188820 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363102 Page 1 of 1
ONE CIVIC SQUARE GUARDIAN SAFETY SUPPLY
CARMEL, INDIANA 46032 8248 WEST DoE AVE. CHECK AMOUNT: $120.80
VISALIACA 93291 CHECK NUMBER: 188820
CHECK DATE: 8/1812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239045 5183575 120.80 RETAIL GOODS
INVOICE
t a i INVOICE
i Safety Supply
F
8248 West :Doe Ave.
Visalia, CA 93291 Invoice Date Page
Phone; 559.651"0919 �,_07128/20`I0' 1 of 37
Fax: 559.65.1 .1320 ORDER NUMBER
wwrw,.8uarcliansafet}.com I 1 19$5
Bill To: Ship To:
CARMEL CLAY PARKS RECRE ATION CARMEL CLAY PARKS RECREATION
1411E 1 16TH STREET AT`FN: AUDREY HUGHEY
CARMEL,, IN 46032 1235 CENTRAL PARK DR. E
CARMEL, IN 46032
US
Ordered 13%1: Mr. SERRA GARSKL'
Customer ID: 69656
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
23779 Net 30 8/27/2010 8/27/2010 0.00
Order Date Pick Ticket No Job No Freight Primary Salesrep Name Taker
07/28/2010 3113235 HOUSE ACCOUNT Allison Gonzalez
Beni ID Item Descri tion u0m Unit Exlended
Or erer[ Shipped P Unit Size Price Price
Carrier: UPS- Ground Tracking
20 20 COR71668 SnnX Suncrecn Bottle -8 oz. BT 1.0000 5.4900 109.80
12 EA /CS
Total Lines: I SUB- TOTAL: 109.80
TAX. 0.00
SHIPPING: 11.00
AMOUNT DUE: 120.80
Purchase
Description
P.O. Pore AUG 0 2 201
G.L.# 045
aue escr iC�i C� and s BY line
Purchaser Date
Approval Date
ORIGINAL
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.
363102 Guardian Safety Supply Terms
8248 West Doe Ave.
Visalia, CA 93291
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7128110 5183575 Sunscreen 23779 120.80
Total 120.80
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.
_363102 Guardian Safety Supply Allowed 20
8248 West Doe Ave.
Visalia, CA 93291
In Sum of
120.80
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. kCCT WTITLE AMOUNT Board Members
Dept
1092 5183575 4239045 120.80 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
12 -Aug 2010
Signature
120.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund