173588 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
e ONE CIVIC SQUARE UNIFIRST CORPORATION
INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $209.30
CARMEL
INDIANAPOLIS IN 46254
CHECK NUMBER: 173588
CHECK DATE: 6/1012009
DEPA ACCOUNT P O NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1047 4350600 453750 104.65 CLEANING SERVICES
1047 4350600 455050 104.65 CLEANING SERVICES
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UniFirst Corporation PAGE 001
D c"' 4201 INDUSTRIAL.,. BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0453750 5/15/09 CHARGE 376554
667849 -w 667849
MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E d1235 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 V CARMEL IN 46032
IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# K6060
cal e
MAT -3X.5 U1ST'S GREAT 6 9.00 4/07 6
MAT -4X6 U1-ST'S GREAT 27 68.85 4/07 27
o MAT -3X10 U1ST'S.GREA 5 17.00 4/07 5
DEFE CHARGE 9. 80
INVOICE SUB- -TOTAL 104.65
TOTAL SERVICE CHANGES
s T
AMOUNT DUE
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THIS IS YOUR ONLY'INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
Shop our Workwear Direct Catalog now and SAVE 20` /,!'Ask your Route
Representative for.Details.
Purchase
Descriptioh JUN 0 2009
P.O. 81
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
UniFirst Corporation PAGE RQ1
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT.
082 04SSOSO S/22/09 CHARGE 376554
0
00 667849 667B49
0 MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL PAR
P 1235 CENTRAL PARK DRIVE E 6 1 CENTRAL PARK DRIVE E
4 CARMEL IN 46032 4 CARMEL IN 46032
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IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 -5026 R TE# K606°0
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MAT -°3X5 UIST `S GREAT 6 9.00_ 4/07 6
MAT -4X6 U1ST'S GREAT 27 68. SS'- -4107 27
MAT-3X10 U 1ST S- GREG s; 5 17.00 ___4107 5
DEFE' CHARGE 9. 603
INVOICE- SUB -TOTAL 104.65
TOTAL SERVICE CHANGES
m
AMOUNT DUE-
THIS IS YOUR ONLY INVCE- NET. -30 -DAYS. PLEASE SIGt
SOIL PICK UP COUNT SH PT OT
Shop our Workwear_ Direct Catalog now and SAVE. 20%! Ask you_r,_.Route
Representative for Details....
1
JUN 0 2 2009
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JUN 0 2 2009'
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Purchaser Dade
ApOrov
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIF=IRST HOLDINGS, INC.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must ow; kind d of service, units, price performed etc. dates service rendered, by
whom, rates per day, number of hours, rate per
Payee Purchase Order No.
Date Due
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254
Invoice Invoice
Description PO Amount
Date Number (or note attached invoice(s) or bill(s)} 104.65
5115109 453750 Walk off mats 104.65
5122109 455050 Wails off mats
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 AFFITILE AMOUNT Board Members
Dept
1047 453750 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 455050 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
4 -Jun 2009
Signature
209.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I