186924 06/23/2010 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: $34.00
NORMAL IL 61761
CHECK NUMBER: 186924
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239045 INVO16206 34.00 RETAIL GOODS
��pea s THE LIFEGUARD STORE, INC.
Invoice
THE SWIM TEAM STORE 0 TO R VIE
THE CLOTHING STORE
INVOICE
2012 WEST COLLEGE
2010 DA
NORMAL, IL 61761 06/08/2010 INVOI6206
PH (309) 451 -5858 sy` u...
FAX (309) 451 -5959 II II I III IIII illlll�lllllll�lllll�l III
www.thelifeguardstore.com
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Michael W Klitzing Attn: Audrey Hughey
1411 East 116th Street 1235 Central Park Dr. East
Attn. Accounts Payable Carmel, IN 46032
Carmel, IN 46032
Account Number: 22431
o
1092- 4239045 N=30 006 06/08/2010 GROUND
QUANTITY ITEMCODE DESCRIPTION AMO
15 930506 Nike Latex Cap..Color: Black $1.75 $26.25
Page 1 of i
Fed Ex Tracking Number:
052038863289341
Purchase L LAPS
Description AV
P.O. g P or F
e "d et
une Descr 2f_ j (L G DOL)5
Purchaser Date
Approval Date
Subtotal $26.25
Shipping $7,75
Tax $0.00
TOTAL $34.00
All Balances must be paid within thirty (30) days of invoice date. A 1.5% montly finance Balance Due $34.00
charge will be applied to all over due balances.
ACCOUNTS PAYABLE VOUCHER
A 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
6!8110 INVO16206 Latex caps 34.00
Total 34.00
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
1 20_
Clerk Treasurer
Voucher No. Warrant No.
T359567 Lifeguard Store, Inc., The Allowed 20
2012 W. College Ave.
Normal, IL 61761
In Sum of
34.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 INVO16206 4239045 34.00 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
17 -Jun 2010
Signature
34.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund