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192267 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362453 Page 1 of 1 0 ONE CIVIC SQUARE TEXON II TOWEL AND SUPPLY CHECK AMOUNT: $212.50 CARMEL, INDIANA 46032 3250 N SHADELAND AVE INDIANAPOLIS IN 46226 CHECK NUMBER: 192257 CHECK DATE: 1 112 312 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239001 20222 212.50 LINENS BLANKETS Invoice Texon II, Inc. 3250 North. Shadeland Ave. Date Invoice Indianapolis, IN 46226 11/5/2010 20222 Tel# 800- 328 -3966 Fax# 800 -728 -4770 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Attn: Sarah Attn: Sarah Carmel, IN 46032 Carmel, IN 46032 P.O. No. Terms Due Date Rep Ship Date Ship Via FOB per Sarah Net 30 12/8/2010 Wayne 1 1/5/2010 Cust. Pick Up Indianapolis Item Description Ordered Invoiced Rate Amount BLUEBARMOP 17x20" Blue Bar Mop Blue double Stripe 50 4.25 212.50 r II1� fm ov 1 201 I Purchase De$crtptl JA P.Q. S P f G.L. Budget Llne es(� obi Purchaser p� Thank You For Your Business! Federal Tax ID 35- 1909428 Total s212.50 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 Indianapoiis, IN 46226 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1115!10 20222 Fitness towels 24058 212.50 EEE Total 212.50 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 ll, Inc. Allowed 20 3250 North Shadeland Ave Indianapolis, IN 46226 In Sum of 212.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 20222 4239001 212.50 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 18 -Nov 2010 Signature 212.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund