188421 08/03/2010 a CITY OF CARMEL, INDIANA VENDOR: T359567 Page 1 of 1
0 ONE CIVIC SQUARE THE LIFEGUARD STORE INC
CARMEL, INDIANA 46032 2012 WEST COLLEGE AVE CHECK AMOUNT: $128.50
o� NORMAL IL 61761 CHECK NUMBER: 188421
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4356004 INVO22884 128.50 STAFF CLOTHING
THE LIFEGUARD STORE, INC.
Invoice
o STORE
THE CLOTHING STORE D
s� 2012 WEST COLLEGE
°b'' °T NORMAL, IL 61761 JUL Z��a 07/16/2010 INVO22884
PH (309) 451 -5858 ii ff
FAX (309) 451 -5959 BY: I� I�IIIIIIIIIII�II��III�III��I III�I�
www.thelifeguardstore.com
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Michael W Klitzing Attn: CARRIE KEAVENEY
1411 East 116th Street 1235 Central Park Dr. East
Attn. Accounts Payable Carmel, IN 46032
Carmel, IN 46032
Account Number: 22431
1094- 4356004 NET 30 006 07/14/2010 GROUND ORD021475
i
10 71ON Navy Hip Packs with lifeguard logo $6.50 $65.00
3 115LW Lifeguard of the Week Rescue Tube Sleeve $16.00 $48.00
Page 1 of 1
FedEx Tracking Number:
052038830021141
Purchase
Description ilI CS ST F CL DTW
P.O.# PorF
G.L.#
Budget �7T
Line 'Z
Purchaser Date
Approval Date
Subtotal $11.3.00
Shipping $15.50
Tax $0.00
TOTAL $128.50
All Balances must be paid within thirty (30) days of invoice date. A 1.5% monthly finance Balance Due $128.5
charge will be applied to all over due balances.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
T359567 Lifeguard Store, Inc., The Terms
2012 W. College Ave.
Normal, IL 61761
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7116110 INVO22884 Aquatics staff clothing 128.50
Total 128.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
T359567 Lifeguard Store, Inc., The Allowed 20
2012 W. College Ave.
Normal, IL 61761
In Sum of$
128.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1094 INVO22884 4356004 128.50 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
29 -Jul 2010
47 X
Signature
128.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund