184832 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: T359567 Page 1 of 1
ONE CIVIC SQUARE THE LIFEGUARD STORE INC
CARMEL, INDIANA 46032 2012 WEST COLLEGE AVE CHECK AMOUNT: $1,781.00
NORMAL IL 61761 CHECK NUMBER: 184832
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 INVO05799 981.00 SAFETY SUPPLIES
1094 4239039 INVO05799 325.00 GENERAL PROGRAM SUPPL
1094 4356004 INVO05799 475.00 STAFF CLOTHING
r-
D �PAD S THE =LIFEGUARD= STORE, INC Inv oice pM 1 THE SWIM TEAM STORE
o° THE CLOTHING STORE
DATE INVOICE
sr 3 2012. WEST COLLEGE P 3 2010
NO,RMAL- 4L 04 INV005799
PH (309) 451 -5858
FAX (309) 451 -5959 II II IIIIIIIII IIIIIIII�IIIII11111II
www. thel ifeg ua rd store, corn
i l li fifi
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Michael W Klitzing Attn: Denisse
1411 East 116th Street 1235 Central Dr. East
Attn. Accounts Payable Carmel, IN 46032
Carmel, IN 46032
Account Number: 22431
23269 NET 3D 006 03 /lOJ2D10 GROUND
L*NTM ITEM CODE DESCRIPTIO
100 342020 Seal Easy Mask w/1 -way valve $7.50 $750.00
15 112MESH 40" Super Rescue Tube with reach assist, 6 foot tow line and shoulder $48.00 $720.00
harness
80 170R Red Fox 40 Classic Whistle Color: Red $2.95 $236.00
Page 1 of 1
FedEx Tracking Number:
Pumhass
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P.O.tI a�9 w arp
Ld X 75 OC1 t�fct F �'lvfl�
Purches� 5. lX� /�Y4C/YQYyJ SGT /1J
AppWall Date U
Subtotal $1,706.00
Shipping $75.00
Tax $0.00
TOTAL $1,781.00
All Balances must be paid within thirty (30) days of invoice date. A 1.5% montly finance Oalanc e =Due $1,7$ 1. 00
charge will be applied to afl over due balances.
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.
T359567 Lifeguard Store, Inc., The Terms
2012 W. College Ave.
Normal, IL 61761
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/6/10 INVO05799 Aquatic Safety supplies 23269 F 981.00
4/6/10 INVO05799 Aquatic Staff clothing 23269 F 475.00
4/6/10 INVO05799 Aquatic Program supplies 23269 F 325.00
Total 1,781.00
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.
T359567 Lifeguard Store, Inc., The Allowed 20
2012 W. College Ave.
Normal, IL 61761
In Sum of
1,781.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094- INVO05799 4239012 981.00 1 hereby certify that the attached invoice(s), or
1094 INVO05799 4356004 475.00 bill(s) is (are) true and correct and that the
1094 INVO05799 4239039 325.00 materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Apr 2010
Signature
1,781.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund