252345 1 2/08/1 5 u! \ CITY OF CARMEL, INDIANA VENDOR: 369397
g tl ONE CIVIC SQUARE LINCOLN AQUATICS CHECK AMOUNT: $*******340.25*
9� =q; CARMEL, INDIANA 46032 2051 COMMERCE AVE CHECK NUMBER: 252345
CONCORD CA 94520 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4237000 340.25 REPAIR PARTS
l Lincoln Aquatics Invoice
LINCOLN Con Commerce Avenue 7BY:
--
Concord,CA 94520
A 0 U A T / C S FTff
��� Invoice Number:
800-223-5450 S 1280192
FAX:888-680-2825 0 2 015
925-687-9500 Invoice Date:
11/20/15
Bill To: Ship To:
Carmel Clay Parks & Rec Carmel Clay Parks & Rec
Eric Mehl Attn: Jim Ransford - PO#39255
1411 East 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
Customer ID P.O. Number Your Reference Ship Via Carrier
CCP21 39255 Parts for PAL Lift FOB Origin United Parcel Service
Terms Order Date Salesperson Our Order No.
Net 30 Days 11/18/15 Howard Baetzhold SO275375
Item/Description UOM Quantity Unit Price Total Price
Ordered Shipped B.O.
200-3333 PAL Swivel Castor and Brake EACH 2 2 149.75 299.50
81-000 PAL Replacement Support Arm Rubber Tip EACH 2 2 1.75 3.50
Tracking No. :1Z3340W00361264181
Thank you for your order!
Handling: 3.95
Freight: 33.30
Amount Subject to Amount Exempt Subtotal: 340.25
Sales Tax from Sales Tax Total Sales Tax: 0.00
0.00 340.25
Total: 340.25
Visit us online at:www.lincoinaquatics.com
E-mail us at:accounting@lincolnaquatics.com
Page 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.
369397 Lincoln Aquatics Terms
2051 Commerce Avenue
Concord, CA 94520
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/20/15 S1280192 Aquatic PAL Lift Replacement parts 39255 $ 340.25
Total $ 340.25
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
120
Clerk-Treasurer
i
Voucher No. Warrant No.
369397 Lincoln Aquatics Allowed 20
2051 Commerce Avenue
Concord, CA 94520
In Sum of$
$ 340.25
I
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 S1280192 4237000 $ 340.25 I 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
i which charge is made were ordered and
l received except
I
i
i
December 1,2015
Signature
$ 340.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund