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214112 10/23/2012
CITY OF CF�RMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $581.65 ' ? INDIANAPOLIS IN 46254 CHECK NUMBER: 214112 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820712283 280 . 77 OTHER EXPENSES 651 5023990 0820713909 300 . 88 OTHER EXPENSES ~� Un1First Corporation p«Gs OOl 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 07139{}9 10/17/12 CHARGE 45O172 cq09S66 809S66 (��609 HAZEL DELL PARKWAY R,609 HAZEL. DELL PARKWAY VINDIANAPOLIS IN 46280 NDIANAPOLIS IN 46280 N� ~� /FYnuo�vs/x�xsrnownsomajm�T*|G|wvmc� C�u ' u� 317/293-5026 RTE# H4680 Zm IF MAT-3X5 U1ST GREAT I 5 5O 5/O9 2 ' '- -'--� ^ MAT-4X6 U1ST f2REAT I 5 21. 50 _5/09 ' 5 . 18X18 WIPERS �� 8O -__- e REPLACE-18X18 WIPERS . 5 �� 45 � .. � BAGGED 18X18 WIPERS _ 16. GO - 5/09 REPLACE-BAGGED 1BXl8 W 19 . 9. 32 HANDLE/FRAME 24" 2 5/09 ------ ----- e ' 24" DRY MOP 2 1' 82 _��O9 2 � TER OT -UNI IRST - ---' -- ' T L HS F �OO 19 DO 3/1O 47 ^-"" '^ � ' °``^ ^"� ' _ � . � ?REPLACE-TERRYCLOTHS-UN G 64 40 � SOIL LOCKER 21 coo 8 COMPARTMENT LOCKER '' 2 _ _ _6/09 .� /000 1 1 GARY LAFOLLETTE _ _ _ _ 8. 69 _ 5/09 � ' LS SHIRT-65/35 6 �� �� S. S. SHIRT-65/35 _ -__ 5 __-- - JEAN COTTON RIQGS CA _ 11 0002 34 LARRY EIDSON 8� S8 6�12 . _ - -_ --_- _- ' S� S� SHIRT-65/35 11 JEAN-WRANGLER RELAX 11 _ 1�003 24 MIKE TURNER '- - 9� 85 1/11 ' ---. . . -- �~ LS SHIRT-65/35 5 S. S. SHIRT-6S/35 . 6 ,JEAN COTTON RIQgS CA _ _. 11 COVERALL-65/35 2 o004 4 BLAINE MALLABER 9� B5 �/O9 ^ -- LS SHIRT-65/35 S. S. SHIRT-65/35 JEAN COTTON RIggG CA _ _ 11 COVERALL-65/35 . / 2 ^ - - ' �OO5 5 JEFF COOPER . _ _ 5. 28 5/09 JEAN-WRANGLER RELAX 11 � - � ` - - ' OOO6 6 DAVID TURNER ` 8. 69 _~ LS SHIRT-O' S/35 5 � S. S. SHIRT-6S/35 6 . ~ JEAN .COTTON RIAgS CA 11 _ � ^ �� OOO8 B DAVE DYE � ' 8. 58 ' 5/O9 .' -- ' JEAN-WRHN��ER gEL/�� � �� /-- - --- -- - -- ' ' �� SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i INVOICE NUMBER 082 0713909 REMIT TO:Ujj iFirst Corporation INVOICE DATE 1(-';/17/12 42 01 INDUSTRIAL_ BLVD CUSTOMER# (BILL TO) [-,;O?`- ¢, I ND.L ANAP OL I S IN 46254 A/R NUMBER RTE* H4680 1A CUSTOMER CITY OF CARMEL U T .LIT I I ! III f , PAYMENT AMOUNT $ 4 0820713909$ -- Please Detach and Return With Payment - " : a UniFirst Corporation PAGE 002 4201. INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0713909 10/17/12 CHARGE 4SO172 © 809S66 D 809 566 IITY OE CARMEL UTILITIESa 11TITY OF CARMEL UTILITIES9 609 HAZEL DELL PARKWAY Q0609 HAZEL DELL PARKWAY NDIANAPOLIS IN 4626 4 NDIANAPOL.IS IN 46280 @1 Ri IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293--r026 RTE# H4680 _ LAB COAT.--POLY/COTTON 9 . --- - -.0009 9 JOE FAUCETT 1. 1.6 - _5`'!09 COVERALL-65/35 - _ _ _. 2. — -- - 0010 10 LARRY SCHIi'MEL 2, 94 5/09 JEAN COTTON RI-GGS _CA _ 6 _ __ a* 0011 11 BART CHAF I n1 y-- 8. 58 _5,'09 _ S. S. SHIRT-°65/35 x 1 JEAN-WRANGLER RELAX 11 ¢• 00312 12 DENNIS RUSS - - - 6. 44 _..--- 5/09 JEAN--WRANGLER RELAX _ 11 S COVERALL-65/35 2 o0 0013 13 LONNIE PATTON S. 58 S. S. SHIRT-65/35, 17. JEAN-WRANGLER RELAX � 1 .o 0014 14 ERIC ROBINSON � _�! B. 69 ry-- 5/09 S. S. SHIRT--6S/35 11 JEAN COTTON RIG_GS CA 11 _ - �) 0015 1S KEVIN BUHMANN --- 6. 69 5/09 I1 S. S. SHIRT-6S "35 - --- - it - JEAN COTTON RIGGS CA 11 0016 16 RALPH +~RUWELL. - a. 58 .,. _ 5/09 LS SHIRT--65/35 5 S. S. SHIRT--65/'35 - - .6 JEAN-WRANGLER RELAX 11 ?017, 17 PETE BRE:NNAN 8. 69 - . 5/09 I S. S. SHIRT--6S/35 11 JEAN COTTON RIGGS CA 11 , -. 0018 18 POBBIE KINKEAD 6. 55 5.1039 JEAN COTTON R I GGS CA i 1 COVERALL-65/35 2- x:03019 19 TARA RUBBISH 6. 10 5/09 "r PANT SCRUB 65/35 1 P 11 LAB COAT--POLY/COTTON q _ SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER - � -- - 6. 55 � . 5/09 - JE:AN COTTON fvIGGS VA 11 COVERALL--6-9/35 2 _ SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082 0713909 REMIT TO:Un i F i r s t Corporation INVOICE DATE 1 C /1 7/ 12 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809S66 INDIANAPOLIS IN 46254 A/R NUMBER R-rE-# H4&so ,A CUSTOMER CITY C:F' C:AR MEL. UT I L I T I 111111111111 Jill i 1� PAYMENT AMOUNT $ 08217713909$ Please Detach and Return With Payment - D UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 i INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0713909 10/17/12 CHARGE 450172 V,609 879566 Q 809566 OF C'ARMEL UTILI T IES9 7' ITY OF CARMEL UTILITIES9 HAZEL DELL F'A>;KWAY 609 HAZEL. DELL PARKWAY ANAP OL I S I N 462 80 Ik!i7 I ANAP OL I S I N 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 •I i 10021 21 DALE RILEY - 8. 69 - - 5/09 S. S. SHIRT-6-5/35 - 11 _ --- JEAN COTTON RIGGS CA -- 11 — - 0022 26 AARON HOOVER 5. 39 ---6/12 JEAN COTTON RIGGS CA 11 a 0023 27 JASON STEWART 5. 39 '/12 . I JEAN COTTON RIGGS CA - 11 -- - 0024 31. CALVIN`! COOPER r 5. 28 6/122 ° JEAN-WRANGLER RELAX 11 - 0026 29 CURT MANIFOLD _ _ 9. 74 - -- 6/12 S. S. SHIRT-65/3S 11. ---- - JEAN-WRANGLER RELAX _- it a i COVERALL-65/35 s 0027 28 RANDY MASS I NG I LL 5. 97 6/12 JEAN COTTON RIGGS CA 11 COVERALL-65/35 I 0028 33 GREG EPP 5. 28 6/12 JEAN--WRANGLER RELAX 11 - 10029 32 MICAH BECK 8. 69 6/12 S. S. SFIIRT--65/35 11 JEAN COTTON RIGGS CA 11 - DEFE CHARGE 11. 00 LINEN MAINTENANCE CH 3. 80 }'! INVOICE SUB-TOTAL 300- 88 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i . INVOICE NUMBER 082 071 3909 REMIT TO:Ups i F i r s t Corporation INVOICE DATE 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 i ,A CUSTOMER CITY OF CARMEL UTILITI I ' ! f PAYMENT AMOUNT $ 1 I I f i 0820713909$ -- +�'B '� - Please Detach and Return With Payment - D Ur.iFirst Corporation PAGE 004 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 i INVOICE DATE /PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0713909 10/1.7/12 CHARGE 450172 d 809566 1309566 ITY OF CARMEL UTILITIES9 6 ITY OF CARMEL UTILITIES9 609 HAZEL SELL PARKWAY 609 HAZEL. DELL PARKWAY 4 NDIANAPC?LIS IN 46280 IN 462E0 ' O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 31 7/293--5026 RTE# H4680 TOTAL_ SERVICE CHANGES ----- - -- 2 AMOUNT DUE - _ L m THIS IS YOUR ONLY I N JC E--- NET 3Q DA1 S. PLEASE SIGN C SOIL PICK UP COUNT SH PT OT - __._-- n N W I e - tr i i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. VniF1rs PAGE t Corporation 00 MarnTge 1�t 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 �~ |mvO|os DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0712283 1O/1O/12 CHARGE 450172 ED E-401'1566 0 309566 V609 HAZEL DELL PARKWAY 7609 HAZEL ]DELL, PARKWAY 'AP 01 IN 46290 � . � |rvOu*�v���usST0wnsG�nowGTn|S|mvO|C� C��� � ' 317/293-5O26 RTE# H4680 V -` 18X18 WIPERS ---'-5/09 RE . PLACE-18X18 WIPERS --- - 5 2 45 '� - - - �=r BAGGED 18X18 WIPERS 16. 80 5/09 e REPLACE-BAGGED 1GX18 W l9 9 3l __--_- � HANDLE/FRAME 24^ - ' - 2 - - 5/09 =" 24^ DRY MOP ^-- - 2 82 - ' 12-/09 2 TERRYCLOTHS-UNIFlRST - - 100 19. 00 '-- 3/1O 52 ^� REPLACE-TERRYCLOTHS-UN - - - 8 6� 4(] ' -- - SOIL LOCKER - - 2 8 8 COMPARTMENT LOCKER - '- 2 '- '6/09 � D0O1 l GARY LAFOLL � ETTE - - ' 8 69 - -' 9/09 LS SHIRT-65/35 -- - 6 - - �\ )i SS. SHIRT-65/35 � - � 5 ' �. . JEAN COTTON RIQGS CA ` - 1. 1 - - 0002 34 LARRY EIDSON - G. 58 S. S. SHIRT-65/35 11 JEAN-WR8NgLER RELAX - - 11 0 0 0 3 24 MIME TURNER 9. a5 LS SHIRT-65/35 5 � S. S.S SHIRT-65/35 � - � 6 JEAN COTTON RIGQS CA - 11 COVERALL-65/35 - 2 - ' ��O4 4 BLAINE MALL�DER 9� B5 ' 5/09 LS SHIRT-65/35 3 'S. S, GFIIRT-65/35 8 JEAN COTTON RI�S CA ` 11 ' COVERALL-65/35 ' 2 0DO5 S JEFF COOPER ' ' 5. 28 6/O9 JEAN-WRANGLER RELAX 1 � � 0006 6 DAVID TURNER -9. 69 5/09 LS SHIRT-6-5/3S ' ' 5 ' � . S. S.S SHIRT-65/35 6 JEAN COTTON RIQGS CA 11 , ` 0008 8 DAVE DYE 8. 5B ^ 5/09 ` JEA1\11-WRANGLER RELAX ' 13 ~- LAB COAT-POLY/COTTON 9 . SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY | WITH mwnnar CORPORATION onuw/Fmur HOLDINGS,INC. |wv0o:ENUwa�n REMIT TO:O82 Q712��83 UniFirst Corporation Lm INVOICE DATE 1O/10/12 42,O1 INDUSTRIAL BLVD ° CUGTOMERw (BILL TO) BO9S 66 INDIANAPOLI5 IN 46254 A/R NUMBER R T E# H4680 m CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT $ 08207L2283X Please ~~ ,~.~.,~, . and Return. . . . ..^ . Payment.. =, -- I ,, L , "- '" 9 PAGE 19 UiniFirst Corporation 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 .� |mvO|cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT (i\ �\ CI 822 0 712�2 83 1O/1O/ 12 CHARGE 45O172 809S66 8:;09566 ITY OF CAPtIIIEL UT I L I T I ES9 RITY OF CARMEL UTILITTES9 609 HAZEL DE! PARKWAY PARKWAY -� |FY0uy�vs�OueoTmmns�^noowsi�|�xwxzx��cmj������� 3171/293-5026 RTE# H4680 �p , / c� 0009 9 JOE FAUICETT ---'-- - 1. 16 ----- '-5/09 ' COVE14ALL-65/35 2 .4) OO1D 10 LARRY SCHIMMEL --'--� ' 2. 94 �------5/O9 ^ e JEAN CO (� TTON RI� S C 6 A ---� � _ e 0011 11 BART CHAFIN ----'- 8 58' --- ' < � S. S. ���lRT-65/3� -----� 11 ' ------- JEAN-WRANGLER R�LF\X � �� QO12 l� DENNIS RUSG ' -- --- ' 6. 44 ' � ~� JEAN-WRANGLER RELAX --'-� 11 0 ' COVERALL-65/35 - ---' 2 � D0 13 13 LONNIE PATTON�� 8, 58 _-' �� S. S. 5-HIRT-65/35 - --^ 11 � JEAN-WRANGLER RELAX ll- � 00 14 14 ERIC ROBINSON ^ ----- 8� 69 � ' '5/09 ` �� - - �� S. S. 13 HIRT-65/3S ' -' - 11 - ---' JEAN COTTON RIGgS CA� '' '—' .11. O015 15 KEVIN 8UHMANN - -- � 8 �9 _ � -- ' S. S. SHIRT-65/35 ' - ' 11 JEA!x! COTTON RIGQS CA `..� 0O16 1& RALPH GRUWELL 58 ^ ' -- 5yO9 ' LS SHIRT-65/35 S� S. SHIRT-65/35 6 ^ ' JEAN-WRANgLER RELAX � 11 �� �� 00 17 17 PETE BRENNAN - - SI-. 69 ' - 5/09 S. S. SHlRT-65/35 JEAN COTTON RIGGS CA �= 00 3.8 16 RO8BIE KINNE6D b. 55 '- --5/09� JEANIQTTON R1QGS CA PREPARATION CHARQE �1 I 5Q� �� - �� COVERALL-65/3 2 �L [ �OQ19 19 TARA RUBBISH - 6� 18 ` , ' 5/09 ` - '^ ' PANT SCRUB 65/35 P 11 ` ` �� - �� ' ' LAB COAT-POLY/COTTOW 4 SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER 5�� � 5/09 �� � ' �� JEAN COTTON RIgQS CA C0VE�RHLL-65/3 5 . � 2 SERVICE �� WITH uw/"="="RENDERED PURSUANT '"°WRITTEN CONTRACT CUSTOMER COPY CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER „� 22 REMIT TO: � . C t;O� ��1.�_W..03 4.#r:i. �.r�� Corporation � .t�►',. INVOICE DATE 10/1 0)'l 2 4201 T N3tS T i 1 A_ BLVD CUSTOMER# (BILL TO) n 1;3U��ibb INitlAf'.!,^i1'isLI;1 tN 46254 A/R NUMBER R.TE.# H4680 ,A CUSTOMER CITY Off' CARMEL }IT 1 L T.T.j PAYMENT AMOUNT 08207L2283`d - Please Detach and Return With Payment - DUniFlrst Corporation PAGE QO3 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 032 0712283 10/10/12 CHARGE 450172 q 80950o p El09566+ O 'ITY OF CARMEL UTIL..ITIES9 'IT`{ OF C;AR??Er.. UTILI T IES9 . 609 HAZEL DELL. PARKWAY a 609 HAZEL TELL PARKWAY L 1 Q'ND I ANAPOL I S IN 46280 M INID I ArNAPOL 15 1141 462caO O 1 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293--S026 R`I"E# H4680 - -�-1-x/ 5 1 K1. f >jX' - • 1'4 1 0021 21 HALE RILEY ---- -- S. 6 S� S. ;SHIRT--65/35 - - 11 JEAN COTTON R I d GS CA - - 11 - --- - 0022 26 AARON HOOVER - -- 5. 39 -- 6/12 12 L °' JEAN C OT-f(; N R I GGS CA - - 11 - a 0023 2;` JASON STEM?ART - 5. 39 - -6/1.2 a JEAN COTTON R I GGS CA -- - 11 -- �5?_24 31 CAL V IN COOPER -u/12 g JEAN-WRANGLER NGLER R EL A x -^ 11 S 0025 30 PAUL ARNONE �� � 5. 39 - 6/ 12 JEAN COT ON ON R I GC S CA; �� 11 � — m� OC26 29 CURT MANIFOLD 9. /4 6 12 S. S. SHIRT-65/35 11 jEAN--WRANGLHR RELAX 11 COVERALL-65/35 2 007-1 26 RANDY MASSINGIL L.. 5 97 6/12 JE:A14 COTTON RIGGS CA --. 11 COVEFRALL-65/35 1 0028 33 GREG: EPP 5. 26 - 6/12 JEAN-WRANGLER RELAX _ 11 OC29 32 MICAH BECK B. 69 6/12 S. S. SHIRT-65/35 _ 11 JEAN COTTON R I GGS CA 11 I !. . DE FIE CHARGE .. 00 ' LINEN MAINTENANCE CH e3. 80 ,a INVOICE SUB--TOTAL 280. 77 — SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. , INVOICE NUMBER REMIT TO: ~- INVOICE O82 O712283 � UniFirst Co�poration \ 1O/1O/12 4201 INDUSTRIAL BLVD '� ^ CUGTOMEn# (BILL TO) 8O9566 RTE* IN 462154^JnNU�osn RTE# H468O m CUSTOMER CITY OF CARMEL UTILITI PAYyWENTAM{}UNT � |}NNoU�!U|0U0UQU�NU�DNN|iU|0"0|UUU8||0'0DUUN|N|iQN 08207L2283X Please D_-~ ch and R et u rn With ~y. ~. t ~ � � - --- --------------------_--------------------___--------_-----_----_-------- � g U' amw UniFirst COT' pAGs poration 004 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 d� INVOICE o«rs PAYMENT TERMS PURCHASE ORDER CONTRACT O82 0712283 1O/1O/12 CHARGE 450172 Co VINDIANA F,,IDIANAPOL.IS IN 4.6280 POLIS IN 46280 � } n |pvOu*�vsx�usSTmwns��nmmsT*mimvn��.c�[[� 317/293-5O26 RTE# H4680 I mug, TOTAL SERVICE CHANGES m - ------ - ----' - AMOUNT DUE ---- ~ THIS IS YOUR ONLY INVCE- NET 30-DAYS. PLEASE SIGN ~^~~ � n� SOIL PICK UP COUNT GH PT OT NO � - - ' \�\L ' ` � ~ �� SERVICE HEREIN RENDERED IS PURSUANT TO A WRI17EN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. VOUCHER # 125947 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 0713909 01-7362-05 $300.88 089 0719a$3 01-7Abo-09 Ot- 7 S11. �S 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 10/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201; 082 0713909 $300.88 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 /o//91/v C -�` `- yx' Date Officer