215554 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 360457 Page 1 of 1
ONE CIVIC SQUARE 2XL CORPORATION CHECK AMOUNT: $867.80
.ro CARMEL, INDIANA 46032 2415 BRAGA DRIVE
a a� BROADVIEW IL 60155-3941 CHECK NUMBER: 215554
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 139432 867 . 80 OTHER MAINT SUPPLIES
Invoice
2XL Corporation 139432
2415 Braga Drive Pp# 31130
Broadview IL 60155-3941 -•-
United States ; Entered By Tom Dolan
www.2xlcorp.com Terms . Net 30
Due Date 1/9/2013
Balance 11735.60
Invoice/Ship Date 12/10/2012
Shipping Method FedEx Gro_undo
Accounts Payable 815152616369966
Carmel Clay Parks & Recrea... 815152616369874
1411 E. 116th St. ",; %, � 815152616369898
Carmel IN 46032 815152616369911
DEC 10 2012 Tracking # 815152616369935
815152616369942
BY: 815152616369973
---_—_ 815152616369881
815152616369928
815152616369959
Carmel Clay Parks & Recreation
11.5 ! cs 2XL-36 GymWipes Advantage Wipes - 68.22 784.53
Premoistened Surface Cleaning Wipes
- 900 count (4 per case) - 10% off
MSRP
1 FedEx Ground@ 83.27 83.27
Porchas9 n
Description L
P.O.# P F
G.L.# /-
Budget
_. .... Line Descr. _
Purchase Date $867.80
_..._... _. Approval Date
Contact us via email: support@2xlcorp.com;Phone:708-344-4090
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,.,....�_..._ _4
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.
360457 2XL Corporation Terms
2415 Braga Drive
Broadview, IL 60155-3941
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/10/12 139432 Gym wipes Dec'12 31130 $ 867.80
,Total $ 867.80
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,
360457 2XL Corporation Allowed 20
2415 Braga Drive
Broadview, IL 60155-3941
In Sum of$
$ 867.80
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept#
1096-21 139432 4238900 $ 867.80 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
13-Dec 2012
Signature
$ 867.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund