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221282 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1 ONE CIVIC SQUARE UNIFIRST CORPORATION st�? CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $947.42 ', oN INDIANAPOLIS IN 46254 CHECK NUMBER: 221282 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0820767238 283 . 03 OTHER EXPENSES 651 5023990 0820768942 410 . 08 OTHER EXPENSES 651 5023990 0820770660 254 . 31 OTHER EXPENSES UniFirst Cr oporation PAGE 001 t--vaiv, 4201 INDUSTRIAL. BLVD* INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0768942 610S/13 CHARGE " 4. O( -73 b 0 ,0Q 450172 909566 0 809S66 co CITY OF CARMEL UTILITIES 0 CITY OF CARMEL UTILITIES 0 L P9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46 SO @1 IF YOU HAVE A QUESTION REGARDING THIS INVOICE,HE: 317/293-SO26, RTEO H4680 usuamal ep G7 F MOD I L m= Elmo 18XIS WIPERS 7. 20) S/09 REPLACE-18X18 WIPERS i-51, 2. 4S BAGGED !BX!8 WIPERS I A., 40 (7n M REPLACE-BAGGED 18XIS W 19 9. 31 HANDLE/FRAME 24" QO 24'' DRY MOP JUN 10_MiQ�l N zz TERRYCLOTHS-UNIFIRST 100 17. 00 81 6. 40 13yy REPLACE-TERRYCLOTHS-UN SOIL LOCKEI`� 2 6 COMPARTMENT LOCKER 2 . 6/09 0010 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-6S/35 Yl' JEAN-WRANGLER RELAX 0003 24 MIKE TURNER 8. 98 i/11 LS SHIRT-65/35 : 5 S. S. SHIRT-65/35 6 Ile JEANI COTTON RIGoa CA COVERALL-65/35 '2 0004 4 BLAINE MALLABER 1 . 06.) 5/0? 40 COVERALI--65/3S _R 47 n 0005 5 JEFF COOPER 4. 64 5/0'? h I JEAN-WRANGLER RELAX 101 0006 6 DAVID TURNER 4. 84 5/09 JEAN-WRANGLER RELAX 0007 36 TONY HARVEY 4. 95 1/13 SEAN COTTON RIGGS CA 000B. 8 DAVE DYE 7. 83 5/00 JEAN-WRANGLER RELAX 13 LAB COAT-POLY/COTTON "9 0009 9 JOE FAUCETT 1- 066 5/01? COVERALL-65/35 2 0010 10 LARRY SCHIMMEL 70 SY09 JEAN COTTON RIGGS CA SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. ` INVOICE NUMBER 082 076894121 REMIT TO: U,TiiFirst Corporation ' INVOICE DATE 6/O5/13 4201 INDUGTRIAL BLVD ' CUSTOMEp# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE* H4680 ,^ CUSTOMER CITY OF CARMEL UTILITI \|NNU �NU\NU�U0U�8'U>�0}00UN||QU8i�'UNN\8U�&HU|||�0 ||N�U/��|H�|N|�U�!��UN�0|80}�UNU8|0U�|W|UUU88UU|N0 PAYMENT AMOUNT '"==='° "'"°'=""""='=�"' w" ' � > - Please Detach d rn, With Payment - _��-- Un1First Corporation . PAGE 002 42O1 INDUSTRI/�L �BLVD INDIANAPOLIS IN 46254 . � INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT Oe2 0768942 6/O-S/13 CHARGE 450172 B09566 809S66 0 CITY OF CARMEL UTILITIES . � �& '��'� , -& INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 � 2 �� "� 00 11 11 BART CHAFIN ` 7. 81 _ 5/09 ' S. S. SHIRT-65/35 I., � JEAN-WRAN�LER RELAX ' I ' � 0012 12 DENNIS RUSS ` ^ 4. 84 5/09 � JEAN-WRANGLER RELAX 1 . O013 13 LONNIE PATTON 7. 81 5/09 | S� S. SHIRT-65/35 ' At e JEAN-WRANGLER RELAX I 0014 1 ' 4 ERIC ROBINSON ' 4 9S ' 5/09 (r rT JEHN COTTON R��g5 C� 11 � � � 0015 15 KEVIN BUHMANN ' ' . 7. 92 5/09 S. S. SHIRT-65/35 11 / [ i JEAN COTTON RIQgS CA i1 � 0017 17 PETE 8RENNAN ' 7� 92 5/09 S. S. SHIRT-65/35 11 - JEAN COTTON RIGGG CA 11 PREPARATION CHARGE � 6 � 9, O�] DAMAGE-JEAN COTTON R�� . 6- ' I87. 2�� ,- .'' OOlB 18 ROB8IE KINKEAD � b O1 5/09 JEAN COTTON RIggS CA . COVERALL-65/315 . 2._ 0019 1� TARA RUBBISH ' � 5. 58 5/O� PANT SCRUB 65/35 l P 11 � N ` m� LAB COAT-POLY/CO 1TO '��.` SS GCRUB 65/-35 1 PMT i l 0020 20 BRAD OLIVER ' 6. 31 5/O9 �� . ~� JEAN COTTON RIgGS CA 11 COVERALL-65/35 2 0021 21 DALE RILEY 7. 9 2 5/09 S. S_ SRlR7-65/35 ` \ � \ JEAN COTTON RIgSG CA `-' � 0022 26 AARON HOOVER ' 4� 95. 6/12 ` JEAN COTTON RI��S CA I� 0023 27 JASON STEWART ' 4� 95 6/12 JEAN COTTON RIGGS CA �1 ' . OQ24 31 C��LVIN COOPER �� 64 6/12 JEAN-WpAI'4��ER RELAX � 1 ' )... . �� osnvICs*snEIw nEmosnso IS PURSUANT roAWRITTEN CONTRACT ' � ' ' '' CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. INVOICE NUMBER 082 0768942 R*EMIT:T;O:,*-'**'�'.li'FiT'St C10rP0T',1tJ_0n INVOICE DATE 6/OS/13 -4201 INDUST RIAL. BLVD CUSTOIVIER# (BILL TO) 809S&_6-_ 'INDIANAPOL�s 1N 46254 A/R NUMBER PTE-,4 H46a&' 1A CUSTOMER C I TY [IF CARMEL UT-.1j_I T.I;r' PAYMENT AMOUNT 08207689423 Please Detach and Return With Payment UniFirst Corporation PAGE 003 427401 INDUSTRIAL-,BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT OEtr'2 0768942 6/0 S) 1:3 CHAR E '.c 4501722 609S66 D 809566 0 CITY Or" CARREL UTILITIES CITY OF CARME! UTILITIES L;) V607 FIAZEL DELL PAR""%WAY d 96,09 HAZEL DELL PARKWAY INDIANAPOLIS 1N 46280 Q INDIANAPOLIS IN 46280 P IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RT'E-# H4680 .ah3u-omepemom madD o 0) F!6i7ZFA��i 0025 37 GARY MERRILL 7. el 1/13 S. S. SHIRT--6S/35 JEAhl-WRAN"I'LER RELAX 1 I 00246 29 CURT MANIFOLI) 4. 84 6/12 JEAN-WRANGLER RELAX III 002-7 2B RANDY MASS INGILILL S- 46 6/12 JEAN COTTON RIGGS CA iJ COVERALIL65/3tS I 0028 33 GREG, EPP 4. 84 6/12 JEAN-WRANGLER RELAX 0021 32:� MICAH BECK 4. 95 6/12 o JEAN COTTON PIGG'S" CA FINANCE CHARGE 13- ?9 DEFE CHARGE 10. 00 INVOICE SUB-TOTAL X410. 08 TOTAL SERVICE CHANGIES AMOUNT DUE THIS IS YOUR ONLY TNVCE- NET SO DAYS.- "PLEASE SIGN -1=01L PICK UP COUNT SH PT: OT NO Stay on top of Uni'=irst news bq fo-1.101ping Us or FACEBOOK, TWITTER, and "GOGLE+ SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. UniFirst Corporation PAGE 001 4�01 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0770660 6/12/13 CHARGE 0[ ^�'. 3��J [J� 45D172 0 909S66 0 209S66 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES V609 HAZEL DELL PARKWAY 960? HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 1NDIANAPOLIS IN 46280 ~~ . ~ = JD IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 o� _9z 2� MAT-3X5 U1ST GREAT % 2 5 DO 5/09 2 --' - � ' ' MAT-4X6 U1ST GREAT I S. 19. 50 5/09 5 18X18 WIPERS _ _ 7. 20 5/09 e REPLACE-l8X1B WIPERS 5 2. 45 � BAGGED 18X18 WIPERS l4 4O 5/09 � _- - . -- - REPLACE-BAGGED 18XIB W_ _ _ 19 9. 3i FR HANDLE/ AME 24" 2 5/09 '- - � 24" DRY MOP 2 1, 5B 12/09 2 � 3/lO 9 TERRYCLOTHS-UNIFIRST 1OO 17 O� - _- --_ - � REPLACE-TERRYCLOTHS-UN _. B 6. 40 � SOIL LOCKER _ 2 6/09 8 COMPARTMENT LOCKER 2 6/09 cli 0001 1 GARY LAFOLLETTE 7 92 5/09 - SHIRT-65/35 LS ° f, G S. S. SHIRT-65/35 ' 5 JEAN COTTON RIG{)S CA 11 0002 34 LARRY EIDSON 7. 81 6/12 G. S. SHIRT-62/35 11 i JEAN-WRANGLER RELAX 11 0 0 03 24 MIKE TURNER 8. 98 1/11 LS SHIRT-65/35 _ 5 S. S. SHIRT-65/35 6 JEAN COTTON RIQGS CA 11 COVERALL-65/35 2 � .' 0004 4 BLAINE M�LLA8ER 1 D6 �/O9 ' � � � ' ' COVERALL-65/35 2 OOOs 5 JEFF COOPER 4. 84 5/09 JEAN-WRANGLER RELAX 11 0006 6 DAVID TURNER 4. 84 5/09 JEAN-WRANGLER RELAX it ^ 0007 36 TONY HARVEY 4. 95 l/1�� JEAN COTTON RIgGS YA 11 0008 8 DAVE DYE . 7. 88 . 5/09 JEAN-WRANGLER RELAX I3 LAB COAT-POLY/COTTON 9 OOO9 9 JOE FAUCETT , 1� O6 5/O9 - ' \ COVERALL-6S/35 2 - SERVICE HEREIN RENDERED m PURSUANT ruA WnnTsw CONTRACT CUSTOMER COPY | WITH uw/FInuT CORPORATION onum/pmar HOLDINGS, INC. e INVOICE NUMBER 082 0770660 REMIT TO: U E j F i r S t C O T'p O r a t i o n ` INVOICE DATE 6/i2/13 4201 INDUSTRIAL BLVD CUSTOMER# (BILL TO) 3(39E,66 INDIANAPOLIS I N 46254 A/R NUMBER RTE# 1-{4680 IA CUSTOMER CITY OF C ARME L UT T L I T I !1f �� !�- � E 7( i I(1 11 1 111 1 1 go PAYMENT AMOUNT $ 0820770660- -- - Please Detach and Return With Payment - D UY z F 1 r s t Corporation PAGE 032 aJUfW.g 4X31 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 1.L y INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0770660 6/12/13 CHARGE 450172 4b d 509566 O 809566 CITY OF CAERMEL UTILITIES C CITY OF CARMEL. UTILITIES V p 96039 HAZEL DELL PARKWAY L`� 9609 HAZEL. DELL 'PARKWAY INDIANAPOLIS IN ^x62280 Q �:NDI�re'�1�§!�OLIS 1N 46260 O O IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 31'7/293--5026 RTE# H4650 { 1 0010 st< LARRY SC;HIMMEL- --- -- 2. 70 - - - S/019, '1 JEAN coT"TON RIGGS CA _ 6 0011 I BART CHAF"IN 7. 81 -_ 5/09 S. S. SHIRT-65/35 11 JEAN--WRANGLER RELAX I1 a 0012 12 DENNIS RUS.S 4. 84 - S/09 I. !, JEAN,-WRANGLER RELAX . . it - - € 0013 13 LONNIE PAT 1,0141 -- -- 7. 81 — S/09 a S. S. SHIRT-65/35 - - 1. 1' g JEAN--WRANGLER RELAX 11 0014 14 ERIC ROBINSON 4. 95 - - 5/09 JEAN CC3TTON RIGGS C:A it - 00IS I'S KEVIN 3 1.3HMANN 77, 92 5/09 S. S. SHIRT--65/3S 1. 1, JEAN COTTON RIGGS CA_ . 11 0017 17 PETE BRENNAN F. 92 5/09 S. S. S-HIR T.--65/;:35 11 JEAN COTTON RIGGS CA 11 0013 IS ROB13IE: KINK3WAD 6, 01 5/09 JEAN COTTON RIGGS CAE i I COVERALL-65/;35 _ 2. 00 1.9 19 TARA RUBBISH 5. 9-8 S/09 PANT SCRUB 65/35 1 P 11 LAB COAT--POLY/COTTON 4 SS SCRUB 65/35 1 PKT 11 I 002.0 20 BRAD OLIVER 6. 01 5/09 JEAN COTTON RIGGS CA. it COVERALL-65/35 2 0021 221, DALE RILEY 7- 92 S/09 S. S. SHIRT--65:'35 11 ..SEAN COTTON RIGGS CA, 111 O.jC:?2 36 rARONlOC7VER 4. 9S 6/12 JEAN COTTON RIGGS CA 11 0023 27 JASON STEWART .q-. 95 6/12 JEAN COTTON RIGGS CAE 11 C) 0024 3.1. CALVIN COOPER 4. a4 6/12 1 !� jEAN--WRANGLER RELAX it SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY, _ _-�_ WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGSJNG_.___ i INVOICE NUMBER 082- 0770660 REMIT TO: Un i F i r s t Corporation I I I INVOICE DATE } i 2/1.31 4-201 INDUSTRIAL BLVD t CUSTOMER# (BILL TO) 909566 INDIANAPOLIS I N 46254 A/R NUMBER RTE# H4680 ,A CUSTOMER C I T'Y OF C AR MEL UT I L I T I I PAYMENT AMOUNT $ 0820770660- Please Detach and Return With Payment - D UniFirst Corporation PAGE 00:3 4201 INDUSTRIAL. BLVD INDIANAPOLIS IN 46254 L L - INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT �JB2 0770660 6/12/13 CHARGE 45017/2 L19,: Q-09S66 809S66 ?6 F CARREL, Ul"TL.T r'Ti�i 6 CITY OF" CARMEL. UTILIT TES AZEL.. DE'.L-L. PARKWAY � 609 HAZEL DELL- PARKWAY A,P0L_IS IN .r„.:�280 4 INDIANAPOLIS IN t{-t 280 10, IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293--S026 RTE# H4680 ;�;�25 GARY McRRIL I 7. S1 1/13 l � -- - - - - S. S. SHIRT-65/35 -'--- - -- -------- UEAN--WRANGLER RELAX _ - - 11 002.6 29 CURT MANIFOLD 4. S4 6/12 ..IEAI�;--WPANGS_»EP RELAX 11 a C'02 28 RANDY MASS ILL ---- S. 48 - 6/12 a G. ,..TAN COTTON R I GG S CA 11 COVERALL-65/35 1 - - - - JD OD26 33 GREG EPP 4. S4, 6/12 cc .JEAN—WRANGLER RELAX 11 - - 0029 32' MICAH BE(1K 4. 951 6/12 o MEAN COTTON RIG(.'7S CA 11 j DEF'E CHARGE - 10. 00 - INVOICE. SUB—TOTAL 254. 31 TOTAL SERVICE CI-if'iNGES AMOUNT DUE THIS 16 YOUR ONLY I INV CE— DIET 30 DAYS. PLEASE SIGN r i� 11 SOIL PICK U' COUNT SH PT _ OT � i NO Stay on top of UniFirst new:. by following us n F'ACE.BOOK, TWITTER, and GOOGL..E:+. i I { SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC. UniFirst Corporation PAGE 00 l �� 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 � INVOICE DATE PAYMENT TERMS PURCHASE ORDER � CONTRACT ' 082 0767238 5/29/13 CHARGE /�\ .~73/] C>� 45O172 809S66 809S66 (P 9609 HA ZEL DELL PARKWAY 1 960? HAZEL DELL PARKWAY \ ) ) � � V INDIANAPOLIS IN 46280 INDIANAPOL IS IN 46280 IV |p YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293- -7-1 _�E7Mdff6r 0 Rg3v.; M121 Mang =mm 'm= � 10 \ � MAT-3X5 U1ST GREAT I �Z 5� OO 5/09 2 , ` '_- ' MAT-4X6 U1ST GREAT I 5 19. 5O 5/09 5 18%18 WIPERS - 7. 20 - 5/09 � REPLACE-18X18 WIPERS 5 2. 45 - - � BAGGED 18X18 WIPERS 14. 4O - -9/09� < �� REPLACE-BAGGED 18X18 W ' 19 9. 31 - - � HANDLE/FRAME 24" — 2 5/09 � 24" DRY MOP 2 1. 58 12/09 2 � TERRYCLOTHS-UNIFIRST ' -- 100 l7� OO �3/10 75 cot r� REPLACE-TERRYCLOTHS-UN 8 6. 40 � � � SOIL LOCKER 2 6/09 � 8 COMPARTMENT LOCKER - 2 - 6/09 0001 1 GARY LAFOLLETTE 7� 92 5/09 LS SHIRT-65/35 6 S. S. SHIRT-65/35 ' 5 JEAN COTTON RIGQS CA 11 ' (}002 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 RIQgS CA 11 COVERALL-65/35 2 y. > 0004 4 BLAINE MALLABER 1. 06 5/09 COVERALL-65/35 2 0005 5 JEFF COOPER 4. 84 5/09 JEAN-WRANGLER RELAX 11 00{)6 6 DAVID TURNER 4. 84 5/09 JEAN-WRANGLER RELAX 11 � 0007 36 TONY HARVEY 4� 95 1/13 JEAN COTTON RIQGS CA 11 0008 8 DAVE DYE 7. 88 5/O9 JEAN-WRANGLER RELAX 13 LAB COAT-POLY/COTTON ' 9 COMPANY EMBLEM CHARG 1 3. 5O PREPARATION CHARGE 1 l� 5Q ' �� SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. | INVOICE NUMBER 082 0767238 REMIT TO: UniFirst Corporation INVOICE DATE 5/29/13 4201 INDUSTRIAL BLVD ,-r CUSTOMEpm (BILL TO) 809566 INDIANAPOLIS IN 46254 ND A/R NUMBER RTE# H4680 .^ CUSTOMER CITY OF CARMEL UTILITI �� 11111111111111111111 BQU/BH( �� PAYMENT � . 08207672380 U�U�� K�� K�� 'f� U�� - Please -_ ~'~~-'~' ' .~. .,~ Return With Payment ._ D-- �W UniFirst Corporation PAGE 002 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254 `= INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0767238 5/29/13 CHARGE 450172 a 809S66 809566 OOCITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES w 9609 HAZEL DELL PARKWAY 1 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 -v INDIANAPOLIS IN 462SO .� |F YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680 LIM �� -� SPECIAL SIZE CHARGE 1 2� 7(} - ' DAMAGE-LAB COAT-POLY/C 1 21. 02 4D 0009 9 JOE FAUCETT - -- 1. 06 -- --- 5/09 � COVERALL-65/35 -- - 2 ----- � 0010 10 LARRY SCHIMMEL ' - 2. 70 -- 5/09 � JEAN COTTON RIQQS CA 6 0011 11 BART CHAFIN -- 7. B1 --- - 5/09 m S. S. SHIRT-65/35 - 11 -- - - = JEAN--WRANGLER RELAX 11 mo�� 0012 12 DENNIS RUSS 4 84 5/09 � � � JEAN-WRANGLER RELAX 11 0 001 13 LONNIE PATTON ' - 7. 81 - 5/09 01 S S SHIRT-65/35 11 � � i � � - � JEAN-WRANGLER RELAX 11 4D 0014 14 ERIC ROBINSON 4. 95 5/09 JEAN COTTON RIGGS CA 11 0015 15 KEVIN BUHMANN 7. 92 5/09 C S. S. SHIRT-65/35 11 ` JEAN COTTON RIgGS CA' 11 / 0017 17 PETE 8RENNAN ' 7. 92� 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIGgS CA 11 0018 1B RO88IE KINKEAD 6. 01 5/09 JEAN COTTON RIGGS CA 1_1 COVERALL-65/35 2 0019 19 TARA RUBBISH 5. 58 5/09 PANT SCRUB 65y35 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 RIQGS CA 11 � / . '. COVERALL-65/35 2 0021 21 DALE RILEY 7. 92 5/09 S. S. SHIRT-65/35 11 JEAN COTTON RIQGS CA 11 0022 26 AARON HOOVER 4. 95 6/12 JEAN COTTON RIgGS CA ' 11 SERVICE HEREIN RENDERED mPURSUANT ToA WRITTEN cowrnAor CUSTOMER COPY | WITH um/p/nsT CORPORATION onum/F/ner HOLDINGS, INC. INVOICE NUMBER 082 0767238 nEw|TTo: UniFirst Corporation l� � |wv0|C� oAT 5/29/13 4201 INDUSTRIAL BLVD �'' � CUG0MsF# (BILL TO) 809566 INDIANAPOLIS IN 46254 A/R NUMBER RTE# H4680 n� m CUSTOMER CITY OF CARMEL UTILITI / PAYMENT /mmxwmmmxmnmommxwmmmmmmnxomommmmomx/mm * 082076?2380 Please Detach and Return 'With Payment _ � - UniFirst Corporation PAGE 003 4201 INDUSTRIAL BLVD INDIANAPOLI'S IN 46254 INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT 082 0767238 5/29/13 CHARGE 450-172 a 809566 809566 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES P 9609 HAZEL DELL PARKWAY [b 96017 HAZEL DELL' PARKWAY INDIANAPOLIS IN 46280 CU INDIANAPOLIS IN 46260 �/ . . � 17/293- 0023 27 JASON STEWART _ 4. 9s _ 6/12 ' JEAN COTTON RIAgS CA 11 0024 31 CALVIN COOPER ' 4. 84 6/12 � JEAN-WRANGLER RELAX - 11 � 0025 37 GARY MERRILL '— 7. 81 1/13 � - S. S. SHIRT-65/35 11 ' JEAN-WRANGLER RELAX 11 � 0026 29 CURT MANIFOLD 4. 84 6/12 a -- JEAN-WRANGLER RELAX 11 0027 28 RANDY MASSINGILL 5. 48 6/12 o JEAN COTTON RIGGS CA 11 � COVERALL-65/35 1 ` 0028 33 GREG EPP 4. 84 6/12 � JEAN-WRANGLER RELAX 11 0029 32 MICAH BECK 4. 95 6/12 JEAN COTTON RIQQS CA 11 DEFE CHARGE ' 10. 00 ` INVOICE SUB-TOTAL 283. 03 _ TOTAL SERVICE CHANGES AMOUNT DUE ~- THIS IS YOUR ONLY INVCE- NET 30 nAYS. PLEASE SIGN � SOIL PICA UP COUNT SH PT OT NO � ~ x �� SERVICE HEREIN CUSTOMER COPY WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC. VOUCHER # 135769 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 0820768942 01-7360-02 $410.08 0o?0'7 1o66o 01--736;-ob �Sy,31 OV2070933 01 -7U.7-6S 923.03 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 6/12/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/12/2013 0820768942 $410.08 I 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 ff' er