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209380 05/22/2012 \yf CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $1,343.48 INDIANAPOLIS IN 46254 CHECK NUMBER: 209380 CHECK DATE: 5/2212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 052112 1,343.48 OTHER EXPENSES SEWER INVOICE AMOUNT ACCOUNT 674034 206.21 7362.05 675595 236.98 677190 209.76 678709 224.73 total 877.68 670201 235.09 7362.06 671778 230.71 total 465.8 C INVOICE NUMBER 082 0674034 REMIT TO: Un i F 1 r is t Corporation INVOICE DATE 4/2S/1 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 02 A/R NUMBER RTE# H4680 1A CUSTOMER CITY OF CARMEL UTILITI 11111111111111 Jill 61 PAYMENT AMOUNT 0820674034Y Please Detach and Return With Payment D UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0674034 4/25/12 CHARGE 450172 FINDIANAPOLIS 809566 e09S66 OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 HAZEL DELL PARKWAY d 9609 HAZEL DELL.. PARKWAY IN 46280 V INDIANAPOLIS IN 46260 O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# H4680 a o o a cam c°= cap II.L 1SX18 WIPERS 7. 5/09 REPLACE -18X18 WIPERS 5 2.45 �0 BAGGED 18X18 WIPERS 14.40 5/09 REPLACE- BAGGED 18X18 W 19 9.31 HANDLE /FRAME 24" 2 5/09 a 24" DRY MOP 2 1.58 12/09 2 m TERRYCLOTHS- UNIFIRST 100 17.00 3/10 18 REPLACE- TERRYCLOTHS UN 6 6.40 SOIL LOCKER 2 6/09 6 COMPARTMENT LOCKER 2 6/09 0001 1 GARY LAFOLLETTE 7.92 5/09 o� LS SHIRT -65/35 6 4 S. S. SHIRT -65/35 5 JEAN COTTON RIGGS CA 11 0003 24 MIKE TURNER 8.98 i /1i LS SHIRT -65/35 5 S. S. SHIRT -65/35 b JEAN COTTON RIGGS CA 11 COVERALL 65/35 2 0004 4 BLAINE MALLABER 8.98 5/09 LS SHIRT -65/35 3 S. S. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 COVERALL- 65/35 2 0005 5 JEFF COOPER 4.84 5/09 I JEAN WRANGLER RELAX 11 0006 6 DAVID TURNER 7.92 5/09 LS SHIRT -65/35 5 S. S.. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 0007 7 CHRIS STUBBS 6.98. 5/09 r" 1 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 O 08 8 DAVE DYE 7.88 5/09 6J JEAN WRANGLER RELAX 13 LAB GOAT- POLY /COTTON 9 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER 082 0674034 REMIT TO: Un i F i r s t Corporat INVOICE DATE 4/25/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) B09566 INDIANAPOLIS I N 46254 A/R NUMBER RTE## H4660 1A CUSTOMER CITY OF CARMEL UTILITY 1111111111111111111 Jill v, PAYMENT AMOUNT 0820674034Y f' Please Detach and Return With Payment 0 Pt UniFirst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0674034 4/25/12 CHARGE 450172 809566 809566 �p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 P 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY i 4 INDIANAPOLIS IN 46260 4 INDIANAPOLIS IN 46280 P 4D IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# H4680 0009 9 JOE FAUCETT 1.06 5/09 COVERALL -65/35 2 �4D 00 10 LARRY SCHIMMEL 2.70 5/09 N JEAN COTTON RIGGS CA 6 0011 11 BART CHAF IN 7.61 5/09 <0 S. S. SHIRT -65/35 11 JEAN— WRANGLER RELAX 11 0012 12 DENNIS RUSS 5.90 5/09 a� JEAN— WRANGLER RELAX 11 g COVERALL- 765/35 2 0013 13 LONNIE PATTON 7.81 5/09 o� S. S. SHIRT -65/35 11 ILL JEAN WRANGLER RELAX 11 0014 14 ERIC ROBINSON 7.92 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 O 15 15 KEVIN! BUHMANN 7.92 5/09 0 S. S. SHIRT -65/35 11 L Q►� b JEAN COTTON RIGGS CA 11 001E 16 RALPH GRUWELL 7.81 5/09 LS SHIRT 65/35 5 S. S. SHIRT -65/35 6 JEAN— WRANGLER RELAX 11 0017 17 PETE BRENNAN 7.92 S /09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 0018 18 ROBBIE KINKEAD 6.01 5/09 JEAN.COTTON RIGGS CA 11 COVERALL- 65/35 2 019 19 TARA RUBBISH 5._ 58 .5/09 l PANT SCRUB 65/35 1 P 11 LAB COAT POLY /COTTON 4 0 3 s�I SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER 6.01 5/09 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i 0 INVOICE NUMBER 082 0674034 REMIT TO: Un i F i r s t Cor p or ation I a INVOICE DATE 4/25/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 8 INDIANAPOLIS IN 46254 A/R NUMBER P, TE# H4660 ,A CUSTOMER C I T Y OF CARMEL UT I L I T I 1111111 Jill 111111 1111111111111111 1111_11111 111111111 Jill 00 PAYMENT AMOUNT 0820674034Y Please Detach and Return With Payment D UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0674034 4/2$/12 CHARGE 450172 d 809566 D 809566 p CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 D 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELI_ PARKWAY INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 O O 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 --5026 RT *E# H4680 G3. Cpl L 0 21 21 DALE RILEY 7. 92 5/09 S. S. SHIRT -65/35 11 JEAN COTTON R I GGS CA 11 #A t DEFE CHARGE 10. 00 INVOICE SUB—TOTAL 206.21 Q TOTAL SERVICE CHANGES n AMOUNT DUE 0 N THIS IS YOUR ONLY INVCE NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082 06 5 595 REMIT TO: Un i F i r s t Corporation INVOICE DATE S/02/i2 4201 INDU ST RIAL BLVD 1♦i' CUSTOMER# (BILL TO) 809S66 S66 I D I ANAP OL I S IN 46254 A/R NUMBER e� H468n F A CUSTOMER C I T Y OF C AR MEL UT I: L I T I PAYMENT AMOUNT 08206755954 Please Detach and Return With Payment D UniFi'rst Cor porati on PAGE 0 01 4201 11 RIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0.32 067 5595 S/02/12 CHARGE 450172 d t D b b CITY OF CARMEL U'TTL1T1E59 0 CITY OF CARMEL UTILIT1E59 P 9604 HA ZEL DELL PARKWAY HAZEL. DELL PARKWAY 4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 462BO IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 3 /�?cySW c� G FFR7 m l_.lr' C7_7a]Vm j P P ap IyLLrUO LAI.�.Il.117 LR]�A P o 0 L.JU 1�O L'.Lr I MAT- -4X6 U1ST GREAT 1 5 19. 50 5/09 5 18X18 WIPERS 7.20 -7/09 REPLACE- •1EIX18 WIPERS 5 2. 45 SAGGED 13X18 WIPERS 14.40 5/09 a REPLACE- BAGGED 1SX18 W 19 9. 31 a HANDLE /FRAME 24" 2 .5/09 24" DRY MOt`'- 2 i 53 12 09 2 S� 'i`ERRYCLOTH'W- --UNIF 100 17. 00 3/10 49 REPLACE- TE:RRYCLOTHS -UN 8 6. 40 SOIL LOCKER 2 6/09 6 COMPARTMENT LOCKER 2 6/09 0001 1 GARY LAF"OLLE'TTE i 92 5/09 LS SHIRT -6S/35 6 S. S. 5 JEAN COTTON RIGGS CA 11 0003 24 MIKE TURNER 8.98 1 11 LS SHIRT- 5 S. S. SHIRT-- .65 /3S 6 4 i J• s JEAN COTTON RIGGS C'A 11 COVERALL -65/35 2 0004 4 BLAINE MALLABER 8.9B -9/09 LS SHIRT--65 /35 3 S. S. SHIRT -65/35 a JEAN COTTON RIGGS CA 11 COVERALL- -65/35 c 0005 5 JEFF COOPER 4,84 5/09 6 DAVID JEAN—WRANGLER RELAX 11 I�I C1005 "1"oJRNEF? 7.92* 5/09 3 L LS SHIRT--65/35 5 /I 1 S. S. SHIRT'W65/35 b �'i' JEAN COTTON RIGGS CA 1.1 J 4D 0007 7 CHRIS STUBBS 'Pow. 6.93 5/09 S. S. SHIRT-65/35 11 j sC JEAN C:OT T ON RIGGS C -A o 11 C Q� OVERALL --6S/3 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE 082 O675595 RBN[[n2 UniFirst Corporation INVOICE DATE 5/02/12 4201 INDUSTRIAL BLVD CUGTOMEF# (BILL TO) B0?566 INDIANAPOLIS IN '46254 A/R NUMBER RTE# H4680 e� m CUSTOMER CITY OF CARMEL UTILITI |)QNU|U�|0iR\|�UDU�0| @UUi KN 1 /Q�| Unm PAYMENT AMOUNT 08206755954 L�B� U�U������ K������ K������ U�������K�� Please and Return Payment -�N�-- UniFirst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT O825595 5/02/12 CHARGE 450172 0 9)609 1 HAZEL DELL PARKWAY 9609 HAZEL DELL. PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS 11\1 46280 I F Y OU T HIS 17/293- L�Mvf_ U,c JEAN-WRAN��ER RELAX 13 LAB COAT-POLY/COTTON 9 v �V OOO9 JOE FAUC TT 1.06' S /O9 m COVERALL-65/35 2 DO%D lQ LARRY SCHJMMEL '2. 7C; 5/O� JEAN COTTON RIGGS CA 6 00 11 ll BART CHAFIN 7.61 5/09 S� S. SHIRT-65/35 ll JEAN-WRANGLER RELAX !.I- 0012 I2 DENNIS ROSS 5.90 5 09 JEAN-WRANGLER RELAX 1� �K� �r� COVERALL-65/35 2 �Cl3 13 LONNIE PATTON B 7 1 S� S. SHIRT-65/35 11 �p JEAN-WRANGLER RELAX 1I 0014 14 ERIC ROBINSON 7.92` 5/09' S S SHIRT-65/3� 11 ����v JEAN COTTON RIQGS CA 11: 0015 15 KEVIN 8UHMANN 7.92 5/O9 8, S. SHIRT-65/35 zI JEAN COTTON RIQGG C/\ 0016~ x~^ RALPH gRUWELL 7 5/09` LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN-WRANGLER RELAX 0017 PETE BRENNAN 7. 172 5/09 B. G.' SHIRT-65/35 11' JE :COTTON RIGGS CA 11 0016 IS ROBBIE K%NKEAD 6�0l JEAN COTTON RIg!�� CA' 11' COVERA I� 0019 19 Tf+RA RU88ISH 5� 58 5/O9 PANT SCRUB 65/35 1 P 11 LAD COAT-POLY/COTTON 4 0 SS SCRUB 65/35 1 PMT 1I-' nsn�wRENDERED m PURSUANT ro r/mn CUSTOMER COPY 082 '0 REMIT TO: 675595 UniFiT'St Corporation 0 INVOICE NUMBER G/02/ 12 4201 INDUSTRIAL. BLVD 411;' INVOICE DATE 809566 INDIANAP0 IN 46254 CUSTOMER# (BILL TO) 00 A/R NUMBER A RTE# H4680 CITY C OF MRMEL UTILITI j� 1A CUSTOMER 1t E PAYMENT AMOUNT 08206755954 ii Please Detach and Return With Payment _91L UniFirst Corporation PAGE 003 .7 9 m 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 092 067SS9S 5 "D 21 C H A P'G"; E 458172 CLl 809S66 '8 0 6 6 CITY OF CARMEL UTILITIES9 Q 0C'ITY OF CAPMEL UTILITIES9 9609 HAZEL,, DEL.L PARKWAY 960? HAZEL DELL. PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 (D ALL: IF YOU HAVE A QUESTION REGARDING THIS INVOICE, C 17/293- N46eO 1'�' P UN•D OLIVER E .1 JEAN COTTON RIGGS CA 1:1 COVERAL.L-65/35 2 003� 21 DALE R I LEY 7.92 S. S. SHIRT-65/35 11 cc JEAN COTTON RIGGS CA I'l FINANCE CHARGE 6. 17 DEFE CHARGE 10. 00 INVOICE SUB -TOIAL 236.9S TOTAL SERVICE CHANGES AMOUNT DUE THIS IS YOUR ONLY .INVCE- NET 30 DAYS, PLEASE SIGN SOIL PICK UP COUNT SH PT 01' NO ID SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER REMIT TO: INVOICE DATE 032 0671778 UniFirst Corporation CUSTOMER# (BILL TO) 4/16/12 4201 INDUSTRIAL BLVD A/R NUMBER 809566 INDIANAPOLIS I N 46254 CUSTOMER RTE## N2030 CITY OF CARMEL UTILITI PAYMENT AMOUNT Please Detach and Return With Playmen O PAGE UniFirst Cor 001 w We 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0671778 4/16/12 CHARGE 450172 �3 D Cf 809566 0 809566 D CITY OF CARMEL UTILITIES9 CITY OF CARMEL UTILITIES9 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY IN I N 46280 0 I ND I AfVAP OL I S I N 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317r293-5 026 RTC# N2030 o caa Q MAT -3X5 U1ST GREAT I 2 S.00 5/09 2 MAT -4X6 U1 ST GREAT I 5 19.50 5/09 5 18X18 WIPERS 7.20 5/09 REPLACE -18X18 WIPERS 5 2.45 BAGGED 18X18 WIPERS 14.40 5/09 a REPLACE- BAGGED 18X18 W 19 9.31 'g' k. HANDLE /FRAME 24" 2 5/09 8 24" DRY MOP 2 1.56 12/09 2 TERRYCLOTHS- UNIFIRST 100 17.00 3/10 67 REPLACE- TERRYCLOTHS -UN 8 6.40 SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 3 0001 1 GARY LAFOLLETTE 7.92 5/09 LS SHIRT -65/35 6 S. S. SHIRT -65/35 •5 JEAN COTTON RIGGS CA 11 0003 24 MIKE TURNER 8.96 1 /11 LS SHIRT -65/35 5 S. S. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 COVERALL -65/35 2 0004 4 BLAINE MALLABER 8.96 5/09 LS SHIRT -65/35 3 S. S. SHIRT -65/35 8 JEAN COTTON RIGGS CA 11 COVERALL- -65/35 2 0005 5 JEFF COOPER 4.84 5/09 JEAN--;-WRANGLER RELAX 11 0006 6 DAVID TURNER 7.92 5/09 LS SHIRT-6S/35, 5, S. S. SHIRT -65/35 6 JEAN COTTON RIGGS CA 11 0007 7 CHRIS STUBBS 8.98 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 1.1 COVERALL 65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i 0 INVOICE NUMBER REMIT TO: INVOICE DATE 082 0671778 UniFirst Corporation 1 CUSTOMER# (BILL TO) 4/16/12 4201 INDUSTRIAL BLVD A/R NUMBER 809566 INDIANAPOLIS IN 46254 CUSTOMER RTE.#k N2030 CITY OF CARMEL UTILITI PAYMENT AMOUNT `J'al Please Detach and Return With 9 3 opt PAGE UniFirst Corporation 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0671778 4/16/12 CHARGE 450172 d 809566 D 809566 l 0 CITY OF CARMEL UTILITIES9 6 CITY OF CARMEL UTILITIES9 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY t INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 --5026 RTE# N2030 0008 8 DAVE DYE 7. 88 5/09: JEAN— WRANGLER RELAX 13 LAB COAT POLY /COTTON 9 0009 9 JOE FAUCETT 1. 06 5/09 COVERALL- 65/35 2 a 0010 10 LARRY SCHIMMEL 2.70 5/09 JEAN COTTON RIGGS CA 6 8 0011 11 BART CHAFIN 7.81 5/09 S. S. SHIRT- 65/35 11 JEAN-- WRANGLER RELAX 11 0012 12 DENNIS RUSS 5.90 5/09 JEAN WRANGLER RELAX 11 COVERALL-65/35'L 0013 13 'LONNIE PATTON 7: B1" 5/09 S. S. SHIRT-=65 /35 11 JEAN WRANGLER RELAX 11 0014 14 ERIC ROBINSON 7.92 5/09 S. S. SHIRT -65/35 11 i` JEAN COTTON RIGGS CA 11 0 0015 15 KEVIN BUHMANN 7.92 5/09 S. S. SHIRT--65 /35 11 JEAN COTTON RIGGS CA 11' 0016 16 RALPH GRUWELL 7.81 5/09. LS SHIRT 65/35 5 S. S. SHIRT765 /3'5 JEAN WRANGLER RELAX 11 0017 17 PETE BRENNAN 7.92 5/09 S. S. SHIRT -65/35 11 JEAN COTTON RIGGS 11 0018 18 ROBBIE KINKEAD 6. 5/09 JEAN COTTON RIGGS CA 11 COVERALL- 65/35 2 0019 19 TARA RUBBISH 5.58 5/09 PANT SCRUB 65/35 1 P 11 LAB COAT —POLY /COTTON 4' SS SCRUB 65/35 1 PK"C' 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY 1 WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER REMIT TO: 082 067 UniFirst Corporation INVOICE DATE 4 201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 16l 1 4 A/R NUMBER 809566 INDIANAPOLIS I N 46254 CUSTOMER RTE## N2030 CITY OF CARMEL UTILITI PAYMENT AMOUNT Please Detach and Return With Pa ymen 3 D PAGE UniFirst Corporation 003 �uLww�xS 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT fl'l 082 0671778 4116!12 CHARGE 450172 d G] 809566 0 809566 p CITY OF CARMEL UTILITIES? 6 CITY OF CARMEL UTILITIE89 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY i� INDIANAPOLIS IN 46280 INDIANAPOLIS IN 462E0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# N2030 c ct cap l' 0020 20 BRAD OLIVER 6.01 5109 1 6 CF 1 JEAN COTTON RIGGS CA COVERALL -65135 0021 21 DALE RILEY 7.92 5109 S. S. SHIRT -65135 11 a JEAN COTTON RIGGS CA 11 8 DEFE CHARGE 10.00 INVOICE SUB -TOTAL 230.71 TOTAL SERVICE CHANGES AMOUNT DUE THIS IS YOUR ONLY TNVCE NET 30 DAYS. PLEASE SIGN 2c SOIL PICK UP COUNT SH PT OT NO I L L f SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY i, WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. 0 INVOICE NUMBER OR-.2 0677i9o. REMIT TO: UvniFirst Corporation U�k INVOICE DATE S/09," i2 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) E309566 INDIANAPOLIS IN 46254 �m R[E1* #4b80 m """'"ME^` CITY OF CARMEL UTILITI mm '"'','E'`' J 0820677190' Please Detach and Return WKKUU Payment Apt UniFirst Corporation PAGE 001 00 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 |wvO|cs oxTs PAYMENT TERMS PURCHASE ORDER CONTRACT O82 0677190 5/09/12 CHARGE 450172 209S66 809566 91 0 609 HAZEL DELL PARKWAY (b 9609 HAZEL DELL PARKWAY IV?INJ IN 46280 VINDIANAPOLIS IN 46280 ��N*�v �C�s�0mnso�nomeT*�|mvo�s u�� 317/293-5026 RTE# H4680 18X18 WIPERS 7.2O 5/09 REPLACE-18X18 WIPERS 5 2.45 BAGGED 18X18 WIPERS 14.40 5/09 REPLACE-BAGGED 18X1B W 19 9 31 HANDLE/FRAME 24" 2 5/09 24" DRY MOP 2 1.58 12/09 2 TERRYCLOTHS-UNIFIRST 100 17.00 3/10 29 REPLACE-TERRYCLOTHS-UN 8 6.4O T SOIL LOCKER 2 6/09 8 COMPARTMENT LOCKER 2 6/09 0001 1 GARY LAFOLLETTE 7.92 5/09 0 LS SHIRT-65/35 6 S. S. SHIRT-65/35 5 JEAN COTTON RIQgS CA 11 0003 24 MIKE TURNER 8.98 1/11 LS SHIRT-65/35 5 pit N S S SHIRT-65/35 6 L JEAN COTTON RIQGS CA 11 COVERALL-65/35 2 0004 4 BLAINE MALLA8ER S. 98 5/09 LS SHIRT-65/35 3 S.S. SHIRT-65/35 8 JEAN COTTON RIGGS CA ll COVERALL-65/35 2 i- Ij h L 0 DO5 5 JEFF COOPER 4. v 84 5/Q9 L `��T JEAN-WRANGLER RELAX 11 0006 6 DAVID TURNER 7.92 5/09 LS SHIRT-65/35 5 JL 113 S S SHIRT-65/35 6 COMPANY EMBLEM CHARg l 3.00 SERVICE CHARGE 1 1.�00 r�K DAMAGE-S.S. SHIRT-65/3 1 J'r�l JEAN COTTON RIgQS C;4 11 0007 7 CHRIS STUBBS 8 3 5/09 LOST PROD-S, S. SHIRT-6 11 154- S. S. SHIRT-65/35 11 LOST PRO[/-���N COTTON u����� lO O osnvms CUSTOMER WRITTEN INVOICE NUMBER 082 0677190 REMIT TO: Un :i F i r s t Corporation I. INVOICE DATE S /Q9/ 4 INDUSTRIAL BLVD C`E CUSTOMER# (BILL TO) 33095i66 11 NIA I ANAP OL I S IN 46254 A/R NUMBER RTE# H4680 ,A CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT 1 I Btl 082 Please Detach and Payment D Un:i.a =irSt Cor•por•ation PAGE 0 2 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 i INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0677:190 5/09/12 CHARGE 450172 809566 .0 B09566 V 609 VNDIANAPOLIS Off' CARMEL UTILITIES9 6 CITY GE CARMEL UTILITIES9 HAZEL DELL PARKWAY d 609 HAZEL DELL PARKWAY IN 46280 V.NDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 31 7 /r 93-SO26 RTE#i: H4680 aE' o� Vuuo l�� M° L o l amg Vuuo JEAN COTTON RIGGS CA 10 LOST PROD COVERALL- 65 28 COVERALL--6S/35 2 y 0008 8 DAVE DYE 7.86 5/09 JEAN —WRANGLER RELAX 13 a �4D�7 LAB COAT— POLY /COTTON 9 �I c)009 9 JOE FAUCETT 1. 06 S✓09 o COVERALL- -65/35 2 0010 10 LARRY SCHIMMEL 2.7b 5/09 JEAN COTTON RIGGS CA 6 0011 11 BART CHATIN 7. 81 5/09 0 S. S. SHIRT-65/3 11 off JEAN WRANGLER RELAX J. 0012 12 DENNIS RUSS 5.90 5 /09 JEAN- -WRANGLEIR IREL.AX 11 P COVERALL-65/35 2 0013 13 LONNIE PATTON 61 5/09 S. S. SHIRT-6S/35 11 JEAN—WRANGLER RELAX 11 0014 14 ERIC ROBINSON 7. 92 5/09 tea. S. SHIRT-65 /35 11 N� JEAN COT "rON RIGGS CA 1 k 001'S 15 KEVIN BUHMANN' 92 5/09 3 S. S. SHIRT° 65/35 1 1 1� JEAN COTTON RIGGS CA 11 0016 P 16 RALPH GRUWELL 7.81 5/09 LS SHIRT -55/35 5 S. S. SHIRT -65/35 6 JEAN WRANGLER RELAX 11 0017 17 PETE BRENNAN 7.92 S/09 S. S. SHIRT- 765/35 11 JEAN COTTON RIGGS CA i1 0018 16 ROBBIE fe,INKEAD 6.01 5/09 fir}} JEAN COTTON RIGGS CA 11 1� COVERALL 65/35 2 4D oo1 r 19 TARA RUBBISH 5. Be 5/09 L4t►S PANT SCRUB 65/35 1 P 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082 0677190 REMIT TO: UniFirst Corporation INVOICE DATE 5/O9/12 4201 INDUSTRIAL BLVD CUGTOMEn# (BILL TO) 809566 INDIANAPOLIS IN 46254 *JnwUmaER RTE# H4680 �UGTOmsn CITY OF CARMEL UTILITI PAYMENT ||��UHNU|NU0U0UUN|0 |NUU0�NU0N|8U|NUU{UU(QU| 0820677190y ��U������ Detach K������ U��������� Please and Return With UniFir pAGs st Corporation 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 }wvO|Cs oxTs PAYMENT TERMS PURCHASE ORDER CONTRACT O82 0677190 5/09/12 CHARGE 45O172 eo9S66 809566 609 HAZEL DELL PARKWAY 1 7609 HAZEL DELL PARKWAY A� IF YOU HAVE A QUESTION REGARD THIS INVOICE, CALL: 317/293_5026 RTE# H4680 LA8 COAT-POLY/COTTON 4 SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER 6.01 5/09 p y JEAN COTTON RIg{;S CA 11 COVERALL-65/35 2 0021 21 DALE RILEY 7.92 5/09 S. S. SHIRT-65/35 11 -�v JEAN COTTON RIQgS CA 11 0 DEFE CHARGE 10,00 INVOICE SUB-TOTAL 840. 26 TOTAL SERVICE CHANGES AMOUNT DUE �L i[ THIS IS YOUR ONLY INVCE- NET 30 DAYG. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO Aft osnvICsHEns/m wn��sm nEm v^ /n»o/ CUSTOMER COPY WITH uw/FInar CORPORAT onuw/FInor HOLDINGS, INC. i INVOICE NUMBER 082 0678709 REMIT TO: Un i F i r s t C 1 INVOICE DATE 5 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254 A/R NUMBER RTE# H4660 CUSTOMER CITY OF CARMEL UT I L I T I 1111111111 Jill l PAYMENT AMOUNT !'B F 0$206787094 Please and Return. With Payment UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0 82 0678709 5/16/12 CHARGE 450172 809566 b 809566 ITY OF CARMEL UTILITIES9 ITY OF CARMEL UTILiTIES9 P 609 HAZEL DELL PARKWAY 6 609 HAZEL DELL PARKWAY I i INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/ -5026 RTE# H4680 g `F x oI MAT -3X5 _U1ST GR.EAT_ ,I__ 2:_,:. 5. 00 5 /09, 2_ MAT --4X6 _U1ST. __Q,,REAT -w.T 5_. 19. 5Q _-5/09 5 m 18X.1.8 W.IPERS__._.. _4._ ___7.20,,..: N __REPLACE-_1 8X.18._WIPERS _..5._:. 2.45 BAGGED 18X 18. _W.I PERS 14. 40! SL09 REPLACE- BAGGED, 18X -1.8 W. 19. 9. -31 HANDLE /FRAME 24" _2._ _5/09 24" _DR Y _MOP 2 _.1.- 58 _1240.9 TERRYCLOTHS- UNIF.IRST ..__.100._ 17., Q0_ s REPLACE- TERRYCLOTHS -UN 8 6...40 SOIL.. LOCKER _..2_ w __610 m s COMPARTMENL_.LOC. 0001 1 GARY. _.LAFOLLET.TE.. _.u__. -_7. 92 LS SHIRT -65435 S JEAN._ 0003 24-MIKE. TURNER_. 8.98 _..._i.li1 LS- SHIRT- 65/35 5 S.,S.. SHIRT 65/35.._'. b,_ JEAN. COTTON..RIGGS__CA 11__, SERVICE CHARGE.-__ 3_ 3_0.0_,__:, COVERALL -65/35 2_., 0004 4 BLAINE MALLABER 8.98_ _.w._ 5/09 LS. SHIRT- 6.5/3:5 M n 3-_ 5. S. SHIRT 65/35.. 8_ _JEAN .COTTON_ .R I GGS _.CA 11 COVERALL- -65/35. K.. 2 0005._ 5 JEFF COOPER A 84 5/09 r_ JEAN WRANGLER ..RELAX k.G__ ..1.3...._.: 0006 6 DAVID. TURNER LS SHIRT :765/.35 S.;S. _SHIFT- a' m 6__ JEAN_ C.OTTON.- R- IGGS_.:CA._;.__. 1.1 0008__ 8._DAVE.. DYE__._ JEAN- WRANGLER, RELAX 13_;- LAB--COAT-POLY./COTTON i_ I_l SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER 082 0678709 REMIT TO: Uni F irSt 'C INVOICE DATE 5/ 420 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 ,A CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT 118206787094 Please Detach and Return With Payment UniFirst Corporation PAGE 002 m rL 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4.6254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT t 082 0678709 5/16/12 CHARGE 450172 fl 809566 809566 ITY OF CARMEL UTILITIES9 IT_Y OF CARMEL UTILITIES9 609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY NDIANAPOLIS IN 46280 NDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 -5026 RTE# H4680 MW n o 0009. 9.. JOE_,FAUCBTT 1.06 .__._..._____5!_09 COVERALL- 65/35. o 0010. 10 .LARRY .SCHIMMEL, 2..707.. JEAN COTTON R I.G!GS CA_._: b 0011_ 1.1 ._BART_. CHAF.IN y _..7..81 5./09 _S_.S. SHIR.T. 6.5/3'5. 1•i.. JEAN WRANGLER RELAX 0012. _12, _DENNIS _RUS.S__.. -_5-. 90_14 1Il -JEAN-WRANGLER -RELAX- COVERALL -6.5/.35. 8 OD13 13-LONNIE PATTON._. _T�:. 7.81 ___5/09 1 0 0 S.-S. SH.IRT.- .6,5/_35_ JEAN- WRANGLER --RELAX 0014: e l,4 E R IC ROB LNSON __7.- 92 5/09 S. a� co I r. ©N c�s 0015. 15 KEVIN B:UHMANN 7..92_ 5/09 0 S. SHI.RT- -65/35 JEAN- COTTON.._R I.GG.S. CA 0016 16 RALPH GRUWELL 7. 81 5/09 LS SHI..RT- 6.5/35 S. S. SH,IRT.- 65135 JEAN .WRANGLER. RELAX. 0017 17 FETE BRENNAN 7_92 IRT 65!.35_ S. S. SH JEAN COTT -ON -_R.I GGS CA 1 1_ 001.8,.." 18 ROBB_IE KI'NKEAD 6._O1 5,/0.9 ..',JEAN .C,OTTON,- .R_IGG.S_.CA__ COVERALL- 65./35 0019. 19 TARA RU.BB.ISH 5./09 PANT_ S.CR.UB___6S /35._1_ P-,_ SS SCRUB 65/35. 1.__PKT 1 4_. LAB COAT- POLY /COTTON 0020 20 _BRAD OLIVER. b._O1..•. 5/09 JEAN _C.OTTON.- _RIGGS ..CA 1 1__ COVERALL- 6513.5._ .:a,. SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER 082 0678709 REMIT TO: Un i F i r s t Corporation INVOICE DATE S/16/1 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 1A CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT 08206787094 Please .Detach and Return With Payment UniFirst Corporation PAGE 000 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 06787179 5/16/12 CHARGE 450172 809566 809566 ITY OF CARMEL UTILITIES9 ITY OF CARMEL UTILITIES9 y 609 HAZEL DELL PARKWAY 6 b09 HAZEL DELL PARKWAY o`,NDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 —SO26 RTE# H4680 M 0021 21 DALE RILEY ___7.. 92._... S. -S. SHIRT-65/35,.. JEAN COTTON R I GGS CA 1_l b CD m _DEFE CHARGE. 10. 00. Q _0 INVOICE. SUB—TOTAL. 224._73 0 __.TOTAL..SERVICE. CHANGES_ m AMOUNT DUE m cv THIS IS YOUR ONLY INVCE NET ,3G DAYS. .PLEASE.STGN .SOIL__P_I CK UP _COUNT SH f';T OT J. 0 A SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVO wUM8En 082 0670201 REMIT TO: UniFirst Corporation INVOICE DATE 4/09/12 4.201 INDUSTRIAL BLVD CuS0msR# uT� 8O9566 INDIANAPOLIS IN 46254 A/R NUMBER RTE** N2030 CUGTOmEn CITY OF CARMEL UTILITI |00'\iKN0 |UUN U0U MUU 0| 8NUU UNU 80|0 |NNQ �\NK\ mmo xmm momomx mm�umooxwonu}m�minm mmu| PAYMENT AMOUNT 70201Q k Please Detach and Return With Payment Vn1F1rst Corporation PAGE DOl n 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 |wvO/Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0670201 4/09/12 CHARGE 450172 SOc?566 809566 CITY OF CARMEL WTILITIES9 w CITY OF CARMEL UTILITIES9 V60V HAZEL DELL PARKWAY, ?60c? HAZEL DELL PARKWAY INDIANAPOLIS IN 46260 INDIANAPOLIS IN 46260 N� 4D IF YOU HAVE A QUESTION REGARD THIS INVOICE CALL: 317/293- lal�vlcmamaLk !Wm. REPLACE-18X18 WIPERS 5 2 45 BAGGED 18X18 WIPERS 14.40 5/09 e REPLACE BAGGED 18u18 W'_ 19 9.31 HANDLE/FRAME 24" 2 24" DRY MOP 2 1. 58� 12/09 2 TERRYCLOTHS-UNI FIRST 100 17. 001 t3/10 28 REPLACE-TERRYCLOTHS-UN 8 �6.4O s SOIL LOCKER 2 -6/09 8 COMPARTMENT LOCKER 2 0 OOO1 1 �ARY LAF(]LLETTE 7 9�� 5/O9 LS SHIRT--65/35 6' S.S. SHIRT-65/35 5 JEAN COTTON RIGGS CA 11 0003 24 MIKE TURNER S. 9E[ 1/11 v LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIQgS CA 11 SERVICE CHARGE 1 1. O[/ r' DAMAGE-JEAN COTTON RIG 1 �7� �2 COVERALL-65/35 0004 4 BLAINE MALLABER 8� 98 -[�/O9 LS SHIRT-65/35 3 S.S. SHIRT-65/35 8 JEAN COTTON RIAOS CA 11 COVERALL-65/35 2� 0005 5 JEFF COOPER 4.84� 5/09 JEAN--WRANGLER RELAX 11 0006 6 DAVID. TURNER 7.92 5/09, LS SHIRT-6S/35_ 5 S S SHIRT-65/35 6 JEAN COTTON R� G{�S CA 1'1' 0007 7 CHRIS E[rU88S 8� q8^' 5/09 S. S. SHIRT-65/3S 1 1 JEAN COTTON RIQQG CA 11 COVERALL-65/35 2 SERVICE HERE RENDERED /aPURSUANT TO A wnnTsw CONTRACT CUSTQME RCO9v WITHuwIFIpST CORPORATION ORmwnnST HOLDINGS, INC. INVOICE NUMBER 082 067020 REMIT TO: Un i F i r S t C o p or a t i.o n INVOICE DATE 4 /09/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER R TES# N2030 1 CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT 0820670201Q Please Detach and Return With Payment O UniF:irst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0670201 4/09/12 CHARGE 450172 909566 809 CITTY OF CARMEL UTIi_ITIES9 CITY OF CARMEL UTILITIES9 p 9609 HAZEL DELL PARKWAY a 9 609 HAZEL DELL PARKWAY 4 INDIANAPOLIS IN 46260 Q INDIANAPOLIS IN 46260 RIE# N2030 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 31'7/293_r c b I)AVE DYE n i JEAN WRANGLER RELAX 13. LAB COAT-POLY/COTTON 9 °z 0009 9 JOE FAUCETT 1.06 5/09 d COVERALL-65/35 r m 0010 10 LARRY SCHIMMEL 2.70 5/09 JEAN COTTON R I GGS CA 6 0011 11 BART CHAFInj 7. 81" 5/09 o o S. S. SHIRT -65/35 JEAN WRANGLER RELAX 11 N 0012 12 DENNIS RUSE 5.90 5/09 JEAN- WRANGLER RELAX 11 COVERALL. -65/35 2 0013 13 LONNIE PATTON 7.81 5/09 S. S. SHIRT- 65/35 1.1 JEAN-WRANGLER RELAX 11 0014 14 ERIC ROBINSON 7. 9� 5/09' 0 S. S. SHIRT -65/35 11:. JEAN COTTON RIGGS ACA 11' 10015 15 KEVIN BUHMANN 7.92 5/09 S. S. SHIRT- -65/35 11 JEAN COTTON RIGGS CA- 11 0016 16 RALPH GRUWELL 7.61' 5/09 0 L SHIRT--65 /35 5 S. S. SHIRT 65/35 6 C i i' JEAN- WRANGLER RELAX 1 1' 0017 17 PETE BRENNAN 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA' 11 0016 16 ROBBIE ftiINKEAI} 6. 01 5/09 JEAN COTTON RIGGS CA 11 COVERALL'--65 /35 2.. 0019 19 TARA RUBBISH 5. 58 5/09; PANT SCRUB 65/35 1 P 11 LAB COAT POLY /COTTOI \4 SS SCRUB 65/35 PKT 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082'0670201 REMITTO: UniFirst Cor INVOICE DATE 4/09/1 4201 INDUSTRIAL_ BLVD CUSTOMER# (BILL TO) E309566 INDIANAPOL I N 46254 A/R NUMBER RTE# N2030 ,A CUSTOMER C I TY OF CARMEL UT I L I T I s I PAYMENT AMOUNT 08206?0201Q Please Detach and Return With Payment n� O UniFirst Corporation PAGE 003 l�l X715 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0670201 4/09/12 CHARGE 450172 p 809566 p 809566 n CITY OF CARMEL UTILITIES? 0 CITY OF CARMEL UTILITIES9 p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY 4 INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE, CALL: 317/293 1 rRIF[ I apg1p umepe5mom me— a �a QP BRAD CTV JEAN COTTON R IG.GS CA 11 z COVERALL-65/35 2 0021 21 DALE RILEY 7.92 5/09 t S. S. SHIRT -65/35 11 JEAN COTTON RIGGS CA 11 a DEF'E' CHARGE 10.00 INVOICE SUB -TOTAL 235.09 0 TOTAL SERVICE CHANGES N AMOUNT DUE THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN V SOIL PICK UP COUNT SHi PT OT NO I I SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. VOUCHER 117354 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 052112 01- 7362 -05 $877.68 052112 01- 7362 -06 $465.80 Voucher Total $1,343.48 Cost distribution ledger classification if claim paid under vehicle highway fund 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 5/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/17/2012 052112 $1,343.48 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 Date Officer