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212402 08/28/2012
CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 a ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $553.90 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 212402 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820699371 277 . 56 CONT SVS—OTHER 651 5023990 0820700955 276 . 34 7362 . 02 OUniFirst Corporation PAGE 001 4201 INDUSTRIAL. BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0700955 8/22/ 12 CHARGE 450172 m 809566 0 809566 a 0 ITY OF CARMEL UTILITIES9 DEITY OF CARMEL UTILITIES9 (P9609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY 11,1 V INDIANAPOLIS IN 46280 4 NDIANAPOLIS IN 46280 1 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 a Cp 41 3 CY 6 LSO CCU FGr n MAT-3X5 U I ST GREAT I - - 2 S. 00 -5/09 2 a. MAT--4X6 U1ST- GREAT- I ----- 5 19. 50 --- ----5/09 5 18X18 WIPERS -- --- 7. 20 _____ 5/09 y REPLACE-18X18 WIPERS - 5 2. 4S - ---- - �i BAGGED 18X18 WIPERS - -• 14. 40 - - 5/09 a REPLACE-BAGGED 18X 18 W - --- 19 9. 31 --------- a I ! HANDLE/FRAME 24" - 2 --5/09 o 24" DRY MOP - 2 1. 58 12/09 2 TERRYCLOTHS-UNIFIRST 100 17. 00 --3/10 9 g REPLACE-TERRYCLOTHS-UN 8 6. 40 --- �� SOIL LOCKER - 2 - ---- 6/09 8 COMPARTMENT LOCKER -- -- -- 2 6/09 cm "1 1 0001 1 GARY LAFOLLETTE 7. 92 -- 5/09 LS SHIRT-65/35 -- -- - 6 -- - S. S. SHIRT-65/35 __ . -. . 5 JEAN COTTON RIGGS CA 11 i 0002 34 LARRY EIDSON - -- 7. 81 C 6/12 S. S. SHIRT-65/35 - - - - 11 JEAN-WRANGLER RELAX - . - 11 0003 24 MIKE TURNER 8. 98 C LS SHIRT-65/35 - 5 -- S. S. SHIRT-6S/35 - 6 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 - 8 JEAN COTTON RIGGS CA 11 COVERALL-65/35 2 0005 5 JEFF COOPER 4. 84 5/09 r JEAN-WRANGLER RELAX 11 i 0006 6 DAVID TURNER 7. 92 5/09 LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIGGS CA 11 0008 8 DAVE DYE 7. 86 5/09 JEAN—WRANGLER RELAX 13 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i INVOICE NUMBER 082 0700955 REMIT TO: UniFirst Corporation INVOICE DATE B/22/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4660 1A CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT $ 1B 0820700955— � )-- - Please Detach and Return With Payment - nom° yf� UniFirst Corporation PAGE 002 �! 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0700955 8/22/12 CHARGE 450172 a 809566 0 809566 ITY OF CARMEL UTILITIES9 ITY OF CARMEL UTILITIES9 p, 609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY NDIANAPOLIS IN 46260 DV INDIANAPOLIS IN 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 ! LAB GOAT--POLY/COTTON - 9 - - -- 0009 9 JOE FAUC ETT - -- ---- 1. 06 COVERALL-65/35 ---- - 2 — - -- - y 0010 10 LARRY SCHIMMEL ----- 2. 70 —_ -----5/09 JEAN COTTON RIGGS CA ---- 6 a• 0011 11 BART CHAFIN --- -- 7. 81 -- - 5/09 T _ , ` i S. S. SHIRT-65/35 --- 11 ------- - 0 JEAN—WRANGLER RELAX ----- 11 ¢0 0012 12 DENNIS RUSS 5. 90 - — - 5/09 g JEAN—WRANGLER RELAX ----- — 11 - -- - - COVERALL-65/35 -- - 2 co 0013 13 LONNIE PATTON 7. 81 - 5/09 N 81 L , S. S. SHIRT-65/35 11 JEAN—WRANGLER RELAX -- 11 0014 14 ERIC ROBINSON — 7. 92 - 5/09 S. S. SHIRT-65/35 - 11 JEAN COTTON RIGGS CA 11 S 0015 15 KEVIN BUHMANN - - -- 7. 92 5109 S. S. SHIRT-65135 _ 11 JEAN COTTON RIGGS CA 11 0016 16 RALPH GRUWELL _ -_ _ _ 7. 81 5/09 LS SHIRT-65135 5 S. S. SHIRT-65/35 6 JEAN—WRANGLER _RELAX 11 0017 17 PETE BRENNAN 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA 11 0018 1B ROBBIE KINKEAD 6. 01 5/09 JEAN COTTON RIGGS CA 11 COVERALL--65/35 2 , ( 0019 19 T'ARA RUBBISH S. 58 5/09 1 PANT SCRUB 65135 1 P 11 LAB COAT—POLY/COTTON .- 4 SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER 6. 01 -5/09 JEAN COTTON RIGGS CA 11 q COVERALL-65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. INVOICE NUMBER 082 07009 55 REMIT TO: Un i F i r s t Corporation INVOICE DATE 8/22/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 1A CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT $ 0820700955- '"� - Please Detach and Return With Payment - UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT i 082 0700955 8/22/12 CHARGE 450172 FANAPOLIS 809566 0 809566 OF CARMEL UTILITIES9 ITY OF CARMEL UTiLITIES9 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY IN 46280 `� NDIANAPOLIS IN 46280 O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 7 DEEM o a Cx ::moo d mug � QP P Y3' P 0 ,0 mug r 80, 110021 21 DALE RILEY ---- 7. 92 .. ----- -- -.5/09 rr �s S. S. SHI-RT-65/35 ---- 11 - -- JEAN COTTON RIGGS CA - -- 11 ------- 0022 26 AARON HOOVER ----- 4. 95 C _ _ _ _ -6/12 JEAN COTTON RIGGS CA --- - 11 a� 0023 27 JASON STEWART --- - 4. 95 C ----------6/12 T °I JEAN COTTON RIGGS CA ----- 11 0 0024 31 CALVIN COOPER ---- - -- 4. 84 C ------ -6/12 Q JEAN-WRANGLER RELAX -- .___ 11 - - -- -- g 0025 30 PAUL ARNONE -- -- 4. 95 C -- - 6/12 JEAN COTTON RIGGS CA -- - - 11 0026 29 CURT MANIFOLD -- 8. 87 - 6/12 m N S. S. SHIRT-65/35 11 -- S JEAN-WRANGLER RELAX 11 COVERALL-65/35 -- 2 0027 28 RANDY MASS I NG I LL - - - S. 48 C 6/12 JEAN COTTON RIGGS CA - 11 COVERALL-65/35 I - 0028 33 GREG EPP 4. 84 C 6/12 JEAN-WRANGLER RELAX - - -- -- 11 0029 32 MICAH DECK 7. 92 C -6/12 S. S. SHIRT--65/35 11 JEAN COTTON RIGGS CA 11 DEFE CHARGE_ 10. 00 INVOICE SUB-TOTAL 276. 34 L; , SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i INVOICE NUMBER 082 0700955 REMIT TO: Un i F i r s t Corporation 1 INVOICE DATE 8/22/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) BO?566 INDIANAPOLIS I N 46254 m A/R NUMBER RTE# H4650 ,A CUSTOMER CITY OF CARMEL UTILITI AN PAYMENT AMOUNT $ ,BI 0820700955- ' - Please Detach and Return With Payment - DUniFirst Corporation PAGE 004 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT i Oe2 0700955 8/22/12 CHARGE 450172 Y809566 p 809566 OF CARMEL UTILITIES9 ITY OF CARMEL UTILITIES9 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY ANAPOLIS IN 46280 4 NDIANAPOLIS IN 46250 O i IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 FaT +� Cx.1�rII CI�?u (YD TOTAL SERVICE CHANGES ---- - ---- - y AMOUNT DUE -- t -drPG THIS IS YOUR ONLY INVCE- NET 30-DAYS. PLEASE SIGN C � SOIL PICK UP GRUNT SH _.. ..PT OT NO _ �ID ----- CC -- N 11 I it 776 s . �III w SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. =~ UniFirst Corporation PAGE 00 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0699371 8/15/12 CHARGE 450172 b'09566 809566 609 HAZEL DELL PARKWAY NT609 HAZEL DELL PARKWAY NDIANAPOLIS IN 46280 INDIANAPOLIS IN 46260 .� . ' ' IF 7/293-5 E-7] --'-�� '-� �-�- 7. 20 5/09 REPL�cE-18X18 WIPERS 5 2, 45 BAGGED 18XI8 WIPERS - ' -' 14' 40 5/09 0 REPLACE-BAGGED 18X18 W 19 9. 31 - � HANDLE/FRAME 24° — 2 - 5/09 =0 24" DRY tIOP - 2 1. 58 12/09 2 TERRYCLOTHG-UNIFIRST - 1DO 17. 00 �3/1O 71 ' .� ` ' REPLACE-TERRYCLOTHS-UN -- 8 6 4O - - - ' � � 0�� SOIL LOCKER -- - 2 6/09 8 COMPARTMENT LOCKER 0001 1 GARY LAFOLLETTE LS SHIRT-65/3S RM \ \ ` \ ` \ ^ C � ` `~ ` ' INVOICE NUMBER 082 0699371 REMIT TO:Un i F i r s t Corporation INVOICE DATE e/15/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 1309S66 INDIANAPOLIS IN 46254 A/R NUMBER R TE#F H4680 ,A CUSTOMER CITY DF CARMEL UT I L I T I PAYMENT AMOUNT $ 08206-193 e12 Please Detach and Return With Payment - -- n� D UniFi.rst Corporation PAGE 002 CJ� u 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0699371 8/15/12 CHARGE 450172 © 809S66 p B09566 0 :ITY OF CARMEL UTILITIES`? � ITY OF CARMEL UTILiTIESi' 609 HAZEL DELL PARKWAY 0'609 HAZEL DELL PARKWAY •NDIAISIAPOLIS IN 46280 4 NDIANAPOLIS IN 46260 ' O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 17/29: --50 RTE# H4680 MOD L( o SERVICE: CHARGE 1 1. 00 SPECIAL SIZE CHARGE - 1 2. 4.5 - �� DAMAGE—LAB COAT—POLY/C -- _ 1 19. 27 - 0009 9 JOE FAUCETT 1. 06 5/09 COVERALL-65/35 - - 2 a� 0010 10 LARRY zCHIMMEL - 2. 70 5/09 dl { JEAN COTTON RIGGS CA — - - 6 0011 11 BART CHAFIN -- - 7. 81 - 5/09 S. S. SHIRT--65/35 - 11 - JEAN—WRANGLER RELAX 11 0 1 12 DENNIS RUSS S. 90 5/09 JEAN—WRANGLER RELAX 11 COVERALL.-65/35 2 I ' 0013 1;a LONNIE PATTOCa 7. 81 - 5/09 m . S S. S. 9!HIRT-65./35 11 JEAN—WRANGLER RELAX - 11 0014 14 ERIC ROBINSON 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COT"TON RIGGS CA 11 0015 15 KEVIN BUHMANN 7. 92 5/09 S. S. SHIRT-•65/35 11 JEAN COTTON RIGGS CA 11 0016 16 RALPH GRUWE:LL 7. 81 5/09 LS SHIRT-65/3S 5 S- S. SHIRT-65/35 6 JEAN—WRANGLER RELAX 11 0017 17 FETE BRENNAN 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA 11 0018 18 ROBBIE KINKEAD 6. 01 5/09 JEAN COTTON RIGGS CA it COVfiRAI-L.--65/35 2 0019 19 TARA RUBBISH 5. 56 5/09 PANT SCRUB 65/35 1 P 11 LAP COAT--POLY/COTTON 4 . SS SCRUB 65/35 1 PKT 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i INVOICE NUMBER 082 0699371 REMIT TO: U s t i First Corporation INVOICE DATE 2,/IS/12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809S66 INDIANAPOLIS IN 46254 A/R NUMBER RTE#fi H4660 ,A CUSTOMER c i T`?' CIF CARMEL U C I L I T I f �) I f PAYMENT AMOUNT $ 08206993712 ie " - Please Detach and Return With Payment - akFdTIW O UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT t 082 0699371 8/15/12 CHARGE 450172 S09566 p e09566 0 ITY OF CARMEL UTILITIES9 4 ITY OF CARMEL UTILIT'IES9 609 HAZEL DELL PARKWAY (� 609 HAZE(_. DELL PARKWAY ND I ANA(✓OL I'S IN 46280 IN 46280 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 17/293-50 RTE# H 6 0 FaE 41 3 1� Gi T C i 0020 20 BRAD OLIVER -- ---- 6. 01 - S/09 a ti r JEAN COTTON RIGGS CA 11 m� COVERALL--65/35 —_ 2 0021 21 DALE RILEY 7- 92 5/09 S. S. SHIRT--65/35 — - 11 a0 JEAN COTTON RIGGS CA - -- 11 -- 0022 26 AARON HOOVER _ - A-. -,-5 f` 6/12 C1 1' JEAN COTTON RIGGS CA — ----- 11 - - 0 0023 27 JASON STEWART 4, 95 C 6/12 JEAN COTTON! RIGGS CA 11 0024 31 CALVIN COOPER - 4. 84 �, 6/12 JEAN-WRANGLER RELAX - 11 N 0025 30 PAUL ARNONE 4. 95 C 6/12 p` ll" JEAN COTTON RIGGS CA 11 +� 0026 29 CURT MANIFOLD e. 87 6/12 S. S. SHIRT-65/35 - 11 JEAN--WRANGLER RELAX 11 COVERALL--65/35 0027 26 RANDY MASS I NG I Lt_ _ S 48 C 6/12 JEAN COTTON RIGGS CA 11 COVERALL.--65/35 1 0026 33 GREG EPP 4. 64 C 6/12 JEAN-WRANGLER RELAX 11 0029 32 MICAH BECK 7. 92 G 6/12 S. S. SHIRT-°65/35 11 L l i JEAN COTTON RIGGS CA ] 1. DE:FE CHARGE 10. 00 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. INVOICE NUMBER 082' 0-699371 REMIT TO:Uri i F i r s t Corporation INVOICE DATE ?/1.S! 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 60?566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H468 ,A CUSTOMER CITY OF CARMEL UT I L I T I 1 � is PAYMENT AMOUNT $ 08206993712 Please Detach and Return With Payment - -- o� UniFirst Corporation PAGE 004 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT +'c 082 0699371 8/J,5/12 CHARGE 450172 p 509566 p GOI?S6 3 0 'I°!"Y i1 CARME'L llT Ii I? IES9 4 ITY OF CARMEL. UTILITIFS9 • 609 HAZEL. DELL PARKWAY 6,609 HAZEL DELL PARKWAY :NDIANAPOLIS IN 46280 NDIANr'•POLIS IN 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 17/293-5C7c ISM INVOICE 5l? 3 TO"I'AL -- - - 277. 56 - TOTAL SERVICE CHANGES L a i AMOUNT DUE r i THIS 1S YOUR ONLY !NVC E:-- NET :. O DAYS. PLEASE SIGN Q _ SOIL PICK UP COUNT SH ---_ PT � OT _ NO _ co N O aG _ Colle4c,oN 0i-7360 . 0 �► �c�►�:�► u 1 136a. 05 ill • 4a _ i Plcw� O . -7 3(A o i . I.I� i I I I' � SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. 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 8/21/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/21/2012 082 0699371 $277.56 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with I,^C/5-11-10-1.6 Date Officer VOUCHER # 125534 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 082 0699371 01-7360-02 $54.72 082 0699371 01-7362-05 $111.42 082 0699371 01-7362-06 $111.42 A—n'-s;-b OZ9 0 00gSS o 1.-7360.o 8 Sq.'79 o$a 07ooj5S o1. 73162,o5 110. 81 DS9 07o0Q55 01,7369 , 06 110- S' rl�,-3� ss3,90 Voucher Total —� Cost distribution ledger classification if claim paid under vehicle highway fund