172598 05/13/2009 CITY OF CARMEN., INDIANA VENDOR: 360025 Page 1 of 1
4 ONE CIVIC SQUARE UNIFIRST CORPORATION
CHEEK AMOUNT: $209.30
CARMEL, INDIANA 46032. 4201 INDUSTRIAL awn
INDIANAPOLIS IN 46254 CHECK NUMBER: 172598
CHECK DATE: 5113/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350600 448585 104.65 CLEANING SERVICES
1047 4350600 449860 104.65 CLEANING SERVICES
S
Unii -irsr uorporarion UU1
4201 INDUSTRIAL BLVD INDIANAPOLIS GE 46254
p� CE �D EE
0$. 4/14/09 P,AY,t ngERMS PURCHASE ORDER CON99NJ
tt
M MONON CENTER @CENTRAL PAR p MONON CENTER @CENTRAL PAR
0 1235 CENTRAL PARK DRIVE_ E d 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 CARMEL IN 46032
4 4
O
i IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293— c
�j L`GL�b 1 1 Gn G
EEP IAJ.JIllb A Y M1t' y fi
MAT -4X6 U1ST'S GREAT 27 66.65 4/07 27
z MAT -3X10 U1ST'S GREA 5 17.00 4/07 5
d
N DEFE CHARGE 9.60
INVOICE SUB— TOTAL 104.65
m
Q TOTAL SERVICE CHANGES
cr
,I AMOUNT DUE
m
THIS IS YOUR ONLY INVCE— NET 30-DAYS. PLEASE SIGN G¢.l
SOIL PICK UP COUNT SH PT OT NO
Purchase
Description
t; a P.O. P or F
MAY 0 1 2009 G.L
Budget
Line Descr
13y: Purchaser Date
Approval Dke�3�
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
pAos
UniFi t Corporation OD1
rs orpora on
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0448585 4/17y09 CHARGE 376554
03 667849 0 667849
1235 CENTRAL PARK DRIVE E 1235 CENTRAL PARK DRIVE E
CARMEL IN 46032 (i) IN 46032
|rv0u��vs�OusST�mns��no|mGn+�|wvno�CAL�
p� 317/293-5026 RTE# K6060
mn
MAT-3X5 U1ST~S GREAT 6 9.00 4y07 6
MAT-4X6 U1ST^G GREAT 27 68.85 4y07 27
MAT-3X1O U1ST~S QREA 5 17.00 4/07 5
DEFE CHARGE 9.80
UU
INVOICE SUB-TOTAL 104.65
n e�
TOTAL SERVICE CHANGES I MAY M 1 ?08Q
0
cl
AMOUNT DUE
�r
BY:
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
."msne
G-L
BUd at
Purche:e:r
Appmval Date
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.
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
4117/09 448585 Walk off mats 104.65
4124109 449860 Walk off mats 104.65
Total 209.30
1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20�
Clerk- Treasurer
f
Voucher No. Warrant No.
Allowed 20
360025 UniFirst Corporation
4201 Industrial Blvd.
Indianapolis, IN 46254 In Sum of
�f 209.30
4� ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT #[TITLE AMOUNT Board Members
Dept
1047 448585 4350600 104.65 1 hereby certify that the attached invoice(s), or
1047 449860 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
7 -May 2009
Signature
209.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund