188533 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364137 Page 1 of 1
ONE CIVIC SQUARE STAYWELL COMPANY
CARMEL, INDIANA 46032 PO BOX 90477 CHECK AMOUNT: $1,538.79
CHICAGO IL 60696 -0477
CHECK NUMBER: 188533
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 6576111 1,538.79 GENERAL PROGRAM SUPPL
StayWe I I®
Number
780 Township Line Road, Yardley'PA 19067 6576111
FOR ORDERING OR CUSTOMER SERVICE
Date Page
American Red Cross 800- 667 -2968 01- JUL -10 1 of 1
Fax: 877- 297 -8525 Customer Number /Site ID
Email: arc @staywell.com
www.shopstaywell.com 1314399 1752395
FOR BILLING INQUIRIES: 800 -456 -7882 Purchase Order Number
11L I r 23725
THIS INVOICE NO. MUST APPEAR ON ALL PAYM ENTS AND
CORRESPONDENCE RELATED TO THIS INV �1'6
BILL TO:
Attm 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
3560167 01- JUL -10 UPS Corporate 0 DUNS 02 -001 -8784
ORDE=RED BY PAYMENT TERMS DUE DATE I SALESPERSON
30 NET 31- JUL -10
Q UANTITY
O
1 655730 Lifeguarding Instructor's Manual with CD -ROM, 8 8 24.75 198.00
(EA) Rev. 12/06
2 655731 Lifeguarding Manual, (EA) Rev. 12106 50 50 26.25 1,312.50
3 Shipping and Handling 1 1 28.29 28.29
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill terbe 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.
364137 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
7!1!10 6576111 Lifeguard training materials 23725 1,538.79
Total 1,538.79
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.
364137 StayWell Company, The Allowed 20
P.O. Box 90477
Chicago, IL 60696 -0477
In Sum of
1,538.79
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 6576111 4239039 1,538.79 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
f
29 -Jul 2010
Signature
1,538.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund