HomeMy WebLinkAbout185435 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364137 Page 1 of 1
ONE CIVIC SQUARE STAYWELL COMPANY
CHECK AMOUNT: $1,076.00
CARMEL, INDIANA 46032 PO BOX 90477
v o CHICAGO IL 60696 -0477 CHECK NUMBER: 185435
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 6535402 1,076.00 GENERAL PROGRAM SUPPL
Q-Sta
1
Inv oice
Number
780 Township Line Road, Yardley PA 19067 6535402
FOR ORDERING OR CUSTOMER SERVICE Date Page
American Red Cross 800- 667 2968 (v p APR -10 1 1 of 1
Fax: 877- 297 -8525 Y IM f1 �}O y ry Customer Number /Site ID
Email: arc @staywell.com U L I V
www.shopstaywell.com 1314399 1752395
FOR BILLING INQUIRIES: 800 -456 -7882 13 Purchase Order N umber
THIS INVOICE NO- MUST APPEAR ON ALL PAYMENTS AND
CORRESPONDENCE RELATED TO THIS INVOICE,
_23388
BILL TO:
Attn: Accounts Payable SHIP TO:
Carmel Clay Parks Recreation Eric Mehl
1411 E. 116th St. Carmel Clay Parks Recreation
CARMEL IN 46032 1235 Central Park Drive East
CARMEL IN 46032
SALES ORDER SHIP DATE SHIP VIAISHIPPING REFERENCE FEDERAL ID #94- 3151780
3526166 23- APR -10 JUPSCorporate 0 DUNS 02- 001 -8784
ORDERED BY PAYMENT TERMS DUE DATE SALESPERSON 11 1 30 NET 23- MAY -10 Menge, Terry
ITEM NUMBER
DESCRIPTI
ORD ERED
1 651312 Water Safety Instructor's Candidate Kit, (EA) 25 25 37.95 948.75
Rev. 2109
2 651315 Longfellow's WHALE Tales K -6 Educational 4 4 14.95 59.80
Packet, (EA) Rev. 2109
3 651324 Swimming and Water Safety Stroke Posters, 1 1 35.00 35.00
(set /7) Rev. 2109
4 Shipping and Handling Purchase RSr A b p 1 1 32.45 32.45
Description
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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.
StayWell Company, The Terms
P.O. Box 90477
Chicago, IL 60696 -0477
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4123110 6535402 First Aid Class supplies 23388 1,076.00
Total 1,076.00
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.
StayWell Company, The Allowed 20
P.O. Box 90477
Chicago, It_ 60696 -0477
In Sum of
1,076.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 6535402 4239039 1,076.00 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
5 -May 2010
Signature
1,076.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund