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Home My WebLink About219078 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 4 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $827.29 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD 'a ruh i�,r INDIANAPOLIS IN 46254 CHECK NUMBER: 219078 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820748809 240 .25 OTHER EXPENSES 651 5023990 0820750499 264 . 75 OTHER EXPENSES 651 5023990 0820753858 322 .29 OTHER EXPENSES UniFirst Corpora PAGE tion OOl 4201 INDU13TRI/4L BLVD INDIANAPOLIS IN 46254 |wvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0748809 3/13/ 13 CHARGE L> '� 45O172 co 809566 0 809S66 0 CITY OF CARMEL UTILITIES I CITY OF CARMEL UTILITIES 9609 HAZEL DELL, PARKWAY 1 9609 HAZE'" DELL PARKWAY IN INDIANAPOLIS 46281) V INDIANAPOLIS IN 4-6260 ~ n� .� �| |�vOun*xs��osGnOmnso�no|moTmG|wvO|C� C�u� ' � 317/293-5026 RTE# H4680 18X18 WIPERS 7. 20 '5/09 REPLACE-18X18 WIPERS 5 2. 45 - BAGGED 18X18 WIPERS 14. 40 -5/09 � ' REPLACE-BAGGED 1BX18 W 19 9 31 � � � HANDLE/FRAME 24" 2 5109 24" DRY MOP 2 1. 58 12/09 2 V� TERRYCLOTHS-UNIFIRST 100 17. 00 3/10 9 » REPLACE-TERRYCLOTHS-UN 8 6. 40 a�� SOIL LOCKER 2 6/09 0 8 COMPARTMENT LOCKER 2 6/09 @ 0001 1 GARY LAFOLLETTE 7� 92 5/O9 co LS SHIRT-65/35 6 S. S. SHIRT-65/35 S ~ JEAN COTTON RIgQS CA 11 0002 34 LARRY EIDSON 7. 81 6/1�l S. S. SHlRT-61-5/35 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 RIggS CA 11 COVERALL-65/35 2 0004 4 BLAINE MALLABER 3� 22. 5/09 S. S. SHIRT-65/35 8 COVERHLL-65/35 2 0005 5 JEFr COOPER 4. 84 5/09 JEAN-WRANGLER RELAX 11 0006 6 DAVID TURNER 7. 92 511'09 LS SHIRT-65/35 5 N� S. S. SHIRT-65/35 6 . JEAN COTTON RIAGG CA 11 0007 36 TONY HARVEY 4. T5 1/13 JEAN COTTON RIgGS CA 11 0008 8 DAVE DYE 7. 88 5/019 JEAN-WRANGLER RELAX 13 LAB COAT-POLY/COTTON 9 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY | WITH ow/nnor CORPORATION onow/p/neT HOLDINGS,INC. i INVOICE NUMBER 0�2 r)74Fj20-r REMIT TO: Uni'riT-St Corporation INVOICE DATE fir ±r 4G OI 'INDUSTRIAL� �LLVD . + CUSTOMER# (BILL TO) SO._,,96� �, A/R NUMBER �^ � I i�ID I��P�;APOL�1'S IN 46�.'S,4 RTEVr H4680 1A CUSTOMER CITY OF C AR MEL UT I L I T E L PAYMENT AMOUNT M�� $ 08207488093 Please Detach and Return With Payment n� D UniFirst CorpOT'atiOn PAGE 002 42271 INDUSTRIAL S3LVI? INDIANAPOLIS IN 46 254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT OB2 0748809 3/13/13 CHARGE 450172 ID 809566 0 S0 9 5 66 o CITY OF CARREL UTILITIES 6 CITY OF CARMEL UTILITIES P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL. PARKWAY L u, y7 INDIANAPOLIS Icy 4,��30 4 Ir�i;IAIJ,�r L3L.7 a 1 i�! 4,5280 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/2913-5026 RTE# H4680 I�rUO LAJ:ll11b �. .IJ �� .lu uo L I I Y`i�� _ �e. o � _ y l U �o" Qp 0009 p JOE FAUCET T --- 1. 06 __---.-- .- 5/09 COVERALL.-651/35 - 2 -- - - y 0010 1.0 LARRY SC HIi;'MEL. 2- 70 ,JEAN COTTON RIGGS CA 6 ---- - - 0011 11 BART CHAFIN 7. 81 5/09 a S. S. SHIRT--65/35 i 1 - . JEAN—WRANGLER RELAX 11 o oc� 1 - y y _ Z fi7 JJ COVERALL-65/35 2 0013 13 LONNIE PATTG N 7. al 5/09 co co S. S. SHIRT-6S/35 11 JEAN—WRANGLER RELAX 11 0014 14 ERIC ROBINSON 4. 95 5/09 JEAN COTTON RIGGS CA 0015 15 KEVIN BUHI IANN 7, 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS C".A, J. 1 0017 17 PETE BRENNA,N 7. 92 5/09 i S. S. SHIT'..!"--6x/85 11 JEAN COTTON RIGGS CA J. 1 0018 1B ROBBIE KI,NKE.AD 6. 01 - 51'09 .JEAN COTTON RIGGS CA 1 1 COVERALL-65/315 2 1 i1 1. 0701° 19 TARA RUBBISH 5. 58 5/09 p PANT SCRUB 65.'35+ 1 P 11 LAB COAT--POLY/' COTTON COTTON 4 SS SCRUB 6S/35 1 PST 11 0020 20 BRAD OLIVER 6. 01 5/09 JEAN COTTON RIGGS CA 1 1 COVERALL--65/35 2 • 0021 21 DALE RILEY 7. 92 S/219 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA 11 . 0022 26 AARON HOOVER 4. 9S 6/12 ,JEAN COTTON RIGGS CA 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. INVOICE NUMBER 082 0 4aeO9 REMIT TO: U n i E i r s t Corporation INVOICE DATE 3/1 3/13 4201 INDUSTRIAL L L'd`L� CUSTOMER# (BILL TO) t £3CI5156cs INDIANAPOLIS IN 46254 A/R NUMBER RT.E# HA680 1A CUSTOMER CITY OF C;ARMEL_ U T I L T T a. PAYMENT AMOUNT 082074 88093 - Please Detach and Return With Payment - UniEirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLIS I1\1 4b21S4 i UILA.�.rUI�IS + ') INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0748809 3/13/13 CHARGE 450172 a 809S66 0 809566 0 CITY OF CARMEL_ UTILITIES 6 CITY OF CARMEL_ UTILITIES ® P 9609 HAZEL DELL_ PARKWAY 6 96C)g i•�AZEL DELL. PARKWAY '1 ' V INDIANAPOLIS IN 4628+0 V INDIANAPOLIS 1N 4626-0 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293--r-5026 RTE# H4680 i �=o Fm �cQ �1 c1 I;i 0L,2 3 � i JASON STEWART 4. 95 - 6 Ir JEAN COT - ON R I GGS CA N i 00'214 3s. CALVIN COOPER ____ 4. 84 _ _._._ - ___ 6/12 JEAN---WRANGLER RELAX 11 - - 00_25 37 GARY MERR I LL 7. 512 111,13 -a 5. S. SHIRT-65/35 f I. JEAN COTTON R I GGS -- o 00 26 29 CURT MANIFOLD 5. 90 6/12 JEAN?—WRANGLER RELAX - COVERALL•°-65/35 2 0027 28 RANDY MASSINGILL 48 _ - 6/12 JEAN COTTON RIGGS CA it COVERALL-65/3S 0028 33 GREG EPP 4, 84 6/121 JEAN--WRANGLER RELAX 11, 0029 32 MICAH BECK 7. 92 6/12 S. S. SHIRT-65/35 .1. �. ,.LEAN COTTON R I GGS CA 1 i 1 " I GEFE CHARGE 10. 00 INVOICE SUI3—TOTAL 240. 25 TOTAL SERVICE CHANGES AMOUNT DUE: THIS IS YOUR ONLY I NVCE— NE'r ',_-10 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH ?�'i O"t Cd0 . _ . _w. _ i i SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. 92, UniFirs% Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 m� INVOICE DATE P»xmewTTsnmG PURCHASE ORDER CONTRACT 082 0750499 3/20/13 CHARGE 450172 co IP 9609 HAZEL DELL PARKWAY (960-9 HAZEL DELL PARKWAY n� INDIANAPOLIS IN 46260 |r YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 17/293-5O26 RTE# H4680 mzmu I MAT-3X5 U1ST GREAT I 2 5. 00 5/09 . 2 ' MAT-4X6 U1ST GREAT I 5 19� 5O 5y09 S 18X18 WIPERS _ 7. 20 5/09 @ REPLACE-18Xl8 WIPERS 5 2. 45 � - � BAGGED 18X1B WIPERS 14. 40 5/09 REPLACE-8AQgED 18XlB W _ 19 9. 31 HANDLE/FRAME 24" 2 _5/09 � 24" DRY MOP 2 1, 58 12/09 2 TERRYCLOTHS—UNIFIRST lOO 17. 00 3/10 24 8 REPLACE—TERRYCLOTHS—UN B 6. 40 _ � SOIL LOCKER 2 6/09 =� 8 COMPARTMENT LOCKER 2 6/09 ! t� 0001 1 GARY LAFOLLETTE 7. 92 5/09 � � LS SHIRT-65/35 6 S. S. SHIRT-65/35 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 RIGg8 CA 11 COVERALL-65/35 2 D�D4 4 BLAINE MALL-A�ER 3 �2 `h ? ^ � S S SHIRT-65/35 B � � �. COVERAILL-65/35 2 00{)5 5 JEFF COOPER -- 4. 84 5/09 JEAN—WRANGLER RELAX 11 �= 0006 6 DAVID TURNER 7. 92. 5/09 � | S SHIRT-65/35 5 _ . S. SHIRT-65/2-115 f` C JEAN COTTON RI��S CA 11 0007 36 TONY HARVEY 4. 95 1 /13 JEAN COTTON RIgQS CA 11 0008 B DAVE DYE 7. 88 5/09 JEAN—WRANGLER RELAX 13 �� asnvmE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. INVOICE NUMBER O82 0750499 REMIT TO: UniFirst Corporation INVOICE DATE 3/20/13 4201 INDUSTRIAL BLVD oU8TOmEnw (BILL TO) B09566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4630 JA CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT $ 1111111111111111111/mm 08207504991 U�U�� Detach �� K�� `�� U�� ~ Please �~ .~.~~~. . and Return. . . ~ ,�. . Payment.. -�N�-- UniFirst Corporation PAGE 002 -�� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 ~� |wvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0750499 3/20/13 CHARGE 450172 809S66 809S66 00 0 0 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIA114APOLIS IN 46260 ~� |F YOU HAVE»QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 LAB COAT-POLY/COTTON 9 ' 0009 9 JOE FAUCETT 1. 06 _ 5/09 COVERALL-65/35 2 m e 0010 10 LARRY SCHIMMEL 2. 70 5/09 � JEAN COTTON RIQ{)S CA 6 � 0012 11 BART CHAFIN 7. 81 5/09 } ) S. S. SHIRT-65/35 11 u JEAN-WRANGLER RELAX 11 0�� OD12 12 DENNIS RUSS � 9O 5/09 � � JEAN-WRANGLER RELAX 11 � COVERALL-65/35 �l 0013 13 LONNIE PATTON 7. 81 5/09 S. S. SHIRT-65/35 11 � JEAN-WRANGLER RELAX 11 0014 14 ERIC ROBINSON 4. 95 5/09 JEAN COTTON RIGGS CA 11 0015 15 KEVIN 8UHMANN 7. 92' 5/09 N� S. S. SHIRT-65/35 11 JEAN COTTON RIQGS CA 11 0017 17 PETE 8RENNAN 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIQQS CA 11 0018 1B ROB8IE KINKEAD 6. 01 5/09 N� JEAN COTTON RIgGS CA 11 � )�4 COVERALL-65y35 2 0019 19 TARA RUBBISH 5. 58 5/09 PANT SCRUB 65/35 1 P 11 LAB COAT-POLY/COTTON 4 SS SCRUB 65/35 1 PKT 11 0020 20 BRAD OLIVER 6. 01 5/09 _ ^ � JEAN COTTON RIgQG CA 11 COVERALL-65/35 2 0021 21 DALE RILEY 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGQS CA 11 0322 26 AARON HOOVER 4. 95 6/12 JEAN COTTON RIQGS CA 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER C0PY � WITH uw/FInar CORPORATION onuw/nnar HOLDINGS,INC. INVOICE NUMBER 082 075O499 REMIT TO: UniFirst Corporatio . ju > INVOICE DATE 3/20/13 4201 INDUSTRIAL BLVD �� CUGTOMEF# (BILL TO) 8O9566 INDIANAPOLIS IN 46254 �� A/R NUMBER RTE* ii465BO /^ CUSTOMER CITY OF CARMEL UTZLITI i|80U|�QN||8U0U0U&NUNNN�UU�QU|0U|Q|QUU|0�iUN||��( PAYMENT ||8KU|U8i0|UU8U0|UNUiUNK|UUUQNU|U|U|8\H8U|�|0UNU%0 � O82O7SO4q�� K�U�� Detach �� K�� ^�� K�� ~ Please ~_~'~.�.~. , ~~. .~~ Return . . ... . Payment -��-- .� UniFirst Corporation PAGE 003 --� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 = | �� ) |wvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 075O499 3/20/13 CHARGE 450172 $309S66 009566 9 9609 HAZEL DEI-L PARKWAY '06 9609 FIAZEL. DELL PARKWAY N� . . IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 FUWF�R-7p -le-67BF maw- F��mFHE�� C�� F�Eii .� � «�> OO�3 �� JASON STEWART 4� 95 6/12 ~ ,. ' ' JEAN COTTON RIGgS CA 1l � 0024 31 CALVIN COOPER _ 4. '64 6/12 @ JEAN-WRANGLER RELAX 11 � 0025 37 GARY MERRILL 7� 92 1/13 S. S. SHIRT-65/35 11 _ JEAN COTTON RIGGS CA ll � 0026 29 CURT MANIFOLD 5- 90 6/12 JRELAX X 1l ' JEAN-WRANgLER RELAX � COVERALL-65/35 2 � 0027 28 RANDY MASSINGILL 5. 48 6/12 JEAN COTTON RIGGS CA 11 COVERALL-65/35 1 � 0028 33 GREG EPP 4. 84 6/12 JEAN-WRANGLER RELAX 11 . 8029 32 MIC*\H BECK 7. 92 6/12 S. S. SHIRT-65/35 1?0 11 JEAN COTTON RIgQS - 11 ---' DEFE CHARGE 10. 00 ' INVOICE SUB-TOTAL 264. 75 TOTAL SERVICE CHANGES \\� ) AMOUNT DUE THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN " SOIL PICK UP COUNT GH PT OT NO ^ / �� SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. VOUCHER # 135167 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 0820750499 01-7362-06 $264.75 on 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 3/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2013 0820750499 $264.75 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 Date Officer 42101}1 N USTRIAL BLVD INDIANAP 0_IS IN -4 �8 `54 PAGE UniFirst Corporation O1 INVOICE DATE PAYMENT TERMS ORDER CONTRACT [ yLL 022 0753Bs@ 4/D3/13 CH AIR QE N� 7 HAZEL DELL PAI 9� HAZEL- DELL PARPWAY I ND .� |pvOV HAVE A Qos8T0wnsGARo�Gni|G|wvO�sCx�� - 317/293-5026 RTE# H4680 IE- MAT-3X5 U1ST� {�RE4T I - --' �2 5 OO� ' ' ------5/O9 2 ' MAT-4X6 U1ST GREAT I 5 � I9 5O' �-- -- 5/O9 5 18X18 WIPERS 7. 20 ------5/O9 c REPLACE-18X13 WIPERS ^--'- 5 ' 2, 45 -- -- � BAGGED 18X18 WIPERS - --- l4. �� ---' -5/09 REPLACE--BAGGED 1GX18 W---- 19 9. 31 '---- - HANDLE/FRAME 24" ----' 2 ------5/D9 � � 24° DRY MOP ---- 2 � 58 ' -' ' 1��/09 2 ' �� TERRYCLOTHS-UNIFIRST '---� 1OO 17. 00 -- - 3/1O 9 � � REPLACET ERRYCLOTHS-UN—' -- B 6. 4O - - '- ' � SOIL LOCKER -'- - 2 — --'6109 �� 8 COMPARTMENT LOCKER 2 cq 8_ '. [� O OO1� 1 GARY LAFQLL�ETTE - - --- 7. 92 -- ' 5/09 � ' LS SHIRT-65/35 ' -- 8 - - - S. S. SHIRT-65/35 ' -- 5 - — - JEAN 'COTTON RIGQS CA, --' 11 PREPARATI8N CHARGE --- 3 4 50 - - - - ~� 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.S SHIRT-65/35 6 �~ JEAN COTTON RIGGS CA- COVERALL-65/35 0004- 4 BLAINE MALLABER O6' ' 5/09 COVERALL-65/35 - 2 - 0005 5 JEFF C ER - ' 4, 84 - S/09 ' JEAN-WRANGLER RELAX ` 11 ' _ -- 0008 6 DAVID TURNER� ! 4_64. ' , ^ . ` � ' 5/09 EXCHANGE'��'EM' ,CHA�QE `` ` .I1`' `- '��2. \}(I- ' ' LOST pROD coTTON 'n / /D�/ l1 471/46 R-/ /y JEAN "-WRANGLER RELAX 11 0007 36 TONY HARVEY 4. 95 ' 1/13 jEAN COTTON- RIggS CA' ' ' 11 ' ~- 0008 & DAVE DYE ` 7. 86 5/09 JEAN-WRANGLER RELAX | 13 . | SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY y _ WITH uw/FInor CORPORATION onuw/pmar HOLDINGS,INC. ' INVOICE NUMBER REMIT TO: INVOICE DATE r,�2 0753�t5� i,.JT1i�"zT'•�;'F C�{:!'I'rt7T'a1;i:sY� j.+�. 4/03/13 4201 INDUSTRIAL. BLVD CUSTOMER# (BILL TO) A/R NUMBER 609566 H4 r�CUSTOMER TE.f# `i50 INDIANAPOLIS 1 N 46254 4 I t t � CITY OF CARMEL UTILITz PAYMENT AMOUNT Please Detach and Return With Payment- - - -- -- - -- - - - -- - ------------------------------------------------- .. L1niP1�Yst Corporation PAGE QQ2 .'' 4201 INDUSTRIAL BLVD INDIANAPOLIS I N 46254 i I I I a INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0753855 -4/03/13 CHARGE 450172 509566 g. 509566 Q CITY OF CARMEL UTILITIES a CITY OF CARMEL UTIL.I-rus p 9609 HAZEL DELL_ PARKWAY 960V HAZEL DELL.. PARKWAY O INDIANAPOLIS IN 462e80 D INDIANAPOLIS IN 46260 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-S026 RTES# H465G O0 4pl:.ww+u" r a, ' I. LAB COAT•-POLY/COTTOt,,4 a -- mO 0009 '? JOE FAUCET'T 5/09 09 --- 1. 06 _ —. . y COVERALL-65/35 -- 2 - - - t 0010 10 LARRY SCHIMMEL -- 2. 7Q - --- 5/09, JEAN COTTON R I GGS CA - 6 0011 11 BART CHAFIN 7, 81 5/09 S. S. SHIRT-65/35 --- . 11 --- 0 JEAN-WRANGLER PELAX - 11 _ Cr i 0012 32 DENNIS F?U5S - ~ - 0' -- 5/09 -- S JEAN•-•WRANGLER RELAX '-- -- 11 - - -- . COVERALL-"35/3S ___-. 2 0013 13 LONNIE PATTON - 7. 61 1 - - - 5/09 S. S. SHIRT--6S/3S 11 - JEAN-WRANGLER RELAX _.___�_. 11 ^_ 0014 1.4 ERIC ROBINSON 4. 95' 5/09 JEAN COTTON RIGGS CA- - 11 a =0015 15 KEVIN BUHMANN 7. 92 - - 5/09 S. S. SHIRT•-•65/:35 11' JEAN COTTON R I GGS CA---- --' 1 1 -- - 0017 17 PETE: BRENNAN 7. 92 -- 5/05' S. S. SHIRT 65./35 11 JEAN COTTON R I GGS CA- - -- 11 - 00316 15 ROBBIE KIPdKEAD 6. 01 5/09 JEAN COTTON R I GS CA' 1. 1 COVERALL-65/35 0019 19 TARA RUBBISH � 5- 55 5/09 PANT SCRUM 65/35 S P 11 LAB COAT--POLY/COTTON, 4 SS SCRUB- 65/35 -1 PICT 11 0 0 20 20 BRAD >,L f VER -6. 01 5/09. )I JEAN 'COTTON RIGG S- C:~' 11 0021 21 DALE: RILEY 7. 92" S/09. S. S. SHIRT-65/35 11 JEAN COTTON R I GGS Cry 11 PREPARATION CHARGE 1 ' 11 . 50 ® SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY I� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. INVOICE NUMBER H8w�n� O82 {J753858 UniFirst Corporation INVOICE DATE 4/O3/13 4201 INDUSTRIA� P:,,LVD CUGTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 /VnmU�Bs* RTE# H4680 * CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT $ |\W�U�&�'�'0UNUN|� UN 'UN0\N|NUN\NUDUUiH0 08207538583 ��U�� K�� ^�� == ~ Please ~~~~~.~~~. . .~. ~~~ Return ~ . ... . Payment ~= PAGE UniFirst Corporation 003 --' 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46C254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 022 O7S3858 4/O3/13 CHARGE 450172 G09S66 809 7,66 CITY OF CARMEL UTILITIES CITY OF CIARME-1- UTILLITIEG 9609 HAZEL DEl-I PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPO'-IS IN 46280 INDIANAPOLIS IN 46280 IF YOU HAVE�QUEST�wnsGAno��TmG|mvU�s. `~ CALL: 317/293-5O26 RTE# H4680 ��« O022 26 AARON HOOVER ' --- - 4 9s ----'- 6/1�l- . / .. � JEAN COTTON RIGGS CA ----- 11 ------- �n= 0023 27 JASON STEWART ---- -1. 9s ----- 6/12 e JEAN COTTON RIggS 11' -- —'-~ � 0024 31 CALVIN COOPER ---' ' 4. 64 6/12� <�� n� JEAN--WRANGLER RELAX ---- 11 -- -- 0D25 37, GARY MERR I'LL, -- -- 7. B� ------ 1/13 LL C . ' 0 S. �S �� SHIRT-65/35 ----' 11 EXCHANGE ITEM CHARGE-----. 11 ' 22. 00 - -- - ^ � LOST PROD-JEAN COTTON 11 47�/ 46��J '- -- � / , JEAN-WRANGLER RELAX --�' 11 - - - 11 PREPARATION CHARGE '-----' 11 16. 50 '--- - '01.)26 29 CURT MANIFOLD 4� 84 6/12 � . JEAN- �� WRAN�� R RELAX ` -� 11 -' - 8027 28� RANDY MASSINGILL '` 5. 48' -,- � 6/12 JEAN COTTON RIQgS CA COVERALL-65/35 '� — 1 -- - �~ 0028 33 GREG EPP - 4. 84.- ' - 6/12 JEAN-.WRANGLER RELAX 11 DD29 32 MICAH BECK - 4� 95 JEAN COTTON RIQGS CA ' 11 FINANCE CHARGE . 42 �~ DEFE CHARGE 10. 00 -- ' } ' INVOICE SUB TOTAL ` ^ ' ` ) ' . ` �� osnvICs,*snsm RENDERED m PURSUANT roAWRITTEN CONTRACT ' CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. O INVOICE NUMBER REMIT TO: INVOICE DATE 082? 07S38Se UniFiT'St Corparat;ion 4/03/13 4201 INDUSTRIAL. BLVD CUSTOMER# (BILL TO)A/R NUMBER 6Oc?S66 INDIANAPOLIS IN 46254 1A CUSTOMER RTE# H4680 CITY OF CARMEL UTILITI PAYMENT AMOUNT 13 a8207538583 Please Detach and Return With Payment - f]� O UniFirst Corporation PAGE 004 4201 INDUSTRIAL. BLVD INDIANAPOLIS IN 4-62S54 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 07S385B 4/03/1.3 CHARGE 450172 809566 0 e09566 CITY OF CARMEL UTILITIES CITY OF CARMEL. UTILITIES F9609 HAZEL DELL.- PARKWAY 9609 HAZEL DELL PARKWAY N D INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46260 0 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293.—SO2 RTE�6 H4680 Z. TOTAL SERVICE CHANGES AMOUNT DUE 7. 30 L (7 --DAYS. PEASE SIt,,[ THIS IS YOUR ONLY INVCE-- NET-- C-C SOIL PICK UP COUNT SH --PT OT NO co L r. SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. VOUCHER # 135256 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 0820753858 01-7360-02 $322.29 Voucher Total $322.29 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 4/4/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/4/2013 0820753858 $322.29 1 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