177866 09/29/2009 F 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: $80.00
INDIANAPOLIS IN 46226
CHECK NUMBER: 177866
CHECK DATE: 9/29/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239001 18619 80.00 LINENS BLANKETS
1 i
Invoice
Texon II, Inc.
3250 North Shadeland Ave. Date Invoice
Indianapolis, IN 46226 8/23/2009 18619
Tel# 800 328 -3966 Fax# 800 728 -4770
Bill To Ship To
4k Carmel Clay Parks Recreation Carmel Clay Parks Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Attn: Sarah Attn: Carrie
Carmel, IN 46032 Carmel, IN 46032
P.O. No. Terms Due Date Rep Ship Date Ship Via FOB
22447 Net 30 9/23/2009 Wayne 8/19/2009 Cust. Pick Up Indianapolis
Item Description Ordered Invoiced Rate Amount
11720GoldBMop 17'x20' Gold Stripe Bar Mop 20 20 4.00 80.00
SEP 0 1 2009
Y::
Purchase
Description T,r m tctiels
P.O. F o6
G.L.#
Budget
Line Descr LI'lq y.- -bn Q J
Purchaser Date
Approval Date
Thank You For Your Business! Federal Tax ID 35- 1909428
Total ;Sso.00
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
8/23/09 18619 Towels /mops 22447 F 80.00
Total 80.00
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
a' 80.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 18619 4239001 80.00 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
24 -Sep 2009
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund