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171124 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $104.65 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 171124 CHECK DATE: 4116/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4350600 442131 104.65 CLEANING SERVICES I d x D PAGE U Ts F a r E 7 p C4 7- a t. I Oro? I W f L-le -42;C DI IrrzXrz`TR*.lk— :BL"VEI INIDIANAPDLIS IN 46254 I INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT CHAPPoE 376 M-�2 a.el 1 3..' V9 0 co -;��67349 0 6-67C44-74 0 1 (P NW40r CENTER r-e PAR I 3 0.14 ER PAR v 122S CENTRAL PARK DR I' E E Q l'i2:3S CEriTRAL P:P-,P.K DRIv'E E G),CARMEL IN 46-C*<2 IN 460132 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: Dr' T 7-1117/293-51. R E* 1 F F F=7 F, m co co P; MAT-201's UISIT -MEAT 6 0�:� A ID7 6 P!AT-4X-6 VIST"S SPEAT 27 dc. 1 5 -4 f �D 7 27 MAT —zl'yli 0 u I ST Is GREA 5 17. CKD 5 0 DEFE CHARGE 8 -C A IN"I'DICE 1 04. 65- 0 0 I CHMPIGES O 707AL 00 Amc DUE THI s I s "Ye-MUIR DMILY I MY.r.:E N'E-T Kra DAYS. PLEA SI PaN SOIL FICA UF C-Durlr�T S: FT DT no 0 0 ioA jo0- 32D- HZ)5()( C.e-co�L'Yl� Sics MAR 1 9 2009 MAR 1 9 2009 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOME COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. r x 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. Indianapotis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3113/09 442131 Walk off mats 19968 104.65 Total 104.65 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 104.65 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 442131 4350600 104.65 1 hereby certify that the attached invoice(s), or 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 8 -Apr 2009 Signature 104.65 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I