175193 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
0 CHECK AMOUNT: $612.28
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 175193
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820463243 --192.24 OTHER EXPENSES
651 5023990 0820464554 ✓210.74 OTHER EXPENSES
1047 4350600 459035 "104.65 CLEANING SERVICES
1047 4350600 460304 104.65 CLEANING SERVICES
y� n UniFirst Corporation PAGE
001
UILUlL(�C3(S 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082.0459035 6/12/09 CHARGE 376554
a 667849 p 667849
a 0 MONON CENTER @CENTRAL PAR d MONON CENTER @CENTRAL PAR
p 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# K6060
11 IL
n
MAT -3X5 U1ST'S GREAT 6 9.00 4/07 6
D MAT -4X6 U1ST'S GREAT 27 68.85 4/07 27
y MAT -3X10 U1ST'S GREA 5 17.00 -4/07 5
DEFE CHARGE 9.80
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INVOICE SUB-TOTAL 104.6S
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TOTAL SERVICE CHANGES
AMOUNT DUE
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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 1
CONTRACT INVOICE PAYMENT TERMS
376554 459035 CHARGE 6/08/12
Ol 667'849 317/573 -5235
P MONON CENTER @CENTRAL PAR
4 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032
Geo Code: 150571510
!JUN z2 2008
Deposit Charge: Emblem Charge.: 00
Service Charge: .00
Cust PIA Bal: .00
l
Im u G a7g nova
MAT RE 76AGO3 1.:500 12 1
MAT RE 76AR03 550 54 1
MAT RE 76AS03 3.400 10 1
EEEX 9.800
*See Terry when delivering #573-5235' or cell 44
Form: L208 Rev. Date: 06 125 /07,Rev: 002
UniFirst Carporatian PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0460304 6/19/09 CHARGE 376554
n 667849 667849
0 MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E 6 1235 CENTRAL PARK DRIVE F
V CARMEL IN 46032 V CARMEL IN 46032
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MAT -3X5 U1ST'S GREAT. 6 9.00 4/07 6
MAT -4X6 U1ST'S GREAT 27 68.85 4/07 27
MAT -3X1O U1ST'S GREA 5 17.00 4/07 5
DEFE CHARGE 9.80
INVOICE SUB —TOTAL 104.65
TOTAL SERVICE CHANGES
AMOUNT DUE
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JUL 0 7 2009
Awchow
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1 1
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE I
082 KK 6 25 K6060 082 1
CONTRACT INVOICE PAYMENT TERMS
376554 460304 CHARGE 6/08/12
D1 667849 317/573—S235
c MONON CENTER @CENTRAL PAR
1235 CENTRAL PARK DRIVE E
p CARMEL IN 46032 ��ll
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Geo Code: 150571510
Deposit Charge: .00
Emblem Charge.. .00
Service Charge: .00
Cust PIA Dal: .00
Gil C�L3 P u 11O G Fai 0M `Co Q
MAT RE 76AGO3 1.500 12 1
MAT RE 76AR03 2.550 54 1
MAT RE 76AS03 3.400 10 1
EEFX 9. 600
**See Terry when delivering X3573 -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
6/12/09 459035 Mat cleaning 104.65
6/19/09 460304 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
1 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 WTITLE AMOUNT Board Members
Dept
1047 459035 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 460304 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
UniFirst Corporation 001
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08'_N 7 °ffg/ 09 V.YMEf)yERM �V S PURCHASE ORDER CO�I�5
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09609 HAZEL DELL PARKWAY d9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46230 INDIANAPOLIS IN 46290
4 4
01 e
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/293
QP
o U o 0 o e e o
Wir o OC
REPLACE •18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
REPLACE BAGGED 1SX19 W 19 5.70
HANDLE /FRAME 24" 2 5/09
24" DRY MOP 2 1. 50 .5/09 2
d
BAR TWL- UNIFIRST 16X 120 16.80 5/09 54
REPLACE -BAR TWL- UNIFIR 10 S.00
o® SOIL LOCKER 2 6/09
Cc 8 COMPARTMENT LOCKER 2 6/09
0001 N. 1 GARY LAFOLLETTE 7.15 5./09
wig LS SHIRT -65/35 6
N S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART 7.15 5/09
VR C S. S. SHIP.T- -65/35 11
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 8.15 5/09
LS SIAIRT -65/35 3
S. S. SHIRT 65/35 e
JEAN 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 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL -65/35 l'.00 7 2
0008 8 DAVE DYE 7.54 5/09
JEAN WRANGLER RELAX 13
LAB COAT POLY /COTTON 13
0009 9 JOE FAUCET C 7.15 5/09
LS SHIRT -65/35 6
0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER 08 0463243 REMIT TO: U niFirst Cor
INVOICE DATE 7/06/09 4201 INDUSTRIAL BLVD
809566 INDIANAPOLIS IN 46254
CUSTOMER# (BILL TO)
A/R NUMBER RTL# N2030
a CUSTOMER CITY OF CARMEL UTILITI
I
O PAYMENT AMOUNT 0820463243W
18
Please Detach and Return With Payment
UniFirst Corporation 002
D 4201 INDUSTRIAL BLVD INDIANAPOLIS
4 j lL'.tJLLAJ UJU15
083 'V W93243 7/(36/09 EA,4XAWI, TERMS PURCHASE ORDER CON965
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Co CITY OF CARMEL UTILITIES? Q CITY OF. CARMEL UTILITIES9
p 9609 HAZEL DELL_ PARKWAY Q 9509 HAZEL DELL PARKWAY
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4 4
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i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/29u
_L
JEAN COTTON RIGGS CA 11
60 0010 10 LARRY SCHIt°tMEL 5.90 5/09
N S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5/09
d
S. S. SHIRT -65/35 11
JEAN— WRANGLER RELAX 11
o4) 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
N S. S. SHIRT -65/35
JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7.15 5/09
S. S. SHIRT -65/35 1.1
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- -65/35 5
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 ROBBIE KINKEAD 7. IS 5/09
LS SHIRT 65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0019 19 TARA RUBBISH 5.26 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
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
I
INVOICE NUMBER 082 0463243 REMIT TO: Un i F i r s t C
INVOICE DATE 7/06/09 4 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
us TQMER CITY OF CARMEL UT I L I f I 111111 illil 11111
1 PAYMENT AMOUNT 0820463243W
,a
Please Detach and Return With Payment
UniFirst Corporation PAGE 003
171}Y,% Ey O 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
UJ�LLR�(.5
082 7 9/09 �,Y�jA��T PURCHASE ORDER C'MB
309S66 S09S66
346 �it7ee�� 45V
CITY OF CARMEL UTILITIES? CITY OF CARMEL UTILITIES9
0 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
4 4
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/293 --5
�.�.+J L:L'�.wYUU:.LU C]j.a7l:/l.l.�i V �.i.�.J o e
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�C3 7 FELT t 5 /.3 s
0021 21 DALE RILEY 7.15 5/09
z� S. S. SHIRT -65/35 11
JEAN COTTON R I GGS CA 11
DEFE CHARGE
9.00
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d
INVOICE SUB —TOTAL 193.24
o
TOTAL SERVICE CHANGES �d 00
o� AMOUNT DUE
co
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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
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 7/13/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 0820463243 $192.24
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
7 11.5
Date Officer
VOUCHER 095995 WARRANT ALLOWED
1
360025 IN SUM OF
UN'fFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i Board members
I
PO INV ACCT AMOUNT Audit Trail Code
0820463243 01- 7362 -05 $192.24
U
Voucher Total $192.24
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
INVOICE NUMBER 082 0464554 REMIT TO: Un i F i r s t Corpora
INVOICE DATE 7/13%09 4201 INDUSTRIAL B LVD
CUSTOMER# (BILL TO) $09566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL UT I L I T I
ON PAYMENT AMOUNT 0820464554
1B
Please Detach and Return With Payment
-A)
ti UniFir5t Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0464554 7/13/09 CHARGE 450172
0 809566 0 809566
p CITY OF CARMEL- UTILITIES9 ,6 CITY OF CARMEL UTILITIES9
D 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026. R'TE# N2030
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIGGS CA 11
vO COVERALL -65/35 2
i I 0021 21 DALE RILEY 7. 15 5/09
a. S. SHIRT -65/35 11
a� 11 JEAN COTTON RIGGS CA
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DEFE CHARGE 9. 00
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I I INVOICE SUB -TOTAL 211.74
TOTAL SERVICE CHANGES 06)
N
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m� AMOUNT DUE B a ld 7 r 0 7At AMovur t
L y THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
r.
1 II
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC..
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 9 N2030 082 3
CONTRACT INVOICE PAYMENT TERMS
450172 464554 CHARGE 6/15/14
CJ 809566 31 -2634
OCITY OF CARMEL UTILITIES9
9609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46260
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Dal: .00
Dia CP u a Q
amo
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 ?.000
NO EXTRA CHARGES FOR THE FIRST 2 YEARS
NO DAMAGE FOR 24 MONTHS -18.71 /SHIRT, 27.88 /PANT PR
i Form: L208 Rev. Date: 06/25/07 Rev: 002
UniFirst Corporation PAGE 001
O 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0464554 7/13/09 CHARGE- 4501721
a 809566 D 809566
r, +;1 'CITY OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY .19609 HAZEL DELL PARKWAY
V INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280
O O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317 50 26 RTE# N2030
p cap�o .cam E
amp c
MAT -3X5 U1ST'S GREAT 2 4.50 5/09 2
MAT -4X6 U1ST'S GREAT 4 14.00 5/09 4
v� 18X18 WIPERS 6.60 5/09
REPLACE -18X18 WIPERS 5 1.50
BAGGED 18X18 WIPERS 12.00 5/09
Q� REPLACE— BAGGED 18X18 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 85
cc REPLACE—BAR TWL UNIFIR 10 5.00
9 1 SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
m
0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
i 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
0 LS SHIRT -65/35 3
S. S. SHIRT -65/35 a
,JEAN COTTON RIGGS CA 11
COVERALL- -65/35 2
0005 5 JEFF COOPER 4.40 5/09
JEAN COTTON RIGGS CA 11
0 0006 6 DAVID TURNER 7.15 5/09
i� LS SHIRT -65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0007 7 CHRIS STUBBS 8.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
COVERALL -65/35 1.007 2
0008 8 DAVE DYE 7.S4 5/09
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.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 9 N2030 062 2
CONTRACT INVOICE PAYMENT TERMS
450172 464554 CHARGE. 6/15/14
809566 317/571-2634
Y CITE' OF CARNEL UTILITIES9
;960}9 HAZEL DELL_ PARKWAY
INDIANAPOLIS IN 46280
Gen Code: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PIA Bal: .00
9 9 UNI RE. 010231 175 02 .250 6 1
91. a UNI I RE 020231 .175 01 2SO 5 1
9 9 UNI RE 1OB705 320 34 .400 11 1
10 10 UNI RE 020231 195 01 .25D 6 1
10 10 UNI RE.10€3705 440 30 .400 11 1
11 1.1 UNI RE 020231 155 01 250. 11 1
it 11 UNI RE 114467 320 30 .3603 11 1.
12 12 UNI RE IOB70S 380 30 .400 11 1
12 12 UNI RE 300205 520 02 .500 2 1
13 13 UNI RE 020231' 175 03 250 11 1
13 13 UNI RE 10B705 360.34 .400 11 1
14 14 UNI RE 020231 155 01 .250 11 1
14 14 UNT RE 1OB705 320 32 .400 11 1
15 15 UNI RE 020231 175 01 .250 11 1
i5 15 UNI RE 1OB705 420 30 .400 11 1
16 16 UNI RE 010231 195 03 .250 5 1
leer 16 UNI RE 020231 195 01 .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 11 1
18 IS UNI RE 0310231 185 02 .250 5 1
18 18 UNI RE 020231 185 01 .250 6 1
18 18 UNI RE. 10B705 400 30 400} 11 1
1.9 19 UNI RE 127669 4030 02 .200 11 1
19 19 UNI RE 252407 460 02 .220) 4 1.
19 19 UNI RE 425489 155 01 .200 11 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
I
INVOICE NUMBER 48 0464554 REMIT TO: Un i F 1 r 5 t Corporation
INVOICE DATE 7/13/09 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 1111111111111111111 Jill
0] PAYMENT AMOUNT 0820464554'
Please Detach and Return With Payment
UniFirst Corporation PAGE 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
062 0464554 7/13/09 CHARGE 450172
809566 609566
CO OF CARMEL UTILITIES9 (CITY OF CARMEL UTILITiES9
P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46260 Q INDIANAPOLIS IN 46280
O O
4D IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030
ep c T.n �y �-;y uC:..2.J,. E tru°T3i
n
0009 4 JOE FAUCETT 7.15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
N
JEAN COTTON RIGGS CA 11
0010 10 LARRY SCHIMMEL 5.90 5/09
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
0011 11 BAR *r CHAFIN 6.71 5/09
S. S. SHIRT -65/35 11
JEAN— WRANGLER RELAX 11
0012 12 DENN I S R USS 5.40 5/09
04) JEAN COTTON RIGGS CA 11
m
COVERALL-65/35 2
0013 13 LONNIE PATTON 7.15 5/09
S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
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 -65/35 5
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 16 ROBBIE KINKEAD 7. 1.5 5109
LS SHIRT -65/35 5
S. S. SHIRT -65/35 6
JEAN COTTON RIGGS CA 11
;s+ 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
1 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 9 N2030 082 1
CONTRACT INVOICE PAYMENT TERMS
450172 464554 CHARGE 6/15/14
809566 31
UCITY OF CARMEL UTILITIES9
9609 HAZEL DELI_ PARKWAY
I IN 46280
Gets Cade: 150970670
Deposit Change: 00
Emblem Change.: 00
Service Charge: Qty
Cust PIA Bal: .00
MAT RE 76A003 2.250 4 2
MAT RE 76AR03 3.500 8 2
WIP F$ 802107 110 120 1 38
REP'L .300
WIP F$ 802310 .050 480 1 148
REPL .300
HDW 0$+ 814100 2 1
MOP RE 832410 .750 4 1
L I N F$ 8554051 .140 240 1
REPL .500
HDW 0S 895003 2 1
HDW 0$ B95103 2 1
1 1 UNI RE, 030231 165 03 .250 6 1
1 1 UNI RE 0202231 165 250 5 1
1 1 UNI RE 1OB705 '360 30 .400 11 1
2 2 UNI RE 020231 175 03 250 11 1
2 2 UNI RE 1OB705 360 34 400 11 1
4 4 UNI RE 010231 165 03 .250 3 1
4 4 UNI RE 165 01 .2S0 S I
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
6 6 UNI RE 010231 175 02 .250 5 1
6 6 UNI RE 020231 175 01 .250 6 1
6 6 UNI RE 1OB705 360 30 .400 11 1
7 7 UNI RE 020231 205 03 .250 11 1
7 7 UNI RE 1OB705 460 30 .400 11 1
7 7 UNI RE 300205 E60 02 .500 2 1
8 8 UNI RE 114469 360 30 .360 13 1
8 8 UNI RE 252407 580 02 220 13 1
Form: L20B Rev. Date. 06125107 Rev: 002
Prescribed by State Board of Accounts City Fofm 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 7/15/2009
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2009 0820464554 $210.74
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
&/7
Date Officer
�I
VOUCHER 096646 WARRANT ALLOWED
i
3130025 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
0820464554 01- 7362 -06 $210.74
Voucher Total $210.74
Cost distribution ledger classification if
claim paid under vehicle highway fund