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HomeMy WebLinkAbout217377 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 Q � ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $3,263.62 s,vo CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 217377 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820726297 870 . 75 OTHER EXPENSES 651 5023990 0820726299 782 .46 OTHER EXPENSES 651 5023990 0820726300 963 . 96 OTHER EXPENSES 651 5023990 0820738992 372 . 97 OTHER EXPENSES 651 5023990 0820740616 273 .48 OTHER EXPENSES ----DniFirst Corporation PAGE OOl 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 062 0738992 1/30/13 CHARGE 45O172 909566 Q 809566 r�' V` .� I NDIANAPOLIS IN 46280 17/293- N� �~~ �\ | 13X18 WIPER5 7. 2Q 5/09 ' REPLACE-18X18 WIPERS 5 2. 45 �� 8AQGED. 18X28 WIPERS - 14. 40 - ----/O9 0 REPLACE-BAGGED 18X18 W 19 9. 31 '- — 4 HANDLE/FRAME 24" - 2 -���/O9 � - ' <�� 24" DRY MOP �� 1. 58 - 12/09 2 , - _ ' - ! TERRYCLOTHS-UNIFIRST 1DO 17 OO 3/1O Be . ' � REPLACE-TERRYCLnTHS-UN 8 6. 40 --- 0�� SOIL LOCKER 2 — - -�+/09 . 0 8 COMPARTMENT LOCKER 2 _ 6/09 - 0001 1 GARY LAFOLLETTE 7. 92 5/09 LS SHIRT-651135 6 - -- - - _ S. S. SHIRT-65/35 5 co JEAN COTTON RIQGS CA 11 0002 34 LARRY EIDSON 7. 81 - 6/127 S. S. SHIRT-65/35 11 JEAN-WRANGLER RELAX 11 0003 24 MIKE TURNER 8. 1-78 ., --- LS SHIRT-65/35 5 _ S. S. SHIRT-65/35 6 JEAN COTTON RIA{;S CA 11 COVERALL-65/35 2 0004 4 BLAINE MALLA8ER 898 ' 5/09 LS SHIRT-65/35 3 � S. S. SHIRT-85/35 B JEAN COTTON RIQGS CA 11 ' COVERALL-65/35 2 0005 5 JEFF COOPER 4. 84 5/09 JEAN-WRANGLER RELAX 11 0006 6 DAVID TURNER 7. 92 ' - 5/O9 � ' . ' ' LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIggS CA 11 ' 0007 36 TONY HARVEY 7. 92 1/13 S. S. SHIRT-65/35 11 11 COMPANY EMBLEM CHARA 11 ' O ' PREPARATION CHARGE I1 16/50 �� SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR LINIFIRST HOLDINGS,INC. i . INVOICE NUMBER 082 07;3,9992 REMITTO: UniFirst Corporation +' INVOICE DATE 1/30/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 1A CUSTOMER CITY OF CARMEL UTILITY: ON PAYMENT AMOUNT $ 08207389925 �,a a Please Detach and Return With Payment UniFirst Corporation PAGE 002 D 4201 INDUSTRIAL. BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082- 0738992 1/30/13 CHARGE 450172 © 809566 O (309566 03CITY OF CARMEL UTILITIES aCITY OF CARREL. UTILITIES 09609 HAZEL DELL PARKWAY 69609 HAZEL DELL. PARKWAY IA.k WNDIANAPOLIS IN 4625':; QINDIANAPOLIS IN 46280 O • IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 17/293-5026 RTE# H4680 Gi 3 I ]CQ �v m 4LLi L + LSD i, G o o o �oa Op JEAN COTTON RIGGS CA 11. 11 PREPARATION CHARGE 11 16''50 z 0008 8 DAVE DYE - 7. eS -- - 5/09 JEA`.I•-WRANGLER RELAX LAB COAT--POLY/COTTON 9 _ a! ooc'-' T JOE FAUCETT 1. 06 - 5/09 COVERALL--65/u5 2 - -- 0010 10 LARRY SCHIt"MEL 2. 70 - y 5/09 JEAN COTTON RIGGS CA 6 — 0011 11 BART C.:HAFIN 7. 81 5/09 S. S. SHIRT--65/35 11 o JEAN--WRANGLER RELAX 71 Qi t i O012 12 DENNIS RUSS 5. 90 5/09 It JEAN-WRANGLER RELAX 11 0 CCIVERALL.--65/35 2 0013 13 LONNIE PATTON 7. 81 5/09 S. S. SHIRT-65/35 11 S JEAN-WRANGLER RELAX 11 0 C=14 14 ERIC ROBINSON 4. 95 5/09 JEAN COTTON RIGGS CA 1. 1 0015 15 KEVIN BUHMANN 7. 92 5/09 S. S. SHIRT--65/35 11 JEAN CO'T'TON RIGGS CA 1 1. 0017 17 PETE BRENNAN 7. 92 5/09 S. S. SHIRT-65/35 1. 1 JEAN COTTON RIGGS CA 11 + 0013 IS ROBBIE KINKEAD 6. 01 5/09 JEAN COTTON RIGGS CA 11 .. COVERALL-•-65/35 2 0019 19 I-ARA RUBBISH 5. 58 5/09 S lj PANT SCRUB 65/35 1 P 11 LAB COAT--POLY/COTTON 4 +� SS SCRUB 65/35 1 F'KT 11 0020 20 BRAD OLIVER 6. 01 5/09 JEAN COTTON RIGGS CA 11 COVERALL-65/35 2 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. N INVOICE NUMBER 082 0738992 REMIT TO: Un i F i r s t Corporation INVOICE DATE 1/30/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254 A/R NUMBER RTE-# H4660 ,A CUSTOMER CITY OF CARMEL UT I L I T I PAYMENT AMOUNT $ 't � t 08207389925 Please Detach and (return With (payment UniFirs•t Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4654 i INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0738992 1/30/15 CHARGE 450172 © 809S66 D 809566 a"ITY OF CARMEL UTILITIES a CITY OF CARMEL UTILITIES P 609 HAZEL DELL PARKWAY 6 609 HAZEL DELL. PARKWAY QI>WDIANAPOLIS IN 46280 cu NDIANAPOLIS IN 46260 O (D IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 R"rE# H4680 Fm a(EP egaR9029 > Magi) 'Um M& cad cs9 � +� aF'Igo um r msmu 11 mmp lam°= 112m 05W j 0021 21, DALE RILEY i. 92 --- - -5/09 S. S. SHIN-65/35 11 JEAN COTTON RIGGS CA - 11 -~ 0022 26 AARON HOOVER 4. 95 6/12 JEAN COTTON RIGGS CA - 11 a 0023 27 JASON STEWAR'T 4, 95 _ 6/12 i JEAN COTTON RIGGS CA 11 0024 31 CALVIN COOPER 4. 84 - - 6/12 1 JEAN--WRANGLER RELAX 11 - - 0 0025 37 GARY MERR I L1_ 7. 92 - 1/13 S. S. SHIRT-65/35 11 11 o COMPANY EMBLEM CHARD 11 36/50 � ,l PREPARATION CHARGE 11 16!50 5,5 - JEAN COT TON RIGGS CA 11 L-0/1'{/Lt�' 11 PREPARATION CHARGE 11 16 50 ,SC) 0026 29 CURT MANIFOLD 5. 90 6/ 12 JEAN—WRANGLER RELAX 11 COVERALL-65/35 1: 0027 28 RANDY MASS I NG I L.L 5. 48 6/ 12 JEAN COTTON RIGGS CA 11 i COVERALL-65/35 1 0028 33 GREG EPP 4. 84 6/12 JEAN—WRANGLER RELAX 11 s 0029 32 MICAH BECK 7. 92 6/12 y S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA 11 FINANCE CHARGE 47. 99 DEFE CHARGE 1(yO`D 9 C2 • SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. S — -- �� 2 REMITTO: Unil" irst COT�poration INVOICE NUMBER CiS� O�3F99�. ;) L INVOICE DATE 1/30/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 0-09?566 INDIANAPOLIS I N 46254 A/R NUMBER RTE# H4680 lA CUSTOMER CITY OF CAPMEL UTILITI PAYMENT AMOUNT $ ❑82D7389IL" Please Detach and Return With Payment - i-- UniFirat COT'Poratian PAGE 004 D 4301 INDUSTRIAL BLVD INDIANAPOLIS IN 4625.4 INVOICE ® DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0738992 1/30113 CHARGE 450172 • © 8019566 D 609566 (OCITY OF CARMEL UTILITIES OCITY OF CARMEL UTILITIES P96O9 HAZEL DELL PARKWAY 696-09 HAZEL DELL FARKWAY I I i Q I NtD. I ANAP OL 13 IN 46280 Q 1 IND}I ANAP OL I S IN 46280 p O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/2`x'3--5026 RTES# H4680 o o p � O INVOICE SUB–TOTAL 439. 97 i - - -G7,OO -- - 2 _ TOTAL SERVICE CHANGES AMOUNT DUE i THIS IS YOUR ONLY INVCE– NET 30 DAYS, PLEASE SI _N SOIL PICK UP COUNT SH _ PT _ OT NO - 0 0 m i i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. 1 I PAGE UniFirst Corporation 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT '' R GE 809566 809566 ITY OF CARMEL UTILITIES ITY OF CARMEL UTILITIES lift 609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: ���� ._... ,_ .xxxx . xxx 100 35 CRAIG CARTER 66B. 25 _._... ._. DIRECT SALE EMBLEM C 18 45. 00 DIRECT SALE EMBLEM C _. 5 12; 50 DIRECT SALE EMBLEM C _-. 4 10. 00 DIRECT SALE EMBLEM C _ . 21 52. 50 DIRECT SALE EMBLEM ,C 33 82. 50 _ SS T—SHIRT-100% COTT __•,_� 18. 8. 25 18 SS T—SHIRT-100% COTT 5 8. 25 5 SS T—SHIRT-1007 COTT 4 B. 25 4 .. SS' T—SHIRT-100% COTT 21 .8. 25 21 e SS T—SHIRT-100% COTT _.... 33 6. 2S 33 . AMOUNT DUE . _ 870. 75 6'et THIS IS YOUR ONLY INVCE— NET 30-.DAYS. PLEASE SIGN e SOIL PICK .UP COUNT SH _ PT OT NO i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER SERVICE WITH UNIFIRST CORPORATION OR UNIFIRST MOLOL4GS,.MIC. PAGE r w UnlFirst Corporation 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 g�q INVOICE DATE PAYMENT TERMS PURCHASE ORDER i CONTRACT 79 RGE it CIL lNnTA809566 809566 ITY OF CARMEL UTILITIES ITY OF CARMEL UTILITIES NAPnk-TR IN 46:DRO - -1 INDIANAP131-15 IN 4�21qn 609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: i Ilfi xxxx XXX .. 100 35 CRAIG CARTER 647. 46 DIRECT SALE- EMBLEM C 2 5. 00 DIRECT SALE EMBLEM. C 4 10. 00 DIRECT SALE EMBLEM C 1 2. 50 DIRECT SALE EMBLEM C ___._ 20 50. 00 DIRECT SALE EMBLEM C ____ 27 67. 50 LS SWTSHT-90Z 50/50. 2 _. _ 1+1..99 2 LS SWTSHT-90Z 50/50 ____.. 4 . 11...99 • 4 LS SWTSHT.-90Z 50/50 _. __. 1. 1;1,. 99 1 LS SWTSHT-90Z 50/50 __.. . 20 Al. 99 20 y LS SWTSHT-90Z 50/50 27 _ 111...99 27 AMOUNT DUE 782. 46 THIS IS YOUR ONLY INVCE- NET 30-DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO i INV SERVICE HEREIN,RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER SERVICE ___ _ WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. VICE UniFirst Corporation 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 �a INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 71 = RGE _. 809566 809566 ITY OF CARMEL UTILITIES ITY OF CARMEL UTILITIES gill 609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY 11 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: —50 O D SPRIPTION 9F,SERVICE • . . -XXXX XXX 3 1%200 35 CRAIG CARTER _ 891. 46 _ DIRECT SALE EMBLEM C 2 S. 00 a DIRECT SALE EMBLEM C 19 47. 50 $- DIRECT SALE EMBLEM C 7 17. 50 _ DIRECT SALE EMBLEM C _ 1 2. SO SS POLO—COT PIQUE KN 19 _._ 30._74 19 - . SS POLO—COT PIQUE KN 7 ,.,._ .30.,74 7 SS POLO—COT PIQUE KN 1 _ 30.,74 1 SSPOLO—WOS COT PIQUE _- 2 ., X0. 74 2 i AMOUNT .DUE 963. 96 THIS IS YOUR ONLY INVCE— NET 3d DAYS. PLEASE SIGN SOIL PICK. UP COUNT SH -.PT OT NO vi - -7a0 _00 All lift SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER SERVICE �,. WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. ~~ UniFirst Corporation p«Gs DOl 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 ! �^ } |wvO|Cs oxTs PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0740616 2/06/13 CHARGE 450172 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY .� 8� ^ � 17/293- �-- --'---_'_�__'--_ -___-_ --- MAT-4X6 U]ST GREAT I ` 5 19. 5O 5/09 5 18X1B WIPERS 7. 2D 5/D9 REpLACE-18X18 WIPERS 5 2. 45 � BH8SED lt�X18 W%PERG 14. 4O 5/(}9 P REPLACE-BAGGED 18XlB W 19 9. 31 HANDLE/FRAME, 24^ 2 5/Q9 ��" D�Y MOP 2 t 5B 12/Q9 2 � �� TERRYCLOTHS-UNIF IRS T 100 l7. 00 3/IO 9 � �� REP LAC E-TER RYCLOTHS-UN a 6 40 � 0 SOIL LOCKER 2 6/09 � 8` COMPHRTMENT LOCKER 2 6/�9 0001 I 'GARY LAFOLLETTE 7. 92 5/09 0/ L| � LS 61 IIRT-6S/35 6 S. S. SHIRT-65/3S 5 JEAN COTTON RIGGS CA 11 0002 34 LARRY EIDSON 7- 81 6/12 S. S, SHIRT-65/35 11 JEAN-WRANGLER RELAX 11 0003 24 MIKE TURNER 8, 98 1/11 LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIGQS CA 11 COVERALL-65/35 2 0004 4 BLAINE MALLABER B 9a 5/09 ' LS SHIRT-65/35 3 S. S. SHIRT-65/35 8 JEAN COTTON RIGGS Cf, 11 COVERALL-65/35 2 0005 5 �EFF COOPE� ^f� 84 5/09 JEAN--WRANGLER RELAX 11 - 0006 6 DAVID TURNER 92 5/09 LS SHIRT-65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIGGS CA 11 0007 3� TONY HARVEY 7. ?2 1/13 S. S 5HIRT-65/35 11 �� usnvms HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS.INC. i INVOICE NUMBER 082 0740616 REMIT TO: Un i F"i r;t C OT D or a n i o n Ali INVOICE DATE 2/06/13 13 4201 IC41L+ STR IAL, BLVD T CUSTOMER# (BILL TO) BOV 566 INDIANAPOLIS i N 4625 • A/R NUMBER RTI #- t14680 1A CUSTOMER C i TY OF `A3�i"" EL,. IJT I L I T I 1111iiII1111 ;1 f�1'; ' PAYMENT AMOUNT $ 0820740616Y Please Detach and Return With Payment - Uri'f first Corp o7,caticm PAGE 002 I�JUUL�AI�IS 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 462S4 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 07406 � 2 % 13 CHAR`E 4sC� 72 © 909566 D :-0 956-66 MCITY t3'F CARMEL I-ITILI'T'IEO 0 CITY L'F ICARMEL UTILI'TIc5 p ?b;tQ HAZEL 1?F L_ r ARIVi AY E c-,051 HAS 1=L., D 1.?'_1, R K W A Y IN..raANAPOLIS IN 46280 � ;N0.L 9u�r'��.IS IN 4���;tt7 O O r� IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: � / 3 5` '='' R I ' - o mn cQo , � aaog 11 TEV. 11 op r --iiiY -a 3 t;1 ,0 Ca 1 ,x ! 0008 O DAVE DYE. 7. as 5/09 z JEAN—WRANGLER RELAX 13 LAB COAT—POLY/COTTON 9 t 0009 9 JOE F'A1110ETT 1 . 06 50'09 m COVERALL-6S1135 2 a 001r� 10 LARRY SCHIP'MEL- 2. 70 5/09 JEAN COTTON R I GG a CAA 6 o� 011 11. DART CHAFIN 7. 81 5 cc Cr S. S- SHIRT-65/35 11 JEAN—WRANGLER RI'.LAX 11 0012 12 DENNIS RUSS 15. 9 0 :5%09 JEAN—WRANGLER RELAX 11 C,C VFRALL-65,'35 2 m _ 0013 13 LONNIE PATTON a1. S. S. SHIRT-65./35 11 JEAN—WRANGLER RELAX :I, ?, 0014 1.4 ERIC. ROBI"i50N 4. 95 S/09 a JEAN COTTON RIGGS GA 11 0015 15 KEVIN BUTAMANN 7. 92 5/09 S. S. SHIRT-65/3-Ea 11 JEAN COTTON R I GGS :rsA 11 001 , 17 t�'-ETL BR1ENNAN 7. 92 5/09 S. S. SHIRT--65/35 11 JE;Af`a COTTON RIGGS CA 11 i 0018 113 R1.sBBI E K INKE''AD 6. 01 5a•0 • JEAN COTTON R I G G5 CA 1 I COVERALL-65/35 2 0019 19 TARA RUBBISH S. 58 5/09 PANT SCRUB 65/35 1 P 11 L..AP C-0AT--POLY`COTTON 4 r`+ SS SCRUB 65/35 1 FIAT 11 0020 20 BRAD OLIVER 6, 01. 5/09 JEAN COTTON R:I G( S CA 11 COVERALL-65/3S 2 i 0021 21 DALE RILEY 7. 92 5/09 S. S. S11-i IR; I'--65/35 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS.INC. 11 F ° , 0 i INVOICE NUMBER 092 0 T*i6 16 REMIT TO: taT _` t i INVOICE DATE 2/06/13 4C201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 80rs'566 I ND 3:'3 NIAPOL I S IN 46254 Ali A/R NUMBER R I E#- H4.660 , 1A CUSTOMER CITY ? };AChSL U-! E E_I TTI� PAYMENT AMOUNT $ 0820740616Y Please Detach and Return With Payment - -- UniF'irst C=orporation PAGE 003 I�JUUULU�IS D 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 4•62'S4• INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 08P 0740616 _'2/0 f 1.3 C-HA AGE 4501_2 809S66 5 6,0956.6 ] TY E -ITY OF 0r 'M_-L U T SLITIFE� � _ � _ � a 0 p ni 4:19 1"}F}Za"L DELL. PARIKWAY 1 {�61,' 9 ijA!.FL IVEL i_ PARKWAY I Q INDIA} APOL.•It IN 4620C? Q i�E�IA:�r�3.,ri"11 I s I5� 4C?�'�35� IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 1 7/293"- ';__!b H. T 1E.# r l,' 0022 26 AARON HOOVER 4. -75 6/i2 Z JEAN GO;TON RIG GS CA t .I. 0 0 2;3 2 7 JASON S SfA±?,Ft T it.. 9 5 A r_ JEAN COTTON R I CGS CA i 1 a 0024 ;31 CALVIN COOPER 4. 54 JEAN-WRANGLER RELAX II 0025 3': GARY €f RR I LL 7. 92 7.t� 13 C K tL Cg•T JX� A l C•OT"1 O1,4 F2IUGa CA 11 N 0026 629 C JRT MANIFOLD 90 6/12 m JEAN-WRANGLER RELAX 11 0 COVER ALL--65/:3 5 2 0027 26 RANDY 1"fASS:EftiGILL S. 46 6/ 1-2 m JEAN COTTON RIGG S :,A 1. 1 COVERALL-65/35 I 00216 33 GREG EPP 4. SA'f •.S/12 JEAN--WRAN,1"7'LER RELAX 11 0029 32 N I C:AH BECK 7. 92 6/12 i". S. SF-O RT°-65` 5 11 JEAN COTTON R I GGS �.A 3 3 M�111 .I.1NVOICE SIJB-_TOTAL C 3. l.8 s w SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS.INC. 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 2/7/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/7/2013 082 0740616 $273.48 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 VOUCHER # 126602 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 0740616 01-7360-02 .$273.48 0&00`100300 Oi-70oa-05 %3.?� o89 o79G9Tq o i-700-3-o s wd l q� 08,9 07-3099- oi--7ao @-o5 e7o.-75 OW 0738 t9a o►-7734oa-o5 , 3 -79.7-7 6a Voucher Total3 � Cost distribution ledger classification if claim paid under vehicle highway fund