215210 12/04/2012 - CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $521.28
CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
INDIANAPOLIS IN 46254 CHECK NUMBER: 215210
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 082 0722375 248 . 39 OTHER EXPENSES
651 5023990 082 0724157 272 . 89 OTHER EXPENSES
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l�.ilL,tA�ILl�� L.i n:t l~3 r s'L Corporation 002
. 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 C17L4157 1 '.."./28/12 CHARGE 450i72
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I , � INVOICE DATE
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INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
. 092 07-141.S7 11/29/ 12 ClAARGE 450172
07 I^3G��fS66 0 809506
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INVOICE NUMBER OB2 REMIT TO: B
17 U11 i'Z7 4 T--.F,'-.
INVOICE DATE 2:�a/ 1 4201. -1 N D 1,J STR I IAL 11LVD
CUSTOMER# (BILL TO) ' +i
A/R NUMBER Fj 0 5 6 N
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1A CUSTOMER
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CITY DF CARMEL UTILITI
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PAGE
UniFirst Corporation 004
4201 11',41DUESTRI r A qL BLVD INDIANAPOLIS IN 4 62:5 4
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
4
092 Jr 241 S7 2'81 12 CH A R GE 450172
80956 Q 909566
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b,-ITY CARI-IEL UTILITIE"-S o;L1r'1' OF CARMEL UTILITIES
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SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
VOUCHER # 126230 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
OB2 0722375 01-7362-05 $248.39
089 07d415-7 0i--73(6o-0q 9
5a i ag
Voucher Total $ 39
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 11/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201; 082 0722375 $248.39
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