214450 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $273.88
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 214450
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 082-0715532 273 . 88 OTHER EXPENSES
INVOICE NUMBER REMIT TO:
08 12' C)-7 15 1,; 2 in iF i T' t C or p a r a t on
INVOICE DATE -l1." �'
I.= - I
N k--.'-T
1� Dl-;t RIAL .-V-"
CUSTOMER# (BILL TO) '-"i;`w-
S,5 115 6 925
A/R NUMBER N ED T.AN AP 0L.13 N 4 6 4
RT17# H4680
1A CUSTOMER f-7-Tv 10 F A R M"r-L U T I L-1'T'I �t {}f j i� �` I �E i I E�� �jS� - i � �� �{ �� �g €
PAYMENT AMOUNT
[I ayment Please Detach and Return VI/Ith -
--------------------------I ----------------- ----------------------------------------------- ---
PAGE
Uni -irst Co-pporation Doi
D �t 4t-201. INDUSTRIAL BLVD INDIANAPOI-IS 1N 4 6 2:5 4.
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
CHA RGE 4
injS2 f.47-15':53�'-' ' 'i
!F,09S66 000` :S'6 6
-�'ITY OF CARMIEL. UTI'LITIEE-139 -ITY OF CA"'ME,L. U-TILITI�-CD
. 1609 1-'IAZEL DFLA- PARKWAY 4605 riA*7Ei DELL PARKWAY
1,14-D I N A 10 0 IL I S I N; -1 6't?8 0 1 A I\I A F-'Q L 1 S IN 46260
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL:
-6
REFL.AC E-18X 1.6 WIPERS S
BAGGED 1,8XIS WIPERS 16. a tD.
RE-PL-ACF-SAGGErz
'r4ANDLE/'FRAME 24",-
24" TDRY FIOP 1. 82 --i-2-/09 2
0 ---3/,10- 673
R EPL-AC .6.-40-
SOIL. L.00I-j�ER
8 COMPARTMENT -LOCKER. --6-/fl')?
0001 1 GARY LPfFO' E.-I T-L 1
69
LS SHIRT-65/13S 6- ,-,
S.
T' I
JEAN CO 1"0111r-1 RIC�0&-CA
0002 34 LARRY EIDSON O. 58 _-6112-
'SHIPT�-615/3S
JEAN!-WRf-'&-1GL--ER RELAX . 11,
000-1 2 4 MIKE T�)PNER - 9-95
L-S SHIF. 1-65/`:10
S. S. F5H1RT--65/35 6
JEAN COITTON -RIGC-'�S CA--,-
0,004", 4 BL.AINE MALLABER --5/-09
LS SHIR-f.-65/35
JEAN COTTON -R-IGGS 4r,A---
COVERALIU-651/35 - .-2-
0005 5 J EE F F. COOPER 011?
28--
JEAN-WRA •C-L-ER RELAX-- x Il-
0006 6 DAVID TUIRhIER
f LS SHIRT-615/35 -5
'tQ p
�S
IjEAN COT G CT, C A
0006 8 DAVE DYE
A3. 58
JEAN-WRAT,,.1GL,,ER RELAX 13
LAB
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
INVOICE REMIT TO:O8� D7155�2 UniFirst Corporation
INVOICE' 10/24/12 4201 TNDUSTRIAL BLVD
CUGTOMER# (BILL TO) 8O950�_? INDIANAPOLIS IN 46254
A/R NUMBER
RTE5 M4680
° ~
CUSTOMER
CITY OF CARMEL L/TILITI
�� PAYW1ENTA�WC)UNT � i�11';
U|U�U'UU0�UU'N|WUU�iKUU/'�'B||D0
_
Please Detach and � ����� \N ^th O
. .� . ~, .
__ .
_
PAGE
UniF1rst Corporation 002
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 462S4
/wvO|os DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0715532 10/24/ 12 CHARGE 450172
809S66 00106
[6039 HAZEL DELL PARKWAY N60? HAZEL DELL PARKWAY
N�
�
/r ,uuHAVE o QUESTION REGARDING THIS INVOICE,CALL: 317/293_5026 RTE# H4680
cz�m N!A`� �z�mmmffim
�
OOO9 9 JOE FAUCETT ' �-----' '- '� 1� 16 ` �------5/O9 1 '
COVERALL-65/35 ' ----- 2 -
0010 10 LARRY SCHIMMEL - '- ' '--�---� �2. 94
JEAN COTTON R1GQG -CA f,
:
0011 11 8ART CMAFI|V ------' - ' `8, 58 ' '--'---5/O9 -
-�� S. S. SHIRT-65/35 A
JEAN-WR-ANGLER'RELAX' ^------ 11 ' ^ ' -------'
0012 12 DENNIS RU5S 6. 44
.
�
JEAN-WRANGLER RELAX- ^-'--- 11:
COVERALL-6S/35 2 ' � --'----'
� DD13 13 LONNIE PATTON 8. 5B
EE & SHIRT-W/35 --- - ------ 11 ` - -` - ------- -- - ' '-
JEAN-WRANGLER- RELAX RELAX - ---' 11
�01� �4 ERIC, ROBINSON � - ----� - �� �b� ' ^- --5/�9 �
� _-� �
� �
Si S. SHIRT-65/3S --'-~ ll' - -' �------- `
`
JEAN� COTTON RIGOS 'CA-`--- it
�� 0025 15 KEVIN BUHMANN - —� �' - ---`' - ' 'B. b9
�� S. S. SHIRT-6S/35
JEAN COTTON RIGAS- CA 11
9 QD16 16 RALPH GRUELL B 5E 5/a9'
LS -
SHIRT-65/35 ' `- '- ' 5
S. S. SHIRT-65/35 6
JEAN-WRANGLER RELAX --^ 11 ^ ^
_ ' _ - -�
0017 17 PETE 8RENNAN - - - `'-�-- - B: 69
11 bl- S. S. 3
S� SHIRT-65/3S
' . .
JE�m COTTON RIQS {�� --- 1� � '
- � �
�r
0018 I8 ROBBIE KINKEAD
' JEAN COTTON RIQGS CA. 11
COVERALL-65/35 -- ' ''� �2 -�
- . - -
�~
0019 19 TARA RUBBISH- ' -� � --~�� - -- - -5
,6� �@ ' - ^- � 109
PANT SCRUB 65/A5 1 V" 1t-
��
LAB COAT-POLY/COTTO� ' --�
- .
SS SCRUB 6S/35 -4 PKT ' 11 " ^
i - - '
�
0020 20 BRAD OLIVER - wss
JEAN COTTON RIgGS CA � - ' 11
�� - . '
��
COVERALL-65/35 ' ' ` -~ ` 2
-
"=", "°W�'' '"°"' CU8T0MERCOP�
\ U
WITH umIpInor CORPORATION unum/nnar HOLDINGS,INC.
F- I ---
INVOICE NUMBER 0612 0715-532 REMIT TO: 1,)y),jFjTj-b Ccrjpiyp.:itjL,.rj
INVOICE DATE
INDUSTR,"IAL BLVD
CUSTOMER# (BILL TO) i 2,4 4; 2 2 f,)I. 0
A/R NUMBER '7 5 6 11�1 I IND 1�.')NAR 0;_7 5
RTE4 H4680
1A CUSTOMER IC
TTY OF CA.`, E L UTI L 1r
PAYMENT AMOUNT
6 .11111,11 11111 ilill
0 7L5532,v
Please Detach and Return WithoPayment -
- ----------------------------- --—------------------------------ - ----
PAGE
APF
UniFirst Coroo-ration
0
s(J2OI INDUSTRIAL. BLVD INDIANr D', IS IN 4254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
0 0822., 0715532 i 03 f-24./i 21 C'Fi WR G F. 450172
809566 609566
TTY 07 CARME'L UTILITIES9
18 Y OF CAR11EL- UT1f._ITIE_;S'9
609 HAZEL E)EL.L PARKWIAY 609 tIA7EL DE"LL PARKWAY
N V 1 A N A P 0 L 15 1N 46200
NDIA1;\iAP0LI1,r1* iN 4-6280
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL:
;3Z 7 2_19; 5026— RTE# F14
8. 69 - -5/09
aiE DALE RILEY
S. S. S `IIRT65/35- I
JEAN COTTON RIGGS CA,
0922 26 AARON HOOVER 39
JEAN COTTON RIGGS- CA I I
0 0`2 3 27 JASON STEWART- 5. 3-' .65/12
J.
C A
JE-AN CIDT';ON R 1 GGS
0 121
0 t Lx 31. CALV114 COOPER 5 2 E 33-
J •Ar\1-tAJRAN1@L.ER REL-AX- -
Im
a 0'01 L2 61 229 -LIRT MANIFOLD 74-
JEAN-WRANC-L-ER RELAX I
2
!SO 9,7
27 28 RANDY MASS!-NC'-1L.L 6/12
'EAN COTTON RI-GGS CA;- 11. -
C 0 V E R A,L-L-6 5/33 S
01-128 33 GREG EPF1 -S. 28 _____--6/ 12
JEAN--AWRANGLER REL-AX- 11 -
RE . 69 12.1
o o-,-,c? _5:'* MICAH BECK
S. S. SHIRT---65/35
J E A r\1 C0 1 1_'O N- IR,10 G S 0A I I
A
D E FE ffiRGE I :
1, T ENANCE C H 3. 80.
NEN MAI N
I NVO I CE SUB-TOTAL 2 88
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
mw '
UniFirst Corporation PAGE 004 4201 INDUSTRIAL 9:, LVD INDIANAPOLIS IN 46254
|wvO|Ce DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
O82 0715532 10/24/121 CHARGE 450172
"609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY
v�
;-L" >
� 317/2f,93-5O26 RTE# H4680
TOTAL SERVICE CHANQES -'--- '-----'
'G�� '---__- -�--�---�- ---- ------
AMOUNT DUE -- --- —'-- --
THIS IS YOUR ONLY INIVCE- NET PLEASE S.11.Q
���
a:*
SOIL PICK UP COUNT SH ' '-P�f - OT O
-----
-- - ' '
0 ___��-
�
'
- ' - -
` -
�\ / ^
�
. /
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH uw/FInar CORPORATION n ar HOLDINGS,
VOUCHER # 126001 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 0715532 01-7362-06 $273.88
Voucher Total $273.88
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 10/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/26/201: 082 0715532 $273.88
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