185413 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364134 Page 1 of 1
ONE CIVIC SQUARE ROCKY MOUNTAIN SUNSCREEN CHECK AMOUNT: $249.67
CARMEL, INDIANA 46032 14700 W 66TH PLACE, SUITE 2
ARVADACO 80004 CHECK NUMBER: 185413
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 21530 249.67 SAFETY SUPPLIES
Rock loun,tain_Sunscreen, Invoice
14700- 66th Pla #2 NUMBER
G f�rva R o C Fi Y 888.3568$99; 30 3.940.9809 Fax m O u flT A l fl r2�.50
www.rmsunscreen.com s u n s c r ee n
BILL TO SHIP TO
Carmel Clay Park Rec Carmel Clay Park Rec
Ferro Gerske Carrie Keaveney
1411 E. 116th St. 1235 Central Park Dr. East
Carmel, IN 46032 Carmel, IN 46032
P.O. Number TERMS DUE DATE REP SHIP F.O.B. ORDER DATE
23436 Net 30 5/22/2010 HOU 4/22/2010 Arvada 04/22/10
ITEM CODE DESCRIPTION QUANTITY PRICE EA. AMOUNT
10106 Gallon Pump SPF -45 Sunscreen 2 117.00 234.00
Subtotal 234.00
Shipping Shipping Handling 1 15.67 15.67
o x PTR R)R
APP 3 r') 2010
BY:
Purchase
Des 4
Description 4
P.O. P orOR
G.L. io� a�o1a
Bud et
Line�escr
Purchaser Date
Approval Date
Thank you For your business.
TOTAL $249--67-- n
Title to above merchandise delivered is retained by the seller until paid in full,
including freight. All invoices not paid in full within above terms are subject to
maximum allowable service charges retroactive to the shipping date. Balance I C1�C1f1Ce Du e $249.67
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.
Rocky Mountain Sunscreen Terms
14700 W 66th Place, Suite 2
Arvada, CO 80004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/22110 21530 Sunscreen 23436 249.67
Total 249.67
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.
Rocky Mountain Sunscreen Allowed 20
14700 W 66th Place, Suite 2
Arvada, CO 80004
In Sum of
249.67
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #rFITLE AMOUNT Board Members
Dept
1094 21530 4239012 249.67 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
5 -May 2010
Signature
249.67 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund