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190018 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362453 Page 1 of 1 ONE CIVIC SQUARE TEXON II TOWEL AND SUPPLY CHECK AMOUNT: $526.50 CARMEL, INDIANA 46032 3250 N SHADELAND AVE o� `a INDIANAPOLIS IN 46226 CHECK NUMBER: 190018 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239001 19884 526.50 LINENS BLANKETS �w Invoice Texon II, Inc. 3250 North Shadeland Ave. Date Invoice Indianapolis, IN 46226 8/21 /2010 19884 Tel# 800 328 -3966 Fax# 800- 728 -4770 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Attn: Sarah Attn: Sarah Carmel, IN 46032 Carmel, IN 46032 P.Q. No. Terms Due Date Rep Ship Date Ship Via FOB per Sarah Net 30 9/21/2010 Wayne 8/14/2010 Cust. Pick Up Indianapolis Item Description Ordered Invoiced Rate Amount 11720Go]dBMop 17'x20' Cold Stripe Bar Mop 30 30 4.25 127.50 1244880OWBS 24'x48' White w/ Blue Stripe Towel (Dozen) 20 20 19.95 399.00 p 9 W 13 AUG 3 0 2010 BY:....................... Purchase Description U~<I l P.o. 3 5 9 p cc G.t.. 1 OCI 10 4 23q oa l Budget line Desc r LII�1u J L Jkg5 Purchaser Date Approval U Date �ts Thank You For Your Business! Federal Tax ID 35- 1909428 Total S526-50 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show, kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 362453 Texon II, Inc. Terms 3250 North Shadeland Ave Indianapolis, IN 46226 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/21110 19884 Fitness towels 23859 526.50 Total 526.50 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 20_ Clerk- Treasurer Voucher No. Warrant No. 362453 Texon II, Inc. Allowed 20 3250 North Shadeland Ave Indianapolis, IN 46226 In Sum of 526.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT XTITLE AMOUNT Board Members Dept 1096 -21 19884 4239001 526.50 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 9 -Sep 2010 Signature 526.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund