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210566 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362453 Page 1 of 1 ONE CIVIC SQUARE TEXON II TOWEL AND SUPPLY 0 CARMEL, INDIANA 46032 Po sox laso CHECK AMOUNT: $455.00 NOBLESVILLE IN 46061 -1450 CHECK NUMBER: 210566 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239001 22054 455.00 LINENS BLANKETS Invoice PO BOX 1450 Date Invoice Noblesville, IN 46061 -1450 6/8/2012 22054 Tel #800 328 -3966 Fax# 800 728 -4770 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation Attn: Accounts Payable 1235 Central Park Drive East 1411 East 1 16th Street Attn: Dawn Carmel, IN 46032 Carmel, IN 46032 *PLEASE NOTE NEW REMIT TO ADDRESS P.O. No. Terms Due Date Rep Ship Date Ship Via FOB per Dawn Net 30 7/8/2012 Wayne 6/8/2012 FED EX GROU... Item Description Ordered Invoiced Rate Amount Bar Mop 60230T Bar Mop /White 30 oz. 100 100 4.55 455.00 JUN 1 1 2012 z�. Purchase Cescription P.O. 303? P <r DF G.L. 1096 al- 4239OQ Bud get escr t Line W� �S.JG Purchaser Date Approval Date Thank You For Your Business! If Paying By Credit Card, Payment Should Be Made Within Total 10 Days of Reciept of Order, Or 3% Card Fee Will Be Added. Texon FED ID# 35- 1909428 $455.00 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 Towel Supply Terms P.O. Box 1450 Noblesville, IN 46061 -1450 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/8/12 22054 Fitness center towels 30871 455.00 Total 455.00 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 Towel Supply Allowed 20 P.O. Box 1450 Noblesville, IN 46061 -1450 In Sum of 455.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 22054 4239001 455.00 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 28 -Jun 2012 P&t M Signature 455.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund