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174089 06/24/2009
CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 •i 0 t ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $408.84 �4 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 174089 CHECK DATE: 6/2412009 DEPARTM A CCOUNT PO NUMBER IN N UMBER A MOUNT DESCRIPTION 651 5023990 2478632 199.54 CONT SVS- OTHER -S PLAN 1047 4350600 456413 104.65 CLEANING SERVICES 1047 4350600 457715 104.65 CLEANING SERVICES UniFirst Corporation PAGE 001 l�illlA 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0457715 6 /05/05' CHARGE 376554 f O 667849 0 667849 P ONON CENTER @CENTRAL PAR R. MONON CENTER @CENTRAL PAR 1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E CARMEL. IN 46032 V CARMEL IN 46032 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# 146060 n MAT -3X5 U1ST' GREAT .6 9; 00 4/07 6 MAT -4X6 U1 ST'S GREAT 27' 6F. S5 4I07 27 MAT -3X 10 U 1ST S GREA 5 17. 4 i 07 5 DEF'E CHARGE 9.80 a INVOICE SUB—TOTAL 104.65 O q TOTAL SERVICE CHANGES a AMOUNT DUE THIS IS YOUR ONLY INVCE NET 30 DAYS. PLEASE SIGN SOIL PICK UP CBUNT SH PT O1 Purchase JUN 6- 20 P.M ©.L I Bud�t DatA Date SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. UniFirst Corporation PAGE U 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0456413 5/29/09 CHARGE 376554 p 667849 p 667849 Ol MONON CENTER @CENTRAL PAR a MONON CENTER @CENTRAL PAR p1235 CENTRAL PARK DRIVE E 61235 CENTRAL PARK DRIVE E 4 CARMEL IN 46032 V CARMEL IN 46032 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL. 17/293 RTE# K6060 0o car+o► cQ o craw MAT -3X5 U1ST'S GREAT 6 9.00 4/07 6 MAT -4X6 UIST'S GREAT 27 68.85 4/07 27 MAT -3X10 U1ST'S GREA 5 17.00 4/07 5 DEFE CHARGE 9.80 o- INVOICE SUB —TOTAL 104.65 c i TOTAL SERVICE CHANGES AMOUNT DUE. m M I S S THIS IS YOUR ONLY INVCE NET 30 DAYS. PLEASE SI 'SOIL PICK UP COUNT SH PT OT NO Shop our Workwear Direct Catalog now and SAVE 20%! Ask your Route Representative for Details. Pwda Desc�ption C' 0 n��;. J UN 1 2 2009 P. IF arm su �ua Line i Purchaser__ Approv 7 i i 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 �K 6 25 K6060 082 1 CONTRACT INVOICE PAYMENT TERMS 76554 457715 CHARGE 6/08' 0 0 667849 317/573 -52 0 P MONON CENTER @CENTRAL PAR 4 1235 CENTRAL PARK DRIVE E CARMEL IN 46032 Geri Code: 150571510 1/ so,��� Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA Bal: .00 �G �C�p �ir4 �qTi G� Leo MAT RE 76AQ03 1.500 12 1 MAT RE 76AR03 2.550 54 1 MAT RE 76AS03 3.400 10 1 EEPX 9. BOO **See Terry when delivering #573 -5239 or cell 44 Form: L208 Rev. Date: 06/25/07 Rev: 002 i ACCOUNTS PAYABLE VOUCHER fi� a 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. Date Due 360025 UniFirst Corporation 4201 Industrial Blvd. Indianapolis, IN 46254 Invoice Invoice Description Amount or note attached invoice(s) or bill(s)) PO Date Number 104.65 5129109 456413 Mat cleaning 104.65 615109 457715 Mat cleaning Total 209.30 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 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 {NVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept 1 047 456413 4350600 104.65 1 hereby certify that the attached invoice(s), or 1047 457715 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 18 -Jun 2009 Signature 209.30 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I n O UniFirst Corporation PAGE 003 I�.UL� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0459443 6/15/09 CHARGE 450172 t p 809566 p 809566 4 CITY OF CARMEL UTILITIES9 d CITY OF CARMEL UTILITIES9 p 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY Q INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# N2030 h �I i l CmLr[I� E°Q .0 4113 am mu I n 0020 20 BRAD OLIVER 5.40 5/09 JEAN COTTON RIGGS CA 11 11 COVERALL -65/35 2 2 0021 21 DALE RILEY 7.15 5/09 S. S. SHIRT -65/35 i i 11 11 JEAN COTTON RIGGS CA if 11 11 T d C 0 DEFE CHARGE 9.00 Cc INVOICE SUB —TOTAL 210.69 TOTAL SERVICE CHANGES —D O 0 AMOUNT DUE J 9 THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO i 04 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE SsOUsmCs PnseLL PAGE 082 NN 2 N2030 032 3 CONTRACT INVOICE PAYMENTTERMG 450172 459443 CHARGE /29/14 co 809566 317/S71-2634 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 Qeo Code: 150970670 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA 8al: .OQ MM T�v aeu. GEM 20 20 UNI RE 1O8705 360 30 11 1 20 20 UNI RE 300205 SOQ 02 .500 2 1 21 21 UNI RE 020231 155 01 .25D 11 1 21 21 UNI RE 1O8705 340 32 .400 11 1 EEFX 9.000 NO EXTRA CHARGES FOR THE FIRST 2 }/EARS NO DAMAGE FOR 24 MONTHS-18.71/SHIRT, 27.68/PANT PR Form: L208 Rev. Date: 06/25/07 Rev: 002 INVOICE NUMBER 08 0459443 REMIT TO: Un i F i r s t Corporation INVOICE DATE 6/15/09 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 8 A/R NUMBER 09566 INDIANAPOLIS I N 46254 RTE# N2030 CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT B Please Detach and Return With Payment D UniFirst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0459443 6/15/09 CHARGE 450172 C 809566 809566 0 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY a 9609 HAZEL DELL PARKWAY VI INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# N2030 a' o c� a_co o c Am.] L OP 0009 9 JOE FAUCETT 7.15 5/09 LS SHIRT -65/35 6 6 y S. S- SHIRT -65/35 5 5 JEAN COTTON RIGGS CA 11 11 0010 10 LARRY SCHIMMEL 5.90 5109 S. S. SHIRT -65/35 b 6 JEAN COTTON RIGGS CA �1 11 11 0 001 1 11 BART CHAF I N 6. 71 f 5/09 Cr S. S. SHIRT -65/35 11 11 g JEAN— WRANGLER RELAX `I 11 11 0012 12 DENNIS RUSS 5.40 5/09 JEAN COTTON RIGGS CA 11 11 COVERALL -65/35 2 2 0013 13 LONNIE PATTON 7.15 5/09 S. S. SHIRT -65/35 I 11 11 JEAN COTTON RIGGS CA �I 11 11 0014 14 ERIC ROBINSON 7.15 5/09 S. S. SHIRT -65/35 11 11 JEAN COTTON RIGGS CA 11 11 0015 15 KEVIN BUHMANN 7.15 5/09 S. S. SHIRT -65/35 I 11 11 JEAN COTTON RIGGS CA 11 11 0016 16 RALPH GRUWELL 6.71 5/09 LS SHIRT- 65/35 'S 5 5 S. S. SHIRT -65/35 6 6 JEAN WRANGLER RELAX \111 11 0017 17 PETE BRENNAN 7.15 5/09 S. S. SHIRT -65/35 11 1 1 11 JEAN COTTON RIGGS CA till 11 001E 18 ROBBIE KINKEAD 7.15 5/09 LS SHIRT 65/359 5 5 S. S. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 11 0019 19 TARA RUBB1 USq 5.28 5/09 PANT SCRUB 65/35 1 P 11 11 it LAB COAT POLY /COTTON 4 4 SS SHIRT —SCRUB 65/35 G,( it 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LooATn}w ROUTE SsQuswCs PnEBu' PAGE 082 NN 2 N2030 082 2 CONTRACT INVOICE PAYMEmTTERmG 450172 459443 CHARGE 4/29/14 ID 809566 317/571-2634 V 9609 HAZEL DELL PARKWAY G)INDIANAPOLIS IN 46280 Qeo Code: 150970670 Deposit Charge: .00 Emblem Charge.: .OD Service Charge: .00 Cust PIA 8al: .00 9 9 UNI RE 010231 175 02 .250 6 1 9 9 UNI RE 020231 175 01 .250 5 1 9 9 UNI RE 108 320 34 .400 11 1 10 10 UNI RE 020231 195 01 .250 6 1 10 1{) 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 .380 11 1 12 12 UNI RE 1O8705 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 1OB705 360 34 .400 11 1 14 14 UNI RE 020231 155 01 .250 11 1 14 14 UNI RE 1O8705 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 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 1O8705 320 34 .400 11 1 18 18 UNI RE 010231 185 02 .25O 5 1 18 18 UNI RE 020231 185 01 .250 6 18 18 UNI RE 1OB705 400 30 .400 11 1 19 19 UNI RE 127689 400 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 INVOICE NUMBER 08 0459443 REMIT TO: Un i F i r s t Corporation INVOICE DATE 6/15/09 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# N2030 j CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT ,B 0820459443* Please Detach and Return With Payment O UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 062 0459443 6/15/09 CHARGE 450172 p 809566 p 609566 CITY OF CARMEL UTILITIES9 a CITY OF CARMEL UTILITIES9 p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 V INDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 RTE# N2030 e �o G 6 o Q P MAT -3X5 U1ST'S GREAT 2 4.50 5/09 2 MAT -4X6 U1ST'S GREAT 4 14.00 5/09 4 d 18X18 WIPERS 6.60 -5/09 BAGGED 18X18 WIPERS 12.00 5/09 r HANDLE /FRAME 24" 2 5/09 24" DRY MOP 2 1. 50 -5/09 2 BAR TWL- UNIFIRST 16X 120 16.80 5/09 120 oe 6 COMPARTMENT LOCKER 2 4-499 NIC' 5/09 2 0001 1 GARY LAFOLLETTE 7.15 5/09 LS SHIRT -65/35 47 6 6 S. S. SHIRT -65/35 5 5 JEAN COTTON RIGGS CA 11 11 N 0002 2 JASON STEWART 7.15 5/09 w S. S. SHIRT -65/35 P 11 11 JEAN COTTON RIGGS CA 11 11 0003 3 JEFF KOZLOVICH 00 5/09 LS SHIRT -65/35 11 nnGG 11 JEAN COTTON RIGGS CA ��r 11 fib 11 0004 4 BLAINE MALLABER 8.15 5/09 LS SHIRT -65/35 3 3 S. S. SHIRT -65/35 8 JEAN COTTON RIGGS CA 11 11 COVERALL -65/35 2 2 S 0005 5 JEFF COOPER 4.40 5/09 JEAN COTTON RIGGS CA 11 11 i 0006 6 DAVID TURNER 7.15 5/09 LS SHIRT -65/35 5 5 S. S. SHIRT -65/35 6 6 6 JEAN COTTON RIGGS CA I� 11 11 0007 7 CHRIS STUBBS 8.15 5/09 S. S. SHIRT• -65/35 1 11 11 i JEAN COTTON RIGGS CA 11 11 COVERALL -65/35 'L 2 2 i 0008 8 DAVE DYE 7.54 5/09 JEAN- WRANGLER RELAX 13 13. LAB COAT POLY /COTTON 13 13 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. LOCATION ROUTE GBluswCE PnE8|LL PAGE 082 NN 2 N2030 082 1 CONTRACT INVOICE PAvMENTTERMS 450172 459443 CHARGE 4/29/14 809566 317/571-2634 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 Geo Code: 150970670 Deposit Charge: .00 Emblem Charge.: .00 Service Charge: .00 Cust PIA 8al: .OD MAT RE 76AQO3 2.25O 4 2 MAT RE 76AR03 3.500 8 2 WIP F$ 802107 .110 120 1 6{} WIP F$ 802310 .050 480 1 240 HDW O$ 824100 2 1 MOP RE 83241{} .750 4 1 LIN F$ 855405 .140 240 1 HDW RE 895103 2.000 2 1 1 1 UNI RE 010231 165 03 .250 6 1 1 1 UNI RE 020231 165 01 .25O 5 1 1 1 UNI RE 1O8705 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 3 3 UNI RE 010231 165 03 .250 11 1 3 3 UNI RE 1OB705 360 34 .400. 11 1 4 4 UNI RE 010231 165 03 .250 3 1 4 4 UNI RE 020231 165 01 .250 8 1 4 4 UNI RE 1O8705 330 32 .400 11 1 4 4 UNI RE 300205 460 02 .500 2 1 5 5 UNI RE 108705 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 1O870S 360 30 .400 11 1 7" 7 UNI RE 020231 205 03 .25O 11 1 7 7 UNI RE 1OB705 460 30 .400 11 1 7 7 UNI RE 300205 660 02 .500 2 1 B B UNI RE 114469 360 30 .360 13 1 8 8 UNI RE 252407 580 02 .220 13 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 6/17/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/17/2009 0820459443 $199.54 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 Officer VOUCHER 095853 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 0820459443 01- 7362 -06 $199.54 Voucher Total $199.54 Cost distribution ledger classification if claim paid under vehicle highway fund