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178417 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362453 Page 1 of 1 ONE CIVIC SQUARE TEXON II TOWEL AND SUPPLY CARMEL, INDIANA 46032 3250 N SHADELAND AVE CHECK AMOUNT: $838.25 INDIANAPOLIS IN 46226 CHECK NUMBER: 178417 CHECK DATE: 10/1412009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239001 18744 838.25 LINENS BLANKETS Nw- f Invoice Te n II, Inc. E3 Shadeland Ave. Date Invoice Indianapo'hs, IN 46226 (,9/_1.6/2009 18744 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 Net 30 9/16/2009 Wayne 9/14/2009 Cust. Pick Up Indianapolis Item Description Ordered Invoiced Rate Amount 1244880OWBS 24'x48' White w/ Blue Stripe Towel (Dozen) 35 35 19.95 698.25 11720GoIdBMop 17'x20' Gold Stripe Bar Mop 35 35 4.00 140.00 THIS IS A R INVOICE. i' 2 2 2009 t! Purchase T Description a I w s P.O. J c P ?f eF G.L.# Bud Line Descr Purchaser Date «approval Date Thank You For Your Business! Federal Tax ID 35- 1909428 Total �s38.2s_ 1 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 9/16/09 18744 Towels /mops 22565 F 838.25 Total 838.25 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 838.25 ON:A000UNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 18744 4239001 838.25 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 7 -Oct 2009 Signature 838.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund