206985 03/13/2012 �,\wf CITY OF CARMEL, INDIANA VENDOR: 033900 Page 1 of 1
0 ONE CIVIC SQUARE CALDERON TEXTILES INC
CARMEL, INDIANA 46032 PO BOX 1627 CHECK AMOUNT: $1,955.16
INDPLS IN 46206 -1627 CHECK NUMBER: 206985
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239001 24332 3027662 1,955.16
INVOICE
REMIT TO: INVOICE
L Calderon Textiles, LLC
3027662
PO Box 1627
Indianapolis, IN 46206 -1627 Invoice Date Page
calderwexJCS 317- 388 -4214 02/24/2012 1 oft
ORDER NUMBER
1024815
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department Station 42
2 Civic Square 3610 W. 106th St.
Carmel, IN 46032 Carmel, IN 46032
US
Ordered By: Mr. Scott Osborne
Bill'I'o ID: 10792
PO Number Term Description Net Due Date
022312 Scott and Bob Net 30 Days 3/25/2012
Order Date Pick Ticket No Primary Salesrep Name Freight Terms
2/23/2012 3025035 Territory 31 FOB Calderon Distribution Center
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Renuiining UOAI Item Description P Price
Unit Size p Lac ID
Carrier: NOW Courier Trackin
24.0000 24.0000 0.0000 EA 501 -SWEET EA 6.750000 162.00
1.0 Pillow Gel Std Size 20x26 33oz Fill 101
Sweet Dreams Poly T -230 White With Piped
Edges
20.0000 20.0000 0.0000 D7_ 1001- 625EVER DZ 23.500000 470.00
12.0 Bath Towel 22x44 6.2516 EverestTM 101
EverestTM 84/16 C/P Blend
20.0000 20.0000 0.0000 D7_ 1003- 105EVER D!_ 38.950000 779.00
12.0 Bath Towel 25x5010.51bEverestTM lot
EverestT^' 84/16 C/P Blend White
10.0000 10.0000 0.0000 DZ 1021 I E V ER DZ 4.500000 45.00
12.0 Wash Cloth 12x 12 I lb EverestTM 101
EverestTM 84/16 C/P Blend White Overlock
30.0000 30.0000 0.0000 DZ 1011 -225BS DZ 6.950000 208.50
12.0 Hand Towel 15x25 2.251b Blue Strs 101
Calderon 100 Cotton White w/ three Blue Stripes
1.0000 1.0000 0.0000 BL 604- 1818HR BL 207.000000 207.00
1,250.0 Shop Towel 18x18 1701b Heavy Red 101
Calderon 100 Cotton Red
ORIG
INVOICE
REMIT TO:
INVOICE
Calderon Textiles, LLC
PO Box 1627 3027662
Indianapolis, IN 46206 -1627 Invoice Date Page
calderontextiJOS 317 388 -4214 02/24/2012 2 of
ORDER NUMBER
1024815
Quantities Pricing
(tern ID U0A1 Unit Extender!
Ordered Stripped Rerrmining U0A1 /tem Description Price Price
Unit Size q Loc !D
Total Lines: 6 SUB- TOTAL: 1.871.50
TOTAL FREIGHT. 83.66
TAX: 0.00
AMOUNT DUE: 1,955.16
THANK YOU from Calderon Textiles.
I. All claims for non- conforming delivery must be made within 10 days of the date of receipt of shipment.
2. Returned merchandise will be accepted only with prior written authorization and subject to a restocking charge.
3. Collection of delinquent accounts shall be subject to a seniice charge of 1% per month on the outstanding balance, plus attorneys' fees and court costs.
4. A charge of $50.00 will be assessed on non sufficient food checks.
5. This contract shall be governed by the laws of the State of Indiana.
All orders under $250 will be charged a processing fee of $15.
ONG
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3027662 $1,955.16
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 N
ALLOWED 20
Calderon Textiles
IN SUM OF
6069 Reliable Parkway
Chicago, IL 60686
$1,955.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
24332 I 3027662 I 42- 390.01 I $1,955.16 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
MAR i 2 2012
4 4
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund