HomeMy WebLinkAbout174535 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
0 CHECK AMOUNT: $401.98
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
a� zo. INDIANAPOLIS IN 46254 CHECK NUMBER: 174535
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820460702 191.24 OTHER EXPENSES
651 5023990 0820461987 210.74 CONT SVS— OTHER —S PLAN
OnlFirst Corporation PAGE UO3
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE pAYMENTTERw8 PURCHASE ORDER CONTRACT
082 0460702 6/22/09 CHARGE 450172
809566. b 309.S66
960? HAZEL DELL PARKWAY I� 9609 HAZEL, DELL PARKWAY
INDIANAPOLIS IN 46280 �INDIANAPOLIS IN 46280
|p YOU HAVE A OusSnOw REGARDING THIS INVO CALL: 317/293-5026 RTE# N2030
0020 20 BRAD OLIVER 5.40 5/09
JEAN COTTON RIQQG CA'- 11
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0021 21 DALE RILEY 7. 15 5/09
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ION ROUTE SEQUENCE PREBILL PAGE
NN 2 N2030 0a'2 3
ACT INVOICE PAYMENT TERMS
172 460702 CHARGE 6/15114
809566 31
1TY Cif _ARMEL.. I.UTILITIES9
609 HAZEL DELL PARKWAY
I NDIA APOLI'S IN 46250
1
a e o Code: 150970670
posit Charge: .00
I blem Charge.:
vice Charge: Charge: .40
ist PIA Bal: .00
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20 Ohl I RE 1 OD705 360 30 .400 11 1
20 ZUNI RE 300200 500 02 .500 2 1
E 21 UNI RE 0202 155 01 .250 11 1
E 21 Uh31 PE 10137 3140 32
.400 11 1
F E F X 9.000
I EXTRA CHARGES FOR THE FIRST 2 YEARS
0 DAMAGE 'FOR 24 1 'ONT€ S -15. 71 /SHIRT, 27', v819/ PANff PR
Form: L208 Rev. Date: 06125107 Rev: 002
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INVOICE NUMBER 0832 0460702 REMIT TO: Un i F i r s t Corpora
INVOICE DATE 6/ 22/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) FO r S66 INDIANAPOLIS I N 46254
A/R NUMBER RTE# N2030
,Q CUSTOMER CITY OF CARMEL UT I L I T I 111111111 Jill
PAYMENT AMOUNT 0820460702T
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Please Detach and Return With Payment
UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLI'S IN 46254
o
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
032 0460702 6/22/09 CHARGE 450172
809566 D 809566
.`t CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9
Q9609 HAZEL DELL PARKWAY a 9609 HAZEL, DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 5026 RTE# N2030
11 11F E7F2��D7FRE�F(��i
18X18 WIPERS 6.60 5/09
REPLACE -18XIB WIPERS 5 1.50
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BAGGED 18X18 WIPERS 12.00 5/09
REPLACE- BAGGED 18X18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
a0 24" DRY MOP 2 1.50 5/09 2
BAR TWL-- UNIFIRST 16X 120 16.80 5/09 82
0
REPLACE -BAR TWL- UNIFIR 10 5.00
8 COMPARTMENT LOCKER 2 6/09
0001 1 GARY LAFOLLETTE 7.15 5/09
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LS SHIRT -65/35 6
o� S. S. SHIRT -65/35 5
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JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART 7. 15 5/09
i S. S. SHIRT -65/35 11
JEAN COTTON R16GS CA 11
0003 Ed,OZLOVICH 7. 15 5/09+
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6
�.V JEAN COTTON GS CA 11 11
0004 4 BLAINE MALLABER 8.15 5/09
LS SHIRT -65/35 3
S. S. SHIRT-65/35 8
JEAN COTTON RIGGS CA 11
0 COVERALL -65/35 2
0005 5 JEFF COOPER 4.40 5/09
JEAN COTTON RIGGS CA 11
p 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
1 i{
COVERALL-65/35 0
0008 8 DAVE DYE 7.54 5/09
JEAN- WRANGLER RELAX 13
LAB COAT -POL.Y /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 N20:30 082 1
CONTRACT INVOICE PAYMENT TERMS
4501 460702 CHARGE 6 /15/14
p 809566 317/571- -2634
0 CI TY OF CARMEL UTILITIES9
P 9609 HAZEL_ DEL,.L. PARKWAY
INDIANAPOLIS IN 46280
e
Geo Code: 150970670
Deposit Charge: .00
Emblem Charge. .070
Service Charge: .00
Ctost PIA Bat: .00
qTn q p Fm& 12E� M lll Em =m Cg7 0 LY o
WI F$ 502101 i 1L3 120 1 38
REP'L. .300
W I P F$ 802310 .0s0 480 1 159
REPL. .300
0
HDW 0$ 814100 2 1
MOP RE 8:32410 7 54 4 1
L* I N F$ 885405 -140 3 240 1
REPLn .500
HDW 0$ 895103 2 1
1 1 UNi RE 010231 16S 03 .250 6 1
1 1 UNI RE 020231 165 01 .250 s 1
1 1 UNI ►;;E IOD705 36030 ,400 11 1
2 UNI RE 0720231 175 03 .250 11 1
2 2 UNI RE 1OB705 360 34 .4070„
3 3 VNI RE 4102:31 165 073 .250 '11 1
3. 3 UNI I RE 10B705 360 34 .400 11 1
4 4 ONI RE 010231 165 03 .250 3 1
4 4 UNI RE 4202 165 01 .250 8 1
4 4 UNI RE 1OB705 330 32 .4 11 1
4 4 UNI RE 300 460 02 oo 2 1
5 5 UNT RE IOD7075 360 32 .400 11 1
6.. 6 UNI RE 010231 175 02 2SO S 1
6 6 UNI RE 42023 175 01 X5 6 1
6 6 UNI RE 1OB705 360 30 .400 1 1
7 7 UNI RE 0 ;0231 205 03 .2507 11 1
7 7 UNI RE 1OB705 B705, 460 30 .460 11 1
_7. 7 UNI RE 3002051 660 02 .500 2 1.
8 8 UNT RE 1 Y 4469 360 30 364 13 1
8 8 UN I RE 2824017 580 42 224 13 1
Form: L208 Rev. Date: 06/25/07 Rev: 002
INVOICE NUMBER 082 0460702 nemrrnI UniFirst Corporation
|wvo|:s DATE 6/22/09 4201 INDUSTRIAL BLVD
ou8TOmEn* (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
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CUSTOMER CITY OF CARMEL UT3L'ITI
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PAYMENT 0820460702T
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\Jn1First Corporation pAos 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
|mx0|CE DATE PAYMswTTERMS PURCHASE ORDER CONTRACT
082 0460702 6/22/09 CHARGE 450172
809566 809566
P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
I N 46280 INDIANAPOLIS IN 46260
I INDIANAPOL IS le]
|p YOU HAVE QUEST REGARDING THIS INVOICE, CALL. 317/293-5026 RTE# N2030
I lamEmull 0299 05v A QP
0009 9 JOE FAUCETT 7- 15 5/09
Lu, onIn/-65/3S 6
8. S. SHIRT-65/35 5
JEAN COTTON RI��8 CA 11
0010 10 LARRY SCHI.. 5 9D 5/O9
S.S. SHIRT-65/35 6
JEAN COTTON RI��8 CA 11
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OD11 11 BART CHAF2N 6
7t 5/09
S S. SHIRT-65/35 11
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JEAN-WRANGLER RELAX 11
0012 12 DENNIS RUSS 5.40 S/09
IS JEAN COTTON RIggS CA 11
COVERALL-6S/35 2
00 13 13 LONNIE PATTON 7.15 5/09
0 S.S� SHIRT-65/35 11
J~ COTTON RIGQ8 CA 11
0014 14 ERIC ROBINSON 7.1S 5/09
S S SHIRT-6S/35 11
S.
JEAN COTTON RIGGG C/4 11
0015 15 KEVIN 8UHMANN 7. i5 5/09
S. q. 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-6S/35 6
JEAN-WRANGLER RELAX 11
QD17 17 PETE 8RBNNA�j 7.15 t/09
S S SHIRT-65/35 11
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JEAN COTTON RIQQ8 CA 11
0016 18 RO8BIF KIN&EAD 7.15 5/09
LS SHIRT-65/35 5
S. S. SHIRT-65/35 6
JEAN COTTON RIg�S CA 11
001? 19 T�R/� gVo8lGH' 5.2e 5/09
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PANT SCRUB 65/35 1 P 11
LAB COAT-POLY/COTTON. 4
SS SHIRT-SCRUB 65/35 11
SERVICE HERE RENDERED m PURSUANT roA WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNJIFIRST HOLDINGS, INC.
LOCATION ROUTE SEQUENCE PREBILL PAGE
082 NN 2 N2030 082 2
i
CONTRACT INVOICE PAYMENT TERMS
450172 460702 CHARGE 6/ 15/14
a 809566 317/571--2634
CITY OF CARMEL. U`1
p 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280
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Gea Cade: 150970670
Deposit Charge: .00
Emblem Charge.: .00
Service Charge: .00
Cust PTA Sal: .00
C� fir 7 GL^� Cho OEM
9 9 UNI RE 010231 1.75 02 .250 6 1
9 9 UNI RE 020231 175 01 .250 5 1
9 i'`r UNI RE 1OB705 32 0 34 .400 11 1
10 10 UNI RE 020231 195 01 .250 6 1
10 10 UNI RE 1OB705 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 105705 360 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 1OB705 360 34 .400 11 1
14 14 UNI RE 020231 155 01 .250 11 1
14 14 UNI RE 1OB705 320 32 .400 11 1
15 15 UNI RE 020231. 175 01 .2-50 11 1
i5 15 UNI RE 1OB705 420 30 .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 .360 11 1
17 17 UNI RE 020231 165 01 .250 11 1
17 17 UNI RE 1OB705 320 34 .400 11 1.
18 18 UNI RE 010231 185 02 .250 5 1
18 IS UNI RE 020231 185 01 .250 6 1
18 IS UNI RE 105705 400 30 .400 11 1
19 19 UNI RE 127689 400 02 .200 11 1
19 19 UNI RE 252407 4.60 02 .220 4 1
19 19 UNI RE 425489 1.55 01 .200 11 1
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 6/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2009 460702 $191.24
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
Date ff r
VOUCHER 095906 WARRANT ALLOWED
361025 IN SUM OF
UNIFIRST CORPORATION
4201 INDUSTRIAL BLVD
INDIANAPOLIS, IN 46254
Carmel' Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
J Board members
PO INV ACCT AMOUNT Audit Trail Code
460702 01- 7362 -06 $191.24
Voucher Total $191.24
Cost distribution Ledger classification if
claim paid under vehicle highway fund-
UniFirst Corporation PAGE 001
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
l�;�JU�I W��S
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0461967 6/29/09 CHARGE 450172
03 CITY OF CARIIEL UTILITIES9 0CITY OF.CARMEL UTILITIES9
0 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46260 INDIANAPOLIS IN 46280
Q 4
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17 /29' O
L
ao o a C
r J cj
MAT -4X6 U1ST`S GREAT 4 14.00 5/09 4
18X18 WIPERS 6.60 5/09
y REPLACE- -18X16 WIPERS 5 1.50
iu
BAGGED 18X 18 WIPERS 12.00 5/09
.i REPLACE- -BAGGED 1SX18 W 19 5.70
HANDLE /FRAME 24" 2 5/09
24" DRY MOP 2 1.50 5/09 2
o• BAR TWL- UNIFIRST 16X 120 16.60 5/09 82
REPLACE- -BAR TWL°-UNIFIR 10 5.00
SOIL LOCKER 2 6/09 2
8 COMPARTMENT LOCKER 2 6/09
N 0001 1 GARY LAFOLLETTE 7.15 5/09
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
0002 2 JASON STEWART 7. 15 5/09
s S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0004 4 BLAINE MALLABER 8.15 5/09
LS SHIRT -65/35 3
S. S. SHIRT -65/35 8
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 CO'TT'ON RIGGS CA 11
COVERALL -65/35 2
i f 0008 8 DAVE DYE 7.54 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.
INVOICE NUMBER 082 0461987 REMIT TO: Un i F i r 5 t C
INVOICE DATE 6 /29 09 420 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER CITY OF CARMEL U7 i L I T I I Jill 1111111111111111111111111111111111111111111111 JJ111 1111 Jill
PAYMENT AMOUNT 08204619872
iB
Please Detach and Return With Payment
UniFirst Corporation 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 PAGE
l�.{IUUUl�IS O
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0461987 6/29/09 CHARGE 450172
i COCITY OF CARMEL UTILITIES9 0 CITY OF CARMEL UTILITIES9
09609 HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY
4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280
O O
0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 17/293 -5
U �4�J11YU ll�.tJ.l G- 7a.1./l!�? CM7 L.11� l.rl.l�.la� OP
LS SHIRT -65/35 6
S. S. SHIRT -65/35 5
JEAN COTTON RIGGS CA 11
O010 10 LARRY SCHIMMEL 5.90 5/09
S. S. SHIRT -65/35 6
v
JEAN COTTON RIGGS CA 11
0011 11 BART CHAFIN 6.71 5/09
o S. S. SHIRT -65/35 11
JEAN WRANGLER RELAX 11
n
0012 12 DENNIS RUSS 5.40 5/09
m. JEAN COTTON RIGGS CA 11
N COVERALL -65/35 2
0013 13 LONNIE PATTON 7.15 5/09
S. S. SHIRT -65/35 1.1
JEAN COTTON RIGGS CA 11
0014 14 ERIC ROBINSON 7. 1.5 5/09
y 0 S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
0015 15 KEVIN BUHMANN 7.15 5/09
0 S. S. SHIRT -65/35 11
JEAN COTTON RIGGS CA 11
j t 001.6 16 RALPH GRUWELL 6.71 5/09
LS SHIRT- -65/35 5
S. S. SHIRT 65/35 6
JEAN WRANGLER RELAX 11
o 0017 17 PETE BRENNAN 7.15 5/09
S. S. SHIRT -65/35 11
r JEAN COTTON RIGGS CA .11
o 0018 18 ROBBIE KINKEAD 7.15 5/09
LS SHIRT -65/35 5
S. S. SHIR.T-65 /35 6
0 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.
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
INVOICE NUMBER Opt 0461981 REMITTO: Un1Fi.rst Corporation
INVOICE DATE 6/29/09 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254
A/R NUMBER RTE# N2030
CUSTOMER C OF CARMEL UT I L I T I 11111 1111111ill 11ij Jill
00 PAYMENT AMOUNT 08204619872
IB
Please Detach and Return With Payment
D UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
n,� 4 i` I�fJULI -1U�C5
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0461987 6/29/09 CHARGE 450172
0
aCITY OF CARMEL UTILITIES? 0 CITY OF CARMEL UTILITIES9
P 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46260
4
O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE CALL: 317/293 -5
JEAN COTTON RIGGS CA 11
COVERALL -65/35 2
y 0021 21 DALE RILEY 7.1S 5/09
L; S. S. SHIRT- -65/35 11
JEAN COTTON RIGGS CA 11
a
d
DEFE CHARGE 9.00
a� INVOICE SUB -TOTAL 211.74
0
TOTAL SERVICE CHANGES
j oo?
a
AMOUNT DUE 'd I0. 74 �prgL I�N�du�i
t� �c
o
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
0
0
0
o
0
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
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 7/1/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2009 0820461987 $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
Ax
Date fic W/
VOUCHER 095959 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
0820461987 01- 7362 -06 $210.74
f
J
Voucher Total $210.74
Cost distribution ledger classification if
claim paid under vehicle highway fund