226496 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 360025 Page 1 of 1
ONE CIVIC SQUARE UNIFIRST CORPORATION CHECK AMOUNT: $277.65
y�t? CARMEL, INDIANA 46032 4201 INDUSTRIAL BLVD
ti�ron �. INDIANAPOLIS IN 46254 CHECK NUMBER: 226496
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0820811951 277 . 65 OTHER EXPENSES
UniFirst Corporation PAGE 001
taw O U 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
O 32 0811951 11/06/13 CHARGE 01 � 3(o0 o a 450172
D
CITY OF CARMEL UTILITIES 0 CITY OF CARMEL UTILITIES
9609 HAZEL DELL PARKWAY d 9609 HAZEL DELL PARKWAY
� ( II INDIANAPOLIS IN 46280 4 INDIANAPOLIS IN 46280
O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293- RTE# H4680—
. � , , �
• a omT ' mm gun
CrD
REPLACE-18X1.8 WIPERS - S 2. 75 -
z� BAGGED 18X18 WIPERS ______. 17. 50 --- 5/09
REPLACE-NAGGED 18X 18 W -- 20 11. 00
- - - -
t HANDLE/FRAME 24" - .__ r 5/09
24" DRY MOP 2 1. 70 12/09 2
ml� TERRYCLOTHS-•UNIFIRST - - 100 19. 00 - 3/10 83
REPLACE-TERRYCLOTHS°UN 8 6. 40 -
o SOIL LOCKER 2 6/09
8 COMPARTMENT LOCKER 2 6/09
0001 1 GARY LAFOLLE'TTE S. 58 5/09
LS SHIRT-65/35 6
S. S. SHIRT--65/35 _ 5
JEAN COTTON RIGGS CA 11
c 0002 34 LARRY EIDSON 6. 47 6/12
S. S. SHIRT-65/35 11
JEAN-WRANGLER RELAX 11 -
0003 24 MIKE TURNER S. 96 1/11
! b JEAN COTTON RIGGS CA 11
COVERALL--65/35 1
0004 � 4` BLAINE MALLA13ER 1. 14 5/09
COVERALL-65/35 2
QvkM' 5' JEFF COOPER 5. 28 5/09
JEAN-WRANGLER RELAX 11
r 0006 6 DAVID TURNER S. 26 S/09
JEAN—WRANGLER RELAX 11
007 36 TONY HARVEY J 5. 39 1/13
JEAN COTTON RIGGS CA 11.
GO08 8 DAVE DYE: 8. S8 5/09
JEAN--WRANGLER RELAX 13
LAB COAT-POLY/COTTON 9
l 0009 9 JOE FAUCETT 1. 14 5/09
COVERALL-65/35 2
0010 10 LARRY SCHIMMEL 2. 94 5/09
JEAN COT'T'ON RIGGS CA 6
0 0011 11 BART CHAFIN 8. 47 5/09
1 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 082 0F3119S1 REMIT TO: UniFirst Corporation
i , INVOICE DATE 11/06 809566' 13 4201 INDUSTRIAL BLVD
CUSTOMER# (BILL TO)
INDIANAPOLIS IN 46254
A/R NUMBER RTE# H4680
,A CUSTOMER CITY OF CARMEL UTILITI
PAYMENT AMOUNT $ 0820811951Z
5g, q m Please Detach and Return With Payment e
O UniFirst Corporation PAGE '002
0 4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
INVOICE DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
082 0511951 11/06/13 CHARGE 450172
8UV
03 CITY OF CARMEL UTILITIES 0 CITY OF CARMEL UTILITIES
p 9609 HAZEL DELL PARKWAY 6 9609 HAZEL DELL PARKWAY
ll l 4 INDIANAPGALIS IN 46280 Q INDIANAPOLIS IN 46280
O
IF YOU HAVE A QUESTION REGARDING THIS INVOICE,CALL: 317/293—:;;11jr-CD RTE# `ta
Gam, C 0 eg ZY L`CO° a _5m
#OLh
0012 12 DENNIS RUSS - - 5. 28 - - 5/09
z JEAN--WRANGLER RELAX - - 11
0013 13 LONNIE PATTON - 8. 47 5/09
t S.`S. SHIFT--65/35 - -- 11
JEAN-WRANGLER RELAX 11
m 111. 0014 14 ERIC ROBINSON 5. 39 5/09
JEAN COTTON RIGGS CA 11
0 0015 15 KEVIN BUHMANN 8. 58 5/09
S. S. SHIRT-65/35 11
JEAN COTTON RIGGS CA 11 _
0017 17 PETE BRENNAN 8. 58 - 5/09
co
S. S. SHIRT•--6S/35 11
JEAN COTTON RIGGS CA 11
0018 18 ROBBIE KINKEAD - 6. 53 5/09
JEAN COTTON RIGGS CA 11
COVERALL--65/35 2
0019 19 TARA RUBBISH 6. 10 5/09
t � . PANT SCRUB 65/35 1 P 11
LAB COAT-POLY/COTTON - 4
SS SCRUB 65/35 1 FKT 11
0020 20 BRAD OLIVER 6. 53 5/09
JEAN COTTON RIGGS CA 11
COVERALL-65/35 2
l l 0021 21 DALE RILEY 8. 58 5/09
S. S. SHIRT--65/35 11
JEAN COTTON RIGGS CA 11
0022' 26 AARON HOOVER 5. 39 6/12
JEAN COTTON RIGGS CA 11
0 0023 27 JASON STEWART 5. 39 6/12
JEAN COTTON RIGGS CA 11
i J 0024 31 CALVIN COOPER 5. 28 6/12
JEAN--WRANGLER RELAX 11
025 37 GARY MERR I LL 8. 47
1/13
S. S. - SHIRT°65/35 11
• JEAN-WRANGLER RELAX 11 M I y 1ng4
SERVICE HEREIN RENDERED IS PURSUANT TO A WRITTEN CONTRACT CUSTOMER COPY
I �� WITH UNIFIRST CORPORATION OR UNIFIRST HOLDINGS,INC.
INVOICE DATE ^ ^' ~~' ^~ 4201 _____ .R_A_ BLVD
CUSTQMER# (BILL TO) B09566 INDIANAPOLIS IN +6254
A/R NUMBER RTE# H4680
1A CUSTOMER CITY OF CARMEL UTILITI�� ..~~._.`~.~.~. 111111111-----_�
�o - ' ~''~^'`' -^`'~~`' ~ 0820BLI951Z
Please Detach and Return With Payment
- UniFirst Corporation PAGE 003
4201 INDUSTRIAL BLVD INDIANAPOLIS IN 46254
|Nv0|Cs DATE PAYMENT TERMS PURCHASE ORDER CONTRACT
'
082 0811951 11/06/13 CHARGE 450172
CITY OF CARMEL UTILITIES D CITY OF CARMEL UTILITIES
960151 HAZEL DELL PARKWAY 9?609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
.�
17/293-
�vn ' n*nIru u z �o o' ^e
�
`B=AN-WRANGLER RELAX -- -- 11 ' -- - -
. `
0027' 28 RANDY MASSINGILL - ---' 5. 96 - --- �� 6/12
JEAN COTTON RIgGS CA---- 11 ----- -
COVERALL-65/35 -- 1 --
�
0028 33 GREG EPP ' - 5. 28 6/12
JEAN-WRANGLER RELAX -- -- 11 ----
'
0029 32 MICAH BECK - --- 5. 39 --- -- 6/12
JEAN COTTON RIgGS CA- — 11
�~ ]
�
�
DEFE CHARGE �- - -- 11. 00 -
� ^
ON-GOING EMBLEM CHARGE B' 54 -
ON-GOING PREPARATION CHRG 20. 25 ' -
INVOICE SUB-TOTAL ' 277. 65 -
TOTAL SERVICE CHANGES '
� ) � o - - ---------' ---'
`.
AMOUNT DUE
- `
THIS IS YOUR ONLY INVCE- NET 30DAYS
~ ' - '"
= ' 'm'-
SOIL PICK' UP COUNT SH __ PT -- OT ' NO ____,
~~ -
-
��Y! ` '
_ -'- _'
osnv�s*swsw
=� � "E""E"E"=," "°""'''="^""'"°"' CUSTOMER �DP�
/ !| wn*uw/p/noroonponArowonuw/Fmor*ouowea./wo. /
VOUCHER # 136773 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
0820811951 01-7360-02 $277.65
i
j
Voucher Total $277.65
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 11/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201, 0820811951 $277.65
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