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216913 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION _. CHECK AMOUNT: $1,048.11 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 216913 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0737390 259 . 14 OTHER EXPENSES 651 5023990 0820730813 443 . 93 OTHER EXPENSES 651 5023990 0820735700 345 . 04 CONT SVS-OTHER UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 |mv0|CE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0 73O813 12/216/12 CHARGE 45O172 9�609 HAZZEL DELL. PARKWAY (bc,6X9 HAZEL DELL PARKWAY NDIANAPOLIS IN 46280 ?.I',!r)IANAPOLIS IN 46230 U� ' ! 7/2 93-5 � MAT-3X5 U1ST GREAT I 2 5 OO 5/09 2 MAT-4X6 U1GT r-DREAT I 5 19 50 5/O9 5 18X18 WIPERS ---- 7. 20 - ��/O9 � REPLACE-l8X18 WIPERS --- 5 2- 45 - - � BAGGED 18X18 WIPERS -' �4 40 � /O9 � - <�� REPLACE-BAGGED 18XI8 W l9 9. 31 - HANDLE/FRAME 24" 2 � 24" DRY MOP —' 2 1 . 5B 12�09 2 o�� TERRYCLOTHS-UNIF%RST �OD *'7. 00 3^ 1O 9 = REPLACE-TERRYCLOTHS-Q� ' 8 � 4O � - - � - ' ~ SOIL LOCKER 2 6f 09 8 COMPARTMENT LOCKER - 2 - ,� O9 _ . 0001� 1 GARY LAFOLLETTE 7 �2 5/09 � � LS SHIRT�65/35 6 S. S. SHIRT-65/35 JEAN COTTON RIAGS CA 11 0002 34 LARRY EIDSON 7. 81 6/12 u� S. S. SHIRT-65/35 1l i �i JEAN-WRANGLER RELAX 11 � OD03 24 MIKE TURNER 8� 98 1/11 LS SHIRT-65/35 5 - S. S. -6 6 JEAN COTTON RIQ{�G CA i 1 COVERALL-65/35 2 `.00O4 4 BLAINE M4LLABER 8. 98 5/09 ^� LS SHIRT-65/35 '3 w� S. S. SHIRT-65/35 G JEAN COTTON RIQQS CH 11 COVERALL-65/35 2 00O5 5 JEFF COOPER 4, 84 JEAN-WRANGLER RELAX � l �00 6 6 DAVID TURNER 7. 92 5/O9 LS S�IIRT-65/35 5 ' DAMAGE-LG SHIRT-65/35 5 91. 30 S, S. SHIRT-65/35 6 DAMAGE-S. G. SHIRT-65/31 ' 4 61 16 JEAN COTTON RIGGS �� SERVICE HEREIN RENDERED m PURSUANT roxWRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. _ INVOICE NUMBER 082 01730B13 REMIT TO:UniFirst Corporation INVOICE DATE 12/26/12 4201 INDUSTRIAL BLVD " CUSTOmEF# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE-1r: H4680 .^ CUSTOMER CITY OF CARMEL UTILITI �� |/mmxxmmmomxm/umomwxmmxuwm/mm/xmxmmouxo/wm PAYMENT AMOUNT � 0820730813W � `.o ` . ' ' _ U�U�� K�� K�� U�� _ Please ~~ .~.~..~. . and Return. . ~ ... . Payment. ' ',~. '- un1First Corporation pAus 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IM 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT ' 082 0730813 12/26/ 12 CHARGE 450172 809566 0 809566 97609 HAZE! DELL PARKWAY W609 HAZ.EL DELL PARIKWAY � .� 7/293-50 -6�3�E Dmaffi) Um OEM, (�wo F�=-75�7 09 egil6m F�EQ m1m FRK7FEFm-- 0 0008 B DAVE DYE 7. 3R _ 5/09 ' JEAN-WRANG--LER RELAX 13 LAB COAT-POLY/COTTON - 9 � � 0009 9 JOE FAUCETT - l� 06 - /09 � COVERALL.-65/35 — 2 � 0010 10 LARRY SCHIMMEL 2� 70 .5/09 JEAN COTTON RIGS Cf\ 6 ��. '- 'c \}O11 11 BART CHA�lN 7 81 5/09 5 � - �� G S SHIRT-65/35 1l � S. JEAM-WRANG�LER RELAX ll � " 0012 12 DENNIS RUGS 5. 90 5/09 -�� JEAN-WRANGLER RELAX 1I � cm ` � COVERALL-65/35 2 � V 'OD13 13 LONNIE PATTON 7. 81 5/09 S. S. SHIRT-65/35 11 JEAN-WRANGLER RELAX 11 0014 14 ERIC RO8INSON 4. 95 5/O9 =� JEAN COTTON RIggS CA \ 0015 15 KEVIN BUHMANN 7 92 5/09 S. S. SHIRT-65/35 11 =� JEAN COTTON RIGAS CA 11 ' 0016 16 RALPH gRUWELL 81 5/09 LS SHIRT-65/35 5 =� S. S. SHIRT-65/35 6 ' JEAN--WRANGLER RELAX 11 ' O017 17 PETE 8RENNAN 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIg{�S C� 11 0018 18 RO8BIE KINKEAD 6. 01 5/09 JEAN COTTON RIggS CA 1l COVERALL-65/35 �2 n019 19 TARA RUBBISH 5/09 PANT SCRUB 65/35 1 P 11 LAB COAT-POLY/COTTON 4 COMPANY EMBLEM CHARA l 3. 5O PREPARATION CHARGE 1 1. 50 DAMAGE-LAB COAT-P[/LY/C l 21. 02 ~� SERVICE HEREIN RENDERED IS PURSUANT TO WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. _ INVOICE NUMBER 082 0730813 REMIT TO:',jniFirst Corporatiun INVOICE DATE 122/26/1_2 422D1 INDUSTRIAL BI-VD T QJGTOMER# (B|LLTO) 8O9566 'INDIANAPOLIS IN 46254 � � ��nmUmo�n H�68 RTE# (] c� .^ CUSTOMER CITY OF CARM£L UTILITI �� /mvmommm//mo Ili,/smo/xvosmxumm�me/xmanom*m//um �� PAYMENT $ 0820730813U U�U�� K��H�� ^�� U�� - Please ~~.~.~..~. . ^~. ..~ Return. . . ... . Payment UniFirst Corporation PAGE Dk--)3 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 ~- INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0730813 12,/26/12 CHARgE 45O172 809S66 5 6.1 10 609 HAZEL- DELL PARKWAY a�16015, HA2EL. DELL PARKWAY NDIANAPOL-IS IN 46280 INDIANAPOLIS 11\1 46280 =~ 4� ~� 7/293-S N� kEp ~ SS SCRUB 65/35 I PKT ll � _ � DO2O 20 BRAD OLIVER 6. 01 5/09 JEAN COTTON RIggS CA - - - 1l � COVERALL-65/35 � 0021 21 DALE RILEY - - - 7. 92 5/09 � S. S. SHIRT-65/35 JEAN COTTON RIGGS CA 11 � 0022 26 AARON HOOVER 4. 95 6/12 o�� JEAN COTTON RI G8 CA a OO23 27 JASON STEW/�RT �� 95 6/12 � � JEAN COTTON RIggS CA 1i 0024 31 CALVIN COOPER 4. 84 6/12 � - `JEAN-WRANgLER RELAX � ll � 0026 29 CURT MANIFOLD 5. 90 6112 JEAN-WRANGLER RELAX 11 COVERALL-65/35 2 0027 28 RANDY MASSINgILL - 5- 48 6/l2 JEAN COTTON RIAGS CA 11 COVERALL-65/35 l 0028 33 GREG EPP 4. 84 6/12 JEAN-WRANGLER RELAX 11 0029 32 MICAH BECK 7. 92 S S. SHIRT-65/35 1i =� JEAN COTTON RIQGS CA 11 h ^ ^ � DEFE CHARGE to. 00 .� INVOICE SUB-TOTAL 443� 93 � SERVICE HEREIN RENDERED m PURSUANT mA WRITTEN CONTRACT CUSTOMER COPY � WITH UN/nnar CORPORATION onuw/FInar HOLDINGS, INC. II II INVOICE NUMBER 092 07"308"I'_3 REMIT TO:U11:!F-i.r:st + INVOICE DATE 1 2/26/ 12 42-01 IND-k-G-l"IRTIAL BL.VD CUSTOMER# (BILL TO) SOV56-63- 1 ND 1 ANAPOIL 15 :1 N 46,254 A/R NUMBER R TE H4680 1A CUSTOMER CITY OF* CARMIEL UTT[ T•r I it PAYMENT AMOUNT 0820730813W I Please Detach and Return With Payment - uniFirst C-orpore.-Ition PAGE 004 4201 is-,IDUSTRIAL Bl.-VD, INDIANAPOLIS IN 462SLI, INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 01730 • 13 12/26/12 IC H AR GE 4 SO 1.7,• 9095 'E-k 019 IS 6 6 1 ITY OF CARMEL UTILITIES R11TY OF CARMEL UTILITIES u -LL PARKWA',r' 1609 HAZEL DELL PARKWAY DE E11_15 T NDIANAPOLIS IN 462N1,30 N 46280 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: H4630 @6$71 Em. FRiE qw Qp "I-OTAL SERVICE CHANGES AMOUNT DUE THIS' IS YOUR ONL.-I INVCE— NET 3 44YS. PLEASE SIGN, SOIL PICK UP COUNT SH "IT • • II SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. VOUCHER # 126491 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 0730813 01-7362-06 $443.93 Voucher Total $443.93 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 12/30/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 082 0730813 $443.93 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 PAGE UniFir�t Corporation OQ� Llst 42O1 INDU8TRIAL 8LVD INDIANAPOL3S IN 46254 |wv0CE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0 2 0 737390 1/2O/13 CHARGE 450172 9609 HAZE' DELL PARKWAY 96 i AZEL V .LL PARKWAY .� =' |F YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-502�6 RTE# H4680 MAT-3X5 UlS T T Q�EA I 5 DO 5/O 2 ' MAT-4X6 U1ST GREAT I 5 1�y� 5[> 5/09 5 �� 18X18 WIPERS 7. 20 S/09 @ REPLACE-18XI8 WIPERS 5 2� 45 � � BAGGED 18X18 WIPERS 14. 4D 5/09 < ' � 31 HrANIJLE/FRHy1E 424" 2 5/09 0 24" DRY MOP a2 1� 58 12/0'73 2 TER RYCLOTHS-UNIFIRST 1D0 17, 0 D 3110 9 � REPLACE-TER RYCLOTHS-UN 8 6 4O � SOIL LOCKER 6/09 N� 8 COMPARTMENT LOCKER 2 6/09 1 GARY LA�OLLETTE 7 92 5/09 � LS SHIRT-65/35 S. S. SHIRT-65/35 s JEAN COTTON RIQGS CA 11 0002 34 LARRY EIDSON 7 81 6/12 S. S. SHIRT-65/35 11 JEAN--WRANGLER RELAX 11 0003 24 MIKE TURNER B 98 l/lI m� LS SHIRT-65/35 5 S� S, cSHIRT-65/35 6 JEAN COTT0V RJgGS CA I1 COVER ALL-6EF/35 oOO4 4 BLAINE MALLA8ER 6. 9B 5/09 LS SHIRT-65/35 3 G. S. SHIRT-,s5/35 8 JEAN COTTON RIgGS CA 1l COVERALL-65/35 2 N� 0005 5 JEFF COOPER 4. 81 4 5/09 JEAN-WRANgL-EIR RB_f\X 11 PREPf4RATION CHARGE 1 l 5O ~� 0 00 6 6 DAVID TURNER 7. 92 51109 LS SHIRT-65/35 5 . S. S. SHIRT-65/35 6 JEAN COTTON RlGGS C/4 � l SERVICE HEREIN RENDERED IS PURSUANT TO A WRrFrEN CONTRACT CUSTOMER COPY WITH UNIFIRsr CORPORATION OR UNIFIRST HOLDINGS,INC. - - i a INVOICE NUMBER 01(3 try 0 7.3739� REMIT TO: Ux1 5 r z t S >J C�i!R�.01 a t 1 D Ti INVOICE DATE f J I+L 1/23/13 4201. INDUSTRIAL BLVD CUSTOMER# (BILL TO) 13091566 INDIANAPOLIS I N 46254 A/R NUMBER RTFAt H4660 ,A CUSTOMER CTT4 i OF CARMEL_ UT I L I T s PAYMENT AMA OUNT 0820737390* -- - Please Detach and Return With Payment - l9.UUA11(��15 D kiniFirst Go,rpor Lion PAGE 002 ® 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 032 01737390 1/23/13 CHARGE 450172 © 909566 S 39 S b 0 „ 0 CITY Or C:ARMEL_ UTILITIES aC ITY OF CARMEL- UTILITIES D 9 09 HAZZEL DELL- FAPKWAY d7609 HAZEL. DELL. PARKWAY 4INDIANAPOLIS It-1 462BG V INDIAI`41APOL..IS IN 46280 PI O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE#1 H4680 o cam co o mug op iacx e., U M V,e DYE r . as 5/09 JEAN-°WRAI;CLER RELAX 13 LAB COAT•-10OLY/COTTON N 0009 9 JOE FAUCET`;` 1. 06 5/09 COVERALL-65/35 2 a 0010 10 LARRY SC:HI1"ME¢.... 2. 70 5/09 I'I JEAN COTTOi�I RI C;C�S CA , 0 0011 11 BART CHAFIN 7. 81 5/09 Q S. S, SHIRT-6S/3S 1 J AN--WRA,P+`GLER RELAX 1j, 0012 12 DENNIS- RUw a 5. 90 S/09 co JEAN—WRANGLER RELAX 11 co N y i`j'. COVErRAt_.L°-6S/35 2 001.3 13 LONNIE PATTON 7. S1 5/09 S- S. SHIRT--65.135 11 jEA'd--WRA GL_ER RELAX 11 0014, 14 ERIC ROBINSON 4, 95 51,079 JEAN CO'T'TON R I GS CA, 11 C;C)15 t V: KEVIN BUHMAsNN 7. 92 5/09 S. S. SHIRT•-65/35 11 . JEAN COTTON R I C-GS CA it 0017 17 PETE BRENNAN 7. 92 5/09 S. S. SHIRT-65/35 1. 3. JEAN COTTON RIGGS CA 11 0018 1B ROBBIE K.INKEAD 6. OIL 51109 • JEAN COTTON R s GGS CA 11 COVERALL-65/35 2 003.9 19 TARA RUBBISH 5. 58 5/09 PANT SCRUB 6S/35 1 P 21 LAB COAT-POLY,"COTTON 4 SLR SCRUB 1 PKT 11 a 0020 20 BRAT} OLIVER 6. 01 5/09 JEAN COTTON R I GGS CA 11 ' COVERALL-65135 0021 21 DALE RILEY i. 92 5109 S. S. SHIfRT_..65 `35 1 L i j I JEAN COTTON R I GS CA 1i . SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. i INVOICE NUMBER 082 0737390 REMIT TO: Un i E i r s t C o r Or••• r �. a t J i ,z INVOICE DATE j /1:3/ 13 4201 3.i )', ST J,AL BLVD CUSTOMER# (BILL TO) RC,9 r5.66 INDIANAPOLIS I N 46254 A/R NUMBER ;DTI•:* H4680 A CUSTOMER CITY OF CAR MEL. UT I L.I T I � �11111 II ,Ill,'11,11111111111111,1111111111 ll• �i s �, PAYMENT AMOUNT C 1 I it $ 0820737390$ Please Detach and Return With Payment - -- l�.ilLad 0 UniF:irst Corporation PAGE OC?3 4201 INDUSTRIAL BLVD INDIANAPOLIS I N 4E�2S4 I• INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0737390 1/23/13 CHARGE 4SO172 Q { 80 a S66 �.. rk0 566 0 CITY O7" CARPEL UTILIT"I E 6 C ITY OF CARPEL UTIL11•'TES P x609 HAZEL DELL PARKWAY 6 9tj09 HAZEL DELL PARKWAY � I i 4 1;I��Y�IA1 �Pt_,�.I�:'r .[Ii? re•f.��.-x.•.3.'3 C.) 4 s.NDIGI'.lt?F OHS Itad �l•t5260 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 3317/293-5 '26 Rl E# H4680 � Ewo m . . o a ca 11 � n !'± 00,2, 26 AARON HOOVER 4. 95 6i 12 JEAN COT"`. R IG( w: CA 11 y 0023 27 JASON STEWART" 4. =5 6/12 y JEAN COTTON R 1 GGS CA 11 07024 31. CALVIN C(:30PEZIR 4. 64 6/12 JEAN--WRANGLER RELAX 11 0026 29 CURT IdIAN IF'OLrs S. ?0 6/12 0 JEAN—WRANGLER RELAX 11 COVERALL.-65/35 2 CC g 002-1 28 RANDY I`'r'SS I NG I LL ti�. 46 6/12 JEAN COTTON R I GGS CFA 11 COVERALL--65.,'3'.:, I °o i' I' ! 0C";)s 33 GREG EPP 4. 64 6/12 JEA1\I--WRAI"1GL...EFR RELAX II 0029 32 MICAH BECK 7. 9? 6/12 S. S. SHIRT---6'S/35 1. 1 JEAN COTTON RIGGS CA 11 yy�� I I JEFE CHARGE 10. 00 IkM-11 1 INVOICE SUE-TOTAL 2—S9 14 TOTAL SERVICE C:HANGVES AMOUNT DUE THIS IS; YOUR (3,NL.Y IN',rCE•-- NET 30i DAYS. PLEASE .S"53.GN _4AO-- SOIL PICK UP COUNT S'H P T T F� SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY iI WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. pAos t UniFirs Corporation 004L 4201 INDU5TRIAL BLVD INI}IANAPOLIS IN 46254 .� i |wvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT O82 0735700 1/16/13 CHARGE 45O172 ID �609 HAZE -09 —lA —L. DELL PARKWAY .� �vOU*�vs��osST0mnsG«nmmGTn|G|mv0CEC�� - 317/293-5026 RTE# H4680 amarm 9�----_ WIPEPS 72O 5/09 REPLACE-18X18 WIPERS -- 5 2. 45 - - @ - BAGGED 18X18 WIPERS 14. 40 -- 5709 � REPLACE-BAGGED 18X18 W 19 9. 31 � _ HANDLE/FRAME 24^ 2 5J09 . - 24" DRY MOP 58 - 12/{)9 � � TERRYC LOT HS-UNIFIRST 1DO 17. GD 3/10 9 REPL ACE-TER RYC LOT HS-UN G 6. 4O SOIL LOCKER 2 6/09 � � 8 COMPARTMENT LOCKER 2 6/09 � �� OOO1 1 GARY LAFOLLETTE 7. 9� S/O9 LS SHIRT-65/35 6 S S SHIRT 65/35 5 co ' _ JEAN COTTON RIGGS CA 11 0002 34 LARRY EIDSON 7. 81 6/12 S. S. SHIRT--65/35 11 ' JEAN-WRANGLER RELAX 11 ODO3 24 MIME TU�y�ER 8 �8 l/ll k" ~~~ � . ..^.� . ~..~�.` ~. '~ ^' ^^ ` LS SHIRT-65/35 S S. S. SHIRT-65/35 b JEAN COTTON RIAGS CA 11, COVERALL-6�/35 2 0004 4 BLAINE MALLHBER B. 98 5/09 LS SHIRT-65/35 � 3 ''. h� ^ ~' S T-6�/35 B S JEAN COTTON HIQGS CA 11 COVERALL-65/35 2 ' 0005 5 JEFF COOPER 4. 84 JE�N-�R�NGLER RELAX 1 1 \ � OOO6 6 DAVID TURNER 7 �2 ' LS SHlRT-65/35 5 ES. SHIRT-65/35 8 JEAIN COTTON RIGGS CA 11 DO8 B DAVE DYE 7. 88 5/09 JEAN-WRANQLER RELAX 13 ` LAB COAT-POLY/COTTON 9 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN /*ac/ CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. } INVOICE NUMBER REMIT TO: I INVOICE DATE 088' 073570-0 S..ni.First s:.iorptlr@ iOn d I+ ) ' ` CUSTOMER# (BILL TO i/I fir I °'�20I I F,DU'-ST ,AIL L I-V T) A/R NUMBER POV 566 I ND I:'1N?`P OL-I S IN 462 5A; ,A CUSTOMER R'T,=* H4660 C 1 T` i)F f� i 1 s.. t�T . ,i-(" }! j j � r �� t} (! }� i!!!"1 PAYMENT AMOUNT fit ? Please Detach and Return With°Ny�i�i7�'r� - PAGE ram %.;*i:tF13' $ Corporation O'O2 4201 INDUSTRIAL. BLVD INDILP.,NAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 002 0735700 1 /16/ i ,:3 CHARGE 450172 >;3 D ITY OF' C;•ARMEL UITILI•T IE�a" a I7''s� OF CARMEL. '•,..•�TILITIT�..S 609- HAZEL DELL_ PARKWAY °60 x HAZEL P LL. F7F.RIX• Z,!AY N3i I r'aNAP0L 15 IN 46280 Q t ND 1 A,N AP OL 1 S IN 4.6260 i IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/'293-501'26 RT F# i-i4680 a EDDK0u CQ egiOm CLJ� P u o OP ! 1 00? =F` JOE FAUCET" 1. 06 Z COVERALL-65/'35 4 d m 0010 1;J LiridR`f SE..HIM'rMEEIL 2. 70 S/09 t JEAN COTTON R I CGS CA 6 a a � 0-11 11 BART CHAFIN 7. 3.1 5/09 S. S. SHIRT--6!-7;/:35 11 JEAN-WRANGLER RELAX 11. 0 0012 12 DENNIS RUS::a 5. 90 0 5/09 JEAI'v--WRANGLE=:R RELAX 11 0013 1'131 LONNIE PATTOIK, 7. 31 5/09 S. S. Si 1. RT--65/35 1 1 I JEAN--WR'Al GLEE-' RELAX 11 . 0014 14 ERIC ROBIN,-:-,0N -q. a5 5107 JEAN GOTTO14 RIGGS CA 3. 3• 0015 15 KEV I iti1 P,E.1HM A1141N 7. R2 51109 JEAN COTTON' R 0(37S-' CA 1. 1 t 16 RALP I GRL L_ 1 ? 5/09 �L LOST PROD—JEAN--WRANGLE 3 10.'?, Q ,.EAN-WRANGI- ER !RELAX 3 001 7 17 PETE BREi`.ii`.iAN 7. 92 5/r";;9 S. S. SHIRT-65/35 11 JEAi`4 COTTON IRIGGS CFA 11 X11 i( 0016 16 ROX;BIE KINKEAD 6. 01 5/09 JEAN COTTON R I GGS CA 11 PREPARATION 'CHARGE 1 1 . 510 COVERALL-65/35 2 0 0019 19 TARA RUBBISH 5. 58 5/09 I. PANT SCR�..,?sB 65/35 1 P I I LAB COAT-POL,Y r-OT T:O.N 4 SS SCRUB 65/35 1 PIS T 11 C. 20 BRAD OLIVER 6- 01 5/09 JEAN COT'TON R I GGS CA 1 COVERALL-65/35 2 0021, 21 JDALE RILEY 7. S'ti 5/>09 ' y S. S. SFIIR`f---6S/3S i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. n |mvOK�E mumasn REMIT TO: �� \ INVOICE DATE 082 013s"1010 UniFirst Corporetion + CU�OMEF# (�LLT� 1/16/ 1� 42O1 INDUSTRIAL BLVD FS A/R NUMBER 8017.1566 INDIAi; pOLIS IN 46254 m CUSTOMER RTE# H468O PAYMENT AMOUNT TI ul CITY OF CARMEL UTI O . ~�K ~�� ~ ��. ~ ~� ~� _ �� ^�� y. �~nl ~ _-��-- PAGE Mw UniFirst Corporation 00-3 Al 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 .� |mvO|Cs oxTs PAYMENT TERMS PURCHASE ORDER CONTRACT 0 82 07357O0 1 /i6/13 CHARgE 450172 809S66 809566 'ITY OF CARMEL UTILITIES 1609 HAZEL DELL PARKWAY �7,609 HIAZEL DELL PARKWAY NDIANAPOLIS IN 46280 ONDIANIAPOLIS IN 46260 .� | / |pv0ux�vs�0usanOmnsG�nD|mGT*|S|mvO|Cs.Cx�� - 317/293-5O26 RTE# H4680 UTp | �\ |!' ' ' ' / JEAN COTTON RIggS CA 11 ' 0022 26 AARON HOOVER - 4� 95 - 6/l2 - e N JEA COTTON RIQGG CA 1 � E 0023 27 JASON STEWART - 4. 95 -6/12 .0 < �� JEAN COTTON RIQgS CA 11 - OD24 31 CALVIyi COOPER 4. 84 -' 6/ 12 \�\ JEAN-WRANGLER RELAX 11 0 0026 29 CURT MANJF'OLD 5. 9O 6/ 12 JEAN-WRANGLER RELAX 11 � � COVERALL-65/35 2 � 0027 28 RANDY MASSINGILL ' 5� 48 6/ 12 ~' JEAN COTTON RIgQS CA 11 I IJ} COVERALL-65/35 1 � OO28 33 GREG EPP 4� 84 6/12 - JEAN-WRANGLER RELAX 11 0029 ' 32 MICAH BECK 7. 92 6/12 S, S. SHIRT-65/35 11 JEAN COTTON RIggS CA 1 | DEFE CHARGE 10� 0(} INVOICE SUB-TOTAL ' -- TnTAL SERVICE CHANgEB AMOUNT DUE THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT- ' | ' CUSTOMER COPY J WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. VOUCHER # 126512 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 0820735700 01-7360-02 $345.04 0737390 01--736,2,06 059, I Voucher Total X345$4' 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 1/22/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/22/2013 0820735700 $345.04 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5p-11-10-1.6 Date Officer