257717 04/22/16 a '•4dg\
CITY OF CARMEL, INDIANA VENDOR: 366981
® ONE CIVIC SQUARE METRO SWIM SHOP CHECK AMOUNT: $***.****360,00*
f• ?� CARMEL, INDIANA 46032 1221 VALLEY ROAD CHECK NUMBER: 257717
STIRILING NJ 07980 CHECK DATE: 04/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 65619 360.00 GENERAL PROGRAM SUPPL
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.
366981 Metro Swim Shop Terms
1221 Valley Road
Stirling, NJ 07980
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/17/16 65619 Sea Dragons Swim Caps 39560 $ 360.00
Total $ 360.00
I 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.
366981 Metro Swim Shop Allowed 20
1221 Valley Road
Stirling, NJ 07980
In Sum of$
$ 360.00
}
ON ACCOUNT OF APPROPRIATION FOR j
109 -Monon Center
I
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-10 65619 . 4239039 $ 360.00 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
I
April 12, 2016
t
i
1
I
Signature
$ 360.00 ; Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
Invoice
s.7i t �j C EI W ED
.P a
rUATE `LINUOIG #Y
1 2016 i
�= 1,wtIE SWIfIKMR`5 CHOICE APR 1 3/1Tl1'6 -�- 65s
.1ri�4LCl �� T11tUNC,
8)647-8121 FAX!908)903-0546 BAY;
BILL TO SHIP TO
Carmel Clay Parks & recreation MCC - East
Accounts Payable 1235 Central Park Drive East
1411 E 116th Street Carmel, IN 46032
Carmel, IN 46032
P�O�N ~�- TERMS REP SHIP V11A F.O.B.
11
39560 Net 30 BDH 3/17/16
OU TI"Y DESCRIPTION PRICE EACH AMOUNT
120 Caps - Custom Latex Swim Caps with same 2.85 342.00
- 2-color print on both sides - CCPR Sea
Dragons
1 UPS Shipping Charge 18.00 18.00
PO# 39560
-- --- _ – #393.92 -
2/22/16
Thank you for your confidence in METRO SWIM SHOP. y _u ti . _g, _,q—