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220821 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 0 ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $484.12 CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 CHECK NUMBER: 220821 CHECK DATE: 614/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820763824 254 . 31 OTHER EXPENSES 651 5023990 0820765521 229 . 81 OTHER EXPENSES WIN e =W-LP UniFirst Corporation PAGE 001 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 '• i I INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0132 076GS2i S/22/13 CHARGE 01--T3460. 0-3 45017c a 1309566 1309566 0 CITY OF CARMEL UTILITIES a CITY OF CARMEL UTILITIES ® P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELI_ PARKWAY I. f 4 INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 O C� IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-°5026 RTE# H4680 �7 coo cry ammu, TO 113X18 WIPERS 7. 20 _5/09 .. REPLACE-18 IS WIPERS -- 5 2, 45 - -__-- TAGGED 1SX18 WIPERS __... 1-4. 40 _5/09 y - _ N REPLACE-BAGGED 18X18 W 19 9. 31 HANDLE/FRAME 24" 2 -5/09 a m 24" DRY MOP _ - 2 1. Se - _ _ 12/09 2 TERRYCLOTHS l3NIFIr'�S"1 100 17. 00 - - _--- 3/10 9 REPLACE-TER RYCLOTHS--UN. d 6. 40 SOIL LOCKER 2 6/09 a 8 COMPARTMENT LOCKER 2 -- _ 6/09 © 0001 1 GARY LAFOLLETTE 7. 92 5/09 m LS SHIRT-65/35 6 S. S. SHIR'T-°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 . i; LS SHIRT--65/35 5 S. S. SHIRT-65/35 6 JEAN COTTON RIGGS CA _ 11 COVERALL-65/35 2 0004 4 BLAINE MALLABER 1, 06 5/09 ® COVERALL-65/3S 2 0005 5 JEFF COOPER 4. 84 5/09, JEAN--WRANGLER RELAX 11 0006 6 DAVID TURNER 4. 84 5/09 JEAN--WRANGLER RELAX 11 0007 36 TON`{ HARVEY 4. 95 1/13 JEAN COTTON RIGGS CA 11 i' 0008 8 DAVE DYE 7. 68 5/09 JEAN-WRANGLER RELAX 13 LAB COAT--POLY/COTTON 9 0009 9 JOE FAUCET`i" 1, 06 5/09 COVERALL-65/36 2 0010 10 LARRY S'CHIMMEL 2. 70. 5/09 JEAN COTTON RIGGS CA. 6 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i INVOICE NUMBER 082 0765521 REMITTO: Ur.iFirst Corporation I.+ } INVOICE DATE Sl2�t2/13 4201 INDUSTRIAL 'BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 ,A CUSTOMER CITY OF CARMEL UTILITI PAYMENT AMOUNT $ ❑820765521- ' Please Detach and Return With Payment - ��}.��—�� UniFSrst Corporation PACE 002 I�.LILIAriI1�C5. 4201 INDUSTRIAL BLVD INDIANAPOLIS IN ' 462S4 � I INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0765521 5/22/13 CHARGE 450172 a 809566 809566 p CITY OF CARMEL UTILITIES p, CITY OF CARMEL UTILITIES P 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY :t ; 4 INDIANA POLIS IN 46260 4 INDIANAPOLIS IN 46280 O (D IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 n oI mm o � ncB= I o o 0d)11 11 BART CHAFF€ 7. 81 _-- 5/09 S. S. SHIRT-65/35 11 y JEAN--WRANGLER RELAX 11 _ y 0012 12 DENNIS RUSS 4. 84 5/09 JEAN--WRANGLER RELAX it <� 0013 13 LONNIE PATTON 7. 81 5/09 `'I I S. S. SHIRT-65/35 11 0 JEAN-WRANGLER RELAX 11 0014 14 ERIC ROBINSON 4. 95 S/09 0 JEAN COTTON RIGGS CA 11 _ b 0015 15 KEVIN BUHMANN 7. 92 5/09 m� S. S. SHIRT--65/35 11 o; JEAN COTTON RIGGS CA 11 0017 17 PETE BRENNAN 7. 92 5/09 S. S. SHIRT--65/35 11 .JEAN COTTON RIGGS CA 11 0018 16 ROBBIE KINKEAD 6. 01 5/09 JEAN COTTON RIGGS CA 11 ! ! COVERALL-65/35 2 0019 19 TARA RUBBISH 5. 5B 5/09 PANT SCRUB 65/35 1 P 11 LAB COAT--POLY/COTTON 4 SS SCRUB 6S/35 1 PKT 11 0020 20 BRAD OLIVER 6. 01 5/09 JEAN COTTON RIGGS CA 11 COVERALL--65/35 2 0021 21 DALE RILEY 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGGS CA 11 0022 26 AARON HOOVER 4. 95 6/12 JEAN COTTON RIGGS CA 11 0023 27 JASON STEWART 4. 95 6/12 JEAN COTTON RIGGS CA 11 0024 31 CALVIN COOPER 4. 64 6/12 EAN--WRANGLER RELAX 11 0025 37 GARY MERRILL 7. 81 1/13 S. S. SHIRT--65/35 11 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. i . INVOICE NUMBER 082 076SS21 REMITTO: UniFirst Corporation t I a INVOICE DATE S/22/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254 A/R NUMBER RTE# H4680 ,A CUSTOMER CITY OF CARMEL UT I L I T I 111111111 Jill IVA PAYMENT AMOUNT $ 0828765521- ' Please Detach and Return With Payment - n�,� UniFirst Corporation PAGE 003 l�.iILIL l�I5 D 4241 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT C;e2 4765521 5/22/13 CHARGE 450172 p 809566 809566 p CITY OF CARMEL UTILITIES d CITY OF CARMEL UTILITIES p 9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY l Q INDIANAPOLIS IN 46280 Q INDIANAPOLIS IN 46280 O O i IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 o !, JEAN-WRANGLER RELAX 11 n 0026 29 CURT MANIFOLD ---, 4. 84 6/12 JEAN-WRANGLER RELAX 11 N y 0027 28 RANDY MASSINGILL 5. 48 6/12 JEAN COTTON RIGGS CA 11 a� COVERALL-65/35 1 I.1 0028 33 GREG EPP 4. 84 6/12 JEAN—WRANGLER RELAX 11 0 Q 0029 32 MICAH BECK 4. 95 6/12 0 JEAN COTTON RIGGS CA 11 o DEFE CHARGE 10. 00 N INVOICE SUB--TOTAL 229. 81 TOTAL SERVICE CHANGES AMOUNT DUE THIS IS YOUR ONLY INVCE- NEl" 30 DAYS. PLEASE SIGN SOIL PICK UP COUNT SH PT OT NO { 4 ) , SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. PAGE UniFirst Corporation DOI 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0763824 5/15/13 CHARGE 45O172 co 209S66 0 809S66 0 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES IT 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY 4� .� [ \ i \ IF CALL:' 317/293-5026 RTE# H4680 �Fe" TV—�--_ MAT-3%5 U1ST GREAT I 2 5. 00 - 5/09 2 ' MAT-4X6 U1ST GREAT I 5 19. 5D 5/09 5 18X18 WIPERS 7. 20 5/09 e REPLACE-18X18 WIPERS 5 2. 45 � � BAGGED 18X18 WIPERS 14. 4O 5/09 REPLACE—BAGGED 18X18 W 19 9. 31 Li HANDLE/FRAME 24" 2 5/09 � 24" DRY MOP 2 l� 58 12/09 2 TERRYCLOTHS—UNIFIRGT 103 17. 00 3/10 9 � REPLACE—TERRyCLOTHS—UN 8 6. 40 � SOIL LOCKER ' 2 6/09 m� n� 8 COMPARTMENT LOCKER 2 6/09 � � '� � 7. 92 5/O9 OOO1 1 GARY LAFOLLETTE ' LS SHIRT-65/35 6 S. S. SHIRT-65/35 5 JEAN COTTON RIQgS CA 11 0002 34 LARRY EIDSON 7. 81 6/l�� 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 RIggS CA 11 o� COVERALL-65/35 2 x ` \ | 00,04 4 BLAINE MALLABER 1. 06 5/09 COVERALL-65/35 2 n� 0005 5 JEFF COOPER 4. 84 5/09 JEAN—WRANGLER RELAX 11 0006 6 DAVID TURNER 4� 84 5/09 JEAN—WRANGLER RELAX 11 0007 36 TONY HARVEY 4. 95 1/13 JEAN COTTON RIAgS CA 11 0008 B DAVE DYE 7. 83 5/09 JEAN—WRANGLER RELAX 13 LAB COAT—POLY/COTTON 9 0009 9 JOE FAUCETT 1. 06 5/09 COVERALL-65/35 2 SERVICE HEREIN RENDERED m PURSUANT ' CUSTOMER COPY WITH uw/pnar CORPORATION OR ar HOLDINGS, INC. INVOICE NUMBER ;� REMIT TO: • U!t 1 r W t OT OT'c3'G 1 C37� INVOICE DATE F3/,.1 S/13 4201 IN iUSTI~IAL BLVD CUSTOMER# (BILL TO) B09566 INDIANAPOLIS I N 46254 A/R NUMBER RTE# H4680 to CUSTOMER CITY DF CARMEL UT I L I T I 1 ! r PAYMENT AMOUNT $ ! t ❑820763804/ - Please Detach and Return With Payment - }�; D UTIlFirst Corporation PAGE 002 4201 INDUSTRIAL, BLVD INDIANAPOLIS IN 46254 ' INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 0L:2: 0763 8 cir a/1.ai 13 H A R G E Q 1 , '7 3(o0, (�(p 4501 ' a eO9S66 D ow .0C) D CITY OF' CARMk•L UT ILI T IES a CITY OF t AR EL UTILITIES 0) 9609 e-IAZE.L DELL PA- Kt+1M a 9609 #4AZEL DEL..L. PARKWAY Q INDIANAPOLIS I N 46280 4 INDIANAPOLIS I N 46280 o 0 IF YOU HAVE A QUESTION RcEGARDING THIS INVOICE,CALL: 317/293-5026 R 1 E4 H4680RRi ouvo op 0010 10 LARRY SCHIMMEL 2. 70 5/09 JEAN COTTON RIGGS CA 6 N 0011 11 BART CHAFIN i. 81 5/09 y S. S. SHIRT-6S/3S 11 °• JEAN--WF,ANGLER RELAX 11 0012 12 DENNIS RUSS 4. 84 5/09 } JEAN--WRANGLER RELAX 11 0 0013 13 LONNIE PATTON 7. 81 5/09 am S. S. SHIR T--65/;35 11 g JEAN-WRANGLER RELAX 1. 1 N 0014 14 ERIC ROBINSON 4. 95 5/09 co JEAN COTTON RIGGS CA 11 N 0015 15 KEVIN BUHMANN 7. 92 5/09 °� S. S. SHIRT--�65/35 11 JEAN COTTON RIGGS CA 1i 0017 17 PETE BRE:NNAN 7. 92 5/09 S. S. SIAIRT--65/35 11 JEAN COTTON RIGGS CA 11 I.1 ! orne 18 ROBBIE KINKEAD 6. 0], 5 '09 JEAN COTTON RIGGS CA i1 COVERALL-6S/3S 2 0019 19 TARA RUBBISH 5. 58 5/09 i PANT SCRUB 65/35 1 P 11, LAB COAT-POLY/COTTON 4 C! SS SCRUB 6S/35 1. PK"r 11, S 0020 20 BRAD OLIVER 6. 01. 5/09 JEAN COTTON RIGGS CA 11 � �nv-rorgG COVERALL.-65/35 2 0021 21 BALE RILEY 7. 92 5/09 S. S. SFIIRT-°65/35 3. 1 ; ) ! JEAN COTTON RIGGS CA 11 0022 26 AARON HOOVER 4. 95 6/12 ..SEAN COTTON RIGGS CA 002!3 27 JASON STEWART 4. 95 6/12 JEAN COTTON RIGGS CA 11 0024 31 CALVIN COOPER 4. 84 6/12 JEAN-WRANGLER RELAX 11 0 SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. u i INVOICE NUMBER 082 0763824 REMIT TO: Un i F i r s t Corporation INVOICE DATE S/15/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) �30�,K,,—b6 INDIANAPOLIS �;�� 46254 A/R NUMBER R T.E#F H�68C} 1A CUSTOMER r1*T'Y OF CARMEL UTILITI � 111111111111111111111111111111111111111111111, 1 PAYMENT AMOUNT $ I 11 11 [18 20763824/ - Please Detach and Return With Payment - UniFirst Corporation PAGE 003 R 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 s INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT • 082 0763 324 -rj/1 S/ 13 CHARGE 450172 Q 809566 p 809566 0 CITY O CARMEL. UTILITIES d CITY OT= CARMEL UTILITIES P 9609 HAZEL- DELL. PARI�X a 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 4 INDIANAPOLIS 1 114 46260 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/273°-5026 RTE# H4680 �I _- J o ° U W cuw�VU�� o FE l ° o ' am I QP ER. FEE o ' 002 5 37 GARY MERR ILL 7. 61 - 1/13 ds S. S. SHIRT-65/35 11 H JEAN—WRANGLER RELAX 11 m y 0026 29 CURT MANIFOLD 4, 84 6/12 t °! ,JEAN--WRANGLER RELAX 11 a 0027 28 RANDY MASS I N G I LL 5. 46 6/12 JEAN COTTON R I GGS CA it o COVERALL-65/35 I 0028 33 GREG EPP 4. 84 6/12 0 JEAN—WRANGLER RELAX 11 0029 32 MICAH BECK 4. 9S 6/12 JEAN COTTON RIGGS CA 11 N DE.FE CHARGE 10. 00 INVOICE SUB—TOTAL. 254. 31 TOTAL SERVICE CHANGES AMOUNT DUE THIS IS YOUR ONLY INVCE-•- NET 30 DAYS. PLEASE SIGN � 34Ti I SOIL PICK UP COUNT SH ._� PT _ OT r SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. VOUCHER # 135606 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 .0820763824 01-7362-06 $254.31 o2007656a 1 01--730-0a aaJ. g 1 �qq, I� 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 5/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/23/2013 0820763824 $254.31 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