225128 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION
o CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD CHECK AMOUNT: $581.70
INDIANAPOLIS IN 46254 CHECK NUMBER: 225128
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820799861 277 . 65 OTHER EXPENSES
651 5023990 0820801888 304 . 05 OTHER EXPENSES
Un1First Corpopat1on pxGs Onl
4 T�
2O1 INDU� IAL BLVD INDIANAPOLIS IN 46254
[ | �|
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0801888 10/02/13 CHARGE O |^ ~73L1 {]�� 45017/2_
809S66 809-566
CITY (-)F CARMEL. UTILITIES CITY OF CARIMEL UTILITIES
960V HAZEL DELL PARKWAY 9609 �-IAZ-EL DELL PARKWAY
TNDIANAPOl-lS IN 4,1.,280 INDIANAPOLIS IN 46280
| � \
oo ^ �
|F YOU HAVE A QUESTION REGAnoNGTn��YO�s CALL:� ' 317/293-5O�6 RT TEE# H4680
~�
R, MAT-3X5 U1ST GREAT I 2 5. 40 5!09 2
MAT-4X6 U]5T GREAT I 5 2I. 00 S/09 �
18X18 WIPERS 7 80 ' 5/09
�
REPLACE-18X13 WIPERS s 2� 75
�
�
BAGGED 18X18 WIPERS 17 5O 5/09
.
REPLACE-BAGIQE'D 18X18 W 20 11 OO
HANDLE/FRAME 24" - - 2 ' 5/09
��� 24" DRY MOP 2 1. 7(-.,) - 12/09 2
��� TERRYCLOTHS-UNIFIRST 100 19. 00 3/10 43
0 REPLACE-TERRYCLQTHS-UN B 6. 40
�
'�/O9
SOIL LOCKER �
-��
— 8 COMPARTMENT LOCKER :7Z 6/09
!
O0O1 1 QrARY LAFOLLETTE - B. 58 5/O9
w
LS SHIRT 65/35 6
_
=°
S. S. SHIRT-65/35 5
JEAN COT�8W RI�{�S CA 11
ODO2 34 LARRY E�D8�N 8 A.-11, 6/12
�
S� S.S SHlRT-65/35 ' 11
` Ch|
^ uuv JEAN-WRANGLER RELAX 11
0003 24 MIKE TURNER S. 96 l/11
~~ JEAN COTTON RIAGS CA 11
COVERALL-65/35 �
OD fl)4 4 BLAINE MALLABER 5/09
~~ COVERALL-65/35 2| / /
� - " + ��o5 5 JEFF COOPER 5. 22 5/09
JEAN-WRANGLER RELAX ll
0006 6 DAVID TURNER 5. 22y 5/09
JEAN-WRANGLER RELAX 1 �
0007 36 TONY HARVEY 5� 39 1/13
~� JEAN COTTON RIGGS CA 1I
OOo8 B DAVE DYE B 5B 5/09
JEAN--WRANGLER RELAX 13
~� L88 COAT-POLY/COTTON 9
0009 9 JOE FAUC,ETT 1. 14 . 5/09
COVERALL-65/35 2
-~
0010 10 LARRY SCHIMMEL 2. 94 5/O9
JEAN COTTON RIggS CA 6
��
SERVICE HEREIN RENDERED/u PURSUANT roA WRITTEN CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
i
• INVOICE NUMBER REMIT TO:
052 0E�'C18dct UniFirst Corporation
Iq INVOICE DATE 10/0'2/ 13 42v1 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) 809566 INDIANAPOLIS I N 46254
O A/R NUMBER RTE# H4680
1A CUSTOMER CITY OF C ARMEL UT I L I T I
�] PAYMENT AMOUNT
Please Detach and Return With Payment
=i -----
n�, y O 'iniFir=t Corporation PAGE 002
Ayer. 1�.1JL
® 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46224
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
. 0e2 OeO1986 10/02/ 13 CHARGE 450172
p aG 566 p 50 9-S 6 CS
p C ILTY OF' CIARMIEL UTILIATIES 6 �:.IT- OF CARMEL UT IL.ITIES
:0 9609 HAZEL. DELL PARKWAY 9609 HAZEL DELL PARKWAY
• • QO
INDIANAPOLIS S IN 46��80 � INDIANAPOLIS IN 462€30
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680
•
n I II• L uuu �
�o � u mug 1 Vu u
0011 11 BAR-r CHAF I N E3. 47 5/09
S. S. SHIN-65/35 11
y JEAN--WRANGLER RELAX 11
0012 12 TENNIS RUSS 5. 2B 5/09
L
°• JEAN—WRANGLER RELAX 11
0 13 13 LONNIE P 1TTON S. A•7 5/09
•m ' ' ' S. S. SHIRIr-6S/35 11
o, JEAN—WRANGLER RELAX 11
0014 14 ERIC ROBINSON 5. 39 5/09
g JEAN COTTON RIGGS CA it
m� 0015 15 KEVIN ,B..UHMANRI 8. 56 5/09
l S. S. SHIRT-•-65/35 11
JEAN COTTON RIGGS CA 11
m
�. 0017 17 PETE BRENNAN 8, 5B 5/09
S's, S. SHIRT-6.5/35 II
JEAN COTTON RIGGS CA 11
0016 18 ROBBIE KINKEAD 6. 53 5/09
` JEAN COTTON RIGGS CA 11
COVERALL-65/3S 2
0019 19 TARA RUBBISH 6. 10 5/09
PANT SCRUB 65/35 1 P 11
LAB COAT—POLY/COfTC1N 4
S'S SCRUB 65/35 1 PKT 11
0020 20 BRAD OLIVER 6. 53 5/09
IIL JEAN COTTON RIGGS CA 11
. _OVERALL-65/35 2
0021 21 DALE RILEY 8. 58 5/09
S. S. SiHIRT-65/35 11
• JEAN COTTON RIGGS CA 11
0022 26, AARON HOOVER S. 39 6/ 12
i t i JEAN COTTON RIGGS CA 11
• 0023 2 7 JASON STEWART 5, 39 6/ 12
JEAN COTTON RIGGS CA 11
0024 31 CALVIN COOPER 5. 28 6/12
• .JEAN—WRANGLER RELAX i 1
0025 37 GARY MER R I LL.. 6. 47 1/13
i 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
08 885 REMIT TO:
INVOICE DATE C8 0 i UniFirst C C "p OT G i Oi
10/ 0r./13 4201 1 NDUS�1 R I AL BLVD
CUSTOMER# (BILL TO)
A/R NUMBER 30,7566 7" E 4 Hq680 INDIANAPOLIS IN 46254
,A CUSTOMER CITY OF CARMEL U T i L I T 1
a PAYMENT AMOUNT $ � ,
I` '1B" - Please Detach and Return With Payment
n� D UniF.i r 5't Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
•
1, t INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
• 0132 0801888 10/02/ 13 CHARGE 450172
q 809566 p 809966
• P CITY OF CARMEL UTILITIES 6 CITY OF CARMEL UTILITIES
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
0 INDIANA P OLIS Iii 1�6 X80 � INDIANAPOLIS IN 46280
• IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293-5026 RTE# H4680
FaTF�J�� [m_(_q1F_ I=Eai) :11 vm Fg-o-&__IFHE7DFRK7F�
JEAN-WRANGLER RELAX 11
0026 29 CURT MANIFOLD 5. 26 6/12
z
JEAN—WRANGLER RELAX 11.
N
d
y
0027 28 RANDY MA SSINGILL 5. 96 6/12
t
°• JEAN COTTON RIGGS CA 11
COVERALL--65/35 1
d! 0026 ,33 GREG EPP S. 2E3 6/12
o. JEAN—WRANGLER RELAX 11
0029 32 M I C AH BECK 5. 39 6/'12
JEAN COTTON RIGGS CA 11
N
m� DE.FE CHARGE 11. 00.
m� LAN—GOING EMBLEM CHARGE 8. 54
ON—GOING PREPARATION CHRG 20. 25
•
INVOICE SUB—TOTAL 304. 05
• TOTAL SERVICE CHANGES
AMOUNT DUE
• ` L
i 'THIS IS YOUR ONLY INVCE— NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH P`l" OT NO
•
•
•
• SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS, INC.
Un1F1rst Corporation PAGE 001
--] 42O1 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
^ ^ ` ^
0B2 0799861 9/25/13 CHARGE r� -}��L~« .D 1 /� 45O172'
809S66 E3 aoc;�566
91,609 HAZEL DEUL PARKWAY 1?60? HAZEL- DELL PARKWAY
" ~
U�
|r YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 3l7/293_5O26 RTE# H4680
FEW71 G:m F CmLffi) vm a@& I mo FFm7
N�
�
18X18 WIPERS . . ' 7. 8O S/09
REPLHCE-I8X18 WIPERS 5 2. 75
BAGGED 18X1B WIPERS 17. 50 5/09
� REPLACE-BIAICT'QEI} 112-XIS W 20 ii. 00
�
� HANDLE/FRAME �Z4" 2 5/09
24" DRY MOP 2 1. 70 12/D9 2
`ERR YCLOTMS-UNIFIRST 100 19. 00 3/10 30
� REPLACE-TERRYC�OTHS-UN B 6. 4O
SOIL LOCKER 2 6/09
� ~=
� 8 COMPARTMENT LOC�(�R 2 6/09
° 0001 1 gARY LAFOLLETTE 8. S8 511109
LS SHIRT-65/35 6
S. . SHIRT-65/'315 SHIRT 65/35 5
� JEAN COTTON RIGGS CA 11
~�
0002 34 LARRY EIDBON 8. 47 6/12
S �� SHIRT-65/35 1 %
JEAN-WRANG-ER RELAX 11
0 0 0 3 24 MIKE TURNER 5� 96 1 /11
J N COTTOM RIQG'S CA 11
COVERALL-65/35 I
QDO4 4 BLAINE MALLA8ER 1. 14 51/09
COVERAL-L-65/35 2
0005 5 JEFF COOPER 5. 28 5/09
W�
JEAN-WRANGLER RELAX 11
[}006 6 DAVID TURNER S. 2`118 5/09
JEAN-WRANGLER RELAX 11
0007 3,15 TONY HARVEY H5. 39 1/13
JEAN COTTON RIGC'rS CA 11
OOOB B DAVE DYE 8. 58 5/09
m�
JEAN-WRANGLER RELAX 13
L/f8 COAT-POLf/CDTTON 9
0009 9 OOE FHUCETT 1. 14 5/09
COVER Ai-L-�55/35 2
0010 10 LARRY SCHIMMEL 2. 9-1 5/09
JEAN COTTQN RIGGS CA 6
OD11 11 BART CHAFIN 8, 417 5/09
5. S� SHIRT-65/35 11
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
�
WITH ow/r/nar CORPORATION onuw/F/nar HOLDINGS, INC.
INVOICE NUMBER 082 0799861 REM[TnI UniFirst Corporation
INVOICE DATE 13 4201' INDUS-TRIAL 8L_VD
oUSTOMER# (BILL TO) 80,956 6 I ND, IAN/4FOLI5 IN 4625-1
A/R NUMBER RTE# H4680
m CUSTOMER CIT� OF CARMEL UT�l, TI
PAYMENT � ||NNUU�|N|0i�U�U�UU||UN|U|N\8|�|U|0U80U�U0||&N||0N
�~ 08207998617
Please Detach and Return With Pa�������t ~
--�M-- ~
UniFirst Corporation PAGE 002
--� 4201 INDUSTRIAL 8LVD INDIANAPOLIS IN 46254
|mvO|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
« ^ ^ ^ O82 �799861 9/�Z5/13 CHAR�E 450172
V609 HAZEL- I)EL.L. PARKWAY IF609 HA-Ef_ DfEELL PARKWAY
. � �
^ ^ ;'
I* IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293_5026 RTE# H4680
auv.I mml 1 011�6 1 ao= 11 among jammu mug 11 oov. I Qp
~�
�.
\ \ JEAN-WRANQLER RELAX 11
001.2 12. DENNIS RUSS 5. 28 5109
JEAN-WRANGLER RELAX 1l
�
0013 13 LONNIE PATTON 8. 47 5/09
� G. S. SHIRT-65/35 11
<~= JEAN-WRANGLER RELAX 11
[ O1014 l4 ERIC ROBINSON 1-5. 39 5/09
JEAN COTTON RIQGS CA 1l
00 15 15 KEVI N 8UHMANN 8� 5B 511,09 9
�
�
S. S. SHIRT-65/35 �1
� JEAN COTTON RIGQS CA 1l
OO17 17 PETE 8RENNAN 8. 58 5/09
� JEAN COTTON RIGGG CA 1l
m�
0018 18 RO8BIE MINHEAD 6. 53 5/09
JEAN COTTON RIQGS C/\ 11
COVERALL-65/35 2
0019 11� TARA RUBBISH 6. 10 5/09
PAN-,- SCRUB 65/35 1 P 1 l
�6
L/48 COAT-POLY/COTTON 4
SS SCRUB 65/35 I PKT 11
QO2D 20 BRAD OLIVER 6. 53 5/09
JEAN COTTON RIGGS C4 11
COVERALL-65/35 2
DD2� 21 D A L E R�LEY B 58 5�O9
| �
G� S� 5HIRT-b5/35 � 1
JEAN C[]TION RIQGS CA � l
0022 26 AARON HOOVER 5. 39 6/12
J��AN COTTON RIGgG CA 11
0023 27 JASON BTEWART 5. 39 6/12
, 1; L JEAN COTTON RJRQS CH 11
0024 3 CALVIN COOPER S. 2B 6/12
JEAN-WRANGLER RELAX 11
0025 37 GARY MERRILL 8. 47 l/13
S. S. SF1%RT-6E/35 11
:1EAN-WRANGLER RELAX zl
��
SERVICE HEREIN RENDERED/a PURSUANT roA WRITTEN CONTRACT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
INVOICE DATE 9/25/13 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO) p
~wz,
~ � / �� H4680'' '`~~~-''
* C""'O°=" ci / Y ur c*nn�L. u/ I|-I | I
��
�m ' "'""^'`' -=""'^' w
\ t16 1, ---- ' ' '--- '
Please Detach and Return With Payment
�
UniF1rst Corporat1on PAGE 003
--] 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0799861 9/25/13 CHARGE 450172
0 CITY --)F CARME! UT 11 ITI ES (b CITY OF CARIMEL UTILITIES
1 9609 HAZEL DEL.L PAW
9160? HAZEL DELL PARKWAY KWAY
=
' o
IF YOU HAVE AOusST0w REGARDING THIS INVOICE,CALL: 317/293-S026 RTE# H4680
m�
0026 29 CURT MANIFOLD 5. 28 6/12
' JEAN-WRANGLER RELAX 11
0027 2-18 RANDY MASSINGILL 5. 96 6/12
@
JEAN COTTON RIGC-x�S CA 11
�
� COVERALL-6S/35 1
0028 33 AREG� EPP 5. 28 6/12
JEAN-WRANGLER RELAX 11
S 0029 3C. MICAH BECK 5, 39 6/12
JEAN COTTON RIgQG CA 11
cr
0 '
� DEFE CHARGE 11. DO
ON- �
�OINg EMBLEM CHARGE @ 54
�^ ^ ^
ON GOING pREPARATTON CHRG 20. 25
INVOICE SUB...TOTAL 277. 65
TOTAL SERVICE CHANGES
^ ^ ^
AMOUNT DUE
THIS IS YOUR ONLY INVCE- NET 30 DAYS. PLEASE SIGN
SOIL PICK UP COUNT SH PT OT NO
To Our Valued Customers: Due to the steady increasm in energy related
costs, mhich has affec�ed mang portions of uur cmst stru�ture, we find
it necessery to increase your pricing, effective with this delivery.
~�
��
SERVICE HEREIN RENDERED m PURSUANT CUSTOMER COPY
WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
VOUCHER # 136503 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
0820801888 01-7362-05 $304.05
Nk-7 9$61 a--736;? fib a��,roS
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 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 0820801888 $304.05
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 Officer