213682 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $590.54
k' INDIANAPOLIS IN 46254
CHECK NUMBER: 213682
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0820709043 279 . 27 OTHER EXPENSES
651 5023990 0820710669 311 . 27 OTHER EXPENSES
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
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a niFirst Corporation PAGE
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
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VOUCHER # 125777 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 0709043 01-7360-02 $279.27
08;07106 1
01-73;-N, 311va7
,57(),5q .
Voucher Total ,,. '
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 101112012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2012 082 0709043 $279.27
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer