'. N T ME
M I D
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SOIL PECK £:P C UT 1H PT OT IN€#
i
Purchase
Description
I �TE'.tl..>• P.O.
RE C d P o F
FEB 0 3 2009 G.L.
Budget
1+ Line DPsc
BY: Purchaser Date
Approval I Date Z
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
n 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
12/26/08 427861 Walk off mats 104.65
1/9/09 430451 Walk off mats 104.65
1/16109 431743 Walk off mats 104.65
1/23/09 433032 Walk off mats 104.65
1/30/09 434332 Walk off mats 104.65
Total 523.25
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 1
4201 Industrial Blvd. J
Indianapolis, IN 46254 In Sum of
523.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 427861 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 430451 4350600 104.65 bill(s) is (are) true and correct and that the
1047 431743 4350600 104.65 materials or services itemized thereon for
1047 433032 4350600 104.65 which charge is made were ordered and
1047 434332 4350600 104.65 received except
13 -Feb 2009
Signature
523.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I