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208499 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $146.90 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 208499 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350600 668177 146.90 CLEANING SERVICES D UniFirsrt Corporation PAGE 001 pt 4201 INDUSTRIAL BLVD INDIANAPOLI IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0668177 3/30/12 CHARGE 376554 667849 D 667849 MONON CENTER @CENTRAL PAR 6 MONON CENTER @CENTRAL. PAR fP 1235 CENTRAL PARR DRIVE E 6 1235 CENTRAL PARK DRIVE E 4 CARMEL IN 46032 4 CARMEL IN 46032 r, O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 RTE## N60 'L'.11rUO .0 0 o i.■ �p '....(�p 0 r f 0 1 ,Lr((L1((.�a;U MAT-- 3X5 UlST GREAT I 6 13. 4/07 6 MAT U1ST GREAT 1 31 105, 40 4107 31 MAT^ -3XIO U1ST GREAT 4 17,80 �4/07 4 N d DEFE CHARGE 10.50 INVOICE. SUB--TOTAL 146x.90 TOTAL. SERVICE CHANGES cc o AMOUKT DUE 1z. °i F THIS IS YOUR ONLY I�NVCE— NET PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO Purchase T Description P.O.# PorF p� B G.L. �f R o 2 Bud y _t Line Desc li )�t1Y r 13Y: Purchaser D<te 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 3/30/12 668177 Rug rental 146.90 Total 146.90 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 146.90 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 668177 4350600 146.90 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 19 -Apr 2012 Signature 146.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund